Permit ie
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00535
DEVELOPMENT SERVICES DATE ISSUED: 1/27/03
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14800 SW SEQUOIA PKWY PARCEL: 2S112AD -00900
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: 1,445 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 1,445 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: 1 HR
BSMT ?: N MEZZ ?: N 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 102,370.00
Remarks: Addition of 1445 square feet for tool rental.
Owner: Contractor:
HOME DEPOT USA INC FERGUSON CONSTRUCTION
370 CORPORATE DRIVE 7433 5TH AVE. S.
TUKWILA, WA 98188 SEATTLE, WA 98108
Phone: 1- 206 - 574 -3567
• Phone: 206 - 767 -3810
Reg #: LIC 91351
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Permit Required Structural welding final reps
[BUILD] Permit Fee 12/13/02 $1,200.60 Sprinkler Permit Required Final Inspection
[BUPPLNJ Pln Rv 12/13/02 $780.39 Foot/Found Insp
Struc Steel Insp
[FLS] FLS Pln Rv 12/13/02 $480.24 Mechanical Insp
[TIF -C] TIF- Commerc 1/10/03 $1,858.00 Framing Insp
(additional fees not listed here) Firewall Insp
Gyp Board Insp
Total $5,457.28 Reinforced concrete final n
Bolts in concrete final repot
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 (503). '.. -6699 or 1- 800 - 332 -2344.
Issued � �5
Permittee
Signature: _
Call • 9-4175 by 7 p.m. for an inspection the next business day
•�\1A1. Its pSZ, ,
Building Permit Application OFFICE USE ONLY
D ate received: /9 -,3 op- Permit no.: Pp 4,e0A- c063�'
. �,�1- t +;� Cit of Tigard EC E � ��®
Project/appl. no.: re date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 DEC 13 20 Date issued: B Receipt no.: e.,..2._,. Fax: (503) 598 -1960 CITY Case file no.: Payment type:
OF I�AQ Sis
Land use apval: BUILD ■ • rt 1 &2 family: Simple Complex:
TYPE OF PERMIT l!'
0 1 & 2 family dwelling or accessory id Commercial /industrial 0 Multi - family 0 New construction ❑ Demolition
'Addition /alteration/replacement ❑ Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMAT 1 N "zs
Job address: 14 $Db 51,J c ,ua 14 mit, t -n G, r. Bldg. no.: Suite no.:
Lot: , Block: (Subdivision: •G11 iz_'e, co Tax map /tax lot/account no.: 2Sl►ZR 66 ' L
Project name: ' (45:,-1-('t km ill »- g. Ott lo(o31
Description and location of work on premises /special conditions: 1?-1 o Y L _ Abp I l l bi, lb is"R - 4
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
• Name: M6' p l•dr trlsk i wc . (Floodplain, septic capacity,solar,etc.)
Mailing address:S/0 4,....4r_ r TR--V:E. 1 & 2 family dwelling: {{
City: TM V I,d11,,+ State:l„ 1 A I ZIP 9 81 ge, Valuation of work $
Phone:214p 5143541 'Fax zeec If3481I E -mail: No. of bedrooms/baths
Owner's representative: le_44,, 6E z . q J Total number of floors
Phone:— i _ i C, Fax: E -mail: New dwelling area (sq. ft.) ,- ,'-.
APPLICANT Garage /carport area (sq. ft:) • s — . ��
Name: lj( -�j� 3 Covered porch a ea.(stl: ft.) `•1 `
s ft. t\
■ t 1 1L ;'I
1y C-
Mailing address: p (1 la : rJ >G I 1. Deck area 1.
- (q' , n r\ �:.`
City: a t jU =MI _ � ZIP: - 0 i Other structure area sq t .. t' WI
Phone: , . 23356 Fax 0.12 33 1E-mail: Commercial/indu i • multi- family,:
v im ,
,
CONTRACTOR Valuation of work .. �� _
ee,J1
Business name:. r f�6 �,t,l �,Q,t�O Existing bldg. area (s . ft.)
New bldg. area (sq. ft. 04r
Address: 74.3F., A 5 -A )�„ Number of stories I
City: f� (—et_. I State / I ZIft�%�'/�j� Type of construction V - N
Phone: I Fax: E -mail:
CCB no.: W ? tj Occupancy group(s): Existing: Ni- )4
New: ■/-14 I 5'3
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCII /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: s?..,,,, M . 1 t t provisions of ORS 701 and may be required to be licensed in the
Address: 2&-So III, EVE we loom Zdo jurisdiction where work is being performed. If the applicant is
City: $ta,1 0/1 S tate: X4) I ZIP:, Spa exempt from licensing, the following reason applies:
Contact person: ‘7, 1:. Plan no.: Vi/b°
' V
Phone:( Got 4 . Fax , 2 3s ) E -mail:
ENGINEER OFFICE USE ONLY
Name: )J IZA Rt=.lK u ‘,,,e • Contact person: ,4 ft-414 Fees due upon application $
Address: c tr $ L1 ),,,1Gs;T 6.4..r-o. hL4 fu t'(I I WI Date received:
City: 1ptxY[My b (State: a (ZIP: 91221 Amount received $
Phone p f ¢ y ere, v I Fax 419244E -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 0 MasterCard
work will be complied with, w ether specified herein or not. Credit card number: / /
Expires
Authorized signature: _ Date: lo 1 IS I b Name of cardholder as shown on credit card
Print name: 'bit., t $
Cardholder signature Amount
(PLe 0 •••,t e,o.. cacpr
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44■4613 (6/00/COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION ; - Business Line: (503) 639 -4171 BUP o
Received / Date Requested 17"-- f AM PM BUP
Location l 9 30 _ w / Suite MEC
Contact Person Ph ( 3 o5 3 PLM
Contractor Ph ( ) SWR
UILDIN Tenant/Owner ELC
o ELC
Foundation Access:
Ftg Drain -
ELR
0416 Crawl Drain' ° T
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
e S S PART FAIL
PLUMING
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 % // �� /U 3 Inspector r Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL