Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00500
d1'aw, DEVELOPMENT SERVICES DATE ISSUED: 2/7/01
r�I �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102AA -00602
SITE ADDRESS: 11960 SW PACIFIC HWY
SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD
BLOCK: LOT: 010 JURISDICTION: TIG
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: U2 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: $ 1,500.00
Remarks: SGN2000 -00198
Owner: Contractor:
AMAN ENTERPRISES, INC LUMINITE /SIGNCRAFT INC
PO BOX 19089 9033 SW BURNHAM RD
PORTLAND, OR 97280 TIGARD, OR 97223
Phone: 503 - 317 -0709 Phone: 639 -4991
Reg #: sic 116449
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PLCK CTR 12/19/00 $40.63 27200000000 Foot/Found Insp
Final Inspection
FIRE CTR 12/19/00 $25.00 27200000000
PRMT CTR 2/7/01 $62.50 27200100000
5PCT CTR 2/7/01 $5.00 27200100000
Total $133.13
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 -1987.
Pe itee ( /
Signature: A !A .601 1
Issued By: /� i All i '
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
f Datereceived: I Permit no.:diriv423
A
. . 'Ili�r City of Tigard �l � `AGO
•
^: Project/appl. no.: Expire date:
. Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Phone: (503) 639 -4171 Date issued: By:. I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
1J
Land use approval: S6- ttt),2070 — 0 0 IV) 1 &2 family: Simple Complex:
rs
TYPE OF PERMIT N
❑ 1 & 2 family dwelling or accessory Commercial/industrial ❑ Multi- family "., ew construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinlder /alarm ❑ Other: ' , i ' "
JOB SITE INFORMATION
Job address: j/:7 (, �/a- Cl- �i�11i//�(JGf Bldg. no.: Suite no.:
Lot: 1 lock: Subdivision: 'Tax map /tax lot/account no.:
Project name: ,4/d977,' iL,¢ SW/5' 6)0/9
Description and location of work on premises/special conditions: -1 h 7R // °Div 3i ' 4/ era Norrtii P
., a r/i' I- h 1 n ,, ∎/t-h ,a 5 P I . ''' i .
a
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 66., 44-M...' g/¢5- e .. 1 0P- -5 (Floodplain, septic capacity, solar, etc.)
Mailing address: //.7,0 - UJ ,4-c,, c //14' 1 1 & 2 family dwelling:
City: ,-/-1 �' 4-n io [State: 0211 'ZIP: rAp r / Valuation of work $
Phone:/ ao _'/ax: E -mail: No. of bedrooms/baths
OwnoE s-Fe 'w.: c b Total number of floors
• Phone: ; , Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: oZ u l'n /pti r1-7 - -t 9A / //l a Pi' (- - Covered porch area (sq. ft.)
Mailing address: 77& ', k „6,- L Deck area (sq. ft.)
City:./-] ,qyy /> I State: 9 7 'ZIP: 77 a r / Other structure area (sq. ft.)
Phone: , . ',, Fax: L3q ;,,, i; E -mail: Commercial/industrial /multi - family: a9
CONTRACTOR Valuation of work $ _
Business name: �r,�m / N i -,, f M `i I2 -.FA (, Existing bldg. area (sq. ft.)
, 7 ' J tq y v T /y 3 /� New bldg. area (sq. ft
Address: -
y `� A, t� ] ?/2 / Number of stories
City: State: (P0 ZIP:
�R Type of construction
Phone: U 3 9 q 9q / I Fax: 1E-mail: Occupancy group(s): Existing:
CCB no.: //G ./y 9' New:
City /metro lic. no.: / ArDO i - Notice: All contractors and subcontractors are required to be
ARCHITECT /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: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
' ENGINEER
effirA Contact person:, i i i Fees due upon application $
Address: y52: - 0 X (, / - Date received:
City- i t State:Ald ZIP: i , Amount received $
Phone: if? 3y y99' / Fax: G 3 q '9'» 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 w1 4 hether s ed • - ein or not. Credit card number / /
Expires
Authorized si ature e A P%/ / Date: /p-/Q,-0 0 Name of cardholder as shown on credit card
$
Print name: A-/P. 4 y A 7 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 (6100/COM)
e.
.r
_ MEC
Contact 1-L.,... _ Ph G3 7 ci f/ PLM
Contractor 1' Ph SWR
Tenant/Own r v M "ow, ELC
—
Wall ELR
otin S/ 9 Access: ��
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: �^- SGN
Slab �f'�' � � // ` SyT
Post & Beam LI/ 4 y 14 rEdx— 1 v ,e- r
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Val PART FAIL
"T'r' NG
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
1
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service •
Rough In
UG /Slab
Low Voltage
Fire Alarm •
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ I Unable to inspect - no access
ADA 1 / I l
Approach /Sidewalk Date 3 l I ) Ins
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.