Permit ,1 • CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00442
i t DEVELOPMENT SERVICES DATE ISSUED: 12/7/01
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DC -00100
SITE ADDRESS: 15705 SW 72ND AVE
SUBDIVISION: OREGON BUS. PARK III ZONING: I -L
BLOCK: LOT: 002 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: F2 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: $ 5,000.00
Remarks: Fire alarm
Owner: Contractor:
PACIFIC REALTY ASSOCIATES CAPITOL ELECTRIC CO, INC.
15350 SW SEQUOIA PKWY #300 -WMI 12810 N.E. AIRPORT WAY #1
PORTLAND, OR 97224 PORTLAND, OR 97230
Phone: Phone: 503 - 255 -9488
Reg #: LIC 48748
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarm Insp
PRMT CTR 11/30/01 $91.30 27200100000 Smoke detector insp
5PCT CTR 11/30/01 $7.30 27200100000
FIRE CTR 11/30/01 $36.52 27200100000
Total $135.12
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.
Pe rm ittee `'"� . Q, , Signature: V l <-.0&
Issued By: ,/e_avc....s2 � ,,z1 J
Call 639 -4175 by 7 p.m. for an inspection the next business day
A
a„ (Z l' p,
.; n „ Building Permit Application OFFICE USE ONLY
Date received: // 3o/0/ Permit no.: / too/ 6•044)
• ,..,. City of Tigard Project/appl. no.: Expire date:
CITY OF TIGARD Address: 13125 SW Hall Blvd. , TigaRECEIVED Date issued: By: !Receipt no.:
Phone: (503) 639 -4171 Case file no.: Payment type:
Fax : 503 598 -1960 1 & 2 famil lex:
(' NOV n 2001 Y Simple P Comp
Land use approval: CITY OF T1(" Liz P / - c '/ a 7
1 1 , .t: :1, :►, W C :OM,
TYPE OF PERMIT
❑ I & 2 family dwelling or accessory • Commercial/industrial ❑ Multi- family ❑ New Construction ❑ Demolition -
❑ Addition/alteration/replacement • Tenant improvement • Fire alarm ❑ Other
.10B SITE INFORMATION
Job address: 15705 SW 72nd Ave. Tigard, Oregon 97224 Bldg. No.: Suite no.:
Lot: (Block: N/A Subdivision: 'Tax map /tax lot/account no.: ■
Project name: Nike Golf Distribution Facility, Bridgestone Side Tenant Improvement
Description and location of work on premises /special conditions: Install FACP, monitor HVAC duct smoke detectors, sprinkler ilk
waterflow, add synchronized notification devices. `
• OWNER FOR SPECIAL INFORMATION, USE CHECKLIST `
Name: Nike Inc. (Flood )lain, se )tic ca )acitV, solar, Mc.
Mailin l address: One Bowerman Drive 1 & 2 family dwelling:
y: Beaverton State: OR Zi.: 97005 Valuation of work $
Phone: 503.671.2802 Fax: 503.641.11786 E -mail: No. of bedrooms/baths
I;
Owners representative: Eric Sorensen Total number of floors
Phone: (Fax: IE -mail New dwelling area (sq. ft.)
Garage /carport area (sq. ft.)
APPLICANT Covered Porch area (sq. ft.)
Name: DAN WILSON, CAPITOL ELECTRIC CO., INC. Deck area (sq. ft.)
Mailing address: SEE CONTRACTOR INF. BELOW Other structure area (sq. ft.)
City: State: I Zip:
Phone: Fax: IE -mail: Commercial/industrial/multi- family
Valuation of work $ 5,000.00
CONTRACTOR Existing bldg. Area (sq. ft.)
Business name: CAPITOL ELECTRIC CO., INC. New bldg. Area (sq. ft.)
Address 12810 NE AIRPORT WAY Number of stories
Ci : PORTLAND State: OR Zi : 97230 Type of construction
Phone: 503- 255 -9488 Fax: 503- 257 -7121 E -mail: Occupancy group(s): Existing:
CCB no.: 48748 Ore on License No.: 26 -496C New:
City/metro lic. no.: 4542 (metro)
Notice: All contractors and subcontractors are required to be 9/
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the _
Mailing address: jurisdiction where work is being performed. If the applicant is 06 • S ?-
City: 'State: 1 Zip: exempt from licensing, the following reason applies: / 3� /?. Contact person: Plan no.:
Phone: Fax: IE -mail:
ENGINEER OFFICE USE ONLY
Name: Contact person: Fees due upon application $
Mailing address: Date received:
State: Zi : Amount received
Phone: Fax: E -mail:
I hereby certify I have read and examined this application and the
attached checklist. All provisions of laws and ordinances goveming this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
work will be complied wi h, whether s ecified herein or not. ❑ Visa ❑ MasterCard
Credit card number.
Authorized signature: ✓ v Date: 11/29/01 Expires
Print name: DAN WILSON Name of cardholder as shown on credit card
$
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained with 180 days after it has been accepted as complete.
A
CITY O_F TWGARD BUILDING INSPECTION DIVISIO MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
SUP bOi `,//
C7 T.),
Date Requested AM PM BLD - . r
Location 1 S 70 7, ✓7} 1 /� 1_ ) €_' Suite MEC
Contact Person k)-02.4A, (.) Ph Si `' / PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear v
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire S ler
lar
Susp'd Ceiling
Roof
M icyy
r ' • SS PART FAIL
• u G
Post & Beam
Under Slab
Top Out
•
Water Service
Sanitary Sewer
Final Drains
a
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date k 3- 6 2 I nsp e ctor I 3 ✓ 0 Z Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.