Permit BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2003 -00441
DEVELOPMENT SERVICES DATE ISSUED: 7/23/03
1 II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07007 SW CARDINAL LN 185 PARCEL: 2S112AD 01000
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: 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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 40 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: $ 18,000.00
Remarks: TI New walls for office space.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300
TIGARD, OR 97224
Phone:
Phone: 624 -7717
Reg #: LIC 41328
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 7/23/03 $216.09 Electrical Permit Required
[TAX] 8% State Tax 7/23/03 $17.29 Framing Insp
Susp Ceilng Insp
[BUPPLN] Pln Rv 7/23/03 $140.47 Final Inspection
[FLS] FLS Pln Rv 7/23/03 $86.44
Total $460.29
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 of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By:
Pe rm ittee � 4
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application OFFICE USE ONLY
�+. � Date received: 7- ?j_ 0 Permit no.:,� .,` _U 0 �. I
r ��f { - City of Tigard P
Y ' : s ��� i 1 project /appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 JUL 2 3 2003 Date issued: Byl 19 Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
CITY OF TIGARD
Land use approval: RI if, t ING nn ,,0iv l &2 family: Simple Complex:
• . TYPE OF PERMIT - .
❑ 1 & 2 family dwelling or accessory mmercial /industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition / alteration /replacement t.0 improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION - .
Job address: 7 S Inv Card 'pu , L e _ ;- ig =Mil Bldg. no.: /p Suite no.: le,
Lot: Block: Subdivision: Tax map /tax lot /account no.:
Project name: C_ow1 • t., ov► W co,. (-('!.t £a- ( - - Set/0 G2 7: •
Description and location of work on premises /special conditions: 14 ,' ' %t a Sen. , r B , - L L . —
' w
.- e. (cam I / J '' l/[� -° I I -. � i f
KA�.
_ ' , .0 ' ce- _ - - - -
OWNER FOR, SPECIAL INFORMATION, USE CHECKLIST
Name: ■ a r (Floodplain, septic capacity, solar, etc.)
Mailing address: g 50 St,J S` ., - « Pkw 'f- - 1 & 2 family dwelling:
City: or t'(a „ State:GYZ ZIP: •• - m'.• - Valuation of work $
Phone: $03 42.1. 4 00 E -mail: No. of bedrooms /baths
Owner's representative: OP. p or, - ; Total number of floors
Phone: — Sat. iM e- Fax: — Sou vii, e- EMNFligiMFAI New dwelling area (sq. ft.) I
' APPLICANT Garage /carport area (sq. ft.)
•
Name: -.. 04,,,,,‘ ,e,,- r. Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial /industrial /multi- family:
CONTRACTOR Valuation of work $ r /b / Ao0. ao
• .
Existing bldg. area (sq. ft.) (G 3 - 43 t.
Business name: 7 f . L. 6r,,Q,2 New bldg. area (sq. ft.) 14 `Q.
Address: C "0 ,S',, ) 5- etis, 4%,.... ► w ' 3
Number of stories 510662.
City: or 1 la Q State: Ott EMINEEMPAI
Phone: 5 Gl '. 77/7 Fax: E -mail:
Type of construction I/ ill SpY'lrth(t
CCB no.: /32-5 Occupancy group(s): Existing: e
City /metro lic. no.:
New: $
Notice: All contractors and subcontractors are required to be
. ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: Al i- (-� a 'Aso" of ORS 701 and may be required to be licensed in the
Address: /6 g Sw S - L.
O0 jurisdiction where work is being performed. If the applicant is
Cit 0 State: 'IP: IP: exempt from licensing, the following reason applies:
Contact person: X - Plan no.:
Phone:5"0 3 G 2 , 1 . 4 3 . 0 Fax: (p2(.71625—
ENGINEER OFFICE USE. ONLY
Name: kt it. 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 accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with whether specified herein or not Credit card number: I /
Expires
Authorized signature: / Date: 7 2 $10 1 Name of cardholder as shown on credit card
Print name: / ►'L 4 r- T 1. /f0. K s • v.% Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6 /00 /COM)
(e) b t t,t, l42tH - - k0-4 : a4 4 5e
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AA /n AM PM 42■5 —° L- J
Location 1 7 06 7 o` nex,Q kin Suite /R S MEC
Contact Person Ge"^`r Ph ( ) 3S& -S~3? PLM
Contractor axe__ Ph ( ) SWR
Tenant/Owner 7;047— ELC
l-oofing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing /"e l q L g /IL) PF+c. L r f L
Insulation by S ,O,
Drywall Nailing / IC
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Ot er:� r' d � .60 3 c(0
U
•
S PART FAIL
PLUMBING -oU 39
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
Z \s_.)
Post & Beam
Rough -In •
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line `
ADA /
/ C (63
Approach/Sidewalk Dat® In spector �_f ` Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL