Permit 111 a PERMIT #: BUP2007 -00046
CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT DATE ISSUED: 1/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DC
SITE ADDRESS: 15705 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG
Project Description: NIKE GOLF BALL LAB. CONNECT (2) DUCT SMOKE DETECTORS & (1) SPRINKLER SUPV
SWITCH.
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: F1 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: $ 600.00
Owner: Contractor:
PACIFIC REALTY ASSOCIAT CAPITOL ELECTRIC CO, INC.
15350 SW SEQUOIA PKWY #300 11401 NE MARX STREET
TIGARD, OR 97224 PORTLAND, OR 97220
Phone: Contact #: PRI 503 - 255 - 9488
FAX 503 - 255 -1966
FEES Reg #: LIC 48748
Description Date Amount REQUIRED ITEMS AND REPORTS
CITY OF TIGARD MEI% 1/26/2007 $62.50
[TAX] 8% State Surcha 1/26/2007 $5.00
Total $67.50
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: Permittee Signature: ` //ki. - afizi e.e..e,
Call 503.639.4175 by 7:00 a.m. for an inspection that 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.
Building Permit Application _ FOR OFFlcF: USE ONLY
City of Tigard �ham� , Date /By: l ,20 _el Permit N AR...2 7 dd o y6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19 ZOO7 Date /By: Other Permit:
Inspection Line: 503.639.4175 f � ^'' I i Date Ready /By: raris ® See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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
® 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 ® CommerciaLlindustrial Valuation: $
El 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: 15705 SW 72 " AVE New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: NIKE GOLF BALL LAB T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
CONNECT (2) DUCT SMOKE DETECTORS AND (1) SPRINKLER SUPV SWITCH Valuation: $600
TO THE EXISITING FIRE ALARM SYSTEM Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PACIFIC REALTY ASSOCIATION Type of construction: / — tof\---
Address: Occupancy groups: t 1
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CAPITOL ELECTRIC COMPANY, INC. All contractors and subcontractors are required to be
Contact name: DAN WILSON licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11401 NE MARX STREET jurisdiction in which work is being performed. If the
City/State /ZIP: PORTLAND, OR 97220 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 255 -9488 Fax: : (503) 255-1966
E -mail: dan @cepdx.com
CONTRACTOR
Business name: Capitol Electric Company, Inc.
BUILDING PERMIT FEES*
Address: 11401 NE Marx Street
Please refer to fee schedule.
City/State /ZIP: Portland, OR 97220
Fees due upon application
Phone: (503) 255 -9488 Fax: (503) 255 -1966
Amount received
CCB lic.: 48748
Date 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: DAN WILSON Date: 1/25/07 • Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building 'Permits\BUP- PermitApp.doc 12/03 440- 4613T(II/02/COM /WEB)
1
CITY:OF.TIGARD 8 oP
BUILDING DIVISION PERMIT #: Z_ (cc 44 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W
Phone: (503) 639 -4171 � yii � l
Inspection Requests (24 Hrs.): (503) 639 -4175 10 -
INSPECTION WORKSHEET FOR DATE: 1 Ai 07 TIME: PAGE:
SITE ADDRESS: ( 1 65 77 _. „ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT TION: \ / z_-
DESCRIPTION: /v `
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
z,q frw 027s3 61
Corrections /Comments /Instructions:
AuPtc-Ats
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 4 CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
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Inspector: Date: k 31 6 7 Phone #: (503) 718 - 2)\--'0