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Permit CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2002 -00126 �r DEVELOPMENT SERVICES DATE ISSUED: 4/23/02 - '�' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12180 SW SCHOLLS FERRY RD / PARCEL: 1S1346C -00200 SUBDIVISION: S ZO D�� bl� ZONING: C -G BLOCK: LOT: 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: NONE : sf N: S: E: W: OCCUPANCY GRP: NONE 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: �y • VALUE: 18,00i �jieryt 1at�' Remarks: Insta0llation on of new cabinets on existing steel and footing. Owner: Contractor: GRAYCO TUBE ART 5331 SW MACADAM AVE PO BOX 34333 EXPIRED PORTLAND, OR 97201 SEATTLE, WA 98124 D Phone: Phone: 503 - 653 -1133 Reg #: LIC 70956 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PLCK CTR 4/10/02 $78.07 27200200000 Final Inspection FIRE CTR 4/10/02 $48.04 27200200000 PRMT CTR 4/23/02 $120.10 27200200000 5PCT CTR 4/23/02 $9.61 27200200000 Total $255.82 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 f• low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throb • h OAR 952 -00 =.:7. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -669 • or 1 -800 -3 ' ; 4. Penn ittee � Si ture: Y , d,.-. z.., - ssued By: L 1�'i b ; r — iiik 4 i� z, Call 639 -4175 by 7 p.m. for an inspection the next business day a ,, fA/ 'C.72-_-,4____ _ # _ A,414. e /oil- ( r w • Building Permit A lica • ^ REGE '� D ate rece ived: /Q Qi� Permit no.: t ii ,2..It /,/.( �, , �y City of Tigard Project/appl. no.: date: O CiryofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 , Phone: (503) 639 -4171 Date issued: y Receipt no.: Fax: (503) 598 -1960 ciQ l: v =' 3 y ;, • -rfiiNL 0 Case file no.: Payment type: N ION Land use approval6G � 1 &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction U Demolition , ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: r` JOB SITE INFORMATION V Job addresa l ..l3o ,,, _ �• 1_:: diral AP Bldg. no.: Suite no.: Lot: I Block: Subdivision: Tax map /tax lot/account no.: • Project name: 6:5 i ,J4 — rist sf 0.c:lJ 7 Description and location of work on premises/special conditions: . t..P6`11 _ 1, t_-H- lG / Jc/ET5 t) /./ CY5 t OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST Name: &Q,Q.ir) (Floodplain, septic capacity, solar, etc.) Mailing address: C 2 l SCA ) 2 1& 2 family dwelling: City: - t IState:©L ZIP: 20/ Valuation of work $ Phone: IFax: E-mail: I No. of bedrooms/baths Owner's representativ . La _g c. 7 4-e s --- Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) Garage/carport area (sq. ft.) Name: 1 l�tB C.: 1— Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi- family: CONTRACI.OR Valuation of work $ Business name: Existing bldg. area (sq. ft.) 8 �� New bldg. area (sq. ft.) Address: 3 - 6 — r , ' ,,:z/ a • Number of stories City: r ,,, C � StateCot ZIP: Gil ZZL_ rm : .) (53 1 1 3 �1 61 , Type of construction Fax I E -mail: Occupancy group(s): Existing: 'CCB no.: -7Oq�� S New: City/ ' • tro lic o.: 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 wor •. ,i rmt t4 the applicant is City: State: I ZIP: exempt from licensing • , • fi r g�,rt ,o pplies: Contact person: I Plan no.: Phone: Fax: E -mail: ENGINEER Name: - a - Contact person:.:, : , , Fees due upon application $ Address: i7(/ 6C •i - e— Date received: City: -P• 0 State• 7 _ VIP: e 7102 , Amount received $ Phone: S< E-mail: I - 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 1.. s and ordinances governing this ❑ visa ❑ MasterCard work will be compli m •'th, wh - :�� cified herein or not. Credit card number: Expires /� / Autho ' • • 1 a atu - _ 4 / r f % • te: ! _ Name of cardholder as shown on credit card • $ Print name: ,et►.EN4 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 (61V0ICOM) 78 ► " 7 d/iro 2 M4,-/ • Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 * Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 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 sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\dsts \forms \COM- matrix.doc 9/24/01 L ZTec ENGINEERS, INC. JOB v Z 3737 SE 8th Avenue SHEET NO. OF PORTLAND, OREGON 97202 -3761 (503) 235 -8795 CALCULATED BY 5 DATE CHECKED BY DATE SCALE - , 51120 ZO- 903 RI 4 • - 1141. • 47+324 5.e. 1 isf .IZA i l cNi11- 9 •:::: • • CITY OF Y'9faQ+R® • • • • • Approved ' ' Conditionally Approved • • For only the work as described in: d Z • PERMIT NO. ( ); • • • • • • • • See L= =r Fol w �: •• • • • Attach ............. • • • •• •• • Date'. i'M 1.....a IqJ .. • • • •••• • V GAler • • • • • 0 -0i. IZ I Z ' Its fermi , . Tom, GN EXPIRED • $ .. PRotes RCEI'JED fl , 9 APR 10 2002 op . ' OREGON ��G � � >' 22, x` B /47 ��, CJau+ i 1 ° B. SELF - ` 4f02.- D PRODUCT 2n7