Permit '" BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2003 00628
ii ick DEVE SW i LO B r MENTSERVICES ) 639-4171
DATE ISSUED: 10/27/03
SITE ADDRESS: 10575 SW CASCADE AVE 120 PARCEL: 1S135BB 00501
SUBDIVISION: ZONING: I -
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: $ 650.00
Remarks: Relcoate /add (6) sprinkler heads.
Owner: Contractor:
AMB PROPERTY L P MCKINSTRY COMPANY
BY TRAM ELL CROW NW INC 5400 NE COLUMBIA BLVD
8930 SW GEMINI DR - PORTLAND, OR 97218
BEAVERTON, OR 97008
Phone:
Phone: 331 - 0234
Reg #: MET 4
00001179
FEES LIC REQUIRE INSPECTIONS
Description Date Amount Sprinkler Rough -
[BUILD] Permit Fee 10/27/03 $62.50 Sprinkler Final
[TAX] 8% State Surchart 10/27/03 $5.00
Total $67.50
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:
I
, f �,.... ./ ,Z
Pe rm ittee
Signature: ��c av/
Call 639 -4175 by 7 p.m. for an inspection the next business day
OCT -22 -2003 14 45 MCKINSTRY CO ' 503 331 6906 P.02
i Building Permit Application I( I. l I )\ ,
, . City of Tigard Date received: /e ;
. IM M
�� , . ;.
City of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Prolecr/appl. no.: Expire data:
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
I11'1 U1' i'ii • i11
❑ 1 & 2 family dwelling or accessory CommerciaUindustrial ❑ Multi- family 0 New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement (Fire sprinkler /alarm D Other:
1011 s11'1' 1. \I t /RM.\ [ION
Job address: 0 s 75 CAS Ok Gam' g LV C Bldg. no.: Suite no.:
•
Lot: Block: Subdivision: Tax map /tax lot/account no.: / 5735/3 d - PO 6r0
Project name: C • j E AcV ,; �.
Description and location of work on premises /special conditions: P - LDCA ' 0 0 (0 ► /N ∎ L.0 i2 RE I
(111 \Iit toll ..Ph \1. \IUR\1.\IION. lSI.. (lil.tId LSI
Name: wad /3 - L, Ay er & 4,P. (I lo„tlplpiii,,epticcApach∎.: il:1r,cil'_
Mailing address: C/ Tr a r•v, rnr_( I C'cc „,_1 5 e r✓ i c.c s ..Z .c.___, 1 ,' - , y dwelling:
City: Sit.) Casc• sod B i/fn State: 012_ ZIP: '7ao b' Valuation , ork
Phone: Fax: E -mail: No. of bedrooms • s
Owner's representative: .J a,.,;,� C95.t ti�.,.d Total number of floors
Phone: &e./4/- '4. Fax:52u- we c) E -mail: New dwelling area (sq_ '
. \1'1'1 1(' 1 \1 Garage/carport are: -q. ft.)
Name: 1 av Co e-n yi s r-i 0._C-i-i a Y . \ Covered po • area (sq. ft.)
Mailing address: gL2 s [z) sec , ec_c1 ,5 u Deck . • , (sq. ft.)
City: '73 e;cc,J er-fvti -,
State:U,' ZIP: 5'7a6 g/ a t er structure area (sq. ft.)
Phone: zG - !a f Y Fax: 6c/c/-.314/ Z E -mail: CotndnerelaIIlnduetrla 11 /nau1H family: &Z 6 B 0
l ' ON 11t 1( "1 (1 It Valuation of work
Existing bldg. area (sq. ft.)
Business name: mc141111bTi2y CO.
Address: do Nt * LbM z /A 8L-110 New bldg. area (sq. ft-)
r r� 0 � � Sta OL Type o f of stories
Phone: 565, 3 . , 02 Fax: 33/.&50. E -mail: Egigazarm
Type of construction
CCB no_: • i Occupancy group(s): Existing:
New:
City/metro lie. no.: i t / 7 i• Notice: All contractors and subcontractors are required to be
.1114 III 11(' 1 /1)1..til(.N4 licensed with the Oregon Construction Contractors Board under
Name: — Z Des , j provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: 4(¢ , , Plan no.:
Phone: p - 5-26 -062 Fax: E -mail:
I'\t,l \1 1 iii FR I' 1 til` ()\I:\
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received S
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all Juritdicriono ecoopr o edit cards, please call jurisdiclioa for mac Inrormacon.
attached checklist. All provisions of laws and ordinances governing this CI Visa ❑ MasterCard
work will be complied with, whe er specified herein or nor Credit card number: _ /
puns
Authorized signature: J am- Date: /0-22-`03 mo - 03 Na of cardholder' aa shown on croak cued
Print name: CLJFia $
Cardholder' ngoaaue Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (sroaCOM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 7 '° °d6
Received Date Reg AM PM BUP
Location f &S 7 ( s G__- Suite l MEC
Contact Person Ph ) PLM
Contractor Rvf2 hn ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
I_
Fire Sprinkler
Fire arm
Susp'd Ceiling
Roof
PASS PART FAIL ; — � _ I 11111V ►
PLUMBING
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
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 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: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL