11040 SW TIGARD STREET 11040 SW TiGARD ST.
�� — BUILDING PERMIT _
CITYOF T I G A R D `� PERMIT ft: BUP2000-00136
DEVELOPMENT SErVICES DATE ISSUED: 4/26/00
13125 SW Hall Blvd., ?igard. OR 97223 (503) 639 4171 PARCEL: 1S134DC-03000
SITE ADDRESS: 11040 SW TIGARD ST (� ZONING: R-4.5
SUBDWISION: CHERRY HILI_ ACRE TRACTS ~,�J
BLOCK: k_OT: 001 JURISDICTION: TIG
__-
-- REISSUE.: FLOOR AREAS _ EXTERIOR WALT_ CONSTRUCTION
CLASS OF WORK: DEMFIRST: . _
Sf� NS: E: W:
_
TYPE OF USE- SF SECOND: sf PROJECT OPENINGS?_ _—
TYPE OF CONST. 5N
sf N: S: E: W:
OCCUPANCY GRP: R3 TOT".'. ;RFA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: EMENT: sf AREA SEP, RATED:
GARAGE: sf OCCU SEP. RATED:
STC,R: HT: ft REQUIRED
BSNIT?: MEZ.Z?: _ READ SETBACKS_ _ - --
FLOOR LOAD: psf LEFT: ft RGHT: ft FTP. SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE PRO CORR: PARKING:
VALUE: $ 500.00
Remarks: Demolition ^`one single family residence. All demolition debris must be removed, the sewer must be capped an
inspected. Approximately 729 square feet to be demo'd.
Contractor:
Owner:
SCHOOL DISTRICT NO.23J OWNER
WASHINGTON COUNTY
13137 SW PACIFIC HWY
TIGARD, OR 97223 Phone:
one.
Reg #:
SEES - _` _ REQUIRED INSFECTIONS
Type By Date Amount Receipt Cap Sewerction
Line Insp
-RMT DEB 4/20/00 $50.00 1583 Final Inspection
5PCT DEB 4/20/00 $4.00 1583 EXPif Er,
EROS DEB 4/20/00 $26.00 1583
ERPC DEB 4/20/00 $8.45 1583
tadditional fees not listed here)
Total
This permit is issued subject to the re<Julatioi s contained in the Tigard Municipal Code, State of OR, Specialty Codes
and all other applicable law. Al;work Mll be kie in accordance with approved plans. This permit will expire if work is
not started within 180 a3ys of issuance, or if w irk is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules ad the O,egon Yo may obtalty in a�opyation of theseCenter,
rulesTor dieectrules
questions to OIJNCrby
952-001-0010 through OAR 952-001-1987.
calling (503) 246-1987.
Pennitee -
signature: Nvc
Issued Il3y: __-
Call 639-417!" by 7 p.m. for nn inspection the next business dr,y
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CITY OF TIGA,RD Cominet tial Building Permit Application Planeek
esABy
.�
Date
13125 SW HALL BLVD. New Gonstruction ;ert
nd Additin-is Rec'
�c'd�"/�'��
TIGARD, OR 97223 Dale to PE.
(503) 539-4171 Dale InDST
,T-
Print ur i ype Permit is
Incomplete or Illegible applications will not be accepted Relsied 5WR
Caned
Name of UevplopmenUProlset
Job t�ouSC— STTwGl.2 — Existing Building ❑ New Building[]
s
Addres street ddress utte
�Ut� , � Bt'tiding
til 1 u ty/st ztp Data _
hlliting Use cf Building or PmpPrty:
f
Propt�rty
*multo
Ownr'r BillAddrttes t Proposed Use of Building or Property
Itylsteta Zip �G PhorNo. Of Stories:
Occupant F Sq. Ft. Of Project:
Name Occupancy Class(es)
Contractor _A�,+ _
Prior to pormli Meiling Address _ 3llile Type(b) of Construction
issuance,a copy
of all licenses
are required if Gllylslate 71p I P tone. 1 Will tin:;project have a Fire Suppression Systpm�
expired in C.O.T. fAkO '-T
l I Yes ❑ No ❑
dalsh°°e Americans wlth Disa6 titer Act(ADA)
regon Cont.Cont,Soanl Uc,tf zip.Date
Valuation X 25%= $ Parti.Ipation
Com le,?Accessibili Form
Name Project $
Architect _ Valuation jOO
Mailing Address suite
Plans Required: See Matrix for number of sets to submlt
enylstate zip none � �— on book
E-n9inerr Name I hereby arkmawledge that I have read this application,that the information J
glen is correct,that I am the owner or authorized agent of the owner.and
Wailing Address Sulh that piahs sub in compliance with Cragon state Laws.
gig atu r/Ap t Date ----
Cityl3tate one �
ontnet erson' Phena
Indicau+typu of work. New O Addition O Demolition �. ��
Accessary Strucfurh n Foundation Only q Alterallon 0
Re aho other u _FOR OFF ICF USF ONLY
bcserlpflon o1 wnr Ma 1 nd:fha- - --
lets/self 4 Netts.'
Par-sr Estimated s of Employees
If the,bove figure Is not supplied pl the time of apptlulion,the city will
calculate tae foo based upon the number of parkln�s�acos.
Noto: 9110 Work Ponnlf Application must precede or accompany bulldlhg
Permit Applleatlen AJO n qU
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CITY OF TIGARD BUILDING INSPECTION DIVISION "AST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUPG /- �—
Date Requested __-__AM _ PIVI BLD
Location_&'Q 14 U 3c✓ r 5�_ --— Suite _- MEC ----
Contact Person — Ph PLM
Contractor _- -- _.— Ph __--- SWR
BUILflING---- Tenant/Owner ___---_---__-- _-_ ELC -_-
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftq Drain SGN
Crawl Drain Inspection Wtecs'
�
SlabSIT
Post& beam
Ext Sheath/Shear __-
Int SheathlShear
Framing WY- _'3'a5—._ —a_�f��JL<J.=S (�,✓` - > 'LOLtsL u..
Insulation
Drywall Nailing
Firewall
Fire Sprinkler S_ /'/4wt5- 4-F0__`J_
Fire Alarm
r�w OLl U, ��yT�_ r-rG�2tiKG�ySLi�E`r,r�r_.
ousp'd Ceiling -
Roof
Final
PASS RT FAIL - - --
PLUMBING
Bost& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Ream - --- --_
Rough In
Gas I me
- -
Smoke Dampers
PASS PART FAIL
ELECTRICAL__ -`— —�
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm __-_ ------- ------ --- - --- ------ -
Final
PASS PART FAIL ------ -------- ----- — -
SITE
BackfilllGradinq:� --'---- � -•^--- —
Sanitary Sewer
Storm Drain Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hell blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE _ _ _ __----__ [ �Unable to inspect- no acce�
ADA
Approach/SidewalkGrp
Other
[date �'-/�' Inspector —_ _- Ext
Final
PASS PART FAIL GD NOT REMOVE this inspection record from the job site,