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Permit CITY OF T BUILDING PERMIT PERMIT #: BUP2001 -00427 *bo DEVELOPMENT SERVICES DATE ISSUED: 11/16/01 - — - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15705 SW 72ND AVE PARCEL: 2S112DC -00100 SUBDIVISION: OREGON BUS. PARK III ZONING: I -L BLOCK: LOT: 002 JURISDICTION: TIG 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: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET ?, OCCUPANCY LOAD: 185 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 323,000.00 Remarks: TI Owner: Contractor: PACIFIC REALTY ASSOCIATES HOWARD S WRIGHT CONSTRUCTION 15350 SW SEQUOIA PKWY #300 -WMI 888 SW 5TH AVE STE 415 PORTLAND, OR 97224 PORTLAND, OR 97204 Phone: 503 - 628 -0182 Phone: 220 -0895 Reg #: LIC 89229 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 11/16/01 $1,610.35 27200100000 Electrical Permit Required Sprinkler Permit Required 5PCT CTR 11/16/01 $128.83 27200100000 Fire Alarm Permit Requirec PLCK CTR 11/16/01 $1,046.73 27200100000 Plumbing Permit Required FIRE CTR 11/16/01 $644.14 27200100000 Framing Insp Gyp Board Insp Total $3,430.05 Susp Ceilng Insp Final Inspection 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 thro !h 4 R • 52-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -••a:' • 1 -.10- 332 -2344. Pe rm ittee Signature: /� Issued By: ‘',._.._,. ..../. Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Application Da te received: / I / �/D Permit no.: U �Lc „ i _ 00!{2 "� ,;:,,�,� , City of Tigard ? Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: I Receipt no.: 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 Addition/alteration /replacement Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE I NFORMATION Job address: 1 S7 05 5. W Z Al, Ave _ Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: ,01.-P M AN Uf • /'e..I t-1 & Description and location of work on premises/special conditions: 1 T IAA /(ove - hour - l - 7Ctsrf'J owl GEm- O%%'NER FOR SPECIAL INFORMATION, USE CHECKLIST Name: }4(2 17C3ESTat- E 5Po!? -TS CAD. (Floodplain, septic capacity, solar, etc.) Mailing address: , r I ' .� 1 & 2 family dwelling: City: ..o V 1 NI G ECM ZIP: 00( Valuation of work $ Phone: . „S- - , .- ,;, , ��.i, No. of bedrooms/baths 0,. - ' - m • se tative: . 141 o G t .#' t 1.. Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: u G . Covered porch area (sq. ft.) Mailing address: 1 U, _ 4 a .,,.., pJt_ - Deck area (sq. ft.) i• a.. _ a.. r• . . ZIP. if Clp Other structure area (sq. ft.) As Phone: , , ; rcia iindustrlaUmulti- famil I_ �' 2 CONTRACTOR Olt V r , ation o'f work $ 2 3 1 000 Existing bldg. area (sq. ft.) 13=1111111 - 9... L I New bldg. area (sq. ft.) Address: IA) 0 L a Z4e,c7 Number of stories City: - EriMktLikkiri= Type of construction Phone: . .0 1. - c re T y E -mail: Occupancy group(s): Existing: CCB no.: - New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIITFCF /DESIGNER licensed with the Oregon Construction Contractors Board under Name: ‘..„,.. �� , • • r fii5Z- b. provisions of ORS 701 and may be required to be licensed in the Address: 62.4-1... 6 4 tr�L ,� jurisdiction where work is being performed. If the applicant is exempt from licensing, the following reason applies: MI IP it - Contact person: K1ar24A) Plan no.: Phone: 0- —• iid Z Fax: 7 7 —D _ E- mail :6tth'i 61 rAl5 ENGINEER Name: 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 0 Visa 0 MasterCard work will be complied with wh er specified herein or not. Credit card number: Expires / Authorized signatur _ Date: 11 • �, -0 1 Name of cardholder as shown on credit card • Print name: 02...1 C_ .f-lS "N 1 Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6ro0/COM) Commercial Plan Submittal I I 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. is \dsts \forms \COM- matrix.doc 9/24/01 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ZCZ)1 oa ca7 Date Requested 1 -3 AM PM BLD Location / S 7 S 7 Z i/l 6-u-4- Suite MEC Contact Person Ph � - '`f32 - 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 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall C Fire Sprinkler /7/(.../4' Fire Alarm Susp'd Ceiling Roof Misc: PART FAIL P I BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 [ ] Please call for reinspection RE: * [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk t Other Date � � 7� 6 Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 - . MST • BUP - --OV / Oe '4c7 Received - - Date Requested / 3 / AM PM • ' BUP - Location / S7O5 7d- •mod "Slot. Suite MEC Contact Person Ph ( ) 53 9 Y 3 z- PLM Contrac Ph ( ) SWR B LI N Tenant/Owner ELC oting Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing 1 7 Insulation Drywall Nailing Firewall Fire Sprinkler ( / ; r u. 1 Al d Ceilin� Roof ; `. Other: i' Fina — ASS ART FAIL ING Post & Beam Under Slab Rough -In \y' 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 ❑ Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date 7Z / Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION - MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4111 BUP �,?ey/ Date Requested � — AM PM - BLD Location / 5 5 7 2- !hot' *()E Suite MEC Contact Person Ph '2;20 5Z is PLM Contractor Ph SWR BUILDING j t/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear - nsulation „ m I . Firewall Fire Sprinkler Fire Alarm . Susp'd Ceiling Roof Mis : h - FAIL P UMBI - Post & Beam , Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 [ ] Please call for reinspection RE: [ j Unable to inspect - no access Fire Supply Line ADA /' Approach/Sidewalk Other / Date z /t /CO / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.