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Permit - A • • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00450 II1 DEVELOPMENT SERVICES DATE ISSUED: 9/23/2004 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S112DC -00500 SITE ADDRESS: 15883 SW 72ND AVE BLDG -B SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P BLOCK: LOT: 040 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: 15 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: $ 17,000.00 Remarks: New walls for office and conference room. 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 007Q 000 � 0002036 FEES LIC REQl7 INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 9/23/2004 $206.50 Electrical Permit Required TAX 8% State Surchar 9/23/2004 $16.52 Fir Alarm Permit Permit Require( [TAX] � Fire Alarm Permit Requirr es [BUPPLN] Pin Rv 9/23/2004 $134.23 Framing Insp [FLS] FLS Pln Rv 9/23/2004 $82.60 Insulation Insp Total Gyp Board lnsp otal $439.85 Susp Ceilng Insp 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 -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. Issued By: A. _ ,` __ .,, _ _ Permittee ;/ / Signature: , / "l�/ A. / / ,f�� Call 639 -4175 by 7 p.m. for an inspection the ne • iness day ,� $u%CIII� permit ApplicatC E I FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd., Tigard, OR 97223 SEP 2 3 O " Plan Review Phone: 503.639.4171 Fax: 503.598.1960 a °..,. "' ,r ; +, " Date/By: Other Permit: Inspection Line: 503.639.4175 CITY OF T s i s ) � i►' Date Ready/By: 1 �: ® See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplemental information I.' E:'- .:ta;t ;; g 1 'r`4;' ' '000 rOF 1 h . � /r / " 4 i u - 1;4'1 YI 1 =AND 2 FAb1II:Y 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 ,- r .. • rnna ,.�ti, r,r yy, , 1 tr;•_ �� I work indicated on this application. ky .1•I, �' ra, r ., 4 R1�'` ,,,Fgmrg,:z ,.crib ;( � ! r iY 0 1-+ :vl s i1 . .4 I i1F ��r j �'�'r, �I+..ri P.�. �vt- rT�u7AIK'i';w,YJ�ir�Yxei'� t+ ul�'r.r?G ^"fl�'�rl : :rtn ,c7d I' -. �i' ,.nt tt::o; r a r.1rt1 Valuation: $ ❑ 1- and 2- family dwelling ,Commercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other. Number of bathrooms: 11'�' s,�r,,N ry s� n• •+ rt5n9k t> �� .rC ,, w4 +`.rchi u ric t, �4 n ,a a to �'u, obi q CG 19 t L Total number of floors: �J } * 1 44 ,r OB 'II�ZFO r.INI f�L'�l_ ,I�1d Ei :[O Nt*40,,.,zi,_ .;.. t a oi 5 4.I dV,-- �.,a'4- '-i . ,.tr..F -2 t. 1 . :,41 e'i,.Kd.v . .,. :454 ?Jr•,t'.,..., -L,. ,L .... 1 ..I... r..Rr 4 r Job site address: �,iag 0 7p/1422 New dwelling area: square feet City /State/ZIP: 7/6,/f/J / it a. I & 4� ' 97 7 v,2 Garage/carport area: square feet Suite /bldgJapt. no.: Project name:4,4 ._y .. - ` . / overed porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet �,. x.t , • , ;y rc +. ..!' r , e `te_.i+ •rat •Li t a>QcI le644 y $ ��111SE C G KL s Subdivision: I 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 w , r: t `-- ^ , � Y "' t F'Xi}. ,i, :I�� , A tI*14 t do p& a "�"° �7 q�' .( 3i- `` 1t'" k d r }^rjyW 1 � M i i i ti j work indicated on this application. p y +t�4t it•/ i>x'r'phi t r,, o.fm r � Eh , roping 7:a. r f;T,,•Vk4tk° y " ,*, .,,,, , ,,,,o, Winr6 �.� • // .� i � j' � � -.- � Valuation: $ A / r Al 7 Existing building area: square feet 1 6 /v New building area: square feet w ti u '4iw5lYAR Yi R', '.? n . h 7i % Y c i 'Y� r , 1 Y Veit" y��r "t' r L t ki t � d^ "USA; Number of stories: k'�MC14 . , R, ' ' e ©t-. t . r .�t110:1W~ 3: 4 6, u�`-;` zv..+dNw . LIR :, d �.A,,.. 1. Name: PacTrust Type of construction: y.,,,,,/ Address: . 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: City / State/ZIP: Portland, OR 97224 Existing: . , /�,,. Phone: (503 )624 -6300 Fax ( 503 ) 624-77 Nom/ F.'C,M{ � �J '•A". -• 7F . SXe.0 at •,rr�q tiil. - ; - y } a •h4 � -. �,, ptl81- .tF� l I -7 .,�'7 :,; • kR i�"�•� 0�. •f V' owl '� 4 •"41,,;," � 'r��[����� e,J,.',' - :�. y,(t' iv .'�,• rP99 i ,�S ot ' �il /1 . ' „ kF Gt'!li�Y 0 10 : 1 0 ,{ ..�,� �,14 { I r • i y} r 7 , Y .^` % ... ... P 'I. T' 4; 1 fiEY' 7N' MfI :;, C'''''' - i j ;�r i ! f l l I'firghi T f t 4 1 i , •,., Li r S - v�`�,�� ak. ;.,, �l� C` ° oe ;.+,a•.x,.. ,.• -t ., ^•T P, �r�a . xd9�1: �. G,i; laklu , -, . � n�ry�t ! 7 _ ... � :4,.., .. . Business name: PacTrust 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 I Fax: : (503) 624 -7755 E -mail: Mlle w •r'a w t- LLV"t4Z•.4�' .•,Na.4sY.: 4 V'S , r� .F•7y t�+'�r,,Ne hy' * t ihF3 p'r , . 1e" 0.0 .r TIl 3Cw.s11.l " a •� Ii .Arg 7 It I 1, t 0 4 Y�"j ga 1 FI la 'S•J410 - '�^I}S.. i` til t , " w .y • „•s : ..3 � ,, i a.;, 4•,i . `..l.ta Business name: Matthew Olson Construction a H L :. r ti510b000M1T' ,FEES Address: 5320 SW Dover Lane Please refer to fee schedule City/ State/ZIP: Portland, OR 97225 Fees due upon application Phone: ( 503 892 -0066 Fax: ( 503 892 -0067 Amount received CCB lie.: 66070 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 name: %id, A/ 41,/c04, Date: ,9� , Z --',10. • Fee methodology set by Tri- County Building Industry Service Board. is \Buildnsecmcts\BUP- PamitApa.doc 12/03 440- 4613T(II/02/COM/WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 IIMIKTIDN DIVISION Business Line: (503) 639 -4171 MST . / , / /J BUP aOO`/ O S Received 1 V Sy r' Date Requested -. l (� AM PM BUP Location / 2 5eg -7 7 S eta( Suite MEC Contact Person /Z1GZ Ph ( Ste) 30'7 2-/ 05" PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner i 1/ tv1', 1 ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation �GC9S� E r b0C/ 2--- O eCCIAA A /��v``- -'' ) 0Oi0 Drywall Nailing b Firewall ��' �IJ( RCTOP.S pid3ove l Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Othe • s- PART FAIL PLU = ING - Po • Beam 1/11lw' • nder Slab Water Se �i / � `i; Water Service • i 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please I for rei pection RE. � ❑ Unable to inspect — no access Fire Supply Line I •�' DAoach/Sidewalk Date \ v Inspector dr Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL