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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00207 +�1�; DEVELOPMENT SERVICES DATE ISSUED: 6/20/02 = 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10865 SW WALNUT ST PARCEL: 2S103AA -00101 SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: N 0 I FIRST: sf N: S: E: W: TYPE OF USE: SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: 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: VALUE: $ 5,000.00 Remarks: Installation of new baseball free standing scoreboard. Owner: Contractor: SCHOOL DISTRICT NO 23 J RON BERNT 13137 SW PACIFIC HWY 14750 SW 139 AVE. TIGARD, OR 97223 TIGARD, OR 97224 Phone: Phone: 503 - 590 -0135 . Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 5/29/02 $91.30 27200200000 Foot/Found Insp Final Inspection 5PCT CTR 5/29/02 $7.30 27200200000 PLCK CTR 5/29/02 $59.35 27200200000 - Total $157.95 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Pe rm ittee 0 Signature: /�� L Issued By: i � .� �, d Call 639 -4175 by 7 p.m. for an inspection the next business day 'a- - n G — 3 - 0 L..— . 'Building Perini li r t'� _ , r! 4,t I I I IFwrF� �.. In.- City of Tigard Date received: `✓,/ /Q / Permit no. 6 — 7 7 1 Address: 13125 SW Hall Blvd, Tigard! 9 ' 102 Poject/appl.no.: Expire date: City of Tigard Phone: (503) 639 -4171 .' Date Issued: By. I Receipt no.: IKE; Fax: (503) 598 -1960 BM `.. j NG _ 13 , %: Case file no.: Payment type: - ■ Land use approval 1&2 family: Simple Complex: ` _ .. TYPE OF PERMIT ❑ 1 & 2 family dwellin or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition Addition/alteratio e lacemen ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: V. ' JOB SITE INFORMATION, . - , '' - D Job address: ©e(pS SU.) i11/4)Ptt 1(1.6=Sfzp OS . Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: !...-' Project name: SL $4 -L LAD - C. 041.-G tf • /�e.e M et-se Description and location of work on premises/special conditions: gja1Pt. PO(;C OL,D SC.CS'►z€T CJP Q.a , COS p..0A -- ekx -\-0 .t_d�� L e T) c) . G � v OWNER •:.: FOR SPECIAL INFORMATION, .USE CHECKLIST Name: .c.:'.- ppL„,_ I , s— 2_3S - (Fl oodplain, septic capacity, solar, etc.) Mailing address: • , • _ _ • �g ,, a ,, . 1 & 2 family dwelling: . EIN �, ; State) a ZIP: - g_ Valuation of work $ Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: C • r 0 CA" Total number of floors I Phone: • - ,g Ai Fax: E -mail: New dwelling area (sq. ft.) GOY '1- . APPLICANT Garage/carport area (sq. ft.) . Name: fv‘ v • t? G . Covered porch area (sq. ft.) \ g 1 GI N Gico o-r Deck area (sq. ft.) Mailing addres So l St.J City: Q4-07.4...) t 2r> State:0 ZIP: 0 ) 714c, Other structure area (sq. ft.) Phone: � 3-Lc' '4 Fax:S0- 625 . Commercial/industrial /multi- family: ,CONTRACTOR Valuation of work $ S r DOC' Ma Business name: ( ■► • (� (,Q,) -r �- Existing bldg. area (sq. ft.) Address: 1 1 5'O c (A. j 1 �I. i, .- New bldg. area (sq. ft.) Number of stories City: pv l/c - State: OR- ZIP: • 72) . m Type of construction °° Phone:5g. - 0 13s Fax: E -mail: Occupancy group(s): Existing: CCB no.: .05 1 - /i( —0 New: City /metro lic. no.: 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 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 co Contact person: Fees due upon application -- $ Address: _ et Oa j- a rr' . e v Date received: City: 6 Ytr "V i ( ..e., EWE ZIP: 022. ' , Amount received $ Phone: - FIN- , vei - sD 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, whether s ' - cified herein or not. Credit card number: / / " Expires Authorized signature: 2 / `r Date: / 6 ( Z Name of cardholder as shown on credit card Print name: iii Pri- / n �, ` (3) LY� 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 (6/00/COM) (a . ' -_ ,� f t S1,C/ TX 7. 30 f lir Commercial Plan Submittal .y, ��II 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. is \dsts \forms \COM- matrix.doc 9/24/01 CITY OF TIGARD 24 -Hour r , BUILDING Inspection Line: (503) 639 -4175 it INSPECTION DIVISION Business Line: (503) 639 -4171 MST --yy BUP O` _& o-c 7 Received Date Requested 64/ AM PM BUP Location / b ' S LE) w ' /A-t- - Suite MEC Contact Person Ph ( ) 26/- PLM Contractor Ph ( ) SWR BUI . ► G Tenant/Owner ELC ooting oundat • • Access: ELC Ftg Cr B rain Dr -- SC'0�.0 ELR Crawl Drain C� Slab Inspection Notes: � SIT Post & Beam /3 :737 4 - 5 - A — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing t 'p� Firewall Fire Sprinkler Fire Alarm ` /_/ ' '� Susp'd Ceiling Roof Other: Final mop PART FAIL NG 9/ 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 /�i V � //as WO 4, Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required befor= , spection. 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 G J �� Approach/Sidewalk Date U�.. Inspector Ext Other: Final DO NOT REMOVE this ins ection record from the Job site. PASS PART FAIL CITY OFTLGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 4/MST 0,0 Z -GO Zo7 Received Date Request d 9 ' /5 AM / / PM BUP Location / O 9' 5 Sw cua J 5 f Suite MEC Contact Person Ph ( ) Y/ - 4 Z PLM Contractor Ph ( ) _ WR BUILDI Tenant/Owner 'T ( 11 V' fl't� ' ELC g ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: 64.a SIT Post & Beam Ext Sr Sheath/ors ea Anch th /Shear Srs /f 1 Ext eah/ �) Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Scars -e 604/L/ PART FAIL 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 ❑ 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 �J Approach/Sidewalk Date / i /���� Inspector V'j G Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL