Permit r \ 7,- - .,,.._,.
A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00509
DATE ISSUED: 10/25/2006
4 � � � DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DC -00100
SITE ADDRESS: 15675 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG
Project Description: Rack storage.
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: : sf N: S: E: W:
OCCUPANCY GRP: 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: $ 10,500.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES NORTHWEST INDUSTRIAL SERVICES
15350 SW SEQUOIA PKWY #300 5837 NW CORNELIUS PASS RD
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 624 -6300 Contact #: FAX 503 - 439 -0587
PRI 503 - 439 -0487
FEES Reg #: LIC 158536
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/25/200E $148.90
[TAX] 8% State Surchari 10/25/200E $11.91
[BUPPLN] Pln Rv 10/25/200E $96.79
[FLS] FLS Pln Rv 10/25/200E $59.56
Total $317.16
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 ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 1;1-0010 grow - *A 952 - 001 -0100. You may obtain a copy of these rule -/or direct questions to OUNC by
calli g 503 - 246-6' • 9 • ; 00- 332 -2344.
Issu:d By , P i ,e2 x Permittee Signature: /( Irn.--3
Call 503-639-4175 by 7:00 a.m. for an inspection hat 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.
Commercial Tenant Improvement
Buildin Permit A licatio ECEIVE® / F. oii is is t si.: UNl.l
City of Tigard Received Jr'1 � M Permit No.: 0 u , o' / ', F
:I ° 13125 SW Hall Blvd., Tigard, OR 972 T 2 5 2006 wan Revi M/
Phone: 503.639.4171 Fax: 503.598.1 D i�1 d AMIE Other Permit:
T � G A' , i � Inspection Line: 503.639.4175 CITY O F TIGARD Date R 411 9 - y: PM la See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
- O Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling m
Comercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: SSG ZS-- �/� 7a „d New dwelling area: square feet
City /State/ZIP: — 7;'), 4 Of ?742,01V Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: P'eclki e it tocc.4.4,„7 Covered porch area: square feet
Cross street/directions to job site: Ourku.i,. R "- Cer,ss Sffcr✓f Deck area: square feet
.- y ,ctu,,v, p.. � . - 4- 041 -4_ cc.)- 4,r 79.•'`Pi Other structure area: square feet
4 _- tao}t-ta. itff e A, REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DES OF WORK `. ork indicated on this application.
k 1 G t co . 140-4-Kcal b _ eh). -e A Aleix) GU' 1 44 ` • aluation: $ / Sid
/^�
�u1S�
a.s4 C Yb `, I l� VJ Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I B tENANT Number of stories:
Name: j o 4 Type of construction:
Address: (s( 73- Si4.7 79 Occupancy groups:
City /State/ZIP: -77, Q ,,,( 4 72.3. y Existing:
Phone: ( ) Fax: ( ) New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: A4,4 tad 4_ ad cps , .. ( Sc r n ` c -e S All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
�B�r a 10044.e Y under ORS 701 and may be required to be licensed in the
Address: 3-077 7 44 &awn c f, Pa S S R d t jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: M p■d 414? q7 0?-ti apply:
Phone: (s-a3 ) s 1 13 9 -0 y$? I Fax: : (s.,j Y3 es-€'7
E -mail: j, Y p ,Ve✓; S l.c c_ (0 "''`'
CONTRACTOR
Business name: .ca_ ev c i ez l o -f BUILDING PERMIT FEES*
Address: (Please 'tier to fee schedule)
Structural plan review fee (or deposit):
City /State/ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 1�^ S' Total fees due upon application:
Amount received:
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ph ' L :4 r , Q � Date: !O --)s ��6 • Fee methodology set by Tri-County Building Industry
• / Service Board.
I: \ Building \Permits\BUP- T1- PennitApp.doc 03/23/06 440 -4613T(1l /02 /COM/WEB)
0 • Building Division.
Plan Submittal Requirement Matrix
t I G A R D Commercial & Multi -Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must indude location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
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:\ Building \Pemrits \BUP -11- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200 &00509
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/25/2006
Phone: (503) 639 -4171 I C I
Inspection Requests (24 Hrs.): (503) 639 -4175 . P :_..
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:OOAM PAGE: 81
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: Q02 TYPE OF USE:
PROJECT NAME: NIKE GOLF
DESCRIPTION: Rack storage.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: NORTHWEST INDUSTRIAL SERVICES PHONE #: 503.439 -0487
Inspection Request Scheduled For: Date: 11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 040393-0/ 971-24&0304 N
Corrections /Comments/ Instructions:
Nj , v—
e ,: .
( P/ t 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI • NAL F. S ASSESSED
1l
Inspector: / I Date: 0 0 • Phone #: (503) 718 - Oik—Z-