The URL can be used to link to this page

Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00431 A, DEVELOPMENT SERVICES DATE ISSUED: 9/9/2004 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S112DC -00201 SITE ADDRESS: 15865 SW 72ND AVE BLDG -C SUBDIVISION: OREGON BUSINESS PARK III ZONING: I -P BLOCK: LOT: 003 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 40 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: $ 53,400.00 Remarks: TI, new demising wall. Owner: Contractor: PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION 15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LANE PORTLAND, OR 97224 PORTLAND, OR 97225 Phone: Phone: 503 - 892 -0066 Reg #: MET 00002036 FEES LIC REQ860 WED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 9/9/2004 $492.68 Electrical Permit Required TAX 8% State Surchari 9/9/2004 $39.41 Sprinkler Permit Required [TAX] t Plumbing Permit Required [FLS] FLS Pln Rv 9/9/2004 $197.07 Framing Insp [BUPPLN] Pln Rv 9/9/2004 $320.24 Insulation Insp Total Gyp Board Insp otal $1,049.40 Final Inspection 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 -00 ; • • • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling ( 03) 246 -669• or 1- 800 - 332 -2344. Issued - y: / _......._ Permittee 4 Signature: dl / / /l�I CI // /I / Il■ CaII 639 -4175 by 7 p.m. for an inspection t = ext business day 4 / u �d i P e rm it �PP��cat!afl � B . , , / Date a� p a _FORi3OFFICE -USE ONLY By .: City City Of q Tigard Date/By: 9 Q Permit No .: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review cf ,+ 1 °, Phone: 503.639.4171 Fax: 503.:98.1960 Date/By: r y'by i Other Penmt Inspection Line: 503.639.4175 1, t ="� I a A Date Ready /By: Juri El See Attached Checklist for Internet: www.ci.tigard.or.us Notified /Method: 710 Supplemental Information TYPE OF WORK 1 REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. 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. Valuation: $ ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Number of bedrooms: ❑ Multi-family ❑ Master builder ❑ Other: Number of bathrooms: • JOB SITE INFORMATION AND LOCATION Total number of floors: ✓Job site address: 15%5 at .) 7g. 4OT New dwelling area: square feet City/ State/ZIP: 776��e, QA 9 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: v d‘/ f-/t/ 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: 1 Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF. WORK work indicated on this application. 2> Re 0 74��z�� /3! —ee[✓. ��zi' 6ffie'�/® Valuation: $ �" r—�° ' '/ O j�,� / Existing building area: / q uare feet . �A � / Q��C�� L _ New building area: /7 s/ s square feet . '. (5 - PRROPERTY OWNER ❑ TENANT . Number of stories: / Name: PacTrust Type of construction: �/,i# Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: ` City/State/ZIP: Portland, OR 97224 Existing: AIVS - Phone: (503 ) 624 - 6300 Fax: ( 503) 624 -7755 New: 15//S'7.' ' 0 APPLICANT, 0 CONTACT PERSON . • NOTICE Business name: PacTrus t All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: 15350 SW Sequoia Pkwy.. Suite 300 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: Portland, OR 97224 apply: Phone: ( 503) 624 - 6300 Fax: : (503 ) 624 - 7755 E -mail: V CONTRACTOR Business name: r� BUILDING PERMIT FEES* se Address: PO Box 80548 �1s p 7 ) ' / 1,, Please refer to fee schedule. City/State/ZIP: Portland, OR 97280 Fees due upon application Phone: ( 503) .367r /® ax' ( 5 03) ',2" ®©6 7 Amount received CCB lic.: $152480, 4 1,070 Date received: Authorized signature: ' j / � / ��, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nam "fr Iv , i Date: /c- .4 J _ * Fee methodology set by Tri-County Building Industry Service Board. i:\ Building \Permits \BUP- PefmilApp.doc 12/03 440-46I3T( I I/02/COM/WEB) CITY .OF TIGARD BUILDING DIVISION • PERMIT #: 13(J 41 _ _cI 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: `�� Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 :it __.. INSPECTION WORKSHEET FOR DATE: 0 ( TIME: PAGE: SITE ADDRESS: (# -. "?2_ CLASS OF WORK: SUBDIVISION: _ LOT #: TYPE OF USE: PROJECT NAME: c — DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: 0(z66s F 7 6 ,411 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FL. - INSPECTION ❑ ADDITIONAL FEES ASSESSED IP • Inspector: Dater 2 2 Phone #: (503) 718-