Permit V
-,
A - - BUILDING PERMIT
C ITY OF TIGARD PERMIT #: BUP2003 -00400
_ o iy DEVELOPMENT SERVICES DATE ISSUED: 6/30/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DC 00200
SITE ADDRESS: 13535 SW 72ND AVE 150
SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P
BLOCK: LOT: 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 5 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: $ 8,500.00
Remarks: TI, new walls for offices.
Owner: Contractor:
PACIFIC NW PROPERTIES LTD PTNSHP NORWEST GENERAL CONTRACTORS
9665 SW ALLEN BLVD STE 115 INC
BEAVERTON, OR 97005 PO BOX 25305
PORTLAND, OR 97298 -0305
Phone:
Phone: 291 -6986
Reg #: LIC 89425
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Permit Required
[BUILD] Permit Fee 6/30/03 $129.70 Framing Insp
TAX 8% State Tax 6/30/03 $10.38 Gyp Board Insp
[TAX] Final Inspection
[BUPPLN] Pln Rv 6/30/03 $84.31
[FLS] FLS Pln Rv 6/30/03 $51.88
Total $276.27
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.
----/ --C?...j.---(--- cX:7/.1-)-
Issued By:
Pemiittee Signature: � L - f,p,G6(X^
Call 639 -4175 by 7 p.m. for an inspection the next business day
Buildng Permit Application Received FOR OFFICE USE ONLY
Building /� /�,/�
• Date/By: Permit No.: al t v
'0"/w
City of Tigard Planning Approval Other
y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review
Tigard, Oregon 97223 Date/By: 6 — 7b'034 0 Permit No.:
//r t l d + � Post Review Land Use
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 "-Y4 iii Date/By: Case No.
Internet: www.ci.tigard.or.us — "'i 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 $
JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths:
Job site address: 13535 SUf 'l Total number of floors
New dwelling area (sq. ft.)
Suite #: (5o Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: SI4 f C ( 5O Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
/+ L J/ 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,
overhead and profit for the work indicated on this application.
I WI €pV b- T
lAot (u�v�i Valuation $ 13 I Soo
p / Existing building area (sq. ft.)
vrtmA (e4 Le . ( w~k.C4.v New building area (sq. ft.) ( ;). O 0
•t Number of stories L
WI PROPERT OW NER 1 El TENANT Type of construction
V� L
Name: pa rw NUJ pr' luAle r Occupancy group(s): New:
ing:
Address: Urce 5 Sw Arles+► etv • V.( (5
City /State /Zip: Reet crime• OR- q'1 c0S
NOTICE: All contractors and subcontractors are required to be
Phone: (#24 • 55t)o Fax: licensed with the Oregon Construction Contractors Board under
APPLICANT _ It CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: M. a A.,-cg. (Lest.' t^ Getur jurisdiction where work is being performed. If the applicant is exempt
Contact Name: %. wi .J from licensing, the following reason applies:
Address: 1 o V'Ic .lZo
City /State /Zip: 'Ve (244 Oft ' 4714.7
Phone: 241,0551. Fax: 2-14 -. 0417
BUILDING PERMIT FEES*
E -mail: t/1, e r 1+- /tsoc.. &" Please refer to fee schedule.
CONTRACTOR
Business Name: Nb 4• Gifikere..4 ant- t. Fees due upon application $
Address:
City /State /Zip: Amount received $
Phone: 1 Fax: Date received:
CCB Lic. #: (44a5
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: y c' ate: 6 .30. os 180 days after it has been accepted as complete.
ae + (e.... 5k €4a r A *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\B1dgPermitApp.doc 01/03
H � , :� Plan Submittal Requirement Matrix
.tj '1 Commercial & Multi- Family
City of Tigard New, Additions or Alterations
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.
i:\ Building \Forms \PlanSubMatrix.doc 04/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP 3 - 00 T o d
Received Date Requested $ / Ai I PM BUP
Location /3 535 7 a Suite ! J v MEC
Contact Person 96.---A-A Ph ( ) 7/ S'3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling
Roof
Other:
PART FAIL
P"•" ING
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
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: fl Unable to inspect — no access
Fire Supply Line 9
ADA
Approach/Sidewalk Date CJ f 0 73 Inspector
7.-2)\14-1 Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL