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Permit
a CITY OF TIGARD BUILDING PERMIT �: PERMIT #: BUP2007 -00379 ' COMMUNITY DEVELOPMENT DATE ISSUED: 8/2/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 D C - 00100 SITE ADDRESS: 15705 SW 72ND AVE ZONING: I - L SUBDIVISION: OREGON BUSINESS PARK 111 LOT: 002 JURISDICTION: TIG PROJECT: NIKE Project Description: Fire alarm TI for Nike Socks. 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 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 800.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES CAPITOL ELECTRIC CO, INC. 15350 SW SEQUOIA PKWY #300 -WMI 11401 NE MARX STREET PORTLAND, OR 97224 PORTLAND, OR 97220 Contact #: PRI 503 255 - 9488 Phone: FAX 503 - 255 -1966 Reg #: LIC 48748 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/2/2007 $62.50 [TAX] 8% State Surcha 8/2/2007 $5.00 [FLS] FLS Pin Rv 8/2/2007 $25.00 Total $92.50 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 Cent- Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these r - or direct • e ons t • OUNC by calling 503.246.6699 or 1.800.332.2344. Issued = y: 1 , // iil 1 Permittee Signature: . 4). 6-4 r"A CaII 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. Po 1'57 o5 cto 72- Building Permit Application ., �, r FOR OFFICE USE ONLY • City of Tigard a ,t Received A 1 Pe rmit ni DateB : ! No .: ,9007.,9007.60 1 � � ��� 13125 SW Hall Blvd., Tigard, OR 9 Y g /2 ' . �' Plan Review r� rig 4. Phone: 503.639.4171 Fax: 503.59: ±t ' s' ^', , I f Other Permit: Inspection Line: 503.639.4175 , 1 ^' !� Date Ready /B See Attached Checklist for Internet: www.ci.tigard.or.us 0- - N'''`'' N'''`'' Notifie � ethod: 1 � �' ® Supplemental Information TY' a I. • WO : ,+. REQUIRED DATA: 1 -AND 2- FAMILY DWELLING ❑ New construction � ` lir b olition Permit fees* are based on the value of the work performed. V-i 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 ® 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: 15705 SW 72 AVE New dwelling area: square feet City/State /ZIP: TIGARD, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: NIKE SOCKS 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: I 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. ADD (2) HORN /STROBES & (1) STROBE., RELOCATE (1) HORN /STROBE, Valuation: $800 TO THE EXISITING FIRE ALARM SYSTEM Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: 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 applicant is exempt from licensing. following reasons City/State /ZIP: PORTLAND, OR 97220 apply: 9 6 Phone: (503) 255-9488 Fax: : (503) 255-1966 R s'.''''' E -mail: dan @cepdx.com 5 • v0 CONTRACTOR 1Y 9a' 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 6) 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: 7/11/07 • Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP- PermitApp.doc 12/03 440 -4613T(11 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: 6UP2007 -00379 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2007 Phone: (503) 639 -4171 /�ur Inspection Requests (24 Hrs.): (503) 639 -4175 _„v, F'� I INSPECTION WORKSHEET FOR DATE: 11/F 007 TIME: 7:01AM PAGE: 59 SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE: PROJECT NAME: NIKE DESCRIPTION: Fire alarm TI for Nike Socks. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: CAPITOL ELECTRIC CO, INC. PHONE #: 503.2559488 Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message a, 299 Final inspection 058794 -01 971 - 5053072 —"-L Corrections /Comments /Instr ctions: 7 :4_ ©, K pASS % P' 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: l/A 17 Phone #: (503) 718- 2 6y