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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00256 ° '�: 1 DEVELOPMENT Blvd., OPMENT o SERVICES 639 -4171 DATE ISSUED: 6/3/2004 SW SITE ADDRESS: 07035 SW HAMPTON ST PARCEL: 2S101AC -01100 SUBDIVISION: BEVELAND NO. 2 ZONING: MUE BLOCK:, LOT: 017 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 18 BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE:- / dGa2.'D Remarks: New roof, accessible ramp and interior remodel. Owner: Contractor: AFT - OREGON YORKE + CURTIS 10725 SW BARBUR BLVD STE 50 4480 SW 101ST AVE PORTLAND, OR 97219 BEAVERTON, OR 97005 Phone: 503 - 245 -9815 Phone: 646 -2123 Reg #: MET 5 0 � 0 g 0 4 0 4 1990 FEES LIC REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 6/3/2004 $837.90 Plumbing Permit Required [BUPPLN] Pin Rv 6/3/2004 $544.64 Framing lnsp FLS FLS Pln Rv 6/3/2004 $335.16 Gyp Board Insp [FLS] Dryrot after, tear -off [TAX] 8% State Surchari 6/3/2004 $67.03 Final Inspection Total $1,784.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 t • • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (50.. 46 -6699 • 1- 800 -33 344. Issue.' By: a I A f‘, c':L 4 Permittee 'WM% Signature: . _ _ '/. /IIi&_ Call 639 -4175 by 7 p.m. for an inspection the next business day r Building Permit Application FOR OFFICE USE ONLY City of Tigard Date/By: [. e fl Per t No Or I .OQ . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 kai i\ Date/B : . - •0 , 15 Other Permit. Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information �z::r - - ._�,; - -��- :°.sin ,;. ` '„��,'^ �.�� �:�x'�°- �"� ^. #'>4:rya.^.� = »+�,•.,:�. � .t e *�'��^:w'���:. �.,: aa=��i':r 3 h s�.ti >. .ems :a�^:�c;.,�- �^a';'t�;�; �.��.. ;y ' e .._' : ,z.,,': F a. , " € ; ; ' Wili- =OFi atin , ` .52; a g :I. • `"...t 515ft UIRED DATAt M A Da2=FrYMI4iili4b -1 NG. - a `, . w ., e.. Ndra. ^ z , .1E ` 1 _ -.m:_Q , : m,�;, r t::: .. , .._.. ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ' Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the m -» '"- ;t_" tr 'i: °:. :' 2 � : ,. etatwa':. �:,`;i:^5�: t�"; �`.' t. =rss ° ' °" E ; `.'r ,? work 1 �,i ;r ', , ° "' " "�" � r r� �� � ,, °t� „ -.; ork indicated on this application. o , ,. _ ' 74.-. , � t : _ C E Y, TG O F h CONS, CTT®N, w ? „s N- a rr `ra i. t Valuation: $ ❑ 1- and 2- family dwelling -Q Commercial /industrial El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: r "u � ;n �. ms's #,a �. - �""s'a'�'S� � � � �, �: � : rJk 3 ; - : � y a 3 ,' A JO B�'�ST E I i D LOC?�TION i Total number of floors: Job site address: 7a 3S S w (- 1 -c.,, 164 New dwelling area: square feet City/State/ZIP: P43 G k a. C 7 223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 4 FT - Of - e 3 r1A Covered porch area: square feet Cross street/directions to job site: 7 g w ek O ,f t ? a ,, 7 'f p Deck area: square feet 4 c12 Other structure area: square feet a RE DATA i -hi VIERCIA E kt § CHEC S KLIT ` Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the AV:. ; e t o $ L' : .: < ". ° sk, Rf :tee "'„ '. " ; "a :a�. -;Pa ` °z4 " : ' c . OE;t.w � ` t ,/ , work indicated on this application. ( pp Valuation: $ (024 oov- Ai e.,41 C arp.trh -- ► -0J — Pc.t4. -� rr. if�..r�trl► Existing building area: square feet (k q.- J` t n d` • New building area: square feet _.,' u fi`;beit OPI RTY OVITNEll °c >�; ; ``? ;`' , a E NANW T < T yf . ° ".' �;u, z � - 8, ' Number of stories: a:: SE .., . . �?� `v ... -11:-� & 5„ e.?z °„=sue ��.• ;!'& * .;'�z�.'ait -'..,. . , sa , fit .;,' v :^'4' .t :. Name: � f T- or-t,5dil Type of construction: Vi Address: / 0 74.s S W 1242.1.L a ( p ,,,,.. n) Occupancy groups: City/State /ZIP: `Po A ( Lti.■ A rtit 17,'Lt 9 Existing: Phone: ) - 7 (8 Fax: (4-0 5) Z 4 t---_ 0 (D g New: M.' <AA -L TGAIVT' S 4 CO thee. ERS©1 iC 6ekr :* kr; ' .i4 .i+ ,�. - 1,,,Fx i,i;s , , i.14 > gali ( - . , . A . '_ °�� >°x 'tf3 "". ^..r :.51,' 7a � "Ze - 44 w1�OTICE i ,,e.' lz , z "3 Business name: go r- ._ Lw r4 t S All contractors and subcontractors are required to be Contact name: S� kt licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: if c(.ha S ln! 0 1 rJ jurisdiction in which work is being performed. If the f n applicant is exempt from licensing, the following reasons City/State /ZIP: v TCJ✓\ t"S ( 4 g U 6 c 2 apply: Phone: (n )` y4 - t 2 3 l Fax: ( S1f�y) (2y 3- 5 3 i E -mail: 7 1 D r 5 Q t K /, a ti. c ur't J • (MA „Imit . a ' 7 v' ham' '.ua o ` it- m Y,. d. . - . i =,A , li CON, RAGTOR , , Ate ry * . ° r. ,'...C.. A- q Bu name: Y V ( . 1 A C�� 4. t S �I` #' s BI T1I.DINGPERIVIIT 4FEES *' ~ ' Address: / �-t tbi Please refer to fee schedule. City/State /ZIP: f v s"eG'-�' I^' "'� � 7 v /t�t� Fees due upon application Phone: 96 ) 64( a.(23 Fax: (TO ) (p\( _ 5s3 f CCB hc.: � ( Li . Amount received Authorized signature: / This permit application expires if a permit is not obtained - �� Date received: within 180 days after it has been accepted as complete. Print name: � QV � l W ,. / t Date: '( , - 3. 0 * Fee methodology set by Tri- County Building Industry ' /-� Service Board. i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB) Building Division Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of�SubmY #-of P6 ;�ncl d lte ns an arat><ons) Required - r e . AL„ < .. R., _ �...... - .. , S u bm itta l. . Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) • Site Work 2 (must include location of all accessible parking) • Plumbing (site utilities) 2 Building 1* • Fire Protection System 3 ** Mechanical 2 ` ' • • • Plumbing (building fixtures), • 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request . ' additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) • • • * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an .' Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\Bui lding\Forms \COM- PlanSubReq.doc 12/24/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (5 ' :• 9 -4175 INSPECTION DIVISION' Business Line: (5 639 -4171 MS Bu d, Received Date Requested AM PM B UP Location 7c -524) � ✓ Suite MEC Contact Person SC-0 Ph ( ) 42 71 S 1-6 ' PLM Contractor Ph ( )� SWR '� IUILD( G 6 Tenant/Owner ELC -r ooting ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other ina PART FAIL J P ,UMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA C ` Approach/Sidewalk Date ��� Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL