Permit s•r
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00357
A
4
,i DEVELOPMENT SERVICES DATE ISSUED: 6/13/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 01 DC 00200
SITE ADDRESS: 13535 SW 72ND AVE 170
SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1.994 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: 1,994 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 14 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: $ 16,000.00
Remarks: TI Remodel entire suite.
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 6/13/03 $196.90 Electrical Permit Required
TAX 8% Tax 6/ 13/03 $15.75 Plumbing Permit Required
[TAX] Framing Insp
[BUPPLN] Pln Rv 6/13/03 $127.99 Gyp Board Insp
[FLS] FLS Pln Rv 6/13/03 $78.76 Final Inspection
Total $419.40
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: )4ir ,L za---y
Pe
n rmittee
ur e:
S /
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
. � 'r 'veto 4 - .3-03 as
Building Permit Application OFFICE USE ONLY
~ ' "�'Jl' City of Tigard Date received:b -/3�3 Permit no.: ) ?a,' -70 f3 6
Project/appl. no.: Expire date:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard D ate issued: B Receipt no.:
Phone: (503) 639 - 4171 y:t(g P
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addit ion /alteration/replacement 't Tenant improvement 0 Fire sprinkler /alarm 0 Other:
- - JOB SITE INFORMATION
Job address: 11-A r3 , ei t) 1 ,1rv-•e.. Bldg. no.: Suite no.: 1 o
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: -t it- ,, , ny r. c _ -i. : 41 MA.tn — (ci KC` L C
Description and location of work on premises /special conditions: t Ot^ IS-f- -Fl aov
OWNER FOR SPECIAL INFORMATION, USE CIII?CKLIST
Name: ptlet0c. TNL...) (:' ~C.0 ( Floodplain ,septiceapacitv,solar,etc.)
Mailing address: q( S , A _ S-Fk. (is 1& 2 family dwelling:
EMEMERMIll Stater ZIP: 'ri co S Valuation of work $
Phone 2Ce - 5 c Fax: E -mail: No. of bedrooms/baths
Owner's representative: ##t. S - Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
IZENIMEMINIMPI Covered porch area (sq. ft.)
Mailing address: 7 c , ,i ge t,c.. ( - s.{r, 7,0 Deck area (sq. ft.)
City: k;. pal,
Stated *- ZIP: er7-2..Z3 Other structure area (sq. ft.)
Phone: ZQ-41-. oSSZ
Fax: E -mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $ 1 G, Q
Business name: by t,u- . }- �� on Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.) t
Address: 7 /,,D,Y A 5 at Number of stories
EMWM 11.1111 Statet)lk ZIPq ]a e S �
Phone _ 6. Fax: Email: Type of construction
ho no.: Occupancy group(s): Existing: 13
' - 5 �>-So New: 6
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: r j kr -G.bt. T.: M - - 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: L . ,, e. ,, d ,,,,( Plan no.:
Phone: Fax: E -mail:
. ENGINEER OFFICE USE ONLY
Name: Pr 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: / /
Expires
Authorized signature: w «Date: 6. • (3. O7 Name of cardholder as shown on credit card
Print name: Pef -1 eppc ar-.A Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4to -4613 (6/OO /COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP -a 03s 7
Received Date Requested — ..3 AM PM BUP
Location 13 70 Suite / 7 O MEC
Contact Person 96L s Ph ( ) 7(D -4 5 3
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
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
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
• S PART FAIL
ECHANICAL
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
ADA l
Approach/Sidewalk Data / v
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 —7
r:: i► BUP �L> O�!
Received Date Requested 1 AM PM BUP 7- 00 y/ o/
Location / 3 .3 5 7 2, _ Suite / 70 MEC
Contact Person Ph ( ) 7/0 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
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
Other:
tPASS ART FAIL
PLUMBING
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 LI Please call for reinspection RE: [] Unable to inspect — no access
Fire Supply Line
ADA 2 / t
Approach/Sidewalk Date 713 0 3 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS , PART FAIL