Permit 1 - CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00528
�& DEVELOPMENT SERVICES DATE ISSUED: 9/9/03
A II 13125 SW Hall Blvd.. Tigard, OR 97 (503) 639 -4171
SITE ADDRESS: 14160 SW 72ND AVE 110 PARCEL: 2S112AA -00900
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 3,250.00
Remarks: Installation of awning on west side of building.
Owner: Contractor:
SPIEKER PROPERTIES LP NORTHWEST AWNING + SIGN CO
4380 SW MACADAM AVE STE 100 4812 N. INTERSTATE AVE.
PORTLAND, OR 97201 PORTLAND, OR 97217
Phone:
Phone: 503 - 493 -9111
Reg #: LIC 00025643
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 9/9/03 $81.70 Final Inspection
[TAX] 8% State Tax 9/9/03 $6.54
[BUPPLN] Pln Rv 9/9/03 $53.11
Total $141.35
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: 4j, ., �,..,___,.
•
Per at e re:
Si x a //t
nu tt
Call 639 -4175 by 7 p.m. for an inspection the next business day
Buildinlg Permit Application FOR OFFICE USE ONLY
Received es.e/ Building 6.-'00,S---
� 7�
Date/By: / / Permit No.: (,( aleaq
CI of Tigard Planning Approval Other
`J Date/By: No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: 9' S ys. Permit No.:
Phone: 503- 639 -4171 Fax 503 -598 -1960 �i - ,, iN.��rrt l i — Post - Review Land Use
Date/By: Case No.
Internet: www.ci.tigard.or.us
Inspection Request: 503 -639 -4175
Contact Juris.: Su See Page l Information
24 - hour Ins
p q Name/Method: SupplementalIntormation
TYPT!iOF WORT( 4 .REQUIRED DATA:
0 New construction 0 Demolition 1 & 2 AN LY LLjNG
[- Addition/alteration/replacement 1 ❑ Other:
• ,CATEGORY OIQONSTRCICUON Note: Permit fees* are based on the total value of the work performed. Indicate
0 1 & 2- Family dwelling RI-Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
0 Accessory Building 0 Multi- Family a�
0 Master Builder 0 Other: Valuation $_
-. r, ,,
JOB 'R,YNFORMATION an'a LOCATION , , No of bedrooms: No of baths:
/LI
Job site address. /( w 5 7 Yid Total number of floors
New dwelling area (sq. ft.)
Suite #: //p 1 Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: C19 ? a F eth5b /i/6- ) 2#'2r Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
np Other structure area (sq. ft.)
- 7,2 y 'VL� ST. IEQI?. DBATA: r ,
Subdivision: Lot #: • . COMMERCIAL - L1; CHECI : 4 - •
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
+ the v alue (rounded to th nearest dollar) of all equipment, .1-, , , , :.,. nESC�ap�IOr� Q>F �v ox>r� - -:. - �, _. ,.r materials, labor, q .p ,
- Z i i. L .. n w v) }-- j 1 overhead and profit for the work indicated on this application. 6
5 .,,,, • �} v.?)
2.+2 lu-, a, valuation $ 3a
li.cf� c.,c, f 1.
ty cisting building area (sq. ft.)
t ` New building area (sq. ft.)
Number of stories
, `Q,pitOFERTY owNEk ; .. '',1•;E TENANT a : : Type of construction Alt) NI
Name: C Occupancy group(s): Existing:
`p.,. � T (/J/tive New:
Address: c bdS G >r . K . g&bC
City /State /Zip: ' , i , '9 7'2i'-1
NOTICE: All contractors and subcontractors are required to be
Phone: So3_.1 _/ p 5 I Fax:p 2 -.2-34— 37aZ1-1 licensed with the Oregon Construction Contractors Board under
0 .APPLICANT. - 0 CO • 'AC1t' PERSON provisions of ORS 701 and may be required to be licensed in the I
Business Name: A/ j, c^ jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address: L/$i 2 11A-e_..- A
City /State /Zip: P Z?.14, 9'1217
Phone: s',A3- t 4. 41 I 1 I Fax:93- x/43 -Onsa—
E - mail: 107111ING PERMITP.EES`* - '
CONTRACTOR-1: - - . Please' refer tQ fee sch " . ' '
R •
Business Name: /// p r S)),
Fees due upon application $
Address: z/� 10_ oV ,. ., i o-,--- City /State /Zip: , / '. . ` % ,..( 9 ) 3 Amount received $
Phone: $o. '/?-Q/) / Fax: Date received:
CCB Lic. #: o '
Authorized Notice: This permit application expires if a permit is not obtained within ch
Signature: D ate 7 - 1 ` ry1 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forn s\BldgPermitApp.doc 01/03
__• •
i9„,4„,,40,1,„\ Plan Submittal Requirement Matrix
Commercial & Multi - Family
City of Tigard New, Additions or Alterations
TYPE OF SUBMITTAL # of Plans
r (Includes New, Additions or Alterations) , Required at
Submittal
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.
is \Building \Forms \PlanSubMatrix.doc 04/03