Loading...
Permit i. BUILDING PERMIT 4 CITY OF TIGARD PERMIT #: BUP2002 -00308 4‘ DEVELOPMENT SERVICES DATE ISSUED: 3/17/04 I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM SCHOOL PARCEL: 2S11360 -00300 SUBDIVISION: DURHAM ELEMENTARY SCHOOL ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION 'C� CLASS OF WORK: . A0 - 6" FIRST: 600 sf N: NR S: NR E: NR W: NR TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: N S: N E: N W: N OCCUPANCY GRP: El TOTAL AREA: 600 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 30 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 10 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: 600 PRO CORR: PARKING: VALUE: $ 10,000.00 Remarks: Cover for nature observatory. Owner: Contractor: SCHOOL DISTRICT NO 23J OWNER 13137 SW PACIFIC HWY TIGARD, OR 97123 Phone: Phone: Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Ersn Cntrl 681 -4444 [BUILD] Permit Fee 3/17/04 $139.30 Foot/Found Insp Slab Insp [TAX] 8% State Surcharl 3/17/04 $11.14 Framing Insp [BUPPLN] Pln Rv 3/17/04 $90.55 Final Inspection [FLS] FLS Pln Rv 3/17/04 $55.72 (additional fees not listed here) Total $589.61 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 callin• • • -••' • or 1 Iss • d By: 1 ! J) ' I • A .4 1, - Pe mi ittee Signature: 6 * , C , Dewty -� Call 639 -4175 by 7 p.m. for an inspection the next business day 90 itg Sw ��� S , jr∎ c, A , -'T r ; ' /iSD /J - i 2 a '' - 'Building Permit Application OFFICE USE ONLY Date received: 7,7 py Permit no.:(3O ?d0C0 - " {^,.?t /.; � ����' City of Tigard °'__ Projectlappl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: II:= Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF I'LRMMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family 0 New construction 0 Demolition 0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: .1011 SI l E INFORMATION Job address: t 0 Qj s' dik f,/li Bldg. no.: Suite no.: Lot: Block: Subdivision: S tFFE. Feb 2.- Tax map /tax lot/account no.: Project name: 0 (i 3 !h 6 y r G Description and location of work on premises/special conditions: ifiarMNITagielreffireEWA OWNER FOR SPECIAL INFORiMAT ION, USE CHECKLIST ( Floo dplain ,sepliccapacil',',solar,cic.) Mailing address: ,, - c, 5 tit/ dwelling: / 1 4.1 C ' I & 2 family dwelling: EMI . , ii i State:( ZIP: 7 f 5 Valuation of work $ Phone: 6U Fax: (^ E -mail: No. of bedrooms/baths Owner's representative: LI r Total number of floors Phone: 1. N© I Fax: t407> E -mail: New dwelling area (sq. ft.) A P P L I CA,N I• Garage/carport area (sq. ft.) Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E - mail: Commercial/industrial/multi family: C ItAC'1 Olt Valuation of work $ /! £ia� �! Emomwr Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: w S 11 0 V) S Number of stories City: ■ O ( • n State:0 ZIP: 0 , Type of construction Phone: 513 ;0 4t. IZTINMEE E -mail: CCB no.: Occupancy group(s): Existing: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be •;; ARCII I7 ECIYDESIGNFR licensed with the Oregon Construction Contractors Board under N ame: i lriMINIMEMANICIEMMIl provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER OFFICE USE ONLY 1 , EfilarNM Contact person: Fees due upon application $ Address: Date received: �fii< State: ZIP: Amount received $ Phone: Fax: 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 with, whethe ifi - r herein or not. credit card number: / / �f Expires Authorized signa �, Date: U / I 6 Name of cardholder as shown on credit card Print name: AA .4 i Il O $ C ardholder 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 (6ro0/COM) CITY OF TIGARD 24 -Hour BUILDING Inspection LInp: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP 477Oba-6O30g Received Date Re nested / b AM PM BUP Location 0 Suite MEC Contact Person , ■44 _ Ph ( )fii-41—e PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner_17) ELC Footing 4' 3) / �r _ ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT • Post & Beam Anchrs Ext Sr Sh ea t h / ear � Ext eah/h Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling l Roof ' VIVA WAMS: PASS PART FAIL /■111 • U -ING 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 D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please cal or reins• ° ction RE: U ■ - • = to inspect — no access Fire Supply Line (0 - ADA Approach/Sidewalk Date Inspect •�� /`� �� Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL