Permit •
BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2002 -00248
.,. DEVELOPMENT SERVICES DATE ISSUED: 6/20/02
+�- '- I-' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07632 SW DURHAM RD 120 PARCEL: 2S1136A -00400
SUBDIVISION: SW CENTER SDR1999 -00020 ZONING: I -P
BLOCK: LOT: 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: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 10 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 18,940.00
Remarks: Construct (3) private offices.
Owner: Contractor:
HAMBACH, MICHAEL V + OPUS NORTHWEST LLC
SATTLER, SANDRA E + 1000 SW BROADWAY #1130
BROWN, LORENE PORTLAND, OR 97205
TIiA OR 97224 Phone: 503 - 916 -8963
Reg #: LIC 105336
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT CTR 6/20/02 $225.70 27200200000 Insulation Insp
Gyp Board Insp
5PCT CTR 6/20/02 $18.06 27200200000 Susp Ceilng Insp EXPIRED
PLCK CTR 6/20/02 $146.71 27200200000 Final Inspection
PLC2 CTR 6/20/02 $90.28 27200200000
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
Signatures m ,.L.14116111■_
Issued By: ‘ / ... ,
Call 639 -4175 by 7 p.m. for an inspection the next business day
IIPr .
B uilding Permit Application
APIIIM . . Date received:G-- `'O Permit no.: - gpd�-00a4.
.:? I City of T igar d
Ai I Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: tilterr0 ,S" bt a 0,4y �i7 / e a - /2_ Bldg. no.: Suite no.: •
Lot: -76 39-- Block: (Subdivision: I Tax map /tax lot/account no.:
Project name: Opobt, S Ak,[f r S7 9 E6. (DPA'
Description and location of work on premises/special conditions:
.BwIc Test "4, I A / - /vi•-&i 7e in s`ie /l
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 0 )pt4 S Ai kV' AL (Floodplain, septic capacity, solar, etc.)
Mailing address: /OD 0 S kr, e a tt tt / &s' II D I & 2 family dwelling:
City: / State° ZIP: 57?e7/ Valuation of work $
Phone: Cj /6, h 9 i 3 I Fax:7 /b / L -mail: No. of bedrooms/baths
Owner's /j d s representative: Total number of floors
Phone: Fax:S7 E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: tip byj/�y� Covered porch area (sq. ft.)
Mailing a dress: iv dr (0. Deck area (sq. ft.)
City: Zre/ I State4le I ZIP:`D 75- Other structure area (sq. ft.)
Phone: - 0 - Fax: Flail: Commercial /industrial/multi- family: (� �yr�
CONTRACTOR Valuation of work $ IS/1 /�i(/C/
Business name: D P(// j k/' Existing bldg. area (sq. ft.) 9 Zy S,'.
Address: OO f 14j , a 06,1,v �/ New bldg. area (sq. ft.) f
Number of stories I
City: f State¢R . ZIP: — •
Phone: .. ; -MI �Jfi Vil '1: Type of construction
Occupancy group(s): Existing:
CCB no.:
/0 34? New: B
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 77 i"c r 9 /2 6 provisions of ORS 701 and may be required to be licensed in the
Address: too 0p 4O jurisdiction where work is being performed. If the applicant is
City: State:4 J ZIP: Y;Z.10 A xempt from licensing, the following reason applies:
Contact persotd Plan no.:
Phone: Fax: E -mail:
Name: n 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 ❑ Visa ❑ MasterCard
work will be complied w&, wheth_ er spifi or not. . �� Credit card number: Expires
he J P
Authorized signature: ate: N ame o f car as shown on credit card
Print name: L. /h CA2- 4.5 !,7 c $
ardl F s tare Amount
1.1 � F
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted ete. ' 440 -4613 (6 OM)
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 • • • . S
♦
TYPE OF SUBMITTAL Plans KEY:
• `.Sub'mftted ♦ •
S = Site Work (must include
S (New, Add or Alt) 4 location cif all accessible parking)
•
•
B (New, Add or Alt) *, .. B = Building
r, •
F (New, Add or Alt) 3 ** , • • F = Fire ,Protection System
M (New, Add or Alt) 2 M = Mechanical S
P (New, Add or Alt) 2 P = Plumbing ; t S
E (New, Add, or Alt) 2 E =Electrical
• New = New Building
- Add • .,-Addition. • •
•
.Alt Alteration to existing
' building . • . • S
*For over - the - counter commercial tenant . improvements, submit 2 of plans. .
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
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