Permit l
III a CITY OF F TIGARD G ARD BUILDING PERMIT
Q PERMIT #: BUP2007 -00010
COMMUNITY DEVELOPMENT DATE ISSUED: 1/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 113A B -00101
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -100 ZONING: IP
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: QUALCOMM. T.I. (1380 sq. ft.)
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: 14 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: $ 13,750.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES BNK CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI 10730 SE HWY 212
PORTLAND, OR 97224 PO BOX 66
CLACKAMAS, OR 97015
Phone: Contact #: FAX 503 - 557 - 1085
PRI 503 - 557 -0866
FEES Reg #: LIC 107555
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/9/2007 $177.70
[TAX] 8% State Surcha 1/9/2007 $14.22
[BUPPLN] PIn Rv 1/9/2007 $115.51
[FLS] FLS Pin Rv 1/9/2007 $71.08
Total $378.51
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 1.800.332.234
Issued By: ' j ! w Permittee Signature: -
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1
Building Permit Application R ECE VF F(1u ()FFI( :I: UtiI: (1,\1,1
City of Tigard Datem : ' 1 ` Permit N.. ` ` :1 i —1 i ,t 0
13125 SW Hall Blvd., Tigard, OR 97223 JI- 9 a
• Phone: 503.639.4171 Fax: 503.598.1960 D B R , , �' I r Other Permit:
Ti �` �� inspection Line: 503.639.4175 t ` 1 i V 11.1 1 it r ' I rate Re'may: tuns: S See Attached Checklist for
Internet: www.tigard or.gov V81 A lid 1 13 otified/Method: '� Supplemental Information
TYPE OF WORK 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
CO Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16101 SW 72 Avenue New dwelling area: square feet
City/State/ZIP: Portland, OR 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 100 I Project name: Qualcomm 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: 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
DESCRIPTION OF WORK work indicated on this application.
New interior, non- structural partition walls, plumbing Valuation: $$13,750.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ® TENANT Number of stories:
Name: Qualcomm Incorporated Type of construction:
Address: 16101 SW 72 Ave., Suite 100 Occupancy groups:
City/ State/ZIP: Portland, OR 97224 Existing: B
Phone: (503)353-0535 Fax: ( ) New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: NW Precision Design All contractors and subcontractors are required to be
Contact name: Darin Bouska licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1844 NW Couch St. jurisdiction in which work is being performed. If the
City/State/ZIP: Camas, WA 98607 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 680 -6444 I Fax: : (360) 838-0657
E -mail: darin @NW- Precision.com
CONTRACTOR
Business name: BNK Construction Company BUILDING PERMIT FEES*
Address: 45 82" Drive, Suite 53B (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State/ZIP: Gladstone, OR 97027
Phone: (503) 557 -0866 I Fax2 85 FLS plan review fee (if applicable):
CCB lic.: 0107555 Total fees due upon application:
Amount received:
Authorized signs •
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dario Bouska Date: 12/22/06 * Fee methodology set by Tri -County Building industry
Service Board.
CITY - OF- TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9J2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 21 /6/2007 TIME: 7 :OOAM PAGE: 26
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -100 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: QUALCOMM
DESCRIPTION: QUALCOMM. T.I. (1380 sq. ft.)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503-557-0866
Inspection Request Scheduled For: Date: ?1 16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
isc. 043500 -01 503- 888 -7454 N
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Corrections /Cor�'tm ents / Inst uctions: s'" • — p
Adfrist
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insimmir
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: e Date: 2 ( 6 Phone #: (503) 718- 2�j
CITY .OF TIGARD
- ° BUILDING DIVISION PERMIT #: BUP2007 -00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2007
Phone: (503) 639 -4171 /rwe l t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/15/2007 TIME: 7 :00AM PAGE:
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -100 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OUALCOMM
DESCRIPTION: OUALCOMM. T.I. (1380 sq. ft.)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503-557 -0866
Inspection Request Scheduled For: Date: 2/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 043467 -01 503.88E -7454 N
Corrections /Comments/ Instructions:
s -- etU Jc SZ (\/\-& e 0)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' �/ V Date :? 1 �/ Phone #: (503) 718- ��
VCIT'YORTIGARD
B UILDING DIVISION A.
PERMIT #: BUP?0Q7 -00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2007
Phone: (503) 639 -4171 a °Ml'
Inspection Requests (24 Hrs.): (503) 639 -4175 - ..
INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 16101 SW 72ND AVE_ E3LDG A - 100 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OUALCOMM
DESCRIPTION: OUALCOMM. T.I. (1380 sq. ft.)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: E3NK CONSTRUCTION INC PHONE #: 503 -557 -0866
Inspection Request Scheduled For: Date: 1/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 041995-01 503 - 888-7454 N
Corrections/Comments/Instructions:
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A. . , Ali
`iorr fr ► , v Wir
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.or i ._ . I war'
I %'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAEES ASSESSED
Inspector: I i • (Ph one #: (503) 718- Da te: