Permit .. CITY OF TI Gib R D BUILDING PERMIT
PERMIT #: BUP2003 -00627
is al DEVELOPMENT SERVICES DATE ISSUED: 10/27/03
"" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10575 SW CASCADE AVE 120 PARCEL: 1 S135BB 00501
SUBDIVISION: 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: 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: $ 58,585.00
Remarks: TI new walls and restrooms. •
Owner: Contractor:
AMB PROPERTY L P RAVEN CONSTRUCTION
BY TRAMELL CROW NW INC 8625 SW CASCADE AVE STE 510
8930 SW GEMINI DR BEAVERTON, OR 97008
BEAVERTON, OR 97008
Phone:
Phone: 503 - 526 -1088
Reg #: LIC 63403
FEES REQUIRED INSPECTIONS
Description Date Amount Framing lnsp
[TAX] 8% State Surcharl 10/27/03 $41.60 Gyp Board Insp
Final Inspection
[BUPPLN] Pln Rv 10/27/03 $338.02
[FLS] FLS Pln Rv 10/27/03 $208.01
[BUILD] Permit Fee 10/27/03 $520.03
Total $1,107.66
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: 4....."--e. 40
Pe rm ittee _
Signature: __ J ,�
Call 639 -4175 by 7 p.m. for an inspection the next business day
v •
Building Permit Application OFFICE; US ONLY
- D ate received:: - c � )I t9O 2 -7
,��1�� City of Tigard RECEIVED � 3 Permit no.:
Project/appl. no.: Expire date:
Address: 13125 SW Hall Blvd � C Ti ard, OR 97223
City of Tigard } issued: B Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Date Y j� Recei P Case file no.: Payment type:
OF 2 7 2 003
CITU TIGARp 1 &2 family: Simple Complex:
Land use approval: 8t11LDIN(; OIVI8tON
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi- family ❑ New construction O Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION .
Job address: /c)57... 5 w v SC a_„/ 61 v-`I. Bldg. no.: / Suite no.: / 2 p
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.: / S/ .350C- Gc 0
Project name: 6 3 Off.. .
Description and location of work on premises /special conditions: 5 , eri c,r z,( Vnr pc) s e_ Cr/ 7 w �u :- p r 0S - e e tt try
�Gv7 2,k
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: fl 8213 p rop e x 4 . P. (Floodplain, septic capacity, solar, etc.)
Mailing address: % r a m m e_1 l -t r a w Sz r d. e s n c. 12 fafamily dwelling:
City: �s� Sw C a ad e, - 5a0 I Statepje I ZIP: 9 700 n £f Valuation . oEwork '/
Phone: ea.rer ton 'Fax: I E -mail: No. of bedrooms /baths
�
Owner's representative: J a,; z Us f ? r el Total number of floors '--
, G
Phone:, Fax:503- 5 - E -mail: New dwelling areas ft.), "
. APPLICANT Garage /carport area (sq: ft.)
Name: a>'e -n C S-i r uCAt o v\ Covered porch area
1� (sq. ft.) \\
Mailing address: j 5 5 Le C SCad e_, 'a..5 Decka-(s'q. ft.) �.
City:'3� a. I-o v- I State:0)Z I ZIP: 9 706 f O her structure area (sq. ft.) \-..,,,,,_
Commerciallindustrial /multi- family:
Phone: ,j� 3_SZ� -7o �g Fax : ju3•bri 1 f-37yz E- mail: jh }�1.k ;ss�?aocc -rc. e .,. e ,,..,
.. CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.) fS' SS'S
Business name: 5.P a b O ✓ e__-
Address: New bldg. area (sq. ft.) .2o 760
Number of stories
City: I State: I ZIP: Type of construction 5/1/
Phone: I Fax: I E -mail:
CCB no.: &,3 yLp j Occupancy group(s): Existing: B
New: fR
City/metro tic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: T ,, 1 . De s t c ii provisions of ORS 701 and may be required to be licensed in the
Address: 7 . B x 4 `-' jurisdiction where work is being performed. If the applicant is
Ci State: I ZIP: 7 exempt from licensing, the following reason applies:
ty: �2a,/Pr 1-ur� of `� 675
Contact 1.._,;,,a. - a S Plan no.:
Phone: jo3 -526 -0 622_ Fax:57y E -mail:
ENGINEER OFFICE USE ONLY
Name —__ Contact person: Fees due upon application $
Address: Date received:
City: State: 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: / /
" � Expires
Authorized signature:. � ..- - C� Date /c 2 V' U s' Name of cardholder as shown on credit card
Print name: J J. H61-011 (C i s...5 S
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)
/ CITY OF TIGARD 24-Hour ( our s 440 5, d0
BUILDING Inspection Line: (503) 639 -4175
ziT
INSPECTION DIVISION ,Business Line: (503) 639 -4171 I
y 1/
BUP 2 0 ea2a
Received r Date equested A M PM B 1�!! /��% i
Location (0 575 ca 'exit Suite / 2—,O MEC
Contact Person T1'e '- - Ph ( 5'7 3) �� /1 g g PLM
Contractor h ( ) SWR
� ll J
6 Tenant/Owner 4 4 1rn/7 4 7 L r ELC
Footing
ELC
Foundation
Access: /
Ft Drain �`,,'
Crawl Drain G-a, ix j-i� ,3 �° �°� ELR
Slab Inspection Notes: / 4 : /� J f � i i , / SIT
Post & Beam +'!G� Ait�J fir? �C/I
Shear Anchors 6 G
Ext Sheath/Shear
Int Sheath/Shear
Framing �
Insulation �2,� ;2f203- to 4 g 60 �`- i► �k L2,-0
Drywall Nailing 1 / -
Firawau 59 ' /( /) l.!//kr ' �!� J S.
ir prinkler
Fire larm
Susp'd Ceiling / ,
Roof l/Gfi 0 %1A � - �' lex.� / : 0 -0-7/k 7Z�etGti'
Other:
PASS PART FAIL L / jug / T' � � -0 �� 9 -C' )
PLU 1' - ING a
ost & Beam
Fe_ i Se G V "F��-� C � J - , 6P -pk W KL Under Slab l
Rough -In ��� I K ilxl_ In �� /
Water Service t t� f�Y l�
Sanitary Sewer
w 7 �` �- ; -- '� � i,=�'
Rain Drains w W
Catch Basin / Manhole
Storm Drain I
Shower Pan
Other: ��
Final Att
PASS PART FAIL /� �'.
MECHANICAL, � � �•
Post & Beam I ' .
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 , ext inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please cal or r= 'nspection R r : 1 \ 0 Unable to inspect — no access
ADASupply Line dirge
Approach/Sidewalk Date `� Inepecto. Ext
Other:
Final DO NOT • EMOVE this inspectio record from the Job site.
PASS PART FAIL