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Permit 'CITY OF TIGARD BUILDING PERMIT P ERMIT #: BUP2004 -00304 4 DEVELOPMENT SERVICES DATE ISSUED: 7/13/2004 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S113AC 00103 SITE ADDRESS: 07204 SW DURHAM RD Q300 SUBDIVISION: PACTRUST ZONING: I -P 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: $ 3,000.00 Remarks: Addition of fire alarm system for TI. Owner: Contractor: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 Phone: Phone: Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp [BUILD] Permit Fee 6/25/2004 $72.10 Final Inspection [TAX] 8% State Surchari 6/25/2004 $5.77 [FLS] FLS Pln Rv 6/25/2004 $28.84 Total $106.71 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: S t e Signature: ignature: Call 639 -4175 by 7 p.m. for an inspection the next business day ; y sw pu A Y�A n r P B uilding Kermit Applicati • . F OFFICE USE O " : City d k�U =u V �� Received , Y of Tigard �{ Date/By: �� Permit No.: ' +�` r 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /� !� Phone: 503.639.4171 Fax: 503.598:1960 2 5 2004 � 410,0014At �� DateB : r" ." 3 0 -/ s3 Other Pemilt: Inspection Line: 503.639.4175 Jul' c'i�" Date Ready/By: y 4 H See Attached Checklist for Internet: www.ci.tigard.or.us Girl OF 71GARD Notified/Method: - I) H -121/ dr Supplemental Information no WI I If ■I niv SIO ';5, "`.''x=.. " .. i°: m't ,Rrt ",;.=a^?.: -.t , -' �^:� . 5+. ' .,,, "° A zrit3'; ,.t,,.'r ' �l.:Y: B .:3:; °:. , .c :.x': „ �' ::- ar:" 'A � ter- � � S T IA. �i'®RK > 5 � ., ' : ! s =.�3 . REQ- M - 1 *A 2 -E: j IL ' , Y'DW ELI3NG ��,�.;. M �.�.. '��s x .a?,'� �r'�c��:. �.?��.. s.,.:tix'= =�.... ....- ..a.... .�^:.,a`.?.?a€s.;,:.�. _ -r`i:� ;i,:�' t•, Iu:.: �;:'. ts;, F.: a�4?r; a" s��`::.�.,���.s +[".r7; <�;:r.... ..._.:., . ❑ 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 : ' teNNW .,: , ggi0 r�.. iVeVf , .,ser) Id -� , , . - f ... °:,.., t . �-Y work indicated on this application. r` e `. t . `. TEGOI2Y 0 CON e I,A ,lit cw a "' t 4 ,i PP Valuation: $ ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: { �S �� .' ." 1311 �. a x a°° Total number of floors: <a�1.._$ +� 1 ,y . ._. i O R M At. O A 3 AN -v.d TION : 1 .:. W aii Job site address: 7"20 f( C Ijrrtlu e k New dwelling area: square feet City/State /ZIP: I I t ,� ` f of '? 2:2_ Garage /carport area: square feet Suite/bldg. /apt. no.: 0 Project name: Covered porch area: square feet Cross street/directions to job site: 7,2 All Ave ( 6cx-4141,0 g Deck area: square feet ✓ Other structure area: square feet R QUID AiDfAVTfCOMiM RCIr1ET CHECKT,IST 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 equipment, materials, labor, overhead, and the profit for the P101: 1 0 11,111/1" C:RIP°I' {I6r. OF WORK' � �,�� . °,., . ..,t� e: _�_ VO ° .: �'#i» / . � r�^F '� E': 3::�. ..x,.^ ,..,,_ � �u� work indicated on this application. A O I 1-1 v., o r l 14,0{4", Valuation: $ , �� Existing building area: square feet New building area: square feet ', o -;; x s°�.�,, ; t .. ashx ; :��.,�.�: "..ti U�,fi„„,'.�t� -, s ed ",�'- '� ,;` '3'� u:,��.. " � '.: x'F, t� t'. �. � �..'-"" �r�+'" x y� , ; " ":±�,�:Sw;. .:::g. , .rri^"ars� ' PROPERTY O I Ew ; .A © TENANT Number of stories: Name: V�ei I+ iC_ 4. 4) 60f , Type of construction: Address: /5 3c- e 3 e i - 4id Occupancy groups: City/State/ZIP: �1_u14 Existing: �� C Eii g: Phone: (9 6, ) F ax : ( ) New: _ ti � � ^ �.,�,',� » y` a `w ° ` �*,�.��; �..�s' �,.1 off; ill' ��'�'�°;> »�'3�"ry -ry* «, T '� � x 4 �', ¢�APPI�IG'tAIVT, =�. <'�'�,� -. �x CONT�CT�.I'ERSOIV 7 x, 771;.,efV �, a `�''.;.'�7477 ;,.,.;. Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: r.� .> . , two,. ,. Y' ,- Business name: y'7 � r 4i1,1,,,„44, y h �, '/� [ £ vs f "i�' 4 <. BIJILDIN�G E MIT FEES *` ' Address: /g'2,70 4w l�I 1 ).4 Please refer to fee schedule. City/State/ZIP: 5/4 of 71' f ' / C Fees due upon application '1006 , 7/ Phone: 4 / _ 3 Z � Fax: ( ) 6 l �' 2.1 t CCB lic.: Amount received Date received: Authorized signature: / / This permit application expires if a permit is not obtained .r within 180 days after it has been accepted as complete. Print name: �� �� Fill Date:/, - - Zo6) l * Fee methodology set by Tri- County Building Industry / /�' V Service Board. i:\ Building \Pemvts \BUP- PernutApp.doc 12/03 440- 4613T(11 /02 /COlv1/WEB) Building Division Avv o Plan Submittal Requirement Matrix 11 `=°°• Commercial & Multi- Family - New, Additions or Alterations City of Tigard e Type of Subuuttal #ofPlans_ tq%A,des newiSaddrt;<ons an ra alt tions) Requilr'ed a Atil „WNW?' AA, :op iSuyififf40:43 Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over- the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Bui lding\Forms \COM- PlanSubReq.doc 12/24/03 CITY OF TIGARD 24 -Hour BUII DING Inspection Line: (503) 639 -4175 MST INSPEtTIfv'' DIVISION Business Line: (503) 639 -4171 �f BUPc4 / 0636 Received Date Requested 7 l AM PM BUP Location 7 � 0 7 1) 4.(/,) ,A.ct/v"--/ Suite 6 30 6 MEC Contact Person 2r J , Ph ( ) 3 ' " 3 - 7,3R PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner a 6 aA . �. ELC Footing Foundation ELC Ftg Drain Access: d on � Crawl Drain � Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- "" Insulation Drywall Nailing thIMINFAIP4MgarrATMARIF/Mit, Firewall kler 're Ala m + � Susp'd Ceiling Roof Other: PASS PART FAIL PLUMBING / m ' _ , Post & Beam Un der Slab `A Vk d Rough -In s 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 AIL LECTRIC ', Yi UG/ \ir - (- 141 QT,' W Low Fir: larm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 'ASS PART SITE 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