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Permit
CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2002 -00189 ; i4. DEVE 639 -4171 DATE ISSUED: 5/14/02 .4. SITE ADDRESS: 16600 SW 72ND AVE B -10 PARCEL: 2S113AD -01900 SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: 1b7S0 0 0 Remarks: New handicap ramp system. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 pR g722 Phone: Tl Phone'. 6Z4 ( (17 Reg #: LIC 41328 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PRMT CTR 5/14/02 $120.10 27200200000 Final Inspection 5PCT CTR 5/14/02 $9.61 27200200000 PLCK CTR 5/14/02 $78.07 27200200000 FIRE CTR 5/14/02 $48.04 27200200000 Total $255.82 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 -1987. You ma obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 -3 -2344. Pe nn ittee Signature: ,,,-_ Issued By: t / _ Call 639 -4175 by 7 p.m. for an inspection the next business day ____...... . . _s Y-4'44.. • Bu ldingPermitApplication - Date received: c't - b?i Permit n o : 1 5 V f 9 l 0o 2 -. OD 1 gq City of Tigard mil" I Project/appl.no.: Expiredatc c�fyofrgard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: B nt 1 Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: I&2 family: Simple Complex: TYPE OF PERMIT , 01 & 2 family dwelling or accessory ' Commercial//industrial 0 Multi - family 0 New construction 0 Demolition 0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler/alann 0 Other: . . JOB SITE INFORMATION • Job address: /4, ,I-r_ ' , ,e jam Bldg. no.: Suite no.: t I IP Lot: Block Subdivision: Tax map/tax lot/account no.: Project name: / < -f - I • , Description and location of work on premises/special conditions: D /.4....,- • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: PacTr st ( Floodplain , septic capacit ) ', solar, etc.) Mailingaddress :15350 S.W. Se•uoia Pkw . #300 I & Z family dwe11ing: City: Portl and State: OR ZIP: 97224 Valuation of work ...... $ Phone503 /624 -6300 Fax524- 7755 E -mail: No. of bedrooms/ baths ........- ....... ......_........ _ : . Owner's representative: Dennis P • r • Total number of floors ........ - - Phone: Same Fax: Sam- E-mail: New dwelling area (sq.. ft.) APPLICANT Garage/carport area (sq. ft.) .». • Name: P a CTru S t Covered porch area (sq. ft.) _. - Mailing address: 1 - . . • , 1 Deck area (sq. ft.) ..... City: Portland Portl and immvannytimi Other structure area (sq. ft.) Ph 624 -6 10 a►` 1212/rl•'1.d E -mail: Commercial/ ndustrial /multi family: / CONTRACTOR Valuation of work.... $ ' Existing bldg. area (sq. ft.) --�— Business name: H. L. Green Address: 1 New bldg. area (sq. ft.) . --.... ' ' 11 1 Number of stories / ' • r a �. lt: 'rid t.' ' Type of construction tion ... ». Phond303 6 ' - _ Fax: E -mail: CCB no.: 41328 Occupancy group(s): Existing: 1 New: City/metro lie. no.: Notices All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name' Martin Hanson provisions of ORS 701 and may be required to be licensed in the Address: 1 -. a - . ' . Is jurisdiction where work is being performed. If the applicant is 1 ; �, exempt from licensing, the following reason applies: CRY: Portl_n• contact persontiarti n Hanson Plan no.: ' , A l MittrixiIIII IZIZEI►MI:1 = . it I iRliFT41 • • „ ENGLN EER Name: Contact person: Fees due upon application ............ - ............. $ - Address: . Date received: - • City: State: ZIP:. Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. i hereby certify I have read and examined this application and the 'Not all jurisdictions tempt aeclit cards, please call jtnirdiaim for moos infonnatiao. attached checklist. All provisio . . 7 aws • • ordinances governing this 0 visa 0 MasteiCud worst will be complied wi �''' er - -. herein or not wit card number: ___/_____L_ Authorized si ? • . _ y ` �. Date:. `� J/J?/ Name of cardholder as shown oo credit card s Print name: r/1. , S / jw • Cardholder agrarians Ammar • Notice: This permit application expires ifa pennit is not obtained within 180 days after it has been accepted as complete. 440-4613 (600ACOM) CITY OF TIGARD 24 -Hour BUILDING Inspectionline: 1503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST • BUP / Q 9 Received Date Requested ! 7 AM PM Location f &000 4 7 z /41-1)--t. Suite MEC Contact Person 0 / Ph ( ) Apo ' j.S.S� PLM Contractor Ph ( ) SWR atIr Tenant/Owner ,c .r * D G%m.�.1 ELC O ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam , • Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof jte AS PART FAIL BING Post & Beam Under Slab Rough -In Water Service 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 call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 69 ,1,- I�ke Approach/Sidewalk Dat Inspector Ent Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour 2 /-9 C'D G ` BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST fbr. 0Q002- cD1 g? Received • Date Requested 2/ 1 / 0 z-- AM PM BUP l Location ( ©° 5w / 8 /D Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDIN Tenant/Owner ELC Foundation ELC Ftg Drain Ate ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors t /g � p / e Ext Sheath/Shear y / ( // Ap'/ Int Sheath/Shear Framing Insulation _ Drywall Nailing Firewall Fire Sprinkler �\ Fire Alarm � > A/q Susp'd Ceiling Roof • - Final PART FAIL ING Post & Beam Under Slab Rough -In Water Service 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 call fo reinspection RE: ❑ Unable to inspect — no access Fire Supply Line t ADA Approach/Sidewalk Date C a l Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST • BUP — Oa) / 8(7 Received - Date Requested 7 40 AM PM BUP ' Location Z____42.12•0 7 7d uite MEC Contact Person KIL__ e�- -�y -t- Ph ( ) 3 /0 - V.3( PLM ractor Ph ( ) SWR BUILDING Tenant/Owner / i. _ • ice4 II ELC • ELC 4 Foun,. '..,• Access: tg Drain ELR. Crawl Drain Slab Inspection Notes: — IT ' ` Post & Beam Shear Anchors ------' Ext Sheath/Shear / Int Sheath/Shear Framing Insulation ''V � l /440 1 Cc, e I4 M^ 0 1 s Drywall Nailing Firewall V Fire Sprinkler Fire Alarm Susp'd Ceiling Roof , /, Other: J ii,U7t-4.) Fi- PART FAIL BING -- - — f - - - Post & Beam Under Slab Rough -In Water Service 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 call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 'b 6L-1....v Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL