Permit 411110 CITY OF TIGARD
BUILDING PERMIT
%,
DEVELOPMENT SERVICES PERMI ISSUED: G3• BUP98-0117
PARCEL: 2S113AD -01900
SITE ADDRESS...: 16640 SW 72ND AVE #B -10
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •009 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 250 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:2 -1HR .... 0 sf N: S: E: W:
OCCUPANCY GRP.:S2 TOTAL : 250 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 1 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. $ : 10000
Remarks : TI - Compressor room
Owner: FEES
PACIFIC REALTY ASSOC LP type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 80.50 B 03/13/98 98- 304109
STE 300 5PCT $ 4.03 B 03/13/98 98- 304109
TIGARD OR 97224 PLCK $ 52.33 B 03/13/98 98- 304109
Phone #: 624 -6300 FIRE $ 32.20 B 03/13/98 98- 304109
Contractor:
H GREEN, HL CO. INC.
15350 SW SEQUOIA BLVD
STE 300
TIGARD OR 97224
Phone #: 624 -7717 $ 169.06 TOTAL
Reg #..: 000413
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Masonry Insp
applicable laws. 1111 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 1503)246 -1987.
Permittee Signature: �� i k " ued By:
+ + + + + + + + + + + + + + + + ++ ++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++
YZ. . -- C: R( OF TIGARD Commercial Building Permit o Rid M� ,_.,
13125 SW HALL BLVD. Tenant Improvement
TIGARD, OR 97223 Date to P.E. Affii,
(503) 639 -4171 f a
Permft s agaisr
Print or Type 'Retated-SWIt,li
Incomplete or illegible applications will not be accepted Called , - 1 3 -4
Name of Development/Project Existing Building (� New Building ❑
Job ex at/ .rJ' •S/il/ /4/ef 2.- /' `'
Address Street Address Suite Building
/4100 s%W ? ?/f/� Data
Bldg ar City /State Zip Existing Use of Building or Property:
/47 Tie.-vv , o, 4A /=/ ���
' �L !,
Name / �i�/
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use ,, o t6t f ,, B or roperty:
Owner Mailing Address Suite ,.S A&4
15350 SW SEQUOIA PKWY 300 No. Of Stories:
City /State Zip Phone
PORTLAND, OR 97224 624 -6300 Sq. Ft Of Project
Occupant Nam 'S
•
1,� 1i /s /O� //t/ l � /• Classes)
Nam r
Contractor H. L. GREEN COMPANY Type(s) of ons ction
Prior to permit Mailing Address Suite
issuance. a copy Will thi p roject have a Fire Suppression System?
of au noenses 15350 SW SEQUOIA PKWY 300 Yes f No ❑
are required if city state Zip Phone Americans with Disabilities Act ;ADA)
expired in C.O.T.
database PORTLAND, OR 97224 624 -7717 . Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lie* Exp. Date Complete Accessibility Form
•
41328 Project $ __
Name Valuation /0, zi
Architect JOHN H. ROMISH . Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
2216 SE 24TH AVE.
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
PORTLAND, OR 97224 236 -6306 given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
' that plans submitted are in compliance with Oregon State Laws.
Signature of Owner/Agent Oat
Mailing Address Suite /7 'v i&,41 , 5 --/;2' �.d
Co n r /' ct Pe - • Na e Phone /
City/State Zip Phone
•
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0
Accessory Structure 0 Foundation Only 0 Alteration Map g l MD- 1100 Land Use:
Repair 0 Other 0 Notes: V
Description of work: �j
' 6-4/ / 41-4 0 //�j ei0/(/ffi 5&/ TIF:
•
i /1/�y I/4/ -
Parks: Estimated 4 of Employees
Note: Site Work Permit Application must precede or accompany Building
Permit Application
•
I:ICOMNEW.DOC (DST) 8/97
OVER - THE - COUNTER (OTC). PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: T1 — COM cog Ldem
1 ,
CLASS OF WORK: 17' FLOOR AREAS: -5 EXTERIOR WALL CONSTRUCTION
TYPE OF USE: FIRST SQ. FT. N: S: E: W:
TYPE OF �—. 1'
CONSTR: J I�
11/ .• SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 7• THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: d TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
6 o .‘ riFoun Post/Beam $ gQl Permit Fee
Mason' 1 Framing $cj2 Plan Review
Insulation Shear Wall $ .- -r 5% State Surcharge
Firewall Gyp Board $ 32 FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add', Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous OSP -' Z $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 4/97
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