Permit CITY OF TIGARD PERMIT
PERMIT #: BUP2003 -00124
4.L. DEVELOPMENT SERVICES DATE ISSUED: 4/16/03
13125 SW Hall Blv T igard, OR 97223 (5031 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: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 702.00
Remarks: Fire Protection Permit - ELECTRICAL PERMIT REQUIRED
Owner: Contractor:
TIGARD TRIANGLE I LLC GREENWAY ELECTRIC
4650 SW MACADAM AVE STE 220 15145 SW GULL DR.
PORTLAND, OR 97201 BEAVERTON, OR 97007
Phone:
Phone: 503 - 579 -8054
Reg #: LIC 153421
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 3/19/03 $62.50 Fire Alarm Insp
rm
[TAX] 8% State Tax 3/19/03 $5.00 Final Inspection
[FLS] FLS Pln Rv 3/19/03 $25.00
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0011 • •ugjOAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling ( % ) 246 -6699 or \- 800 -332- ' 4.
Issu :d By: i ; ji 1 P 116 ' ` ' )
Permit :e 'be i
Signature.
Call 639 -4175 by 7 p.m. for an inspection the next business day
/32.2.1. rte+ ‘ y �� �I 002
Fue Protection System `
. Bu P ermit A s 1 1ica' 111 E V _ FOR OFFICE USE ONLY
Received Building
• 9 Date/By: - // -03 03 Permit NoJPaOO& - OO7o1
City of Tigard 1 1 9 200 Date/By: Approval Pcrntit No.:
13125 SW Hall Blvd. GA" tan Review Ot:her
C Y 0 TI
Tigard, Oregon 97223 « �t•9 1$ Permit No.:
Phone 503 - 639 171 Fax 503- 598 -1960 ?� � ; ni
• j j D
IVIS . v i I Land Use
y: I' uo'' d3 Case No.
Internet: www.ci.tigard.or.us � � --- C ontact < ; n, J oc k . : ® See Pa 2 for
-
24 -hour Inspection Request 503 - 639 -4175 Name/Method: V NI V Supplemental Information
❑ New construction ❑ Demolition :::::t - ,T.:;:°_ ..... -::. : °.Bt .A imy 5 EY 1NG: _ - -
_ .Addition/alteration/replaccment fl Other -
.:_ "' ' CO ote: Permit fees. are based on the total value of the work performed. Indicate
, ......:::::.: ., :...::;:.:27:F:'... ,..
•:..:::..,.. . .Vii- : GO ' i': OF :CONSTRIICTIflh =��: "'r�:::: ,.:,.
:D1& 2- Family dwelling CommerciaUYndusl vial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family _
❑ Master Builder ❑ Other: Valuation $
No. of bedrooms: No- of baths:
, :: ;= :: :: - 0B SITE.3Nt?DR IiATfOxiatid LOICATi( Nf.?4:::.: �" ' .::. Total number of floors
Job site address: /3?zLS
. iarx Fe�� ,/ r! Ali? 04 -
New dwelling area (sq. ft.)
/O Suite #: 4' F� p0
�� B1dgJApt. #: Crarage/carport area (sq. ft -)
Pr ject Name: //tie loAty /,tv//ei T Advisez, Covered porch area (sq. ft)
Cross street/Directions to Job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
:F ; : : ; - •• : : ;:; . .* : = - ;;'�; _
- - _/'�� �� � yy-� I rr J, ss � R � TT D } , �� �� i � A_ � _ l�/ I ��q ;. iy ' � i Subdivision:
Tax map /parcel #: • Note: Permit fees* are based on the toml value of the work performed. Indicate
_.. __.. — ._. - - •..• - .. - the value (rounded to the nearest dollar) of all equipment, materials, labor,
_ . r :" :' .: _- ? =I?ESCIION{�t~WORK = overhead and profit for the work indicated on this application.
Valuation $ 7o
Existin building arca (sq. ft) "
New building area (sq. ft.)
Number of stories _
• , - - . •p, T ' of _ "- _"t TEPJAANT :- c _ :; .'::, . ::= is : , :: T of construction
.0 "`: Occupancy group(s): Existing:
Name: New:
Address:
City /State /Zip:
Phone: I Fax: NOTICE: All contractors and subcontractors are required to be
licensed with thc Oregon Construction Contractors Board under
T . APPCANT-s;: -:. :;GQrITA'PERSCjISt: >>
�] �- ' provisions of ORS 701 and may be required to be licensed in thc
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address: • _
City /State/Zip: - .
Fax: .. . > ?;:::-- _.: : ; ;, =;
Phone: :- - : : : : :. :. - - .�::' : _ Y.---:15:j7:
E-mail: - - - ease t•tti °�e __. eseti e : .:...__- ��` =�= ;' _
.:::.. ...:..::. :
:.: . - �
..: �_:C`OI�I'IIRAC'I'OR.:� :
Business Name:( Fe ,..jRy S /ee-7- ' Pees due upon application $ 12
Address: /S/ fS clW (. de.
City/State/Zip: e .;--iii 012 9 706 7 Amount received $
ty P = $P�dB• B
Phone: Z -S71- ear-el I Fax: S)3 - S7 9 - sos - Date received: -
CCB Lic. #: /3 V.Z�
Authorized n Notice: This permit application expires if a permit is not obtained within
Signature: Y �r�wao 1 / 'j , Date: 3 -/5 3 lute days after it has been accepted as complete.
'4AC k *Fee methodology set by Tr, -County Building Industry Service Board -
(Please print n)
i:\Dsts\Permit Forms1BIdgPvrmitApp_doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 3 -Data- I
Received Date Requested ' AM PM BUP
Location 1 3 - t (, $ Suite VC] MEC
Contact Person Ph ( v ) SOY — c a ( 33 PLM
1 �
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation ACC s:
Ftg Drain gy m / v ecfO» y J ELR
Crawl Drain •
Slab Insp ction Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Susp'd Ceiling
Roof
•
ZI =1N PART FAIL
•
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 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 v !`
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL