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CITY �� ������ _ BUILDING PERMIT
PERMIT#: BUP2001-00371
DEVEI OPMENT SERVICES DATE ISSUED: 10/10/01
13125 SV SII Blvd., Tiqard, OR 57223 (503) 639-4171 PARCEL: 1S135AC-03300
SITE ADDRESS: 094 .1 OAK ST
SUBDIVISION: AGHBKOOK FARM ZONING: C-P
BLOCK: LOT: 017 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOr WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST_ sf N: S E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYP, OF CONST: s' N: _—S:J E: W.
OCCUPANCY GRP- 3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft 1ARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ R"_UD 'iE T O-ACK_S _ _ RFQ_UIRED
FLOOR LOAD: psf LEFT: ft RGHT: it FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft' FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURF^,rF PRO CORR: PARKING:
VALUE:
R....drks: Demo house and shed, install sediment fence, cap all utilities. (if septic, tank must be pumped and filled and
inspected) All debris to be removed.
Owner: Contractor:
ORLAND LTD R + 1-1 CONSTRUCTION
5410 SW MACADAM AVE #100 1530 SW TAYLOR
PORTLAND, OR 97201 PORTLAND, OR 97205
Phone: Phone- 228-7177
Reg #: LIC 38304
_ FEES _ REQUIRED INSPECTIONS
Type By Date+ Amount Receipt Final Inspection
PRMT CTR 10/10/01 $62.50 27200100000
5PCT CTR 10/10/01 $5.00 27200100000
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cules
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.
Permittee �'
Signature: V.
J /\� ` Y (-cC-
Issued By: --- --
Call 639-4175 by 7 p.m. for an inspection the next business day
Building PermitApplication
/. Datc received 1 Permit no.:ice, �;-t _ / 7
City Of Tigard C-,
City n(1'igetn!
Address: 13125 SW Hull Blvd,Tigard,OR 972 12k Projec"'I"I no.: Expire date:
Phone: (503) 639-4171 Date issued: B,:' Receipt no.:
Fax. (503) 598-1960 Case file no.: Payment type:
Land use approval: 1 I&2 family:Simple Complex:
1.11 1 &2 family dwelling or accessoi,, U Commercial/industrial U Multi-family U New construction Iq Demolition
U Aclditiou/alteration/replacement J't"•n,utl m,hrovement J I io tiptirMci/aldrin U Other. —
JOBSII-EINVORMATION
Joh address: A}„�L �r ,1 J (rye; Bldg.no.: tiuitc nr�:
Lot: Block: ISLubdi�vislor- : -� fax map/tax lot/accot,nt no.:
Project name:
Description and location of work on premises/special conditions: _� E'►vw- _o4i'�e_'1 Shtcd,, (11'�i tt1.� x' �-► ��_ 1(.�_._____
Name: yep
Mailing address: 1 &2 family dwelling:
City: State: ZII': Valuation of work........ .......... .___.... ....... $
Phone: I . E-mail: No.of bednwms/baths.................................
Owner's representative: _ Total number of floors.................................
I'hone: i — E-mail: New dwelling area(sq. ft.) ..........................
Garage/carport area(sq.ft.).........................
Name: •��.,''�� Covered porch area(sq. ft.) .........................
�5.1171►ucr�ttry
Mailing address: ':. 0., Y Deck area(sq.ft.) ........................................
Cit 7.1 P: 41 Other structure area(sq. ft.).........................
Phone: 7 Fax: )-)y-;iL, ,' E-mail: Commercial/indastriallmnh{-ixmNy:
Valuation of work................... ........... ........ $—
Existing bldg.area(sq.ft.) ..........................
BlIsiness name: �,�yy�p A_`� `�j>(�l_ta�t�” New bldg.area(sq.ft.)
Address: Number of stories
........................................
City: State: J ZIP: — —----
— TYIx Of COnaIILClIon........................ ........... _
Phone: Fax: C-mail:
_ no.:�. � , �)ccupancy group(s): Existing:
CCA IC"�raooc CZ�4cY,>r,<. i,
City/metro lic.no.: Nolice:All contractors and subcontractors are required to be
IL1111111111 I KIN 1i t 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:
;talc; 71P: exempt from licensing,the following reason applies:
Contact person: Plan no.:
Phone: Fax —
Name: A lContact person: --_- Fees due upon application ................. ........ $
.Address: Date received: 'X.
City; State: 171P: � Amount mceived .............................. ..........
L Phone: —
La x — E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and tile Nit ail junsdictions accept credit cads.please cell jurisdiction for mere information
attached checklist. All provisions of laws anti ordinances governing this U Visa U MauerCarcf
work will be complied wittju,whether specified herein or p
not. credit yard number. _--_ �_ Expires
sh
Authorized signatur�'I,is ,, '' ( _ Date: "i: C)( Name of cudholder as own on credit card
S
Print name: KA t L yL',}'S'r _ Cudhilder sn`nature Am;Wl
Notice:This permit application expires ifs permit is not obtained within 180 days after it has been accepted as complete. 440A 13(6=1120M)
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittal of a compl( ted 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 R Rescue).
TYPE OF SUBMITTAL Total # of
(In(;iudes New, Additions or Plans
Alterations) Submitted
Site Work (must include location of )
all accessible parking)
Plumbing - Site Utilities 2
Building �*
I
Fire Protection System 3**
Mechanical 2
Plumbing - Building FixtureF
Electrical
*For over-the-counter commercis-jl 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.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Insp, .tion Line: 539-4175 Business Line: 639-4171 _
BLIP -3
Date Requested_ .—AM---PM _ - BLD
L/
Location l Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall _ ---._—�--_� ELR
Footing —- --- - -- --
Foundation Access'. FPS
Ftg Drain SGN
Crawl Drain Inspection Notas: d ------- --- - ---
Slab Ag4"
--_ - �' SIT
Post&Beam
Ext Sheath/Shear I l..G' '►
Int Sheath/Shear 6
Framing
Insulation z f�
Drywall Nailing �•(L - r / '
Firewall ._ ,.� 1 _ _._.._..____...__.-__
Fire Sprinkler /
Fire Alarm
Susp'd Ceiling ----
Roof
Misc:
PASS PART FAIL — — --
PLUMBING
Post Beam - --- — —�-.
Under Slab roi
Top Out
Water Service _
Sanitary Sewer
Rain Drains _
Final —
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Fina' - —_ ---.— --_
PASS PART FAIL
ELECTRICAL.
Service
Rough In
UG/Slab -- ---- ._�_ - ---- -- --
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fce a,$ required before next Inspe^tion. Pay at City Hall, 13125 SW I tall Blvd
Catch Basin [ J Please call for reinspection RE: _ [ J Uraltie to inspect-no access
Fire Rnrrly I inP ---rc
ADA
Approach/Sidewalk /Other Date — _[� __— Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this hispection record from the job site.