Permit ■
BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2002 -00329
A 411 _ DEVELOPMENT SERVICES DATE ISSUED: 8/15/02
1,,�.:.:wW, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08015 SW HUNZIKER ST PARCEL: 2S101 BD -00300
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: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 16,949.00
Remarks: Sprinker flow alarms
Owner: Contractor:
PERFORMANCE CONTRACTING INC ADT SECURITY SYSTEMS
8015 SW HUNZIKER ST 2815 SW 153RD DR
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: Phone: 503 - 469 -7226
Reg #: LAC 59944
ELE 29- 209CLE
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarm Insp
FIRE CTR 7/30/02 $82.60 27200200000 Final Inspection
PRMT CTR 8/15/02 $206.50 27200200000
5PCT CTR 8/15/02 $16.52 27200200000
Total $305.62
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 1410-332-2344.
Pe rm ittee
- Signature: • ,„/
Issued By: Ar /
-( Iri jL
Call 639 -4175 by 7 p.m. for an inspection the next business day
07/30/2002 16 :52 FAX 5034697110 ADT SECURITY 13j002
' F A' 50 3 G. A - 36 8 1 Al J E,ie■p-N ‘ B r . g_ S - .-02 ., A,
A, Building Permit Application
Datm e ? fib b 7 P ermit= �. .t, . „
City of Tigard
Address; 73125 SW Hall Blvd, Tigard, OR 97223 Pt Expirr; data:
Ciry ofTigwd Date ssu : By: Receipt (503) 6394171 y= I tno.: p
Fax: (503) 598 -1960 ' " Case file no -: Payment type:
. Land use approval: 1 &2 family: Simple Complex:
TYPE OF PER IIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial . 0 Multi- family ❑ New construction 0 Demolition
. 0 Addition/alteration/replacement 0 Tenant improvement ft Fire stag . , O Other.
.loll SI I'I: IN1 e t
Job address: 8 c 1 _S , (, , V BJZ % 1c.. T. '- a /k • Bldg. no.: • Suite no.:
Lot: I Block Subdivision: I Tax map/tax lot/account no.:
Prujcatname: ? C 1 I' E 'it-o v_ IA #04,1 c.:E Corm N 61. ) N c- '
D
1 ;
escription and location of work on premises/special conditions: AY-71 Act, t 17 IN t- PciLJk Pci) b T) 011
To c o Tire; J.-3-r lil PCV - DO 1.4 D Wvrcre- ti3 t y. I ii-•c A Lft 'P-• F. Sy s -r —,
. oWNfat F(,It SPI (I: \l._INFORMATlON, 1.1SL CrILCI:LIST
Name: -P L I p E72- c& ■.r -Ns- is 1 A. 1 (I toodplain, septic capacity solar, etc.)
Mailing address: $015 5 t.t> )• 1 v p.J2 -11 >Z iZD 1 & 2 family dwelling:
City: `r 1(r Al-I) IState :Qjt. IZIP: II - 17_2.3 Valuation of work $
Phone: (r• 1,4 55 'Fax: 6p1A434-2,71 IE -mail: No. of bedrooms/baths
Owners representative; M fa it-t P- " 4-i'r Total number of floors
Phone: (s• SA - 5533 Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: oh...D'T S e.... U R_ 1 - ry SUGS Covered porch area (sq. ft.) •
Mailing address: Z8 15 S Lt-) 1.53 7 D • Deck area (sq. ft.)'
�'�
Ci � liVe� -its rate :, . Zip: Da _ Other structure area (s9. ft.)
o e W/indasMallmtil[I- family:
Phone: 4 , . ?.Lb •. E- mail: 7�M s MQ , .. . f
r. `' '
CONTRACTOR . aluation of work $ 1 C t 444.
• Business name: Existing bldg. area (sq. ft.)
�[ ' ' � C Lyle_ cry 5 zip ..vi G -i S New bldg. area (sq. ft)
Address: ' g ]S • S 1.� 9Z ,
City: " ., .. • V • N Stare: MI ZIP: 'Al baC, Number of stories
Phone: ,:• F' ' - - Fax: - - _ .. j a E -mail: b o a Type of construction ..
CCB no.: ' • - ' - J • VT Cp Occupancy group(s): Existing:
New:
City/metro lie. no.: - Notice: All contractors and subcontractors arc required to be
\RO I1 1 MESIGN ER licensed with the Oregon Construction Contractors Board under
.)
Name; aD T .$ o rL cr - S S provisions of ORS 701 and may be required to be licensed in the
jurisdiction where work is being performed. If the applicant is
Address: Z� l/ exempt from licensing, the following reason applies: -
City: . "e Ave/arm 1.
State :�R �: I r
6 Contact • - • • n: ' J. ,r Plan no.: .
Phone: 4. • : ' - Z - 1::riiLSg p'1i( '' ' ..: :. ; . ,,
ENGINEER
Name: Contact person: Fees due upon application $ D _
Address: - Dare received:
City: State OP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I. hereby certify I have read and examined this application and the Na nil jurisdiction( aarapt medic catds, please call jurisdiction far mme information.
attached checklist. All provisions of laws and ordinances governing this UVisa' aMasterCerd
work will be complied with, w therr s li ed herein or not. credit cud nowtaf e Ypl, a
Auth signature: - p �Y Dire: Name of cardholder as Awns ass credit card $
Print name: Z hp-4-K-3 wi-t # ID CiZ,/A L _ C slipup c Armutlr
■
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (6130/C OM)
0$3`00►.$°
CITY OF T' "ARD 24 -Hour
BUILD' ' Inspection Line: (503) 639 -4175 MST
INSPECTION. I ISION Business Line: (503) 639 -4171
BUP
Received / Date Re•uested 1 2 Z AM ' ^ BUP D6.3 <;--7 O
Location ?e). J °46 -€.2 Suite - MEC
Contact Person ' - = _ / Ph ( ) 7:72 -
PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 12 SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fire
Susp'd Ceiling
Roof
Other:
Fi
PART FAIL
-ING
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 U Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA //g °
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL