Permit • , -
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00153
-r�L � DEVELOPMENT SERVICES DATE ISSUED; 4/20/2005
13125 SW Hall Blvd., Tigar OR 97223 503 - 639 -4171 PARCEL: 2S101 DC -00200
SITE ADDRESS: 13535 SW 72ND AVE 150 ZONING: C -P
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT: JURISDICTION: TIG
Project Description: TI: New walls
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 21 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 18,000.00
Owner: Contractor:
PACIFIC NW PROPERTIES LTD PTNSHP PACIFIC CREST STRUCTURES INC
9665 SW ALLEN BLVD STE 115 7233 SW KABLE LN STE 900
BEAVERTON, OR 97005 PORTLAND, OR 97224
Phone:. 503 - 244 -0552 Phone: 503 - 968 -8949
FEES Reg #: LIC 66915
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/20/2005 $216.10
[TAX] 8% State Surcharp 4/20/2005 $17.28
[BUPPLN] Pin Rv 4/20/2005 $140.47
[FLS] FLS Pln Rv 4/20/2005 $86.44
Total $460.29
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 9 or 1-800 -332 > : 4. /J
Issued By: ■ .. _ g /, . Permittee Signature . /f 7`
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'1.
Building Permit ARE cigIV ED
FOR OFFICE USE ONLY 7:
City of Tigard
— R 2 2005 r ived . ii m 6 ., 6 ,
2 Permit No.: . , 1, —a
13125 SW Hall Bhrd., Tigard, OR 974.4-_, P AI i 6 -o
2 in-R-kw 9 6-
Phone: 503.619.4171 Fax: 503.59t 9 60
Ivy OF TIGARD I. ;.;. - ii , ..f111). 12-4108 ,
7 OtherPermit:
IXISpection Line: 503.639.4175 Date lteady/By: '''' SI Seo Attaehod Choeldist for
Internet www.ci.tigard.or.us BUILDING • I
VISIO -
Notifieahlethod: Supplemental Information
D 91- -1,,
•
iktPL ..
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate•the value (rounded to the nearest dollar) of all
14 Addition/alteration/replacement 12 Other: . equipment, materials, labor, overhead, and the profit for the
V •,7 - 0 , 77,1 F .1" .• ' •:t•tl . wOrk indicated on this application.
.1. L.11,2 , r , L . - . 4 . -7 , 1-3--tIrg.". ', '-` -'1'. L'4.- ,) 2 ' r"..' 21 iileVII IP ' : :16110ONFWVAttli ■■•■,.............■
., Valuation: $
0 1- and 2-family dwelling ISItommercialfindustrial
0 Accessory building 0 Multi-thirdly Number of bedrooms:
1:1 Master builder 0 Other: Nurnber of bathrooms:
).704,-,..2.4.• i•,,qt -,-, -., ,. , i 1 • T . ,, - ,, , ..,..,,, -,.- ^t „..., ..,,,...:,..,•• . ,,-,-,F.:17,...7,71,7,. „■".:1,177.-7:1”. Total number of floors:
- •'' , A,'-',..IS:1 .. ): •.' ' '. , 2• 1 •Q,''' i•-"2'..- ' 1 L 2 =' ■ - 2' i. .. '.. ;,■ • 1, 111:11 .4 n , r , er -,', 0- '..,,
Yob site address: /3 5 s--'. sag 72. 4 E New dwelling arca: square feet
City/State/LIP: 7r(90-(14. o 4.- Garage/carport area: square feet
Suite/bldg./apt no.: f 5'O 1 Project name: r: I. For. Cii-ebtl UNION'S/ - Coveted porch area; square fcct
/
Cross street/directions to job site: H OM 6 j..0A4 Deck area: square feet
p Cu_ iti - Other structure area: square fcct
,:-..1... ■....,......., mtziess,2; . • ,...,, ,, ,(....S.':;;N
' • ■ .--,'. :.-: . —9.
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parccl no.:
7
cquipuictit, materials, labor, overhead, and the proth for the
-..2 7:
work indicated on this application.
Doc PS, R-CUTES , PLVAASIPJG., Valuation: _ $
CA 81,4 ent-y Existing building area: /13 4 square feet
New buntline area: ...---- square fcct
. ''' t4r: W .: 17'$:74 7 't'' . 1 ! /: 1 1 1 TAIRW L :t1IM'''NP4M.' ..7 : Number of stories : 2-
i-- A 1
-,_;', L,...:', ,1 .,'S .1. IV 1%1 , i'l J '.. , . : 'r -- I., ,.. :I . .4 &or- 'sr v. , ..%:...l..A. ' - - s' ; - - •
Name: r Aci 1 IC OW r A-DP elm es 0 Type of construction: 1/ 13 (2N)
Address: 6,4 a c 1. 3 tie Occupancy groups:
City/State/ZIP: 0 CA/a-Ty r- 08- /700 1 Existing:
Phone: (5 ) 6 24 -35.°43 Fax: ( ) 0 New: &
A ..,..c i; ) :: l' pJ Y:1 A:1 :. ':' ^) ' '' ' .i.;..-.7 :* - g;P :) 1 1 :1.. 1 :1 6 4 41 igazgt,i6r..;
PEN.
Business name: Ain•P DE/(g N CoAcru r All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
— under ORS 701 and may be required to be licensed in the
Address: 76 cb T froletA-N 13 sr 5 urre 7_0 jurisdiction in which work is being performed. If the
applicant apply:
City/State/ZW: A op. /z23- is emit from licensing, the following reasons
716 tt..,4 7-
Phone: ( SIB ) z49 --°T$2 1 Pax u ' (fa ) -tytf-o Y/7 _
E-mail:
r•,f7;,-;47,'A7.,(.47}F,-..-F9-,:,,q,-.1-;',•,'„•:.-7:47‘7, ,TT1-1;•iik:1•011.44.44.11'
Business name: A 67 ES
Address: 711.703 W icA OLE LAPE C erre IP° Please refer to fee schedule. •
City/State/ZIP: rem1.40o og. 1 7%-1-1 Fees due upon application
Phone: (94 ) -'6111 1 Pax: ( 51 )916 - 4‘ 53 . --- .
Amount received
CCB lic.: 4 lir
Date received:
)a.uthorized signature/ )/..T........-____---- This permit application expires if a permit is not obtained
/
.. 4
within 180 days after it has been accepted as complete.
X Print name: 4v/t.._ r Tia...,..A-i __1 Date: /2.c/( ft
5" * Fee methodology set by Tri-County Building Industry
—
Service Board.
i:\BuiIdingPiBUPPpp 12/03 440-4613Th 1/02/COMAVE13)
1 0 0 [RI 13HYDII 30 AIID - 0 9 6T8 6SC0S INA CI:ZT 9 00Z/L0/170
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00153
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22./2005
Phone: (503) 639 -4171 mmad�gp��l�l��
Inspection Requests (24 Hrs.): (503) 639 -4175 5
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 17
SITE ADDRESS: 13535 SW 72ND AVE 150 CLASS OF WORK:
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT #: TYPE OF USE:
PROJECT NAME: CREDIT UNION HOME LOAN
DESCRIPTION: TI: New walls
OWNER: PACIFIC NW PROPERTIES LTD PTNSHP, PHONE #: 503-626-3500
CONTRACTOR: PACIFIC CREST STRUCTURES INC . PHONE #: 503. 966 - 6949
Inspection Request Scheduled For: Date: 5/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007715 -01 503.706 -3211 Y
Corrections/Comments/Instructions:
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(5V4t V.3
WV
V I
VASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION FEES SSESSED
Inspector: � Date: v one #: (503) 718-