Permit , CITY OF TIGARD BUILDING PERMIT
P ERMIT #: BUP2004 -00097
4 DEVELOPMENT SERVICES DATE ISSUED: 4/19/04
F�'il 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07125 SW HAMPTON ST PARCEL: 2S101AC -01400
SUBDIVISION: BEVELAND NO. 2 ZONING: MUE
BLOCK: LOT: 020 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: BASEMENT: sf AREA SEP. RATED:
STOR: 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: $ 155,000.00
Remarks: Tenant Improvement
Owner: Contractor:
SPECIAL DISTRICTS ASSOCIATION OF OR MENG - HANNAN
727 CENTER STREET, NE #208 20 5906 SE 122ND AVE
SALEM, OR 97301 PORTLAND, OR 97236 -4607
Phone: 503 - 371 -8667
Phone: 761 -5290
Reg #: LIC 47283
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 3/10/04 $623.22 Electrical Permit Required
[FLS] FLS Pln Rv 3/10/04 $383.52 Plumbing Permit Required
Foot/Found Insp
[BUILD] Permit Fee 4/19/04 $958.80 Framing Insp
[TAX] 8% State Surchari 4/19/04 $76.70 Gyp Board Insp
Total Final Inspection
$2,042.24
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 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
/ ' /C /�`��/V
Issued By: ,� — CLLCc:
Pe rm ittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
7/25 Sw thIn ProN
5/cc/At. D,smici`
Building Permit Ap -- - - FOR OF ICE lISE ONLt —
City of 'Tigard I V E ® R _ �-_ / — Permit No . �.�
] 3125 SW Hall Blvd., Tigard, OR 97223 Dat `9 "' �/ 310.01 b0 yl 000 97
Phone: 503.639.4171 Fax: 503.598.196 1 2004 d x k, ;,, > �., SI,/ J Other Permit Aii I'' ' l = Date/Bv: Plan Review
Inspection Line: 503.639.4175 ' )I�._ =`' ..._ Date Ready / r : Faris: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7125 SW Hampton New dwelling area: square feet
City/State /ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Special Districts Association Covered porch area: square feet
Cross street/directions to job site: SW Hampton & 72nd Avenue Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parecl no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of new elevator, remodel of existing restrooms, 2 new accessible parking Valuation: $$155,000.00
spaces Existing building area: 10,990 square feet
New building area: 10,990 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Special Districts Association of Oregon Type of construction: V -N
Address: 727 Center Street, NE, Suite 208 Occupancy groups:
City/State/ZIP: Salem, Oregon 97301
Existing: B
Phone: (503)371 -8667 Fax: ( )
New: B
C"--, ® APPLICANT ® C ONTACT PERSON NOTICE
60 Business name: Kevin Cooley Architect All contractors and subcontractors are required to be
^� licensed with the Ore on Construction Contractors Board
v' Contact name: Kevin Cooley g
under ORS 701 and may be required to be licensed in the
Address: 400 E. Evergreen Blvd., Suite 219B jurisdiction in which work is being performed. If the
City/State/ZIP: Vancouver, Washington 98660 applicant is exempt from licensing, the following reasons
11 i apply:
Phone: (360) 693 -2115 Fax: : (360) 693 -8733
E -mail: kc(a3Pacifier.com
CONTRACTOR f
Business name: /�/�G. � — A/l/tV / BUILDING PERMIT FEES*
Address: 5"q- SLR„
Please refer to fee schedule
City/State /ZIP: I I ) X
Fees due upon application
Phone: (' '3 ) -7 (p (. 'j 1-9O Fax: ( )
CCB lie.: '5e/ 1 � � _ 3 —C.171 Amount received
Date received:
Authorized signature This permit application expires Ira permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ED�G✓u,p r / Pe mo o. , D . Date: 'I— j 1 --e2 Y * Fee methodology set by Tri- County Building Industry
CITY OF TIGARD 24 -Hour
BUILDING __. Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
p � BUP Aa6� 9 . 7
Received Date Requested / 0 AM PM t P — C I O I CO2.—
Location l a S Suite MEC
Contact Person Ph ( ) 5/9 8 74 7 1 PLM
Contractor Ph SWR
BUILDING Tenan er ELC
Footing
Foundation ELC
Access:
Ftg Drain kx C ` ELR
Crawl Drain `� i
Slab Ins Notes: SIT
Post & Beam '
Shear Anchors
Ext Sheath/Shear � �� 141./
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fire
nkler /II
Fire Alarm
Susp'd Ceiling `,
Roof
Other:
'ASS 'PART FAIL
-• -
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 r: spec '•' RE: inspect - no access
Fire Supply Line ' � 7�•
Approach/Sidewalk Date O v ® 'nspe Z � �� _
Other:
Final DO NOT REMOVE this inspe ion record from the Job site.
PASS PART FAIL