Loading...
Permit `,. ,,,, A 'CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00044 14, 1 1j1 I DEVELOPMENT SERVICES DATE ISSUED: 2/14/03 a �=-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD -04301 SITE ADDRESS: 11475 SW PACIFIC HWY SUBDIVISION: VILLA RIDGE ZONING: C -G BLOCK: LOT: 002 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: M 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: $ 1,500.00 Remarks: F Owner: Contractor: SHAPIRO ENTERPRISES LLC HUSER SALES + SERVICE INC BY MIKE LEVY 1313 NW 17TH AVE 17310 SE 45TH ST PORTLAND, OR 97209 BELLEVUE, WA 98006 Phone: Phone: 503 - 227 -6688 Reg #: LIC 116821 FEES REQUIRED INSPECTIONS Description Date Amount Final Inspection [BUILD] Permit Fee 1/28/03 $62.50 [TAX] 8% State Tax 1/28/03 $5.00 [FLS] FLS Pln Rv 1/28/03 $25.00 Total $92.50 • 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 • e : - . • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by callin• 503) 246 -66 • ' • r 1- 800 -332 -2 4. IssuBy: k_ ' / „ 4 't 1 Pe rmittee Signature: ?C 0......4 Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection System - .....^ ∎ l 5 3-H 101, A - Building Permit Application Date received: Permit no. rg() Z700 � j __welt/ i � „ City of Tigard Mt ' _ / ,, i r Project /appl. no.: Expire date: City of Tigard By: I Receipt no.: Address: 13125 SW Hal v aga , Phone: (503) 639 -4171 Date issued: Fax: (503) 598 -1960 1JAN 2 8 2003 Case file no.: Payment type: Land use approval: CITY OF TIGARD l &2 family: Simple Complex: . TYPE OF PERMIT O 1 & 2 family dwelling or accessory Commercial/industrial 0 Multi- family 0 New construction 0 Demolition )11Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: 1 1 q 7 r sc..., Pfra.t+ t_ L h e, t+ h ' ( riAmil i o12. q 7z.13 Bldg. no.: Suite no.: Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.: Project name: Ca /F -rogs p Gt e di E.4-T' i. Icy Description and location of work on premises/special conditions: t1 PtSreAi) G kiln-Fe N livOn Pt2 E S UP3S3SfoN Sys A4 ► o u L 300 .5 - TA A1U)S OWNER - FOR SPECIAL INFORMATION, USE CHECKLIST • Name: * (Floodplain, septic capacity, solar, etc.) Mailing address: (1 s w Pie a 414wA -` 1 & 2 family dwelling: City: 71 ft A./2.4) I State:Ot ZIP: i Valuation of work $ Phone:Sb3.0 -O5, Fax: IE -mail: No. of bedrooms/baths Owner's representative: 3-re pt} -A/ I t' A44 7 ff Ef& Total number of floors Phonef03 -? 3-03 Sb Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: -D.4t, E„ - Covered porch area (sq. ft.) Mailing address: 2_31 A i, z u... 5T. Deck area (sq. ft.) City: poixTLA F I State: q/Z I ZIP: 9 7 Ax? Other structure area (sq. ft.) Phon • . • -,0119-/ ' 9 Fax8- 70 E- mail: Commercial/industriaUmulti- family: CONTRACTOR Valuation of work $ I � , c O _ Existing bldg. area (sq. ft.) Business name: iltfyek � �aCKU!(t,k New bldg. area (sq. ft.) Address: A3 f N• ' l 1 u-AA4ObJL S 1 Number of stories City: P TI A- /O I Statep. I ZIP: I 7 2- .2''y Type of construction Phone:,Zq$- jc/q I Fax: I E-mail: Occupancy group(s): Existing: CCB no.: t16)32,j New: City /metro lic. no.: 1 74 (CeL) 4 34o8g (CtS' Notice: All contractors and subcontractors are required to be ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: I ZIP: exempt from licensing, the following reason applies: Contact person: I Plan no.: Phone: .. Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application , $ Address: Date received: City: 'State: 'ZIP: 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 Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this o Visa 0 MasterCard work will be complied with, whether specified herein or not. Credit card number: Expires Authorized signature: Date: Name of cardholder as shown on credit card Print name: bt.r 14. t F t2 $ C ardholder 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 (6100/COM) Fire Protection Permit Check List A.) ❑ New ❑ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Type of System (Complete A, B or C as applicable): A.) Sprinkler Wet ❑ Dry ❑ Standpipes Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation I $ 1 sop o pc, C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see chart): $ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. • is \dsts \forms \FPSchecklist.doc 11/21/01 CITY OF TIGARD 24 -Hour BUILDING Inspection, Line: ,(503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST • BUP 00 0 41 • Received ' � ate Reque ed v AM PM BUP Location //q7/5 '[ Suite MEC ' Contact Person 2 5 - Ph ( ) 9-1 {C l C 1 `CO PLM Contractor Ph ( — SWR C LDING4 Tenant/Owner � . %l� ELC Foun• - *on Access: ELC f Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam /0:o U - Shear Anchors (_ - _ ' - _�/ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof : ' 1 V 1. • N ap 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 Reinspeclion 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 Supply Line ADA 3 12 t ( oJ5 Approach/Sidewalk D ate ( / Inspector Est Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL