Permit Ilq CITY OF TIGARD •
BUILDING PERMIT
DATE
COMMUNITY DEVELOPMENT PERMIT ISSUED: 8 #: B P /2007 2007 -00436
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 113AD -01900
SITE ADDRESS: 16640 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 009 JURISDICTION: TIG
PROJECT: VERIS
Project Description: TI
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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 25 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 78,000.00
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
FAX 503 - 624 -9697
Reg #: LIC 65238
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/21/2007 $501.10
[TAX] 8% State Surcharl 8/21/2007 $40.09
[BUPPLN] Pln Rv 8/21/2007 $325.72
[FLS] FLS Pln Rv 8/21/2007 $200.44
Total $1,067.35
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 • ese rules or d' - t questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: PermitteeSignature: / ,
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.
, Building Perm ' ' • a io > ,, „, FOR OFFICE USE ONLY
r e - rrAED . .
Received g /
City of Tigard Date/I3 : r .2t D? Permit No.: , ,r ...06 i
� ®
13125 S W Hall Blvd., Tigard, OR �i1/ J / /,r,, iki ; \ plan Review ��i ag Other Permit: Phone: 503.639.4171 Fax: 503� ��' >''�pay�'Ii � ` DateB : f/ � �� �' I
Inspection Line: 503.639.4175 s ' Date Ready RI See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: EMI Supplemental Information
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I:�� iENd�s�Et1ti ♦,F r� a, xr^'�,:S�KJT�i”„ ;4 k - 'c : v,"i'7, �4 �. .c'-FS 1::7- �, I i•:: 'r,s~;S..k l' 1. X �... r�.4 .� � ,'n. .a . 7.. -•. -: v - a a•
❑ 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
"� y � . k , �, : t " rr �} . .k e t ifi/ w� " „ r t' :1,i work indicated on this application.
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❑ 1- and 2 -family dwelling Commercial/industrial _
Valuation: $
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
r r'f .Fd•. t o .v X a eµ. I t •r " - 7 >i dti 7 o P �r
h ? 4
, °�tYy tf i 3 t f y �- r r n i i 3 tl ! - f °7 „ ' Total number of floors:
[f i b��, F -1 . � t `JH1B F , d T 1I7lV t ` 17 7 `II � ' .EOO : ' 4. 1do .1 P '4114.:0 I
-n, uL.:a',? °4�. ; 4K7f1'} r`.lFV� �,: �,.r G.' i)ru . � - rG k • �f£a. „041 Z` ',i..,
Job site address: ! a� G j L7 „A, N ,� h D 'A1R° � New dwelling area: square feet
City/ State/ZIP: Or• -/-/a Li I /'� C J / Garage/carport area: square feet
t I
Suite/bldg. /apt. no.: Project name: fr.! 0 Covered porch area: square feet
Cross street/directions to job site: 5- (A) 'l,9. / j 41.A./C1.4- t Deck area: square feet
S!/tJ fi•,r,7 "./ - 4 — i, gj - P-e . ' 1 5 Other structure area square feet illy
f (ft/
/�11r(' vl�(.'VLl /2.4 4 t
Subdivision: 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
r ,I ,. rc �• +r „>w� at ; �« , -, t"r” , x �.�� �tsp ?. ; r , equipment, materials, labor, overhead, and the .rofit for the
d x . ro ti � � C Z t' R�K7�r 1 fi , fi r work indicated on this application. - - —
- Valuation: ��
=
-8 1411 / / I.:a GAX.(' D `' fS, / f7'Nlit/t4_Q / _—
II 1 is UL a r 1 Z Ili 1 vt.n t1 VA_� / Existing building area: square feet
( r e Pa f e r f ,.. litiL AA/ ' e� New building area: square feet
; r �', iiiiti t EI<Lik , , c¢VS , , aii6 6 . x . iL °` ", a ' [ pFI1mmy.. � µ ' I ' t „, ; Number of stories:
Name: PacTrust Type of construction:
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing:
Phone: (503 ) 624 -6300 Fax: ( 503) 624 -7755 New:
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°,t!t ��4�>I a4:l'.`4!c! 7 er afi . , 7" gtA;' `:44:4hrw, ::a.. �., s, , .. �. !...x. i . a u,�',4 ¢A ryil0A . ,, , PTICE L
s� a,.>s7a?�i�h?5 � ^k: nF(Wr•:r.�_�h C"Ga .. .�Im,..,.d .�i?.Irf l.v 1. �� -rr
Business name: PacTrust All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
b 14 K IS (pa e Get t r under ORS 701 and maybe required to be licensed in the
Address: 15350 SW Sequoia P. , Suite 300 jurisdiction in which work is being performed If the
applicant is exempt from licensing, the following reasons
City/ State/ZIP: Portland, OR 97224 apply:
Phone: ( 503) 624 -6300 Fax: : (503 624 -7755
E-mail G(.P u,,, 1 ' e �JA ( ' f , ,..,,N.4., , 'P` ���7�"17 �t � fr e � iy- � hr �' O lr 11 x ��� R u ��'�I"� � ��� � �' �. "��� ,}��& �• �k
,` t J.-wk •V11,: 1, .rt d3r:,fs a1(,) _ r .nr;�.btih'g itii :w+�' iiVAVA s ",Rk r:+y.3�K ll
Business [tame: t , F re "'C''''T-
AJ Weber Construction. Inc. r r i l lia s „ 1 �1C� E 1wtI0t1. $ •
v,a� +.il.t. rd.w44i• �'raa.:•.. ec v� � w.. rl, ��2� -t _ -
Address: PO Box 80548
Please refer to fee schedule.
