Permit - IN a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00583
° ' COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DC
SITE ADDRESS: 15705 SW 72ND AVE ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG
Project Description: NIKE GOLF BALL LAB. T.I.
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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 29,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIAT APOLLO SHEET METAL INC
15350 SW SEQUOIA PKWY #300 2300 SW 1ST AVE # 104
TIGARD, OR 97224 PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 222 -6343
FAX 503 - 222 -2935
FEES Reg #: LIC 56241
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/13/200E $313.30
[TAX] 8% State Surcha 12/13/200E $25.06
[BUPPLN] Pln Rv 12/13/200E $203.65
[FLS] FLS Pin Rv 12/13/200E $125.32
(additional fees not listed here)
Total $867.33
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 Signatu = ;��i
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.
.
.
'Commercial Tenant Improvement
Building Permit Annlication_ je E ED 1. )l� 0ri:RA: Iis . o:NL Y
City of Ti and RECEIVED Received -' Permit N > L r
•J g DateB . �� .7 . i7iki 11�U =� J.- 3
° 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
' e Phone: 503.639.4171 Fax: 503.598.1 C 1 3 200 Date/By. Other Permit:
T 1 G A R 0 Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ' y: r� ( ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method J 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
X 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 Commercial /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: 1 5 7 4 _ 7ZN N AvE New dwelling area: square feet
City /State/ZIP: 1 6 f¢ p c• 7 2-2-41- Garage /carport area: square feet
Suite/bldg. /apt. no.: ( Project name: N)1.0 3, (.A.10j Covered porch area: square feet
Cross street/directions to job site: 72 N , / G/t'14..114 -r. p/L - 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.
• Valuation: $ 9 add
,4D 0 t Tl t erP M, O12(J LAS F AA 1 47zto Gt7JitA2
/IA O /1 Pt GArt.4 -K '1v poor -t j A ijrM ttA i?A'rE Existing building area: y I f � p square feet
NOV H t/s-G (Jw 175 New building area: .94 04 square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: I
Name: VPm• V-U Sr Type of construction:
Address: Occupancy groups: in
City /State/ZIP: Existing:
Phone: (�v3) 4 ZG} • 4, 3 t7O Fax: ( ) New: P 1
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: J) �E , / N G . All contractors and subcontractors are required to be
Contact name: e G yD IZv-N 5• / licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 iii W eTZ414,MJ t7/L jurisdiction in which work is being performed. If the
City /State/ZIP: $E y r i , Ci '7 OO•f _ 6g-1 5 '
applicant is exempt from licensing, the following reasons
apply:
. Phone: (54 ) 67 1 • so O Z I Fax: : ( 57o) 6-7/ - Si Igo
E-mail: e., I G• 4o e es Sht a 11 I e • e 0 PI, -
CONTRACTOR
Business name: *Fe lac (4 .,..•) «. ' 64.-1 6111 BUILDING PERMIT FEES*
Address: 2'fj0a I pa. 141" � 5 , y (Pleasrrejermjeeschedu/e)
/ / � n / e r V t ) O Structural plan review fee (or deposit):
City /State/ZIP: •i A. 47 Z I
T') j Z 2 • 6 y- 7 (soy) 22-1 - 2g 3S FLS plan review fee (if applicable):
Phone: (9
Fax: 7 7
Total fees due upon application:
CCB lic.: S to2 I
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:.il G 40J e; I Date: ' Z ' ZJ • U to • Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits\BUP- TI- PermitApp.doc 03/23/06 440 -4613T(11 /02 /COM/WEB)
e
A
" Building Division
Plan Submittal Requirement Matrix
T 1 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 include 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 o 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) 0
•
* 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 \Permits \BUP- '11- PermitApp.doc 03/23/06
)YQFTIGARD t
BUILDING DIVISION PERMIT #: BUP2006-00f83
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006
Phone: (5031.639-4171 4 a i l�l .
1 Inspection quests (24 Hrs.): (tc�t�t3) 639 -4175 '_
INSPECTION WORKSHEET FOR DATE: 1/30/2007 TIME: 7 :03AM PAGE: 29
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE
DESCRIPTION: NIKE GOLF BALL LAB. T.1.
f OWNER: PACIFIC REALTY ASSOCIAT, 0' s c ; I Q tio� �l9PHONE #:
CONTRACTOR: APOLLO SHEET METAL INC ---'. 2 .00b1 v--1 NE #: 503 -222 -6343
Inspection Request Scheduled For: Date: 1 /30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2919 Final inspection 042673 -05 503-545.0415 N
Corrections /Comments /Instructions:
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¶. 'A - 111 PARTIAL APPROVAL ❑ C ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITI0 NAL F S ASSESSED
� ��I ( Inspector: �' i �` / 1 Date: ( I Phone #: (503) 718 - -7.-
r -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 00=583
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: /125/2007 TIME: 7:03AM PAGE: 53
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE
DESCRIPTION: NIKE GOLF BALL LAB. T.I.
OWNER: PACIFIC REALTY ASSOCIAT, PHONE #:
CONTRACTOR: APOLLO SHEET METAL INC PHONE #: 503 - 222-6343
Inspection Request Scheduled For: Date: 1/2512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 042373 -01 503-645 -0415 N
Corrections /Comments /Instructions:
(S G CPP___-�""f Dom-- c°oLf
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAI ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Inspecto Date: Phone #: (503) 718
•
CITY QF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00583
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 122/3/2006
Phone: (503) 639 -4171 / *i°
Inspection Requests (24 Hrs.): (503) 639 -4175 II�
INSPECTION WORKSHEET FOR DATE: 1/2512007 TIME: 7 :03AM PAGE: 52
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE
DESCRIPTION: NIKE GOLF BALL LAB. T.I.
OWNER: PACIFIC REALTY ASSOCIAT, PHONE #:
CONTRACTOR: APOLLO SHEET METAL INC PHONE #: 503- 222 -6343
Inspection Request Scheduled For: Date: 1/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 042373 -02 503 - 545 -0415 N
Corrections /Comments /Instructions:
Gkit ( S l' U — C"J EM- 10 - Ce---
❑ PASS 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F•R INSPECTION ❑ ADDITIONAL ES ASSESSED
: ne #: 503 718 - Inspector: , twit
� � _ Date: Phone ( ) 42-3