Permit L CITY OF TIGARD BUILDING PERMIT
A PERMIT #: BUP2002 -00385
11�A DEVELOPMENT SERVICES DATE ISSUED: 9/16/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD -04000
SITE ADDRESS: 11533 SW PACIFIC HWY
SUBDIVISION: VILLA RIDGE ZONING: C -G
BLOCK: LOT: 007 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 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: $ 18,500.00
Remarks: create offices with in an existing commercial space
Owner: Contractor:
SMITH, EDITA M PK MORIN ENTERPRISES INC
833 NW 170TH DR PO BOX 1310
BEAVERTON, OR 97006 SHERWOOD, OR 97140 EXPIRED
Phone: 503 - 387 -7538 Phone: 503 - 925 -0124
Reg #: LAC 125208
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
FIRE CTR 9/4/02 $90.28 27200200000 Electrical Permit Required
Framing Insp
PLCK CTR 9/4/02. $146.71 27200200000 Insulation lnsp
PRMT CTR 9/16/02 $225.70 27200200000 Gyp Board Insp
5PCT CTR 9/16/02 $18.06 27200200000 Susp Ceilng Insp
Final Inspection
Total $480.75
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 • _AtP
Signature:
Issued By: - e
Call 639 -4175 by 7 p.m. for an inspection the next business day
09/04/2002 09:26 5036283172 CEDAR:MOUNTAIN PAGE 01
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CITY OF TIGARD 24 -Hour
ammo Inspection Line: (503) 639 -4175 0 INSPECTIONMIVISION Business Line: (503) 639 -4171 (Z' c'‘III*14-.— Received Date Requested ! / 9 AM PM BUP
Location Suite MEC
Contact Person O Ph (. 4 5" d 3' - 0SY r PLM
Contractor /� ',
Ph( ) , SWR
BUILDING Tenant/Owner P /` may- r l43 eA / e „-
Footing
Foundation ELC
Ftg Drain '' cress:' C;// p / sp in ELR
Crawl Drain ? /
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
4 'r
Ext Sheath/Shea
Int Sheath/Shear /996--6 �/ r � �� I AjO'
Framing 7T l�c� v°
Insulation / �j vv - -, // "'WS is e 7411 ,
Drywall 11
Firewall U�--.1‘i %.
Fire Sprinkler •
Fire Alarm ,■
Susp'd Ceiling w
Roof
Other: '�/J I ,
Fin. ' � .. � / (/6 Sail C/-
►� � 5 ��
4 �� FAIL /
P MBI L I/, -'f
Post & Beam \ \441r Under Slab
Water
Rough -In 0
Service
Water Service
Sanitary Sewer
Rain Drains r —
Catch Basin / Manhole � ______C._1_ -� A
Storm Drain — —
Shower Pan i' JO
Other: — _ `� _
Final g:__014��la 7 Y , 3- A L J r
3
PASS PART FAIL
MECHANICAL Ae A ' S
Post & Beam
Rough-In
Gas Smoke Dampers
Lie l' Doi-) G (p ( . C e Sm Smoke Dampers _ �
Final �� ^ 1 w t r, f , . 4- / � ` ^
PASS PART FAIL u ” v V " ' C�
ELECTRICAL
Service
Rough -In /j ,may t'_
UG/Slab - AMEZOO Low Voltage •
Fire Alarm
Final ❑ Reinspection fee if $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ill Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line , �J
ADA
Approach/Sidewalk Date �� ��� Inspector \ v C�� Ext
Other:
Final DO NOT REMOVE this inspection record from he job site.
PASS PART FAIL G C.
CITY OF TIGARD 24 -Hour
r BUILDING Inspection Line: (503) 639 -4175 o �� — �����
INSPECTION DIVISION Business Line: (503) 639 -4171 rag
(Er*
Received Date Requested / ( AM PM BUP
Location 3 P c Suite MEC
Contact Person Ph ( -5 l FD 5 S S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access: •
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
. 7■
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �. " ;t-_
Roof
Other:
PART FAIL
P I ! 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 Supply Line
ADA
Approach/Sidewalk Date ? / 7/ 2-- Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL