Permit i CITY Y OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00332
A� i�l DEVELOPMENT SERVICES DATE ISSUED: 10/1/01
A.
'. 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15865 SW 74TH AVE 110 PARCEL: 2S112DC 01400
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P
BLOCK: LOT: 004 JURISDICTION: TIG
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 70 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 226,000.00
Remarks: TI
Owner: Contractor:
PACIFIC AMERICAN PROPERTY EXCH ASPEN WEST
PACIFIC SANTA FE CORP 17700 SW UPPER BOONES FRY RD
17700 SW UPPER BOONES FERRY RD SUITE 100 �g
P p Ph Phone ND, OR 97224 P N a3 ( ZO ���3J
Reg #: LIC 88014
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 9/13/01 $803.21 27200100000 Electrical Permit Required
Sprinkler Permit Required
FIRE CTR 9/13/01 $494.28 27200100000 , Plumbing Permit Required
PRMT CTR 10/1/01 $1,235.70 27200100000 Framing Insp
5PCT CTR 10/1/01 $98.86 27200100000 Gyp Board Insp
Susp Ceilng Insp
Total $2,632.05 Final Inspection
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 may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Permitte- / I
Sig • •ture: .J �/ �. /� _
Is ed By: L 0 '9 1' , ` . ► f � , i
Call . • -4175 by 7 p.m. for an inspection the next business day
09/12/2001 13:06 FAX 5U:359819(30 C1'1 UP' '11<iAKU ICouz
u �_i_ PennitApplication '' , : - mo t ' ' ,
B r Date maeive k 1'J o permit no.:. J , y� ..fib 3
C
t _ , ' , City o f 'Y�tgalyd proect/appl no.:
�a ) '1 rfEffilliNIMI
', Address: 1 SW hall Blvd, Tigard, OR 97223 ! Iteteiptno_: <,
C igard 1 b • DatCissued:
Phone: (503) 8 -1960 1 / � ti
' Payment type:
Fax: (503) 598 -1960 ' Casa tilt nog
1&2 family: Simple Complex: ,
Land use approval: L
TYPE OF PE• RMIT
(] 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Ncw construction 0 Demolition
0 Add- itioo/alterauonkeplacemcnt ` Tenant improvement 0 Fire sprinkledalarm 0 Other , InN
JOB SITE INFORMIATION
, . G Suite no_: 110 \<
Job address: \ 5 : bS S W 1 ' v 2S 112 0.'_D1',
Subdivision: le t / r$2* -" C 5 • Tax map /tax lot/account no.: g'DC N
Project name: Gi 11;'^i (�v`' f►.1�y_ bavr3 laN n Op �"l `-�J Ir`1r
Dcsedption and location of work on p conditions: 1�b `r IN_
01ti'NEEt • FOR SPECIAL INFORMATION, USE C1iECI:LIST
a - 1Floodplain,scpticcap�cit }•,solar, etc.)
Name: P/,el . 1 L �fh -'f'Y V�J`�� � 1 & Z fate-[ dwelling: address:17 7 od UDR dice's' r P.`I p i) 5v ►1 too y $ • State: 02 _ ZIP: ' 12 ' Valuation of work...
City: l.)11)-1A d�1'n & mail' No. of bedroomslbaths ....
pttene��• '03 •61 o -S4 Z �'ax- •� -6'ro 4114Z. Tots- number of floors
Owners mprescntativb: Bn.t L i' N dwelling area o ft )
Phone: Sob low • 5x}12 ax;5t9a b1 O F. mail:
APPLICANT Garage/carport arts (sq. ft-)
' Covcced pooch area (sq. fl-) Natne: f •q It -t�n�N 'ICI fit.► (5t2.031 P. G • z 5 D ecCt aura Ctrl- ft-) ) ---
M address: l 0�0 S./ . 1/_0212, P/n1Lw1.1 Svrit 3 . ft.) .....-..._... _ ...
Other structure area (sq. fc �•
Ci<jr. )..d•IG>; b5wfrt.x'O Statc:,b2 ZIP; �i'lo'3Cj u'radustrLallutttLtl -fx�Y•
ph : s o , ?A.A.. �t i2 Fax; TR H CIO E-mail: b ■tx CMiJta ft-Lan $ 226 h �
Valuation of wotk..- ..-- •-- •••-- •• - ---•
CO�'TRAC7 OR Existing bldg. area (sq. ft -) -
Business
name: M'°ta- • ini 5 ‹.0tvrai.,4--toti, New bldg. area (sq. ft_) --...... ....... _............
1' bib';
Address: 1 UPt? $fie`' .P1- la c) • ..)Ire. 117 Number of stones ...... 1
City: tin- lA"m — �
State: Urt o n 2 • Type of construction.... -...�. -- -•
•- •••_ ".
Phone: Sob X70 S4'% Fax:6-03•b10 E-mail: Occupancy group(s): :
CCB no.: , O 14 New: g
City, /metro tic. no.: GOoc1.b2Th Notices All contractors and subaonuactors are requited tube -•,.
ARCI117 E• CT1DESIGNER - licensed with the Oregon Cousrruction Contractors Boaid under
b e u: licensed ued to be ced in the
provisions of ORS 701 and way req d i is
-dame: 1W O h lD i t4tN1 Goz P.L. applicant
judsdiaioa where work is being performed, If the
Address: Woo S N • Lvave. •a' ..v S 1 t ''
exempt from licensing. the following reason applies:
Ci - L► - Gswt~utn State: 01` ZIP: C7 db
Contact person: AcaL 1Lv..-2 Plan no.: •
Pborte :St: 244•0552 Fax: 5o3• 44•oK•rl E-mail:
• ENGINEER $
Contact person: Pecs due upon application _
Name: Date received:
Address: Amount received $
t51y: State Please refer to fcc schedule_
Phone: . • E
1 hereby certify 1 have read and examined this application and the
Nat dt jttirdatims accept aunt rondo, V can jadsdkaion for awn hda
governing this O visa 0 Maswt -aid
attars checklist. ALL provisions of laws and ordinances g S t � tw
work will be complied wi , . w , er specified herein or not
- Endres
L Dare: / ' _ o N won d cardholder at dams m mdt can S
Authorized si �4 c.d wawa Print name:, <Jack .,o..6t3 t�
Notice: This permit application expires if a limit is not obtained within 1 b 10 days after it bas bo aeoepted es oomptdc,
/2- qD 9g,
CITY OF TIGARD BUII DING INSPECTION DIVISION MST
24 -Hqur Inspection Line: 63, i75 Business Line: 639-4
. BUP � f ZJ/ O® 33 2_
Date Requested / U ` -/ AM PM BLD
Location c e 7 ,'9-u Sul #e l MEC
•
Contact Person Ph 2-3 6 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner 1 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
p'H Ceilin
Roof
Misc:
F'
A PART FAIL
P'1"
/\\
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE - ,,
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date [ ` Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
.CI �i Y`OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 M S T
Up a 00/ C P
'_ Date Requested /0 2-3 AM .m BLD
Location Va -� f_ 1� -t1-� uite MEC
Contact Person Ph 7 2-3 67 PLM
Contractor_, Ph SWR
BUILDING - Tenant/Owner ELC
Retaining all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
• Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear I 2®4 _ 6 337.-- N o C •
Framing V 0 V
Insulation \ O- A - - ( P v1' ` e a, s
irewa
Fire Sprinkler . (0V) € 266 — v b 3S ( U" S D —
Fire Alarm CO�)El. 26 1 0 V 44
(Q. InCiLj�, .dll.r
Susp'd Ceiling
n Roof : / 2 PZ-.r ` .� - ./ l414 -3- 1\Q-C-
Final IFF-' (WLZ 2 1 - V V 7 - l.. C i U is - 5-
FAIL
g56 4 s Mg o 33 ( 4v A 3
& Slab l 0)091.) 1 260 I — 0 0 �' 7 ( T T ` ` _
Under Slab f-
Top Out
Water Service
Sanitary Sewer 1 `5 0 \� l^ ^ . ^�- ✓'
Rain Drains [,,� �/� r v �
Final
PASS PART FAIL ( L.,C� Yv\ • (
MECHANICAL
Post & Beam `
Rough In � LP r
Gas Line
Smoke Dampers
Final
PASS PART FAIL � S
ELECTRICAL / •
Service r
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk 2
Other Date 0)7: > / 61 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION " r
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �
C M y ST
UP 6 Od
pate Requested /a —/' AM PM BLD
Location / LS ? o 5 74 ,1J-2_ Suite J/d MEC
Contact Person Ph 20 5 2.3 • 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F'•
O� PART FAIL
=-� 11 ' BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /,
Approach /Sidewalk Date
Other / 0 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF - TIGARD .BUILDING INSPECTION DIVISION 2U i <2 ;l
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 2-ee 0 0 33
Date Requested l / AM PM BLD s,
Location /5 - 2 ``- I CJ - Suite // MEC 2 0 (CC 3 3 7
Contact Person Ph D Y' Z 3 6 7 PLM
Contractor Ph SWR
BUILDI Tenant/Owner ELC
all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
-ire Sprinkler
-ire • arm
Susp'd Ceiling
Roof
Misc:
+`
"AS v PART FAIL
BING /
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA `�
Approach /Sidewalk Date // w / Inspector Ext
Other
Final
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.