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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00124 ei DEVELOPMENT SERVICES, DATE ISSUED: 5/4/01 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134CC-01700 SITE ADDRESS: 12325 SW KATHERINE ST SUBDIVISION: MARY WOODARD SCHOOL ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ACS FIRST: 960 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 960.00 'sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 3 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 15 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: $ 12,800.00 Remarks: Construction of new 960 square foot of multi - purpose agricultural shed. Owner: Contractor: TIGARD - TUALATIN SCHOOL DISTRIC RICHARD R. MINICK DBA/R +M 6960 SW SANDBURG ST 1282 3RD STREET UNIT 30 TIGARD, OR 97223 LAFAYETTE, OR 97127 Phone: Phone: 503 - 864 -4807 Reg #: LIC 78688 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PRMT CTR 5/4/01 $168.10 27200100000 Framing Insp Final Inspection 5PCT CTR 5/4/01 $13.45 27200100000 PLCK CTR 5/4/01 $109.27 27200100000 FIRE CTR 5/4/01 $67.24 27200100000 (additional fees not listed here) Total $674.06 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 - 332 -2344. Pe rm ittee Signature: ,(� Issued By: i !� Call 639 -4175 by 7 p.m. for an inspection the next business day - -rt/7 _. Z 21 4124 41 , , Building Y rived: ` G/ Permit n o . U t l �t t - Jy� City of Tiga1 Projecdappl. no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: Receipt n o.: Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: l &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family lew construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: I Z325 5t t) k.'A rauvE 57 ilvA+�t� 1 0 r2 Bldg. no.: Suite no.: Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.: Project name: pi t-' n pv> 5e i21 G ✓TV(L,) -t_ St �� Description and location of work on premises/special conditions: CON.512 or= S> — For?_ v5.: w 1 i N 717 tnl Do��w11-il „7 gy; S OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: :7GA ) TVA L SC-4/001- � isr ' c (Floodplain, septic capacity, solar, etc.) Mailing address: -9- 0 5 ,5A vi2c-, S i •• 1 & 2 family dwelling: City: j /GSA- T ,State: Ott ZIP: 97ZZ3 Valuation of work $ Phone: 43/ - 4018 I Fax: 431- 46201 E -mail: No. of bedrooms/baths _ Owner's representative: J20,1 )-f��sc 1 Total number of floors Phone: 43l - 40/8 Fax: E-mail: r h , J E i `Y'ew dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: 776q��- 72 S cWOoL l� iSlY-fer-- Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial /industrial/multi - family: CON77ZACTOR Valuation of work $ 12 8 Business name: o Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) ?‘ Address: x..749 . / 4 s ;,o r_ :- � - t of ue � r t . Number of stories 1 Phone: Fax: E -mail: Type of construction ng: CCB no.: - 7 plc 7% k$ /1/1 S Occupancy group(s): ExiNew: City/metro lic. no.: SD 3 — Re, q - L.I _7 Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: 5L )( provisions of ORS 701 and may be required to be licensed in the Address: Z 13 S,- J Aisti jurisdiction where work is being performed. If the applicant is City: ?or '- � State: 02 ZIP: �j JL 0 exempt from licensing, the following reason applies: Contact person: X rvi C J l Plan no.: Phone: . 23 224 42t.36 Fax: Z7-4- 4836 E -mail: 1 NGINEER Name: 6 244 G 61 4A LL Contact person: l - U L : ` - > Fees due upon application $ Address: 23 Zo S to INA:S itiniG7t) ' 1 57 Date received: City: i"n it...t.iktii Li 'State: 012 'ZIP: 9 72_Z Z Amount received $ Phone: 5b3 ts9 5913 I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied with with w liether sReCified erein or not. Credit card number: / / c � Expires Authorized signature: i ate: 71r- 7 Name of cardholder as shown on credit card • $ Print name: Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6iVOICOM) [(0(4.(0 (04.V C. 1• IA 0244 x' COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX 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 plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3 ** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition .Alt = Alteration to existing building *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I : \dsts \forms \matrxcom.doc 10/27/00 CITY OF TICUARD 24 -Hour -BUILDING' Inspection Line: (503) 639 -4175 IIPE O . DIVISION Business Line: (503) 639 -4171 Received _ • Date Requested , ( —/ AM PM BUP . Location f --3oLs /(da--ia/L-416- :.Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner IA 1 . Ii14 _., A.. Li) am.. ' ELC looting °Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: .9 c 0 �mi �4 �► °G a SIT Post & Beam Shear Anchors k/‘ tis Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall c° .� e f Fire Sprinkler V Fire Alarm Susp'd Ceiling Roof Other: PART FAIL • :! BING 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 Line j ADA Approach /Sidewalk Date Inspector Ext Other: Final DO, OT REMOVE this inspection record from the job site. PASS PART FAIL •