Loading...
Permit I CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00483 P DEVELOPMENT SERVICES DATE ISSUED: 8/11/03 ° 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 SITE ADDRESS: 13535 SW 72ND AVE 100 PARCEL: 2S101 DC -00200 SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P BLOCK: LOT: 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: 3N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 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: 4Ia ' Remarks: Tenant improvement, create new conference room. Owner: Contractor: PACIFIC NW PROPERTIES LTD PTNSHP NORWEST GENERAL CONTRACTORS 9665 SW ALLEN BLVD STE 115 INC BEAVERTON, OR 97005 PO BOX. 25305 PORTLAND, OR 97298 -0305 Phone: Phone: 291 -6986 Reg #: LIC 89425 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 8/11/03 $158.50 Electrical Permit Required [TAX] 8% State Tax 8/11/03 $12.68 Plumbing Permit Required BUPPLN P1nRv 8/ 11/03 $103.03 Framing Insp [ ] Gyp Board Insp [FLS] FLS Pln Rv 8/11/03 $63.40 Final Inspection Total $337.61 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) , ,99 • 99 or 1- 800 - 332 -2344. Issued ;:y: _ 4 -- a6Z-41&41-A--(el Perm ittee Signature: a Call 639 -4175 by 7 p.m. for an inspection the next business day • • - FOR OFFICE USE ONLY Buildit g Permit Application -d0 Received e� 2, Date/By: Permit No.: Building �� U /OI. ,e rp po 5 3 Cl}'' of Tigard Planning Approval Other `J Date/By: PemvtNo.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 ..4 , i11 ( >� Post - Review Land Use y: Case No. Internet: www.ci.tigard.or.us I I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 Name/Method: Supplemental Information TYPE'OF WORK.. - REQUIRE)) DATA ❑ New construction ❑ Demolition _ 1 & / FAMILY DWELLING ❑ Addition/alteration/replacement ❑ Other: . CATE OF CONSTRUCTION • Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling 1=1 Commercial/Industrial 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 $ . • JOB SITE INFORMATION and LOCATION No of bedrooms: No of baths: Job site address: / 3 �J �jiW ..2,10s /� Y F Total number of floors New dwelling area (sq. ft.) Suite #: /0 Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: -s 7/= c: ®f ,T /G Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) _ . REQUIRED DATA“ -, • : _ - : COMI\'iERCIAL,- I:T ' Subdivision: 1 Lot #: ' " ' _ • Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate - :. DESCRIPTION OF WORK - , the value (rounded to the nearest dollar) of all equipment, materials, labor, 06,77 /S /may / li © /C ,, S overhead and profit for the work indicated on this application. ItI (,l . Valuation $ /Z000 Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 'Z. I4OPERTY OWNER : 1 ;0_. TENANT , " . Type of construction Aro Name: pot /Ft G - ' A/1A/ /"ja pi,T(,7j Occupancy group(s): Existing: 6 Address: q(0‘,5 L.,/ ,4t, .�•/ & JQ S7 //G _ New: G City /State , oil—. cam - Ph ne: Cart, 4u#2 04 Fax: c/ 76OS NOTICE: All contractors and subcontractors are required to be • licensed with the Oregon Construction Contractors Board under APPLICANT i. `_ . ❑ CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: /1//60464 O E 6 / -t t/LOJP jurisdiction where work is being performed. If the applicant is exempt Contact Name: avc /r/ /C/..izt,./ - from licensing, the following reason applies: Address: 7100 6%A- Cl rufc9 /"2 0 City /State /Zip: "r/,r AO 04 g 72Z. S Phone: Z444-05 f Fax: - 7444 -04/7 E -mail: (E/s//: ( ML ,# • Co/H - BUTLISING:PE>� MIT FEES *' f . . :CONTRACTOR " Ple • . • . fer to feescheduTe. . Business Name: Alt /2,1h/65 • G . Fees due upon application $ Address: City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lic. #: 8 Authorized Notice: This permit application expires if a permit is not obtained within Signa e: _ i ' Date: / "1 180 days after it has been accepted as complete. — 1.1E 011L04 EA *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 „ Plan Submittal Requirement Matrix ,J,.§.- Commercial & Multi - Family City of Tigard New, Additions or Alterations TYPE.OF SUBMITTAL . # of Plans (Includes New, Additions or Alteratio Required. at , - , ' .Submi'ttal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3” technicians. i:\ Building \Forms \PlanSubMatrix.doc 04/03 r bITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MS ,. u P ,3 - oo X 83 Received Date Requested i — 5 AM PM BUP Location 3 5 11 i Suite 700 MEC Contact Person 4...T...: Ph ( ) 7/ D -' 0 1/4 PLM Contractor /fin Ph ( SWR BUILDING Tenant/Owner S C sc- C `62_ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: (7- -, SIT Post & Beam Shear Anchors i — Int Sheath/Shear Shea th/Sh e ar P/ Int Sheath/Shear - -----\-1 Framing S, Insulation eLC!�d te-"Li ds 3 / 2 D rywall Nailing Firewall // n L/ M I d 3_ 0 d q y( ee d C5 0 S Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof • PART FAIL • 'RING Post & Beam Under Slab Rough -In Water Service -------------; Sanitary Sewer Rain Drains -- Catch Basin / Manhole �j Storm Drain ���. G i 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 0 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line Q �/ / ADA Date / �>! �� In spector C l Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION Business Line: (503) 639 -4171 ;.MST pp BUP 3- nD (03 Received {date Requested v ° AM PM BUP Location / � MEC • Contact Person 99 Ph ( ) O/ - dS6 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation irewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi PART FAIL PL BING 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 6 / � ,,+ Approach/Sidewalk Date v / 3 Inspector � —\ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST ` 3 7 _ BUP 3 -- p ` 8 Received Date Requested AM ' PM BUP Location / 3 5 7 Suite /0 0 MEC Contact Person Ph ( ) 7 ( - S(o 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear i garro Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin - _ �if25L RT FAIL G 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 D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date / Z ) 03 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL