Permit f
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10028
*oo
, DEVELOPMENT SERVICES DATE ISSUED: 3/22/2006
13125 SW Hall B lvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113A6 -00101
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -120 ZONING: IP
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: TI, walls
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: 132 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 15,600.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES A J WEBER CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548
PORTLAND, OR 97224 PORTLAND, OR 97280
•
Phone: Contact #: PRI 503 - 244 -4318
FEES Reg #: LIC 65238
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/5/2006 $196.90
[TAX] 8% State Surcharl 4/5/2006 $15.75
[BUPPLN] Pln Rv 4/5/2006 $127.99
[FLS] FLS Pln Rv 4/5/2006 $78.76
Total $419.40
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 5 69 • • r 1- 800 - 332 -2344. -
Issue B y: , ∎ J,�_ Permittee Signatur -∎ ,„ /� .
. — A. ,_� %
CaII 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.
•
Building Permit Application roll 0ii ici: Iai•: o:NL.V
City of Tigard Received i
h' g Date/B . AR- AR- Q Permit No.: _
�uO�o(� 496,9S 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �� , r . , . ��' Other Permit
Inspection Line: 503.639.4175 �_ _;,4 'IL Date Read : y. 1 ' • RI See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method 16. 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
❑ 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 dwellingmmercial /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: / , /,1 <",,,..,/ , _° „� New dwelling area: square feet
City /State/ZIP: � l R '1") B/ a O 2 c 9 �/ Garage/carport area: square feet
t ilt ldg. /apt. no.: 1a0 Project name: I/ g4/4 � Iaj , / Covered porch area: square feet
Cross street /directions to job site: J 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • - work indicated on this application. �)
•
.4 sell wia L 1-_ cA d DOW Valuation: $ ./� d� l/
Existing building area• feet +
New building area: i t square feet
, ❑ PROPERTY OWNER I • ❑ TENANT Number ofstories:
Name: PacTrust Type of construction: 'V"''
Address: 15350 SW Sequoia Prkwy, Suite 300 Occupancy groups:
City /State/ZIP: Portland, OR 97224 Existing: 7Z ✓,,,,
Phone: (503 ) 624 -6300 Fax: (503 ) 624 -7755 - 441 - " Gpi ' J
. ❑ APPLICANT • ®. CONTACT PERSON NOTICE
Business name: �a /-- All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Dennis Pagni under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) I Fax::( )
E-mail:
• .CONTRACTOR .
Business name: 4 .. d ., e e BUILDING PERMIT FEES* . . •
Address:
Please refer to fee schedule.
City / State/ZIP: Fees due upon application
Phone: ( ) I Fax:( )
Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: � c j ti Date: �� fl • Fee methodology set by Tri- County Building Industry
Service Board.
i. B3uilding \Pennits\BUP- 11- PennitApp.doc 12/03 440- 4613T(11/02/COM/WEB)
CITY- OrTIGARD
BUILDING DIVISION PERMIT #: BUP200&- 10028
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/22/2006
Phone: (503) 639 -4171 i u-4 II �
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I..
INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 7:05AM PAGE: 27
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -120 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OUALCOMM
DESCRIPTION: TI, walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503-244-4310
Inspection Request Scheduled For: Date: 6/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032356 -01 503-320-8601 Y
Corrections /Comments /Instructions: __
itt ( 1 I A (
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FIR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: dolliT Date: c 1 6 a Phone #: (503) 718- 3
1
CITY-SF TIGARD
BUILDING DIVISION PERMIT #: E3UP2006.10028
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/22/2000
Phone: (503) 639 -4171
As , ,
Inspection Requests (24 Hrs.): (503) 639 -4175 AII..
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: 41
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -120 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: O1
DESCRIPTION: . 11, walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503 -244 -43113
Inspection Request Scheduled For: Date: 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 032259-01 503- 320 -8601 Y
Corrections /Comments /Instructions: "( e,
so /A (k).
■ Ali ,?
IIIMPBMIllff IRV
or r wa - _
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDI ZONAL FEES ASSESSED
Inspector:
ItylOrt A Date �� -� Phone #: (503) 718 - v