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iArecords\micrutlm\targets )uilding.doc
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CITY OF TIGARD BUILE ING INSPECTION DIVISION
24-Hour Insp'ec'tion Line: 639-4175 Business Phone: 6394171
Date Requested: t �" l / 1 -- A.M. ✓/ P.M. MST:
Location: _ — BtJP:_ �f
Tenant: r a Suite: Bldg: MEC: _
Contractor:_� 7 - .��� Phone: , PLM:
Phone: ELC:
SIT:
IfUILDING LDG c__on't) PLUMBING MECHANICAL _ ELECTRICAL SITE
Site eam Post/liam Post/Beam Cover/Service Sewer/Stonn
Footing Roof UndFlISlab Rough-In Ceiling Water Line
Slab Framing Top Cut Gas Line Rough-In Uv Sprinkler
Foundation Insulritian Sews: Iloo(mxct Reconnect Vault
13smt DKmp Drywall r'omt Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A": DIG Slab
Shear/Sheath Dire Spklr/Alm Crawl/Found Dr Heat Planp Low Volt
Approve App.oved Apr,roved Approved Approved —
Appr/Sdw1Y, o ved Not Approved Not Approved Not.lprroved Not Approved
AL FINAL FUNAL FPS.,.I. FINAL
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Cl Call for reinspection C1 Reinspection fee of Srequired before next ir„pection n t tnable to inspect
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lnspecaor._-- - ---- Dale {�.�-_L-.� pageof----
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: — A.M. P.M. MST:
Loc _—_ation:_-- L , B►.P:W -0Li �
Tenant: ` PA L E 7 0 L'(_ .t Tz Suite:— —Bldg: MEC:
Contractor:_ [Uakt __ —Phone: 1=� � PLM:
Owner: Phone: ELC:
Q ELR:__ _
SIT:
WILDING BLDG(con't) Y PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storni
Footing UndFl/Slab Rough-hr Ceiling Water Line
Slab �amin2 . ' Top Out (:as Line Rough-In UG Spri•k-ler
Foundation --W.;ulation Sewer HocAm)glct Reconnect Vault
Bsmt Damp Drywall Stonn Furnace Tmnp Service M15C.
MPsonry Ceiling Dain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ir Heat Purnp Low Volt
I prnv Approved Approved Approv!d Approved
Appr/SdwlkNUMEKved Not Approved Not Approved Ncc!nproved Not Approved
FINAL FINAL FINAL FINAI, FINAL
CL
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0 Call for reinspection G Reinspection fee of S __ t.Tuned hcibre next inspection 0 Unabl•to inspect
Inspector: — Dat,:: _-- �f t'age of—_ ---
CITY OF TIGA►RD RL.JII.DTNG PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUF'96- 0484
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 02/07/97
2S1.02DD-02201
JTE ADDRESS. . . : 09984 ".344 WAI.._NI.JT ST
_.)UBD I V I S I ON. . . . . NORTH TIGPIRI)VIL-I-E ADDITION Z ON I N(i i R-12
BLOCK. . . . . . . . . .. I_OT. . . . . . . . .. . . . :39
RE ISSUE FLO(IR AREAS---- EXTERIOR WALL.. CONSTRUCTI01,1
CLA�3S OF WORK. :AI-T FIRST. . . . . 2200 s f N: S: E- W:
TYPE OF USF.--. . . :MF SECOND. . . ; 2200 sf PROTECT OPEN I NGSry--------
TYPE OF CONST'. :5N . . . . 0 s N: 0: E: W:
OCCUP'ANC'Y GRP. . R 1. 1114-00 S f' ROOF CONST: FIRE PET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : "" I-IT. 0 ft G(PAGE. . . . 0 s OCCU SEP. RATED:
BSMT? : ME'ZZ? : REDD SETBACKS----- REDU I
FLOOR I. OCiD. . . . '. 0 psf I_EFT; 0 ft PGHT. 0 ft FTI3 SFII'I..:N GNOV, DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
PEDRMS: 0 BATIAG: 0 IMP SI.JRI--ACE: 0 PRO ('ORR:Y F.IARII%TI\IG: 0
VALUE. $ . 211.25
Pf-mucks : Adding tt,i-t-sse-, Bi-tilding B
Owner-: FFES
POPERT RCIND-fl-L type ;-I In 0 LIT It fly C1 at es r-ecpt
9500 SW SARBUR BLVD PIRMT $ 152. 50 JMIA 02/07/97 97-29005F,
GTE 300 PI-CF, $ 9.9. 1.3 JMH 02/07/97 97-29017156
PORTLAND on 97219 FIRE $ 61. 00 DST 08/28/96 96--283347
P'lione it. 245--11.3t 5PC1" 1 7. JMH 02/07/9"? 97-290056
Contr-actor:
CONTRACTOR NOT ON FILE
Pione $ 320. 26 Tr,1TnI_
Reg #. . - .--- REQUIRED TNSPECTIONS
This permit is iss,.*J subject to the regulations contained in the Ft^,Aminq Insp
Tigard Municipal Code, Stale of Ore. Sperialty Codes and all other Fit,ewall. Insp
applicable laws. All work will be done In accordance with Smoke Detector-
approved plan,- This permit will expire if work is not started Final. Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
1151
_ied By :
LU Call for inspection ')39-4175
} Commercial Building Permit Application
city Of Tis and
13125 SW Hall Blvd.
Tigard, OR 97223
('503) 639-4171 �(Y
Jobsite Address: 9984 S .W. Wal nut. f', I ,� ll�—
Tenant:�� �'��6't! ��' C Ofilce Use Only
Suite #
Valuation: $16, 000 r Planck/Rec #_ �
Permit
Owner: Robert D. Randall_
Mep & TL #
Address: 9500 S.W. Barbur Elvd. #300
— Approvals Required
Portland, Or, 97219
Planning
Phone: ( 503 ) 245-1131
--- - Engineering
Other
Contractor: K.R. WEST CONST. CO. INC.
Address: 9500 S.W. Barbur Blvd. #300
Portland, Or, 97219 Type of const: Type V---1-hr VN—
Phone: 50 3) 245-1131 _-- r, Occupancy class: R-1
Sprinklered? Yes No Y
Contractor's License # KRW 10 1 833 Exp-�-X45-/96
(attach copy of current Oregon license) Sq. ft. of project: 4 , 4 0 0
Contact name & phone: Ray_Breshea,_s ( 503 ) 245-1131 Story (1st etc.) _
Proposed use:
ArcnitecUEngineer: Truss Components _ ---�-
Previous use:
,Address: 825 North 4th Ave. --�-
Note: Plumbing & mechanical plans
Cornelius, Or. 97113 must be submitted at time of
it Phone: ( 5 0 3 ) 357-2118 building permit application.
JOB DESCRIPTION: Adding trusses 4/12 pitch to stop 47ater pol.l.ets on flat
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Appiicant Signature & Phone number
Received by: —. ,� _ Date Received-
Permit;$ Account Description AmoLnt Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
hlech: ?
Plan Check (PLANCK) " 4
Bldg:
Plumb:
Vlach:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TiF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
CL Water QUantiuy (WQUANT)
w
isf /^CJ
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRIVT)
J
~ Erosion Planck/USA (ERPLAN)
Erosion Planck/CO?
TOTALS: �j�(r? � ..r�
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