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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00230 ,.�1�k DEVELOPMENT SERVICES DATE ISSUED: 6/13/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DC -00100 SITE ADDRESS: 15705 SW 72ND AVE SUBDIVISION: OREGON BUS. PARK Ili 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: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 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: Z (o, C OO. Od Remarks: Demo of existing interior walls. 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: Phone: 220 -0895 Reg #: LIC 89229 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final lnspection PRMT , CTR 6/13/01 $50.00 27200100000 5PCT CTR 6/13/01 $4.00 27200100000 Total $54.00 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246- •sx 9 or 1- 800 - 332 -2344. Pe mi ittee - '1 / Signature: // ice' Issued By: , /. i , _,- / Call 639 -4175 by 7 p.m. for an inspection the next business day 0 Building Permit Application Date received: 7 (,+ / Permit no.: b) P2u0 / ...002.30 ,,• . City of Tigard 1- '__ Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9� Phone: (503) 639 -4171 Date issued: B I Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: TYPE OF PERM! I ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction XDemolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: J, 0, 6 2. Op • Bldg. no.: Suite no.: ' Lot: ©OZ Block: Subdivision: ' , ' f z /tea TA) , Tax map /tax lot/account no.: Z5 12. - t i O Project name: . E t ' 'L,93 - s Description and location of work on premises/special conditions: jvI1 &iE /1'1 f 5e • DZOLM L P4i4'T/TI D4 1 . • • , • # r :: ■ .e..—.3_ • i f CO,t)G. Si.14 OWNER FOR SPECIAL INFORMATION, USE CHECKLIST r` AMIKI L i ! j y ( Iloodplaiii, septic capacit',,sotar,etc.) Mailing address: /Saco 6*) as r► ,J '� ja an 1 & 2 family dwelling: 1332.rdN ZIP: 9 Valuation of work $ Phone: ., , , — harffirg.MigaMil No. of bedrooms/baths Owner's representative: 04460 f .1. Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: ifoca '../7 A - 6/.(kL Covered porch area (sq. ft.) . v e J J � % Deck area (sq. ft.) Ci Mailing address:. ;74, • f , ` � Other structure area (sq. ft.) City: AS _� d State: p ' ZIP: ' [y t^ommerciaUindasMaUmalti- fam8y: / Phone:, ,, ; — , . Fax: 671 -1SSZ. E -mail: o� co Q 0 O CON "I RACI Olt Valuation of work $ / Existing bldg. area (sq. ft.) Business name: a I IL ■ s , , coefo /. , • New bldg. area (sq. ft.) Address: ;17;1, (v ' :rr Number of stories City: A, Z1 (ANO N ZIP: • 20 ", Type of construction Phone41.3 . • , .. : • lIZIMIMM, E -mail: C ' Occupancy group(s): Existing: CB no.: �r New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARC111T /1)1 :SI(.NI:R licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: 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 ❑ Visa ❑ MasterCard work will be complied 'th, whether s!, ified herein or not Credit card number: / / Expires Authorized sign !/ Date: a / Name of cardholder as shown on credit card Print name: 0 c . . .-t / )e-A - 3 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 (6/00/COM) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX 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 plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) • B (New, Add or Alt) 1 B = Building F (New, Add or Alt) 3 ** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition .Alt = Alteration to existing building • *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I: \dsts \forms\matrxcom.doc 10/27/00