Permit , ,,,
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00003
,��, DEVELOPMENT SERVICES DATE ISSUED: 1/6/03
'=-° 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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: Construct 232 square foot drying room in existing F -1 occupancy.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HOWARD S WRIGHT CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 425 NW 10TH AVENUE #200
PORTLAND, OR 97224 PORTLAND, OR 97209
Phone:
Phone: 220 -0895
Reg #: LIC 89229 0�22
FEES MET REQSQREDVSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 1/3/03 $187.30 Electrical Permit Required
Sprinkler Permit Required
[TAX] 8% State Tax 1/3/03 $14.98 Framing Insp
[BUPPLN] PlnRv 1/3/03 $121.75 Gyp Board Insp
[FLS] FLS Pln Rv 1/3/03 $74.92 Final Inspection
Total $398.95
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 : 2 •-• •99 or 1- 800 - 332 -2344.
•
Issued - : ��., ( '• I
Pe rm ittee
Signature: ...}p G c ...,Q < r e"`^-
Call 639 -4175 by 7 p.m. for an inspection the next business day
BUILDING PERMIT
A- CITY OF TIGARD
PERMIT #: BUP2003 -00003
A.?- * . ; ,, o , DEVELOPMENT SERVICES DATE ISSUED: 1/6/03
s' 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 2S1 12 D C -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: 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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: Construct 232 square foot drying room in existing F -1• occupancy.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HOWARD S WRIGHT CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 425 NW 10TH AVENUE #200
PORTLAND, OR 97224 PORTLAND, OR 97209
Phone:
Phone: 220 -0895
Reg #: LIC 89229
FEES MET REQUQRED311�f?SPECTIONS
Description Date Amount Mechanical Permit Require
Electrical Permit Required
[BUILD] Permit Fee 1/3/03 $187.30 Sprinkler Permit Required
[TAX] 8% State Tax 1/3/03 $14.98 Framing Insp
[BUPPLN] Pln Rv 1/3/03 $121.75 Gyp Board Insp
[FLS] FLS Pln Rv 1/3/03 $74.92 Final Inspection
Total $398.95
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 24.-..99 or 1- 800 - 332 -2344.
Issued 1 1�� I l t I ) _ It 4.ki
Perri ittee
Signature: 5, . e ` r e'
Call 639 -4175 by 7 p.m. for an inspection the next business day
A- CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00003
� � � ?, DEVELOPMENT SERVICES DATE ISSUED: 1/6/03
- ` i ' µ4- I � 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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: Construct 232 square foot drying room in existing F -1 occupancy.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HOWARD S WRIGHT CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 425 NW 10TH AVENUE #200
PORTLAND, OR 97224 PORTLAND, OR 97209
Phone:
• Phone: 220 -0895
Reg #: LIC 89229
FEES MET REQ8QIZED3INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 1/3/03 $187.30 Electrical Permit Required
Sprinkler Permit Required
[TAX] 8% State Tax 1/3/03 $14.98 Framing lnsp
[BUPPLN] PlnRv 1/3/03 $121.75 Gyp Board lnsp
[FLS] FLS Pln Rv 1/3/03 $74.92 Final Inspection
Total $398.95
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 2' •-• X99 or 1- 800 - 332 -2344.
•
Issued l�, '' - I , I .. � 4 (
Pe rm ittee
Signature: '6 r D"i`
Call 639 -4175 by 7 p.m. for an inspection the next business day
' Building Permit Application . FOR OFFICE USE ONLY
Received U v Building Q n � � D
Date/By: Permit No .: «(// 4 —
City of Tigard
A ' Planning Approval Other
y Date /By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date /By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 . iA` {` f 1 Post - Review Land Use
`. Date/By: Case No.
Internet: www.ci.tigard.or.us Contact Juris.: El See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name /Method: , Supplemental Information
TYPE OF WORK REQUIRED DATA:
❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING
❑ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation r $
JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of battys:
Job site address: /5 5'.w . 7 2 A - g • /-✓b Total number of floors
New dwelling area (sq. ft.)
Suite #: 1 Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: N(! G oLI= 47V UP O,t "-It f, Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
REQUIRED DATA:
COMMERCIAL - USE CHECKLIST
Subdivision: Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
e i overhead and profit for the work indicated on this application.
AV B l' Z9 PRY( .Jc ,rz z1 ei✓
pIZD�� A' f Valuat $ f 53 000
Existing building area (sq. ft.) Oa St O
New building area (sq. ft.) 2 q 2.
Number of stories /
❑ PROPERTY OWNER 1 iSr. TENANT Type of construction V -Ai
Name: i4i, No-6 e-, Occupancy group(s): Existing: F 1
Address: / 5765" 5w 7 7 4JQ A-tic . New:
City/State/Zip: AS ,vT� �
, ' 1 ZZ;
Phone: t Z • Mel NOTICE: All contractors and subcontractors are required to be
/ Fes: licensed with the Oregon Construction Contractors Board under
APPLICANT ❑ CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: Aft le E' jurisdiction where work is being performed. If the applicant is exempt
Contact Name: - c_ j '6 -7, � --i✓ from licensing, the following reason applies:
Address: / /y Jt --nut, ‘ 9f _
City /State /Zip: - ryi:1t -b c». . 1
Phone: t,7( - 2Ro . I Fax: 6.1 - 17g
E -mail: BUILDING PERMIT FEES*
CONTRACTOR Please refer to fee schedule.
Business Name: f fr2 t // -w.it 5. ix/4166n— Fees due upon application $
Address: dilLZ< mow. /O A . SW p z
City /State /Zip: p A.1-7. / r i ve AZ y7 7297 Amount received $ -
Phone: 5$ , T -vimj Fax: 2. Zc) --68 2._ Date received:
CCB Lic. #: eq z_79
Authorized
Si nature: /� ii P ate: Notice: This permit application expires if a permit is not obtained within
g . �� �� , J f - d 3 180 days after it has been accepted as complete.
C- 50 �sc"-� *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
is \Dsts\Permit Forrns\BldgPermitApp.doc 01/03
ud a Commercial Plan Submittal
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 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line:' (503) 639 -4171 MST
/ BUP a003 - 0 oez3
Received Date Requested / _ 9 AM _ PM BUP
Location /5 7? ' / )(1_4)-t Suite ' MEC 2-bd3- OO O T
Contact Person Ph ( ) 539" `l3Z PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner — 2 1 -L4 � ` ELC
Footing �
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Shear
I s 7
•
Firewa
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fig:
Fa PART FAIL
G
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam vC 4.1.1d I�
Gas Line
Smoke Dampers
FthkART FAIL
fir' CAL
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: / El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date / / - / f
( , o Inspector �`�` Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 - 4175
INSPECTION DIVISION Business Line: (503) 639 -4171
B42 - 45C)0?
Received Date Requested 49 I AM PMf.S)BUPo 3 - 000
Location /,s70 5 7 t - ? 4 Suite MEd 404-3 - O O O O
ntact ers 42 Ph ( ) 373/ - 4) Z- PLM
Contractor _ / Ph ( ) SWR
BUILDING Tenant/Owner `'71,cam ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: e.tito .30 - SIT
Post & Beam
Shear Anchors /,
Ext Sheath/Shear T�
Int Sheath/Shear
Framing
Insulation
Drywall Nailing 1111 , ,
•
Firewall
Fire Sprinkler -_,' • I -' A.1, .- till— A WA '� ■ •
Fire Alarm • M• l "- -t e f 4. I `. LA. • • - • . 1■_■11.:
Susp'd Ceiling
Roof �Je VI , IIL .. •I G��.�1LA — kre
Other:
in= ►
R FAIL rki.A.u. it Jet Q ('u O — kstin/"A.42-49
7.-wirrt-Trr- M■4: Post & Beam
Under Slab - _ •
Rough -In I Ui&k `Q-✓ - 'P Wt..
WlQ -- IQ 44 1 4-S
Water Service
Sanitary Sewer r?....C) j
Rain Drains
Catch Basin / Manhole
. stit_A s at 4 ..A.:7
Storm Drain ��U/�C d /C
Shower Pan
Other:
Final
PASS PART MECHANICAL FAIL G,� (-4, dye ��s d
Post & Beam , • - G ' . . s-t-) ksvitt,i 4
Rough -In ,.._ I L 1IIL. G�■ 1k )
Gas Line J
Smoke Dampers
rtits 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 El Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line R -74-6,„R_
ADA Approach/Sidewalk Date 2 ^ o Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL