Permit iv
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00489
a'AhrN � DEVELOPMENT SERVICES DATE ISSUED: 8/13/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 01 DC 00200
SITE ADDRESS: 13535 SW 72ND AVE 165
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: 17 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: $ 2,000.00
Remarks: Tenant improvement, new demising walls, closets and counter.
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 8/13/03 $62.50 Electrical Permit Required
TAX 8% Tax 8/ 13/03 $5.00 Sprinkler Permit Required
[TAX] Plumbing Permit Required
[BUPPLN] Pln Rv 8/13/03 $40.63 Framing Insp
[FLS] FLS Pln Rv 8/13/03 $25.00 Gyp Board Insp
Total Final Inspection
$133.13
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 By: 4 ,...___ .< ,. _�____ _.�� - -
Perm ittee
Signature: (
Call 639 -4175 by 7 p.m. for an inspection the next business day
/ .1M i
B Y IL g Permit Application FOR OFFICE USE ONLY
b �� Received O \rTh 1 Building �f q
Date/By: p f / / 5 � - 4 - 4 0 Permit No.: PAJAMA — T 8
CI of Ti and Planning Approval 4 Other
`J g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Revi Date/By: rf ew Other
Tigard, Oregon 97223 Permit No.:
f
Phone: 503- 639 -4171 Fax: 503- 598 -1960 / , th, '„` I f l ir 1 �i ." Post Re ew La
Internet: www.ci.tigard.or.us - Contact J ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: / a. Supplemental Information
'� * . ; ,,. ^ zP3'�� ' area '�",'fY'4 - ir'4 i ;��' y ."""' f t : f -..r < 1 . sa T� .
Y4., *�,�v �.��1's'.L:+eri�u� +: R � rr �V E i;:i b�� ` <�ec� �' .'l 5 �'��. �� ,.� �� .X°'FJ.�C y .�i��� o i4
A�..,.eC: .�:-� 3 � � . b ,�.. "s �'�',� � >� u 9s �'j as�C - +'a °�, 't � }r• ' 4` ,,� y �" ' � � '
J 1 1� a @ f) § tea t� t •
E] New construction ❑ Demolition ,� � t � ` <;
m '1 .-- . -. —. �.,:, . , ..fez,
❑ Addition/alteration/re.lacement ❑ Other:
, Ene p t,9 z s N :r > Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling 0 r CommercialAIndustrial 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 $ "ZieaRk
�'�s s R dam. n; ,,7K
No of bedrooms: No of baths:
�'��`����� "�"� #" � c .• •''� :
Job site address: / 9 �j�y!/ 72•Ap/ Ave. Total number of floors New dwelling area (sq. ft.)
Suite #: / 1 Bld . /Apt. #: Garage/carport area (sq. ft.)
Project Name: 5/ 0 f,F /G Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
Subdivision: 1 Lot #: � '
Tax ma • / • arcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
-i, If,t, � ;:;. _ „ fit i.. ■ a 0' ko _ q 1. w the value (rounded to the nearest dollar) of all equipment, materials, labor,
��� / � y � overhead and profit for the work indicated on this application.
UMW- . 9►^' C C. AS eV Valuation $ ZC O G
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
4 I' ':s t:,: . '•� %'e .6sit L:T t yr r31 r;A ` ,: {.: Type of construction it
Name: p/itc /f€ c.. - ' /V / 0 4 ,. t7 /6'S , Occupancy group(s): Existing:
New:
_ Address: e7(065 �L,/ �¢L.I &/ &UQ S77 /!S
City/State Llp: ' , c9g---- e
Ph. ne: eillvaf Fax: 47 700S NOTICE: All contractors and subcontractors are required to be
i x G � ,,� licensed with the Oregon Construction Contractors Board under
_
' i `” 7 ` ' , ; TIV I' 114, provisions of ORS 701 and may be required to be licensed in the
Business Name: /11/6046_, 4,E6 /4...1 OJP jurisdiction where work is being performed. If the applicant is exempt
Contact Name: EovE,4F_ /V /c. 2{./ - from licensing, the following reason applies:
Address: 76''r� 5w efeu64,1y.Ao, 57S /so
City/State /Zip: Tike 7 O . g72
Phone: 244-c6 S I Fax: -7.04 -
1 [��/�� �� - e-
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E- mail: C4'/, e Af " - . coM ; ?,si t ,h r , i.� �� ; ,)� ..4 + � a 3` 1 ,, }4 41 ,
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ilP;'a, .1a+�:fT . .. .,...r Y. °L_a�4.���.r �t�•. ^. ....:
Business Name: 11/6/2..INE5" T • C . Fees due upon application $
Address:
City/State /Zip: Amount received $
Phone: Fax: Date received:
CCB Lic. #: acj -2
Authorized Notice: This permit application expires if a permit is not obtained within
Sigma , e: _ Date: / //� 180 days after it has been accepted as complete.
E M 1 L1 EA *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts\Pemrit Forms\BldgPermitApp.doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 3 ?7
Received Date Requested / / — / a — AM PM BUP 3 -44 63
•
Location / ' S S 7a '' L Suite / MEC "
Contact Person Ph ( ) 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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Oth
PART FAIL
• I 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 / 2
ADA Date (///Z l o✓ Inspector 7 Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL