Permit a CITY OF TIGARD BUILDING PERMIT
111
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00175
.T t CARD 13125 SW HaII Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2009
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16600 SW 72ND AVE B10
Subdivision: OREGON BUSINESS PARK I Lot: 9
Project: Spec Space
Project Description: Exterior upgraddes, new windows, stucco finish, sunshade at main entry, new ADA cmpliant
stairs.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - COM 10/06/2009 $1,425.10
PORTLAND, OR 97224 Plan Review 09/22/2009 $926.32
PHONE: 503 - 624 -6300 Plan Review - Fire Life Safety 09/22/2009 $570.04
Additional Plan Review 10/06/2009 $200.00
Contractor: 12% State Surcharge - Building 10/06/2009 $171.01
EMERICK CONSTRUCTION CO Metro Const. Excise Tax - Commercial 10/06/2009 $444.00
Use
P.O. BOX 66100
CDC Bldg Review, COM 10/06/2009 $143.50
PORTLAND, OR 97290 CDC Plan Review, COM - LRP 10/06/2009 $42.00
PHONE: 503 - 777 -5531 Erosion Control 10/06/2009 $112.00
FAX: 503 - 771 -2933 Erosion Plan Review CWS 10/06/2009 $36.40
Erosion Plan Review COT 10/06/2009 $36.40
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $370,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,106.77
Required: Required Items and Reports (Conditions)
1 BUP Structural Welding
Fire Sprinkler: Yes Parapet: 2 BUP Bolts in Concrete
Fire Alarm: Yes Protected Corridors: No 3 BUP Ersn Cntrl 681 -4444
Smoke Detectors: No Manual Pull Stations: No
Accessible Parking: 0
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 the 180
days. ATTENJION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are se h in 0
952 -001 % /10 through : • R 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246. 6 or 1.8 . 32.2344.
Issue By: I /� ` / / ` 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.
EST. U 26 C Z wt , 6 & oo ICJ "1"11.c( aysz__
Building Permit Application
Commercial RECEIVES FOR OFFICE USE ONLY
II q City of Tigard Received DateB : _ Permit No.: ` • cog ...4 i - 7
13125 SW Hall Blvd., Tigard, OR 97223 EP 2 2 j111 Plan Review /�,
Phone: 503.639.4171 Fax: 503.598.1960 DateB : ' f fie 3 # Other Permit:b(AP2ocpt 1 4
T! G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: MI 65 See Page 2 for
Internet: www.tigard- or.gov BU Notified/Method: Supplemental Information
G DIVISION
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.
El 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: 16600 S.W. 72ND AVE. New dwelling area: square feet
City /State/ZIP: PORTLAND, OR 97224 S n0 S(1\0 0 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: OBP 10 Exterior Upgrades Covered porch area: square feet
Cross street/directions to job site: due north of SW 72 Ave Deck area: square feet
& SW Durham Rd intersection Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S113AD01900 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.
EXTERIOR UPGRADES, INCLUDING NEW Valuation: $370,000.00
WINDOWS, STUCCO FINISH, SUNSHADES & MAIN ENTRY
CANOPY. NEW ADA COMPLIANT STAIRS. Existing building area: 13412 square feet
LANDSCAPE UPGRADES PER PLANS & ATTACHED MEMO New building area: 0 square feet
® PROPERTY OWNER I ❑ TENANT .. Number of stories: 2
Name: PACIFIC REALTY ASSOCIATES, L.P. Type of construction: III -B
Address: 15350 SW Sequoia Parkway, Suite 300 Occupancy groups:
City /State/ZIP: Portland, Oregon 97224 Existing: B
Phone: (503)624 -6300 Fax: (503)624 -7755 New: B
® APPLICANT ® CONTACT PERSON . NOTICE .
Business name: 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: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City / State/ZIP: apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR •
Business name: Emerick Construction Co. • BUILDING PERMIT FEES*
• _ (Please refer to fee scheduled •
Address: 8850 SE Otty Road Structural plan review fee (or deposit):
Ci cv . 3 2-
City /State /ZIP: Portland, OR 97086 -2328 L ? 0 0 qol 1
FLS plan review fee (if applicable): `1
Phone: (503) 777.5531 Fax: (503) 771.2933
Total fees due upon application:
CCB lic.: 10723
Amount received: +' 1
L { q 11
Authorized signature: This permit application expires if a permit ii' not obtained
within 180 days after it has been accepted as complete.
Print name: %�e4�� a g 4 Date: g/�j_ /J � * Fee methodology set by Tri-County Building Industry
c % i �f� `� Service Board.
1:\Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(l1/02/ M /W )