Permit CITY OF T BUILDING PERMIT
PERMIT #: BUP2003 -00329
a Vl� DEVELOPMENT SERVICES DATE ISSUED: 6/9/03
l i
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DC -00200
SITE ADDRESS: 13535 SW 72ND AVE 140
SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1.700 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: 1,700 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 2 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: $ 15,000.00
Remarks: TI: Walls to create offices.
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 6/9/03 $187.30 Electrical Permit Required
TAX 8% Tax 6/9/03 $14.98 Plumbing Permit Required
[TAX] Framing Insp
[BUPPLN] Pln Rv 6/9/03 $121.75 Gyp Board Insp
[FLS] Addl FLS PlnRv 6/9/03 $74.92 Final Inspection
Total $398.95
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 -0100. You may obtain a copy of these rules or dired questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 41,(/DA Zitit/b
Pe rm ittee �
Signature: 2C L
Call 639 -4175 by 7 p.m. for an inspection the next business day
Ns'. : A rf2OyD 6 - - 63 i)/ •
4 Building Permit Application a ,,; S
ICE SF UNL ,, 4 I .
Date received — _e23 Permit no.: 3Oi %0 -OD
' � Jyi City Of Tigard rR, � Project/appl. no.: Expire date: I /
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: ma Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
3 _ K ' Vt A
'PE_ OLPERAIIT - -._; ; ;: . ; •' '': . 4` - =` , 'j {, 5 -
U 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition /alteration/replacement /Tenant improvement 0 Fire sprinkler /alarm 0 Other:
. ... - -_`JOB SITE INFORMATION -- r` - ,: p, ::, ,.a* e„
Job address: 1 2 S cl".9 ' P1rf. • Bldg. no.: Suite no.: 1 4-0
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: it , . • - - T.
Description and location of work on premises/special conditions: AP ea S%16IddaP ,o- oil 6e i ,c J
.- ., -. :s OWNER .- t 0..; ,FOR SPECIAL'INFORMATION USE CIIECKLIST ''
? ',SPECIAL
( Floodpla) :,, - K ' T..
Name: ac 1Z �w p . f-s -Ci* . � ,, �r� in ,septtc
Mailing add - S , 4 1 & 2 family dwelling:
ZIP:a7 l Valuation of work $
Phone: C . S.::,.. Fax: E -mail: No. of bedrooms/baths
Owner's representative: - NINA. S kkh Total number of floors
Phone: ,. Sc5 Fax: E -mail: New dwelling area (sq. ft.)
- , , ,'APPLICANT;-' ,• 3 3; " Garage/carport area (sq. ft.)
Name: 1. • v-1 `, . . L Covered porch area (sq. ft.)
Mailing address: - ]Coco �fr ., (Zp Deck area (sq. ft.)
ME ,NZMIRMIIIII State:ojt -- ZIP: /"721..-3 Other structure area (sq. ft.)
Phone: 2,44 pSY Fax:24l--- 04/7 M r',
CommerciaU ndustriaUmulti- family:
r r' t j? 4 : ,:CONTRACTOR j' y i. ' _ .e « -?' : N : Valuation of work $ (
Existing bldg. area (sq. ft.)
Business name: bi- - , - — C - - - ' ( r . c;'c- w bldg. area (sq. ft.) ( 1,7 07
Address: •O ; Q_ .. 0
City: PA ( ZIP: Number of stories 'L
Phone: 3 7 _A �� Fax: E -mail: Type of construction 3 N
Occupancy group(s): Existing: Q7
CCB no.: ; q�a New: f3
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
". s:, ° g u : ;' ,.. e: ARCIIITECT/DESIGNER l : -$V. " f licensed with the Oregon Construction Contractors Board under
Name: A , r✓i GQ,v/•• 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:
C it - ' +- m >'} r c. { .Y r � 1tw r .
& .' miry P to ^, r } e r �
...., ;rr i„ . }.u:1 - , ti ENGINEER '._,...,,...r_..t,. .'.,.. , . .._.�5f� >?; '.:. 1 ,OFFICE US_F,,.ON I ,.:`. 94 -Mir '
Name: WA Contact person: Fees due upon application $
Address: 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 provisions of laws and ordinances governing this ❑ visa ❑ MasterCard
work will be complied with, whether specified herein or not. Credit card number / /
Authorized sign lure: Date: i/ • �- 0 3 Expires
�� � � Name of cardholder as shown on credit card $
Print name: 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 (6/00 /COM)