Permit E 7
CITY OF TIGAIkb BUILDING PERMIT
PE RMIT #: BUP2001 -00034
�i�1 DEVELOPMENT SERVICES DATE ISSUED: 1/30/01
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 510
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
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: 3 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 21 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: Commercial TI.
Owner: Contractor:
TIGARD TRIANGLE I LLC R + H CONSTRUCTION
4650 SW MACADAM AVE STE 220 1530 SW TAYLOR
PORTLAND, OR 97201 PORTLAND, OR 97205
Phone: Phone: 228 -7177
Reg #: LIC 38304
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 1/24/01 $90.55 27200100000 Electrical Permit Required
Sprinkler Permit Required
FIRE CTR 1/24/01 $55.72 27200100000 Framing Insp
MENU CTR 1/30/01 $139.30 27200100000 Gyp Board Insp
5PCT CTR 1/30/01 $10.38 27200100000 Susp Ceilng Insp
Final Inspection
Total $295.95
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 .f these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee ■•■•
f / i
Signature: . `'� O
ssued By: ' 4 ,/ �i
11 639 -4175 by 7 p.m. for an inspection the next business day
1 1 141o1
...: , , 4, . Buil ,
Date received: / /f ' 0 / Permit no.ieripi
�.: City of
- Project/appl. no.: Expire date:
City ofTigard Address: 131 lvd, Tigard, OR 97223 --
Phone: (503) 639 -4171 Date issued: Byjff I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: I &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi - family ❑ New construction 0 Demolition
❑ Addition/alteration/replacement grrenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: I So1a 1 Stu ' 6 _ w Bldg. no.: Suite no.: -
Lot: Block: Subdivision: Tax map/tax lot/account no.: Mill
Project name: r - f : � ® , a AN
Description and location of work on premises/special conditions: (Lc/ CA 110A.) t7 Tan)NAA/1 AStr ITT-M/3
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
IZEIWISMI (Floodplain, septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: State: ZIP: Valuation of work $
Phone: . ' - 0 Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
• Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: g r Covered porch area (sq. ft.)
H • n/6SRMC 7J0 ' 1CAND I Deck area (sq. ft.)
Mailing address: p bW IA 1.0rt..
�()MA i - MuO Ci':d:�am ZIP: ei 4.(75 Other structure area (sq. ft.)
Phone: , a,Q _ F Fax: a, g E -mail: CommerciaUmdustriallmulti- family:
CONTRACTOR Valuation of work $ :0, 000 X
Existing bldg. area (sq. ft.) ..
Business name: -t f-l 6T2vt.G1 New bldg. area (sq. ft.)
Address:
City: State: ZIP: Number of stories
Type of construction
Phone: Fax: E -mail: Occupancy group(s): Existing:
CCB no.: 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
Name: Contact person: Fees due upon application $ /r , .; 7
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read . d examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All pro /sions . .1 •5 a rdinances governing this ❑ Visa ❑ MasterCard
work will be com•1' - • ' wheth= i' 4 • herein or not. Credit card number: / /
Expires
Authors '. •} re- _ /`_ ✓ Date: 1 • .1' 00 Name of cardholder as shown on credit card
-W i _ ?1,. L. Cardholder signature $ Amount
Notice: This permit app cation exp st f a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6AO/COM)
0,9-46 an/v y ,7 , / u�P�ti Ss, I
GJ# A/ /2, 1 y TLS _----:
/2..GY
CITY OF TIGARD BUILDING INSPECTION DIVISION
2441our Inspection Line: 639 -4175 Business Line: 639 -4171
MST ors (� � O
BUP f "f
Date Requested 2' AM PM BLD
Location ie gger Sw , uite . _ - 2 OO/ O) Cr
Contact Person / 3 Z7 / - Ph 7o/°2$ Z PLM
Contractor Ph WR
Tena - Owner / ?'5' C4 alma / p Ci 4' d. EL
Retaining Wall
Footing Access: J' J
Foundation _� — — FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing •
Insulation �!� "'
Drywall Nailing `-'' 5 `e �� 0
Firewall
Fire
Fire Alarm
Susp'd Ceiling
Roof
Misc:
r
1,; PART FAIL
PL"" BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Ag NIC
Rough In
Gas Line
S , e Dampers
. i
S PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk �j►
>
D a t e � / z . 3 f �) Inspecto Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.