Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00401
� I �
DEVELOPMENT SERVICES C 639 -4171 DATE ISSUED: 10/13/00
SITE ADDRESS: 15705 SW 72ND AVE PARCEL: 2S112DC -00100
SUBDIVISION: SOUTHERN PACIFIC TIGARD INDUST 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: F2 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: $ 10,000.00
Remarks: Commercial TI - Wall modification to provide door opening - no change in occupant load
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HOWARD S WRIGHT CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 3764
PORTLAND, OR 97224 880 SW 5TH AVE #415, PORT OR 9
Phone: S rhooneE,2`zu-0ON 242264
Reg #: LIC 89229
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing lnsp
FIRE CTR 9/25/00 $61.99 27200000000 Final Inspection
PLCK CTR 9/25/00 $100.76 27200000000
5PCT CTR 10/13/00 $12.40 27200000000
PRMT CTR 10/13/00 $154.98 27200000000
(additional fees not listed here)
Total $485.11
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 -1987.
Pennitee
Signature: , A . �. _ ∎ V AL k i . o l '
Issued By: - l_Z/ z /2.2__..e________
Call 639 -4175 by 7 p.m. for an inspection the next business day
CI IGARD Commercial Building Permit Application Plan Check#
1312 HALL BLVD. Tenant Improvement Recd By
TIGARD, OR 97223 Date Recd 9/ZS/ere
Dateto P.E. 25 cZ.
(50 639%4171 Date to DST
Print or Type /r Permit # /3 coo zaDa -DOyo/
Related SWR #
Incomplete or illegible applications will not be accepted Called / -oo h_
oS 2444- M / 4
Name of Development/Project Existing Building I% New Building ❑
Job T TRA ?z ;GS
Address Street Address � Suite Building
1,576,C Su) 72 Data
Bldg # City/State Zip Existing Use of Building or Property:
Name
�p / p,��,�,� N
Proposed Use of Building or Property:
Property f #6, 8051 1MiT� - f tdge T P16020.
Owner , Mailing Address ` �,�, Sui it te CO/YlmegG11}L � fg ■
N 3o 510. �J, Q�ol � r bJ 300 No. Of Stories: I
City/State Zip Phone
(PRILItiOD OR. C z4 -7787 Sq. Ft. Of Project:
Occupant N ame
/U I — T R# ° PLr G S Occupancy Class(es)
Name L 32_
Contractor RowARD SetoRi6bir 6o5r.. co. Type(s) of Construction
Prior to permit Mailing Address Suite . 611J issuance, a copy „NA) .i 9-I ‘ Will this project have a Fire Suppression System?
of all licenses • ii - Yes 21” No ❑
• are required if City/State Zip Phone Americans with Disabilities Act (ADA)
expired in C.O.T. �p /� ,,! o `
database 101 I IV � . ? "� 1J Valuation X 25% = $ Participation
Oregon Const. Cont. Board Uc.# Exp. Date Complete Accessibility Form
fcl Zzci Project $
Name Valuation I� / Oc'v
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
Engineer Name
�/r! m�. L psJ � il.)o'A7 i 5 doLze6Sig lure of Owner/ t Date Mailing Address Suite l��t0C)
3733 so W--zartWO, Contact P ame Phone
City/State Zip Phone FgUGLi JaoceetS 5o3- '71- 1686
gogiLA/dO Cr.. ! Z2-4463 �
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alterations
Repair 0 Other O Notes:
Description of work: C, t L�,N e+-s.rj A)� c & D
�/�+ TIF:
MouE EA 5 IN► 0400 tbok 7o flDacAOr
`('ffAvL
Note: Site Work Permit Application must precede or accompany Building L�IZE/ ��� . J . (�'` �r ; i t
Permit Application p •.› &,1 i
L I'
Zu,P N f )
. /Cr
I: \COMNEWTI.DOC (DST) 5/98 __ ! 7 ri__
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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..ta�€�tte� <:<
::. � Private)..: ........... .................................... .....:: S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
{
NOTES:
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I:\dsts\forms\matrxcom.doc 10/30/98
CITY OF TIGARD BUILDING INSPECTION DIVISION - `� ����.1�3 l
MS `J
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 417
= � " BUP ��v - 4 1 6 l
Date Requested /� z) AM PM
BLD
Location /5 bi.) 1 A- "'' Suite MEC NI
Contact Person S�G7 Ph 5 7 PLM
Contractor / Ph SWR
PN1 � UILDI Tenant/Owner Ciiec% / h f Roc • do * • ELC
Retaining Wall ELR
Footing Access:
Foundation ,, � FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam l- C, S Z LN Q
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
I
4 "•ART FAIL
=ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam •
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /,
Approach /Sidewalk Date /�O? V v C r
Other v/ Inspecto Ext
f
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.