Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00598
Ip �o* DEVELOPMENT SERVICES DATE ISSUED: 10/2/03
' �� I � 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 100 PARCEL: 1 S1346C -00401
SUBDIVISION: ZONING: C -N
BLOCK: LOT: 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: 3 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 5,300.00
Remarks: Fire alarm alteration for tenant improvement.
Owner: Contractor:
SISTERS OF PROVIDENCE IN OR OREGON ELECTRIC GROUP
BY STEVE FOSTER 1010 SE 11TH AVE
PO BOX 13993 PORTLAND, OR 97214
PORTLAND, OR 97213 •
Phone:
Phone: 234 -1001
Reg #: Effirc9900 00001995
FEES LIC REQUQIED INSPECTIONS
Description Date Amount Fire Alarm lnsp ,
[BUILD] Permit Fee 10/2/03 $100.90 Final Inspection
[TAX] 8% State Tax 10/2/03 $8.07 .
[FLS] FLS Pln Rv 10/2/03 $40.36
Total $149.33
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (5! 46 -..' • or 1- 800 - 332 -2344.
Issued :
1 /
Pe rm ittee �- / /
Signature: ' A
Call 639 -4175 by 7 p.m. for an inspection the next business day
P . A 'Md ua :.ro VVA& ou3:itt8191111 .CITY OF TIGARD a002
Fire Protection S if • m
•
Building Permit I ti FOR OFHCI; TiSL ONLY
R ecalved Building
ff tNo.: $ � ,�, -DO • ;
OCT 2 2003
City of Tigard Date/B : Permit No.:
13125 SW Hall Blvd. Plan Railcar Other, '
Tigard, Oregon 97223 CITY OF TIGAR f : , De 0,,f� i P. ,r ' No.:
Phone: 503- 639 -4171 fax: S $ 2 I i9 Ivl ` ` `: Da - : view Lend Use
Case No.
Internet www.ci..tigard.or.us r''� Contact Juris.: . - Page 2 ter •
24 -hour Inspection Requests 503 - 639.4175 Name/Method: SU , . lemmata) larormation
A
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.� ••' t ' ,mow
r vA jn[ .ti't '•'°,..I• r .:- �' `; r� t , 3.Li . I . �1} 4 r �.,d '. 1 v 4 +
New 111111 Demolition lition ; a '' a Y , :. ... : • :; :.' L '° '• ,�. - 7d '
R, d�alte`b ... • lao�t III Other
f•• S:.o§^.• .•e.x s. i. ••5 r. :.^e•. : e. T • a i:r'� ,Y1i•re
i? t., .. q •.,,- i..t. p .1, 7 a t i" 7.___ ( y d = o ft'.jiv a., °,vii . it.:' 41,0. Note: Permit gesso are based on the total value of the work performed. Indicate
• 1 & 2-Family dwell' ► Commerciallndustrial the value (rounded to floe nearest dollar) of ell equlpment,reareeiels, labor,
Y overhead end profit der the work indicated on this application.
• Accessory Building • Multi Family
• Master Builder • Other: Valuation.......- ........... ................ $
. r• ' _ "{: (ail : : i t11- 9 : . 1 76"11 I ,'? ', i 7,11 7,-,. -- I ; 7 � � � «1`x.7 11 :10
. •. No of bedrooms: No of baths;__ sct
Job site address: /z ei z 'vwc) LLS peas Pb N dwelling area floors. . fW — ..�
Suite #: I •BldgJApt. #: • . Garagefcarpart area (sq. L)...._._. W
Project Name: `72/f) G )Gf/0 GL S Covered porch az a (sq ft.).
Cross street/Directions to job site: Deck area (sq. R.)........_ ._
...._..._ ............. _.
structure ucture area (sq. ft.).
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�� * .�{ ;3 i ?���.' Y ill I L 1'1J P i�, �i �. � l;•ti � l � II' 2 ig.4 ^ .ry •"rk..