City/ State/ZIP: Portland, OR 97280
Fees due upon application
Phone: ( 503) 244 -4318 03) 244 -4318 Amount received
CCB lie.: 65238
Date received:
Authorized signature: /1 7 . This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
I Print name: `1) e VI VI t f 2� t 1-1 i Date: 7 2 1 07 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\ BuildingTermits \BUP- PennitApp.doc 12/03 440.4613T(11/02/COM/WEB)
i
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2007 -0G136
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007
Phone: (503) 639 -4171 41:r °!{ ,I
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �..
INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7 :00AM PAGE: 64
SITE ADDRESS: 16640 SW 72ND AVE 610 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503-2444318
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess.•• -)
299 Final inspection 060065 -03 603 -320 -6601
Corrections /Comments /Instructions:
,(/: ' PAS a - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I , LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( l i t( Phone #: (503) 718- Z6. �l
Ilk
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00436
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8121/2007
Phone: (503) 639 -4171 47401 1
Inspection Requests (24 Hrs.): (503) 639 -4175 Ask 11.
INSPECTION WORKSHEET FOR DATE: 11/1612007 TIME: 7 :01AM PAGE: 32
SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREC3ON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: TI •
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503 - 244
Inspection Request Scheduled For: Date: 11/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messese
0 So trig'
208 Final i 059822-01 503320 -8601
Corrections /Comments/ Instructions:
I t 1 /�lq CYR-o\//
z� FL ZLS (=;X:7" L c oVl
.3 —
D e--(1)‘-ti c - . (.Zt�,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
c
NZL FALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: O Phone #: (503) 718 - 2
•
CITY OF TIGARD
BUILDING DIVISION • -- PERMIT #:
13UP2007- O0436
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8'21/2007
Phone: (503) 639- 4171 Alt Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:O4AM PAGE: 105
SITE ADDRESS: 1500 SW 72N1) AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503-2444318
Inspection Request Scheduled For: Date: 10/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messes -
787 Suspended ceiling 01_,6686 -01 503-320-8601
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL N CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 Z U Phone #: (503) 718- 24
MP
' 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00436
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 8/21/2007
Phone: (503) 639 -4171 1 'llis
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 9/4 /2007 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503- 244 -4318
Inspection Request Scheduled For: Date: 9/4/2007 / Pour Time: r o
Code # Inspection Description Confirm # Contact # M sage '. J i jir/1-1
275 Framing 055009 -01 503-320 -8601 Y r Reit'
u 6 -
Corrections /Comments /Instructions: j ,,,c/
ieta C - Pt (o) 1vj
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4t ✓ Date: q/ /° Phone #: (503) 718- �� Zte
s- 4 -,
CITY OF TIGARD ;;-
BUILDING DIVISION z PERMIT #: BUP2007 -00436
8/21/2007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 :idtp1
Inspection Requests (24 Hrs.): (503) 639 -4175 �'I �
8130/2007 7: 00AM 4
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
16640 SW 72ND AVE 610
SITE ADDRESS: OREGON BUSINESS PARK I 009 CLASS OF WORK:
SUBDIVISION: VERIS LOT #: TYPE OF USE:
PROJECT NAME: -1-1
• DESCRIPTION:
PACIFIC REALTY ASSOCIATES,
OWNER: A J W EBER CO NSTRUCTION INC PHONE #: 503- 244 -4318
CONTRACTOR: PHONE #:
8/30/2007
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 054916 -01 503-320-8601 N
Correction Comments /Instructions: •
1 E.; t
2 4 &-r L LAA w
o o j
Ork- 4- 7.3 cir ‘,-.1 eflAiL ----, . . '‘ \ 10
LS �2s
•
(..t0'
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
M.FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
o r: ` /� Date I , Phone #: (503) 718 - L -14, 4 2 i
Inspector: L /( �1" ✓ t� ( )
P