Permit A4 CITY OF TIGARD
� / BUILDING PERMIT
��,, *z ��i,1 DEVELOPMENT SERVICES PERMIT # • BUP97 -0536
1 ' �
. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 12/03/97
PARCEL: 2S113AA -01000
SITE ADDRESS...: 16550 SW 72ND AVE #B -09
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •00C JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.: 5N ...: 0 sf N: S: E: W:
'OCCUPANCY GRP.:U2 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 12500
Remarks : Copy change for a freestanding sign - No C of 0 requirement - No
occupant load factor required
Owner: '�'� FEES
PACIFIC REALTY ASSOC \ ) type amount by date recpt
15350 SW SEQUOIA PK Y 0 ` / PLCK $ 64.03 DRA 11/26/97 97- 301280
STE 300 RMT $ 59.10 DRA 11/26/97 97-301280
TIGARD OR 97224 5PCT $ 4.93 JSD 12/03/97 97- 301403
Phone #: 624 -7787 FIRE $ 39.40 DRA 11/26/97 97- 301280
PRMT $ 39.40 JSD 12/03/97 97- 301403
Contractor:
ES & A INC
1210 OAK PATCH RD
EUGENE OR 97042
Phone #: $ 206.86 TOTAL
Reg #..: 001112
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: llL rlkag\OIN\ Issued By•
u :v
+ + + + + + + + + + + + + + + + ++ +++++++ ++ + + + ++ + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
IL __
1
CITY OF TIGARD Commercial Buildin g Permit Recd By ea
do
Date Recd G _ — 1
13125 SW HALL BLVD. Tenant Improvement - 77L'—
Date to P.E. /Z £ k ??
TIGARD, OR 97223 Date to Ds e _ o e
(503) 639 -4171 Permit a —
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called real ///T#
—Vi"' % ) 7
Name of Developmenl/Project Existing Building iew Building p • '
Job o v `> �S }k
Address Street AA "Suite Building
,I05 Sw 72 Data . r •
Bldg s City/State Zip Existing Use of Building or Property:
Tcdrel, or 97 2-13 ,
Name Proposed Use of Building or Property:
Property -- -C- -- k( US+
Owner Mailing Address - Suite
.05 nt,,,,,--w,,t,k) Q . 1 1,- No. \ Stories:
City/State Zip Phone : •.
- r1In 0(97Z24 (p24 -7W n Sq. F . Of Project:
Occupant Name
D (C cur Jlsi nesS --0.5-. ccupancy Class(es)
Neme
Contractor As t �- s ; q (-\5 Type(s) of Construction
Prior to permit Mailing A roes Suite
i ssuance, a copy a Will this project have a Fire Suppression System?
of an licenses • 11 NOS OPolV Yes ❑ No ❑
are required if City/State / Zip Phone Americans with Disabilities Act (ADA)
expired atabase T i . zo l I n , L i'7LJ & 1 1� 25% p
, 1 t 7 Valuation X 25 /o = $ Participation
Oregon Const. Cont. Board tic.* Exp. Date Complete Accessibility Form
I IZ$C9 2/i j 9 g Project $ CO .
)2 Name Valuation sor'J
Architect \ PV Plans Required: See Mat for number of sets to submit
Mailing Address • Suite • on back
City /State Zip Phone 1 hereby acknowledge that I have read this application, that the information
given Is correct, that I am the owner or authorized agent of the owner, and
N ame that plans submitted are in compliance with Oregon State Laws.
Engineer
Si nature of Own r /Agent Date
Mailing Address Suite t AtinAM , 1 i fr/ CC 117 .
ntact r ame Phone I
City /State Zip Phone 1 1 a n l id FI «'ry cx 0 Lo / ) ??4- ¢-
O `
F R USE ONLY
Indicate type of wort: New 0 AdditionO Demolition 0 — MaprrL# • Land Use: •'1
Accessory Structure 0 Foundation Only 0 Alteration 0 _ I
Repalr Omer 0 Notes: •
Description of work:: hCncie S-}r (,tC-1 (,W0.,
4v G ' e x-. S4 i 110 s \ ee-t 40 Coo it .1 I TIF:
-C lev..'t ble, - rn. - ier ; al ort \sJ .
Parka: Estimated 0 of Employees
Note: Site Work Permit Application must precede or accompany Building C.( d
Permit Application
•
I:\COMNEW.DOC DS A /97 41
03/29/2000 Activities for Case #: BUP97 -00536
10:50:01 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 11/26/1997 DRA RECD BON 12/02/1997
BUPC008 Permit created 12/02/1997 B DONE BON 12/02/1997
BUPC010 Check for prcl. restrict. 12/02/1997 B PASS BON 12/02/1997
BUPC012 Plans routed to Plans Examiner 12/02/1997 B SENT BON 12/02/1997
BUPCO26 Approved Plans routed to DSTs 12/02/1997 RDP APPR RDP 12/02/1997
BUPC460 Devel review cond. met BON 12/02/1997
BUPC792 Misc. Inspection 12/02/1997 RDP 12/02/1997
BUPC802 Final Inspection 12/02/1997 JMT NOTE JT 10/26/1998 10/26/98 inspection request
(research) sent to Hap W
BUPCO29 DST Post Review Completed 12/03/1997 JSD PASS JD 12/03/1997
BUPC090 (F) Ready to issue 12/03/1997 JSD PASS JD 12/03/1997
BUPC100 F e •ermit 12/03/1997 JSD PASS JD 12/03/1997
BUPC1 0 Void Permit 11/03/1998 11/03/1998 PER GEORGE, WE SHOULD
NOT HAVE ISSUED A PERMIT
FOR THIS WORK
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