Permit CITY OF TIGARD BUILDING PERMIT
�- PE RMIT #: BUP2001 -00432
.'ll6 DEVELOPMENT SERVICES DATE ISSUED: 12/05/2001
�`--' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07585 SW HUNZIKER ST PARCEL: 2S101AC 01800
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 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: $ 3,250.00
Remarks: Alteration to fire sprinkler system for (1) new spray paint booth.
Owner: Contractor:
MOSTUL, TERRY A + DEBBI C VIKING AUTOMATIC SPRINKLER CO
7585 SW HUNZIKER ST 3245 NW FRONT AVE
TIGARD, OR 97223 PORTLAND, OR 97210
Phone: Phone: 227 -1171
Reg #: sic 64837
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler inspection
PRMT CTR 11/20/2001 $81.70 27200100000 Sprinkler Rough In
5PCT CTR 11/20/2001 $6.54 27200100000 Sprinkler Final
FIRE CTR 11/20/2001 $32.68 27200100000
Total $120.92
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1 -800 32 -2344.
Permittee / 1
Signa rem
� 4 ��
"i`�1�• .�►�. IV
Is ed By: tj fi
W I i� /L ..,/ 1 •
Cal • 9 -4175 by 7 p.m. for an inspection the next business day
01/26/01 FRI 0 9 : 1 6 FAX 503 598 1960 CITY OF TIGARD 0 002
Building Permit Application c . ,. _ 7 r
Date received: // d Pe n o . :,Q,u��jo��Ot�3
1 City of Tigard
.4 . •"..... g Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By : Receipt no.:
Fax: (503) 598 -1960 — Case file no.: Payment type:
Land use approval: 4/-4 0/" e'039.2 l &2 family: Simple Complex: •
._..._, . - .., _. . - TYPE.OF PERMIT` •?.:::'',- •t: . - - •
❑ 1 & 2 family dwelling or accessory ❑ Commer :ial/industrial CI Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement 7i Fire sprinkler/alarm ❑ Other:
: ;> : .. JOB SITE INFORMATION ,
Job address: 15 e,5S:4t-tUt.1 7_tt<, R.1). Ti GA�.S CIA • Bldg. no.: Suite no.:
Lot: Block: 'Subdivision: 1 Tax map /tax lot/account no.:
Project name: A -r c Au`r O ' + � ,
Description and location of work on premises/special condition tV E- N StPi2P i 1'0\ 111/40 oar 14
::::....., : - . . - - 1 , OVYNER , ..: ; • FOR SPECIAL.LYFORMATION USE CHECKLIST .
Name: A t2 r is - i e No.-To 5311 tN y - . , t . ' •' (Floodplain, septic capacity, solar, etc.) ' _
Mailing address: =( : • 5. vU. Kkxla 2 tt< t •tom . - 1 & 2 family dwelling:
-
City: - GA(2i\ State: o .::IP: hZ at ! Valuation of work $
Phone: . 49 ._ ,17tFax: E -mail: No. of bedrooms/baths -
Owner's representative: s- e"2 f .,., r - t Total number of floors
Phone: IFax+:' E -mail: New dwelling area (sq. ft.)
. , . . APPLICANT , - Garage/carport area (sq. ft.)
Name: r Covered porch area (sq. ft.)
v lAy l\1G N./.1m -il
Mailing address: -k, � . 5 N • v t • .2ur.S'T VE Deck area (sq. ft )
City: State: p�..;IP: Other structure area (sq. ft.)
Y 1�cri2rl saNil 9? 2107
Phone[s �) 22Z ‘'t i F. ■�� Q z _ t A. E -mail: Commercial/industrial /multi- family: f
::: CONTRACTOR-
Valuation of work ; $ 3254
Existing bldg. area (sq. ft.)
Business name: t Kt t„(_, Atp'sc�M�z ‘,C. �,i?lZkal1<IS�R &O . New bldg. area (sq. ft.)
Address: 3 PIA 5 "4 \ K. '� Y A 'E..- Number of stories
City: 1 ? o t 2.1 A . 1 . 1 I State: p(Z.::IP: 57 21 p Type d construction i
Phone: Fax: Email: Occupancy group(s): Existing:
CCB no.: G4 g 3 i New:
• City/metro lie. no.: 2g Notice: All contractors and subcontractors are required to be
,..'A„ -z Ti J /DESIGNER . licensed with the Oregon Construction Contractors Board under
Name: .,r.G .,t ti-N ^eo I\, 'W t KING Stmt t.11� Provisions of ORS 70I and may be required to be licensed in the
Address: tit E AS A t?>oV jurisdiction where work is being performed. If the applicant is
City: State: i `gyp: exempt from licensing, the following reason applies:
Contact person: Plan no.: -
Phone: Fax: E -mail:
ENGINEER
Name: V w..,,, wv S , 2, ut�t_C —,& Contact person: WAy>J6v1, „ Fees due upon application $
Address: 514,_/\), k.c, A C E Date received:
City: State: (ZIP: Amount received $ /v,0 - , f.V.—
Phone: Fax: (E -mail Please refer to fee schedule.
I hereby certify I have read and examined this applic ition and the 'Not all jurisdictions accept credit cards, please call jurisdiction for more information :\
attached checklist. All provisions of laws and ordinances governing this a Visa CIMasteiCard - .
work will be complied with, whether specified herein or not. credit card number / /
Expirrs
Authorized signature:. i - -Q- l_6,X Drite: 11 1 - ' - Name at cardholder as shown cm credit card j
Print name: Vim(.AytSt= V1t►.ISz-onl' $ .
Cardholder signature Atnomt
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - 440 -4613 (6100/COM)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour In §pection Line: 639 -4175 Business Line: 639 -4171
1 >> BUP - 00 /
Date. Requested / — `t' AM PM !_ 2 Of 0
Location 5 Suite MEC
Contact Person I Ph PLM
Contractor f i ) 0 A4 ,- Ph SWR
B ILDING Tenant/Owner L-� ELC
Re 'n Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: •
Slab SIT
Post & Beam
l=xt Sheath /Shear ,
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
moire Sprin er
Fire7darm
Susp'd Ceiling
Roof
Misc:
(� 1 PART FAIL
Post &
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART' FAIL
rMECHAINICAL'` , ' '
Post & Beam •
Rough In tea.
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL' '; ,
Service
Rough
UG /Slab In
Low Voltage •
Fire Alarm
Final
PASS. PART FAIL
SITE`_ ;
•
Backfill /Grading
Sanitary Sewer
Storm Drain [ •] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date / Z.. / C / / Inspector <\ \/ ^_1 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •
•
•