Subdivision. I Lot#: Y "'�'c.i:e! : &.•5 idi ��Cs yak �ltlldhkbii:F�LL ^Lr'L:. a�c:.:rb4S•
Tax ma u' erect #: Note: Perndt *tee are based on the total value of the work performed. Indicate
•; ;,... I • `; '; ;_!I ?:'.7,7 ; t ; ,i e`ti r o ` j ±, F 5 i. ieti ;r • . Y":15:: ; ;• 11.4 the value (rounded to there t dollar) of all equlpmerr, materials, labor,
TM /9 j76 .F yZ� (/ n�?/5 owRihtaada work profit for the ork ie ated on Ns sppbeatioe. / dA /I/ 1- -dad4 Val" fir /�n•...... ....__._.._........ M.. ....r__. ........... s S. _
( YY `/
a�L/ T Y Existing building area (sq. 8).••.. . _
New building area (sq. ft.) _.._
Number of stories.
f, i;'.1 ;(u;: r, -7, 57 -7 :; ,1 F,` i3; ?, � 1;.,1 Ti': eofwesmretion......._
Name: Occupancy group(s): E:anting: 7-}7-65-77Z
Address: • New
City/State/Zip: N01'iCE: All contractors and subcontractors are required to be
Phone: Fes;
,. =.'M o l 7 i ;i f �o ', E ct ,'s 7 » � s :._ _ licensed with the Oregon Construction Caabacton Board under
-- .' provisions of ORS 701 end may be required to be licensed in the
Business Name:_ - jortsdlction where work is being performed. lithe applicant is exempt
Contact Name: from licensing, the following reason applies:
Address: -
Ci
Phone: W Fax: - - : ,` � � "f t " ��j} ai''
E-mail; -mail; ,• r • Ai u r , + , r•4 I .:�Ij'.r42 71 111 1 ",:i i. 1 �I i ' 71{ f 'I �'' t7 "� •
r ft7 .4 . �r, ' 4'4.,S.- Li'r i til� L : iN . F �I,.. ,, �� a 1 . y N �5 ju ua1 �tglifkL 1 sue,, i f I; . 14:{ » w e y G i , �`, f' r ^ 4 ,'-'�� - -I %
r: �r�'t�1x•:�'IC� +�l 1 ,?1;� a J �1T'rs�• lI 1 — j., �� 2 - •`•� � .. 1t�E f �'J?� �: . -.
Business Name: d iZb�l/ i e ou7 • • / - - i
Fees doe upon applicatl' ' — AO • # i 7
Address: /010 /l x
City /State✓Zip: • 2 L4f U . 0 12._ Amount►ed. __ .._ ..... ..... 5 ; . —��i% O
_ Phone: So T =?6 < I Ftax=�� -3/ -85 Date rece1 1 a : J
CCB Lie. #: X03
n Lced
Sigatttro: i Notice: ''ids parole application e�iree if a permit ft not obtained within
Sign i /� i 1� Dtue:w //� 180 days after it has been accepted as complete.
'Fee methodology set byTri- Coutoy ag industry Saralee Board.
•
(Please name) 0 c7J /
is flstsWemdtFonasSBl4gPemdtApp .doe 01/03 .
CITY OF TIGARD 24 -Hour
BUILDING ` Inspection Line: (503) 639 -4175 •
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 3 -&c' 590
Received / Date Requested AM PM BUP
BUP
Location t 2 `'t Z �,I � j i� i If Fe v v ySuite /00 MEC
Contact Person Ph ( ) PLM
Contr a�t� _ Ph ( ) SWR
B�UILDIAIG' Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
D ywal on / I I 140,r (Af + c 4 ' P s Drywall Nailing !
Firewall _- - -.. -- – —
Fire • er
Susp'd Ceiling
Roof
Other:
.ii
ART FAIL
NG
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains ./ �
Catch Basin / Manhole CO c I _eL/(
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 f
Approach/Sidewalk Date 1 , 2 '12 -0 3 Inspector 64 v ( �l Ext
Other:
Final DO NOT REMOVE this Inspection record from the site.
PASS PART FAIL