Permit ,
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00060
� �� DEVELOPMENT SERVICES DATE ISSUED: 5/17/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102AA -04100
SITE ADDRESS: 12230 SW MAIN ST ZONING: CBD
SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG
Project Description: (6) Fabric covered awnings 18x3x3.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 10,000.00
Owner: Contractor:
INTEGRITY INVESTMENTS INC NORTHWEST AWNING + SIGN CO
2229 NE BURNSIDE SUITE 86 4812 N. INTERSTATE AVE.
GRESHAM, OR 97030 PORTLAND, OR 97217
Phone: Phone: 503 - 493 -9111
FEES Reg #: LIC 00025643
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/17/2005 $139.30 Bolts in concrete
•
[BUPPLN] Pin Rv 5/17/2005 $90.55 Structural welding
[FLS] FLS Pln Rv 5/17/2005 $55.72
[TAX] 8% State Surcharl 5/17/2005 $11.14
Total $296.71
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 99 or 1-800 -332 -2 4. 4,r !
Issued By: Permittee Signature: .(ry � 'i'9 4
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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✓ F Buildin Perini why . U R OFFICE USE ONL i'
® DateeBed /0 D,5 Building
ynC - Permit _ OO'S <JO
Cl of Tigard Planning Approval Other
J g Date/By: Permit No.:
13125 SW Hall Blvd. FEB 1 6 200 , Plan Review / Other
Tigard, Oregon 97223. Date/By: 9. . A y s Permit No.:
Phone: 503 -639 -4171 Fax: a �q �5
i f .. s: 1 ',;�
Date/By: Land Use
1 Y �7I I I ateBy: Case No.
Internet: www.ci.tigard.or.us T �� r ■ - Contact Juris 0 ®See Page 2 for
24 - hour Inspection Request 3 lft 3" ' Name/Me � i 1 Cr Supplemental Information
T \•- ( 'dam •S‘,u' C �S
V`.'!?tFL :'i:i.::;rlr4lt.* ;X'41-Q0k8V - ''" i'a:' . a; 'j : -;: "� r ' : ' rs � . _ ry " :
Q .T - Oy •
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El New construction ❑ Demolition !1 � "• ' - � ,1 ; ' o l l 1A' 7 _
R Addition/alteration/replacement ❑ Other: s: ”
' : ; 4 .: . . ,- i pj>Y gQ OO, f to ' r.: , '" ;,,.•. Note: Permit fees' are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ® Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
ti;r" : 4 ;..� $:- `tfoOR ivotri tOrkuck '•c -a =;
No of bedrooms: No of baths:
Job site address: /2 SLt.) /ly,,✓,„ St Total number of floors
New dwelling area (sq. ft.)
Suite #: I Bld . /Apt. #: Garage/carport area (sq. ft.)
.✓y a"
Project Name: Ci.o / I°4.'t Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
G,D�LI1PiI� Other structure area (sq. ft.)
n2VAI 57r and, CoonmeAcial eu t ,. : , ) " .'.r q: t t�, r - •_ •:. r .,_�10 { . ■
`" t r :a r 'CIAIS SE d..nECI�1
Subdivision: 1 Lot #:
Tax may /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
t;. •. -,.: y- 1...1
� n-j. „i c r o A 4. ,mss„ : . .11. ! ; iii € the value (rounded to the nearest dollar) of all equipment, materials, labor,
.;P_4v
overhead and profit for the work indicated on this application.
to €244101 / - -ab'rr - GOs1.P.et�i
/8 I 3 • " •� • 3 ' Valuation $ /0000. 00
�� - "se": building area (sq. ft.)
New building area (sq. ft.)
Number of stories
1 - 0 : : . e. ,'' i'. N ";, .1 ( • katti r. ,. ,ti>. =f4::'-ar.> ;_'; Type of construction
jj i n djdmenrs �1� Occupancy group(s): New:
Existing:
g G '�
Address: l/ 6 Y /1/E
City /State /Zip: A ale. 872,3
Phone:�0 (pgr3 F ax:503 p woo
All contractors and subcontractors are required to be
Nit .. licensed with the Oregon Construction Contractors Board under
[i:401 IC.Ai!11.:)- i4- -* .. 1 ` (710SS - , , provisions of ORS 701 and may be required to be licensed in the
Business Name: if/pr j flf4 d d jurisdiction where work is being performed. If the applicant is exempt
Contact Name:She 4 So a from licensing, the following reason applies:
Address: yi /Z £ -../ ave
City /State /Zip: ,f k �e Q 7
Phone -03 S'93 9/./ ( Fax:,5o3 f93 GLlS2 - j... . r o = iF; <- : ; 5
E -mail: e c o 54 �:9 . 'x , e - 7 _ o-05" ',L " _ _ _ : -' a-44, � u -`:6 ° =... ;; w t
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Business Name: Yorke ofi [ /d2l.) Fees due upon application $
Address: . - ge/ a 541 /D /s' Oi n
Cl /State /Zi oe q7005. Amount received $
tY P: Q��rtQw,
Phone: 503 (oV(v 2/23 I Fax: 503 (p(/3 553/ Date received:
CCB Lic. #:
Authorized ..---- / Notice: This permit application expires if a permit is not obtained within
Signature: /lLtf� 2:077. Dates:4- /S -4)J 180 days after it has been accepted as complete.
S*e, /A Forge 7`• *Fee methodology set by Tri- County Building Industry Service Board.
(Please print na •)
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ELEVATION
NORTHWEST AWNING & SIGN INC. PHONE 503 -493 -9111 Crown Carpets
4812 N INTERSTATE AVE PORTLAND OREGON 97217 FAX 503- 493 -0052 12330 SW Main Street
CITY OF TIGARD
BUILDING' DIVISION PERMIT #: BUP2005 00060
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/17 /2005
Phone: (503) 639 -4171 � ofisiribl f it .
Inspect Requests (24 Hrs.): (503) 639 -4175 °`:_.. .
INSPECTION WORKSHEET FOR DATE: 6/7 /2005 TIME: 7:17AM PAGE: 57
SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: CROWN CARPET
DESCRIPTION: (6) Fabric covered awnings 18x3x3.
OWNER: INTEGRITY INVESTMENTS INC, PHONE #:
CONTRACTOR: NORTHWEST AWNING + SIGN CO PHONE #: 503 - 493 -9111
Inspection Request Scheduled For: Date: 6/7 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 008623 -01 971 -404 -4501 N
Corrections /Comments/ Instructions:
S iS(
\ --1'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL
❑ CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
a_ ' A -7 /J Inspector: Date: ( Phone #: (503) 718 -
p ( )
1