Permit '7i) r `� ° 1 CITY OF TIGARD BUILDING PERMIT
%t'' COMMUNITY DEVELOPMENT PERMIT #: BUP2008 00355
x 5n DATE ISSUED: 10/21/2008
TIGOD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DC -00500
SITE ADDRESS: 15895 SW 72ND AVE BLDG B 100 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK III LOT: 040 JURISDICTION: TIG
PROJECT: T MOBILE
Project Description: TI.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 129 BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE 70 Dn • OCR •
Owner: / Contractor:
PACIFIC REALTY ASSOCIATES TEAM CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 4201 NE 66TH AAVE. STE. 100
PORTLAND, OR 97224 VANCOUVER, WA 97661
Contact #: PRI 360- 699 -1477
Phone: FAX 360- 699 -1454
Reg #: LIC 173213
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
•
[BUILD] Permit Fee 10/21/200E $462.70
[TAX] 12% State Surch 10/21/200E $55.52
[BUPPLN] Pln Rv 10/21/200E $300.76
[FLS] FLS Pln Rv 10/21/200E $185.08
Total $1,004.06
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 • -•• • 503 - 24..6699 or 1.800.332.2344.
Issued By: J ! ` — Permittee Signature
,.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• Building Permit Application
Commercial � �� '� , t.r� F O F IC U ' I ON ,� r pp �'` �:
Received
W ,' City of Tigard ��C q�� Plan Re ie. % Da./H , l t a . . 1/I . ; t
Ph - ,II /
13125 SW Hall Blvd.. Tigard. OR 97 '1 1. ,"' a
0 Ph 503.639.4171 Fax. 503.598.1960 c ` ,��� ��
Oilier Permit:
I D ate / H
Inspection Line: 503.639.4175 O — WI See Page 2 for
i T�I G'A`R D, P '�� 0 �
s!5! orris Internet: www.t igard- or.gov C 1 l e I AM Supplemental Information
0
TYPE OF W0101" REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition /alteration /replacement ❑ Other: equipment, materials. labor, overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling Valuation:
® Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15895 SW 72 AVE New dwelling area: square feet
City /State /ZIP: Portland, Oregon 97224 Garage /carport area: square feet
Suite /bldg. /apt. no.: IOC) Project name: T- Mobile Covered porch area: square feet
Cross street/directions to job site: Cba� S -1-/J - ('per ,4, p,2 Deck area: square feet
l• Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ' gots/ /a -7T Lot no.: Permit fees* are based on the value of the work performed.
1 DC ��1� � Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel / arcel no.: 25 r equipment, materials, labor, overhead, and the profit for the
�
DESCRIPTION OF WORK L' work indicated on this application..
l /�
r1 � �, 3t 02 /i iN /32EACJ G6 kw) Valuation: $ 7t� 000
is _ / ■ (/ p /V( /∎ 6 / ,, _ L Existing buildin area: + 2.7 square feet
New building area: J' square feet
❑ PROPERTY OWNER []/TENANT Number of stories:
Name: 7 ,(� D g I L E Type of construction: n
Address: I L 1 '15 s 7 Zi4 b A' S u fTE /00 Occupancy groups: g o
City /State /ZIP: Fw AN n 02 97 Existing:
Phone: ( /)3) 4s 735 5I Fax: ( ) New: ------
❑ APPLICANT LWtONTACT PERSON NOTICE
Business name: J r 7 0 , Al2(44fT Q 1 All contractors and subcontractors are required to be
Contact name: S.A02A1—i OUS� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 60 1 Og +In AvE E - Su 2Z 5 jurisdiction in which work is being performed. If the
WA ^ p �/ applicant is exempt from licensing, the following reasons
City/State/ZIP: l/
rj 5 V I /1 E 1 WA '7 "7 apply:
Phone: (4Z5) (Al —(V00 Fax: : ( 425 b3 7- sax)
E -mail: Sa✓-a 1 / e 3 P APCJiii r.-i -S • '
CONTRACTOR -
Business name. CoNST2U C71b N BUILDING PERMIT FEES*
Address: 42o E ' A {Pleaserejerlojeeschednle)
� N , I `I 0 (I � '� / ^ qgt I Structural plan review fee (or deposit):
City /State /ZIP: V „ / 'Y 1
�/� 1 FLS plan review fee (if applicable):
Phone: (Y0) C C — q 77 Fax: ( )
CCB Iic.: r Total fees due upon application: / 0 00 0....ii
Amou received:
Au signature: This permit application expires if a permit is not obtained
�� /� within 180 days after it has been accepted as complete.
Print name: eaG ��YGG/ / ' a - Date: `07 -0i/ * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(I I /02 /COM /WEB)
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:CITY OF TIGAIID a . // 0
• BUILDING DIVISION: w . PERMIT, #: BUP2008-00355
13125 SW Hall 'Blvd, Tigard, OR 97223 DATE ISSUED: 10/21/7008
Phone: (503) 639-4171 ' '_11/1/411110111iii .
Inspection Requests (24 Hrs.) (503) 639-4175
1 , "
INSPECTION WORKSHEET FOR - DATE: 1I9/201y TIME: 7:01AM PAGE: • 1
. SITE ADDRESS: 11:: sw 721.4D, AvE gwG B 100 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 040 • TYPE OF USE:
PROJECT NAME: T MOBILE
DESCRIPTION: 'O.' •
OWNER: • 'PACIFIC REALTY ASSOCIATES, . PHONE #:
CONTRACTOR: TEAM CONSTRUCTION _ PHONE #: 360-699-1
Inspection 'Request Scheduled For: ' Date:. 1/29/2009 Pour Time: •
Code # Inspection Description Confirm ,# Contact # Messa. -
29,9 Final inspection 080131-01 - 503-956-6290 •
Corrections/Comments/Instructions: •
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dile 7 ..
*Ajar MI ' a RTIAL APP,RQVAL 0 CANCEL 0 NO ACCESS
' [ I FAIL . 121 1 C i ALL FOP INSPECTION
/ 0 ADDITIONAL FEES ASSESSED
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,Inspector: ../L.... 2 • Date: . e-,-. -- , 0 Phone#: (503) 716:
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