Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00104
, DEVELOPMENT SERVICES DATE ISSUED: 4/8/02
s ` ' ,.� I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14160 SW 72ND AVE 150 PARCEL: 2S112AA -00900
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: S1 TOTAL AREA: 0.00 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: $ 35,000.00
Remarks: Rack storage, Storage is limited to a 16' -6" high due to sprinkler system design. sprinkler system is designed for
.495/2000 housing class 4 commodities
Owner: Contractor:
RREEF PROPERTIES B & B INSTALLATIONS INC
720 SW WASHINGTON SUITE 710 14401 S GLEN OAK ROAD
PORTLAND, OR 97205 OREGON CITY, OR 97045
Phone: Phone: 503 - 659 -5439
Reg #: LIC 00067419
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 3/20/02 $237.77 27200200000 Final Inspection
FIRE CTR 3/20/02 $146.32 27200200000
PRMT CTR 4/8/02 $365.80 27200200000
5PCT CTR 4/8/02 $29.26 27200200000
Total $779.15
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pemnittee / ____
Signature: ��- - . _
Issued By: _ A i� ,.ir _ _ . /
CaII 639 -4175 by 7 p.m. for an inspection the next business day
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B uiidin Permi c i
g PP
., ,, .?-0 -c : Permit no. 01 ., r, //"/
1=t :,y„ City of Tigard '
Project/appl. no.: Expire date:
City of Tigard Addss :13125 SW Hall Blvd,. ..n: �7i.
Phone: (503) 639 -4171 • X Ji / /AN Date issued: By I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
c0 9 QC I
Land use approval: 1&2 family: Simple Complex:
U
1 PE OF PERMIT ''0 '
T
❑ 1 & 2 famil • elling or accessory '' ommercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition Q
❑ Addi •.n/alteration/ •lacement 4cTenant improvement ❑ Fire sprinkler/alarm ❑ Other: - t - ,
JOB SITE INFORMATION
'
• Job address: /y/ . 7.7_,^-0 _ uC • 1c A0,40 0 ,1,y1'2- Bldg. no.: Suite no.: /So
Lot: Block: Subdivision: Tax map /tax lot/account no.: t;
Project name: P S L. v r - i L S ,Lo .r P ^,
4
Description and location of work on premises/special conditions: .2 S i l k t aTi,y.• -S c ` 9 r I ' . 4 ti & ..5 c
1 Sc_ n - Tv.- - EE' " 1
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
>1\ IMEMERIMPINIEWAREEMIM (Floodplain, septic capacit), solar, etc.) ■
Mailing address: U , D,t.. tic.,— 1 & 2 family dwelling:
122 ZIP: 30'3 Valuation of work $
Phon ,F}c Z.C. -•'y co Fax: 'Zc'4._' , rtMa No. of bedrooms/baths
Owner s representative: ,,16 T .,3.a7 Total number of floors
Pho • • ; ,, Fax: E -mail • 's • D u " New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Covered porch area (sq. ft.)
Mailing address: e,. z ..- s- , y Deck area (sq. ft.)
I ZIP: _ ,. Zr Other structure area (sq. ft.)
Phon • 4 . pa' . iv IZEMIM EMEMEMEEM Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $ 009•1nd
Existing bldg. area (sq. ft.)
^ Business name: (3.t -1 „L" S T,A._ . - a < A• $ —�- - New bldg. area (sq. ft.)
Address:/ y o S o _• O,..). D
IIEWAM2MIREMMI
Statepii • ZIP: o Number of stories
Type of construction
Phone s,3) 722 - 1.5.1 Fax: Zs - sc, E-mail: —
Occupancy group(s): Existing:
CCB no.: New:
City/metro lic. no.: '. , Notice: All contractors and subcontractors are required to be
ARCI11•TECI'/DESIGNFR licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
% y "=-71-6-&-1-7-c.,..., jurisdiction where work is being performed. If the applicant is
Address: eio a A. U
ICINMIIIAMBIAll Statec'A aw exempt from licensing, the following reason applies:
Contact person: R,c,. fr.w,.-n,s,at,,.j Plan no.:
Phon - ye; 2Zi A Fax: E -mail:
f ENGINEER
I Name: 4 . «'O O a ' S ../ • Contact person: �',�a,."; `•,,., Fees due upon application $
Address: - 4, L,4 c:_ft. &-- c...-- A - • ,4v.; S •. 2 Date received:
City: 6 L E J7 t. t= -- State:c_q • ZIP: /2 o a , Amount received $
Phone 15,0 9s -Zy :, Fax: 4603 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, hether specified herein or not. Credit card Expires
uthorized signature: ' - Date: J/2-c? /0 L Name of cardholder as shown on credit card
Print name: Tv .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. 44o -4613 (& COM) /
Commercial Plan Submittal
,L
on' Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(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.
i:\dsts \forms \COM- matrix.doc 9/24/01
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION- Business Line: (503) 639-4171 MST
Received Date Requested � J � — AM PM BUP
Location / / 1 ( C) 7c- .rid Suite /57) MEC
Contact Person Ph ( ) PLM
Contractor Ph ( Z) (o 9 cr Z 2 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:
PART FAIL
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 b- • inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA Q
Approach/Sidewalk Date >/ e Z Inspector : Ext
Other:
Final DO NOT REMOVE this ins ection record from the job site.
PASS PART FAIL