Permit IIII
A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00067
�� DEVELOPMENT SERVICES DATE ISSUED: 3/24/2005
�-- c � ll � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 112AD -00900
SITE ADDRESS: 14800 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Installation of 12' privacy panels to create phone sales area.
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
HOME DEPOT USA INC IDEAL SERVICES INC
BY MARSHALL + STEVENS INC 3525 S ALDER
ATTN: MELISSA SHAPIRO TACOMA, WA 98374
F HIL DELPHIA 35D .03
Phone: 1- 800 - 388 -2238
FEES Reg #: LIC 154353
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/24/2005 $91.30
[TAX] 8% State Surchari 3/24/2005 $7.30
[BUPPLN] Pln Rv 3/24/2005 $59.35
[FLS] FLS Pin Rv 3/24/2005 $36.52
Total $194.47
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 - 246 -6699 or 1- 800 -332- 344.
Issued By: . #7,, � All_ / Permittee Signature: X aj p �,6914,_
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/ SW 5eJ P/4 7/
Building Permit App >t w • �1 >�i J I I Q � I JI� IIQ'I g
3p FOR OFFICE USE ONLY
, -'��� qq
City of Tigard
Date/8 � O`J� H A•?% Permit No.: � U / pt4716 J '' i iedo
13125 SW Hall Blvd., Tigard, OR 97223 7 �y �etto- Plan Review • '
Phone: 503.639.4171 Fax: 503.598.1960 So ot (� 8 ' �' Date/B : •a ,- ' Other Permit:
Inspection Line: 503.639.4175 "•III Date Ready/By: : uns: ® See Attached Checklist for
Internet: www Notifie. i ethod: �i yi � �� Supplemental Information
TYPE OF i � 3 4,--Tors / REQUIRED DATA: 1 AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement Other: . 7 - 64.4,41.41 - /wi,ve eta' equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ L -
❑ 1- and 2- family dwelling J Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / Lte'O 0 S,(d , so. R aB (A. P1Ct,¢Y New dwelling area: square feet
City /State/ZIP: .7.76/4i2-4 !9/2. ' qJ)) -,- Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: ) 9p4 L 7op4rt. Covered porch area: square feet
Cross street/directions to job site: 5'341 . ail) -p P � e5 pct .. Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of o
Tax map /parcel no.: A5- I a_ 4-- -00 9
equipment, materials, labor, overhead, , and and the profit for for the
DESCRIPTION OF WORK work indicated on this application.
/n - t' i C)i'∎ � 0r PA 0 fr—Si P9/0 E.[.,5 Ga [N 1 Valuation: $ c5:000 , D®
Cu S TOI-/i 2 o ,()/ a-_ /9 , ' Existing building area: square feet
New building area: square feet ' 5
PROPERTY OWNER ❑ TENANT Number of stories: Si yla (.e ,
Name: ( MIL 1.• Dap at- f -. Type of construction:
Address: 1 48.00 c u 0 ) . sL(4i.Q,o pka, y Occupancy groups:
City /State /ZIP: - La,F i2c O2 , ? [ , y Existing:
,
Phone: 4.5b3 l Q - r35-00 Fax: ( ) New:
0 APPLICANT Di CONTACT PERSON NOTICE
Business name: 1 ®c-L 6e-120.c.E:S /µe ' All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
,‘..171,44 7 t v'IA e°'° _ under ORS 701 and may be required to be licensed in the
Address: 36- - Si „ At aura_ jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City / State/ZIP: T74CdN/LGt f LIJ1i . Qq �Q ` app
Phone: WO )3— A9 Fax: : 1 s3) 6,..n....„7/17,9
E -mail:
CONTRACTOR
Business name: i PoL j -L 5 ' lc�5 i'1�
BUILDING PERMIT FEES*
Address: c j5' s . i .Ce_ Please refer to fee schedule.
City/State /ZIP: Ace, _ w Pr. Q84D
' et
Fees due upon application
Phone: ( o )38?..,. Fax:p53) i.m" coil p•
Amount received
CCB lic.: / 54 35 3 .5 -lee ee ' — .1 - d-ci'
Date received:
Authorized signal This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print nam . il/!7 - /1A "-1..._ Date: bl /, - br - • Fee methodology set by Tri- County Building Industry
Service Board.
i; \ Building \ emits \BUP- PertnitApp,doc 12/03 440- 4613T(11/02/COM/WEB)
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: BUP200S 00067
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/24/2005
Phone: (503) 639 -4171 ,,,,t yl l •Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/6/2005 TIME: 7 :10AM PAGE: 70
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: Installation of 12' privacy panels to create phone sales area. a
O
A I
WNER: HOME DEPOT USA INC 1 1, 2- - 3 PHONE #: 503 -639 -3600
CONTRACTOR: IDEAL SERVICES INC PHONE #: 1- 800 - 388 -2238
Inspection Request Scheduled For: Date: 4/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 003810-01 253.671 -2160 Y
Corrections /Comments /Instructions:
t / 11------4---CV 1 V
Z PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ra CAL FOR I SPECTION ❑ ADDITIO • L F °S ASSESSED
/ At 6 Inspector: Date: C Phone #: (503) 718-
-