Permit r ,
A CITY OF TIGARD • BUILDING PERMIT
PERMIT #: BUP2003 -00087
- u - DEVELOPMENT SERVICES DATE ISSUED: 2/21/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 401
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 16 BASEMENT: sf AREA SEP. RATED:
STOR: 5 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:
BEDRMS: ../ BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: d al, 00o•
Remarks: C o n-r Al ere raj 7T of 1, bd q 54. ,
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 #: MET 00001106
FEES LIC REQII ED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 2/21/03 $244.90 Gyp Board Insp
[TAX] 8% State Tax 2/21/03 $19.59 Final Inspection
[BUPPLN] Pln Rv 2/21/03 $159.19
[FLS] FLS Pln Rv 2/21/03 $97.96
Total $521.64
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 by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued B Y: , 11 04°1 /L r.
Permittee ' '/
Signature: J
Call 63' . 7 p.m. for an inspection the next business day
P .
' Building Permit Application
A. Date received: 2 Z/ D3 Permit no.B02.00 3 -moo
:4:.� City of Tigard
• :_ . Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 9722
Phone: (503) 639 -4171 Date issued: By . Receipt no.:
Fax: (503) 598 -1960 Q�.j Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration/replacement X Tenant improvement 0 Fire sprinkler /alarm 0 Other.
JOB SITE INFORMATION
Job address: l3 Z7_ . iv i 4 ve Bldg. no.: Suite no.: •
Lot: Block: Subdivision: Tax map /tax lot/account no.: Z S (0 p4 000 Z—
Project name: ■ . . VE ---A •
Description and location of work on premises/special conditions: • / ' • i ,t _ • if ••
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
IESEJEWARE v /
(Floodplain. septic capacity, solar, etc.)
Mailing address: ( , A CO , . ITIMLIWANall 1 & 2 family dwelling:
City: State: Ore_ ZIP: ' 7 z 0 el Valuation of work $
Phone: Z - _ , (' gjjainfM7 E -mail: No. of bedrooms/baths
Owner's representative: • .1:-... A. - Total number of floors
Phone. ,,,,- , . /„• ' KT, New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: G 4OI✓ _IP -- _ r1.) 5-0 yam. Covered porch area (sq. ft.)
Mailing address: 265 Sec _ Deck area (sq. ft.)
-7,' ' Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $ IL 0 O C
Existing bldg. area (sq. ft.)
Business name: New bldg. area (sq. ft.)
Address: ! S O S t•..� - r I-0m- Number of stories
Int 2- AP State:0 ZIP: Type of construction
Phone: ZZa - /J 7 Fax: 224 •363 ° 0 E -mail: Occupancy group(s): Existing:
CCB no.: 3 ' O New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
A RCI I ITECT/ DES I GN ER licensed with the Oregon Construction Contractors Board under
REMEM IIMEprovisions of ORS 701 and may be required to be licensed in the
Address: , S, ,� jurisdiction where work is being performed. If the applicant is
State:(. 2- ZIP: exempt from licensing, the following reason applies:
Contact person: 4 , AA, , a Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application ... $
Address: 4 Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All pro isi s of laws and ordinances governing this 0 Visa 0 MasterCard / /
work will be complied ether specified herein or not. Credit card number.
Expires
Authorized signature: Date: _y / �2 Name of cardholder as shown on reedit card
Print name: t iz, I Z :A Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (&O0/COM)
1
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 � �d
BUP 3- 7
Received / 4 Date Requested o AM PM BUP 3 c- 766
Location /924 5 Lv f/' ' y S uite ��� / Z MEC
Contact Person 7 ) lf-e Ph ( SD3 / 5 3 q PLM
Contractor Ph ( ) SWR
ILA Tenant/Owner ELC
Footing
ELC
Foundation Access: ej C - '23 — bU
Ftg Drain -00 ELR
Crawl Drain n — ' 0 o / U S
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Oth = 1
(• PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final L Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 4/
Approach/Sidewalk Date 7 / 3 � Inspector Ext
Other:
Final DO NOT REMOVE this inspection record -from the job site.
PASS PART FAIL