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Permit CITY OF TI CARD BUILDING PERMIT PERMIT #: BUP2005 -00118 4 ' 1 I11 . DEVELOPMENT SERVICES DATE ISSUED: 4/12/2005 "' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1 13AC -00103 SITE ADDRESS: 07216 SW DURHAM RD P900 ZONING: I -P SUBDIVISION: PACTRUST LOT: JURISDICTION: TIG Project Description: Installation of mezzanine. 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: : sf N: S: E: W: OCCUPANCY GRP: 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: $ 17,000.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES B & B INSTALLATIONS INC 15350 SW SEQUOIA PKWY #300 -WMI 14401 S GLEN OAK ROAD PORTLAND, OR 97224 OREGON CITY, OR 97045 Phone: 503-624-6300 Phone: 503 - 722 -8155 FEES Reg #: LIC 67419 t■ Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 3/25/2005 $134.23 [FLS] FLS Pln Rv 3/25/2005 $82.60 [BU[LD] Permit Fee 4/12/2005 $206.50 [TAX] 8% State Surchari 4/12/2005 $16.52 Total $439.85 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. j� Issued By: i - , C�I� !/ g, ��Gj Permittee Signature n p�,... Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. l dLO . Ju -67 Building Permit Appiircati_o_'n E ® ;,{ , , „n a ,. ,,, . FOR OFFICE USE O NLYr� ; „ ,µ 1 , - City of Tigard Received ■ P 13125 SW Hall Blvd., Tigard, OR 97223 Date/By / /� Q / g 601 /g y A r + n Phone. 503 639.4171 Fax 503 598 l9.60 2005 fi+QtlN /yu ' f+lt'� Plan Review Date/B Other Permit Inspection Line: 503 639 4175 c-- L Date Ready /By Jun B See Attached Checklist for Internet: www ci.ttgard or us CITY OF TIGAtiu Notified/Method. if (' Supplemental Information BUILDING DIVISION ;ss` ;_” < "' iw, - 4's; =rr:Y .aao .: 3.: t* };- . "y " ' >�vi s ., g :, ;'; �3 , ^a, , : TYPE �I =; !ORI,, n -, ". , >,. ' _ F,�> , -,�,.,� Vi a;° .�F �'�.. ��,. ;,z;: „ � ; �;.s„�, isr ,._.�,v fi �; xr RE '• LJIRED` BATA :�1= ; 'ANDiZ'FAMII�' D WELLING �,.�s�*��,.•�,,. �� . >;,��.x.e�'�:;,rs *,. „ >p>,._. �. ��: �a�: �,, z�• °A- �'t�,r_ >.�E•' �.v, r4- w ., Qcti Y - ._ _ ❑ New construction ❑ Demolition Permit fees* are based o the value of the work performed Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement it Other: equipment, materials, labor, overhead, and the profit for the F = „ iiV ` '°, .� , Er _ it6"6 �« �: �,£ �a s., a�-, �_ �,.:.`> work y;,: k , : ' P ; :i- W. .CATEGORI ;O,F GON' ,i RtJ.CTIOi;".:i ' ='.i '° indicated on this application. Ill I- and 2- family dwelling (}24Commerctalhndustnal Valuation: $ CI Accessory building El Multi-family Number of bedrooms • ❑ Master builder ❑ Other: Number of bathrooms - JOB SITE INF®R1VL4TION< °,. L %. CATION ; , : ;",' ' ' fie ' - a”: �` Total number of floors: Job site address: 7 a. 0 s , o ve k teh / L , New dwelling area., square feet City/State /ZIP: f G tt 0/ g 7 x 2 t l Garage /carport area: square feet Suite/bldg. /apt. no.: M 00 Project name: 0 -1...3 rievok_j_v(.. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet U irjati;D : Via ' A:TA' , CO V[ME RCIAII U CH ECKL'I • , • Subdivision: Lot no.: Permit fees* are based on the value of the work performed h d d l t Indicae the value (rounded to the nearest dollar Tax map /parcel no.: ( dollar) of all ,,,� . mss -,w w • equipment, matenals, labor, overhead, and the profit for the ,a `oitti` t ' - DESCRIPTIOI OF,+ WORK., , � ,` ° N ' fr�Y� :'J` `u . work indicated on this a k , '' .: =.r �,a:.r. (V ..,,, f. f� ; _':< <ca•r. i °` * *ia ,- a application. / // a/ n pz eem,-A -� Valuation $ / 70040D C� Existing building area:. /25 square feet VC New building area: `._ square feet - °;_; = PR E1 W ` `' . 'J.:' ` "` '_ii NT n t a. -', . g>i :=KaA; Number of stones: nom. � = � ;��`�'� ��������'`y� ., .., ._. .,:�. �. �'�,: Name: p al , 1 /! S Type of construction . _ � _ i h / Address. x35-0 „5� o/ �/,,� t�-f/ s -:-/e. 3dQ Occupancy groups S •- l IlL City/State /ZIP: -7--,--f Qy (jv� a � 7 72.2_ y / Existing: S- Phone: ( ) (0 7 7 el Fax: ( ) (J - Y 7155" New: , ;i `�< I ApPI;ICANT S3" ;,, t > - COI\ffii Ciis 6 ,.. f ,m0, , � , t ,,,, „, , „, ,, a „r- ;” * ";.=<S , ,... _ N ''tn=;: J ' ; ` . , -v NOT > CE , r • Business name: A./ ()IV,/ All contractors and subcontractors are required to be Contact name: h � ��� r licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed m the Address: -- 3 7 -3 ,S 01 ,-/ 4 , Q v-k, jurisdiction in which work is being performed. If the �L f G applicant is exempt from licensing, the following reasons City/State/ZIP: rj l fry p Q / ml-a / p / 4O / appl 2 r� Phone: (5 ?) (r) 9 — ? O y.3 Fax: : Sr G6 r 3 C, f / Z q O` 3 ,---(1 Q fli E -mail: 7 °� ` (��( /per ! s, { ; 3. - ,,c”` Ns ' , s =. „, _ .^ "Yi`''p? *. . .., "Y�,e .'.:°u °<'° "- � Er ,-'zx,�.`�' -;•',1 <: r - • V `'t/ s0 g ` f 6 D M , < ; , CON T " �'�i ;:>? , F . , -. #.. , ° ,i '°', h ,' , . s;-a a' :. : :, .. z' , l ;j„ ? ^:., RAGToIi » , A „. Business name: R�-6 T ti 5 .1 // t14 6 -.._ ` / �n t-' , 1' '`1- ..,'`` ip : L DIN G- PERIVI F EE S * Address: I � 1/ 0 ! I5 to l ' F 1 ©Gt C� ! / City/State /ZIP: O ,p 4 , , L / -)L J c 2 ( g io t/ Please refer to fee schedule. � Fees due upon application Phone' 3 ), - i_ e I..5 _ 5 _ l Fax:.(-U3 ) 7,9 c, ` A /3 .- �/ C 7 't Amount received CCB lic.: Date received: Authorized signature: This permit application expires if a permit is not obtained r — f within 180 days after it has been accepted as complete. Print name: de .n.41 Date: 272,1//9..c * Fee methodology set by Tn- County Building Industry Service Board , \Buddtng\Permits \BUP- Penn,App doc 12/03 440- 4613T(11/02/COM/WEB) Building Division ....•,) A ,,,, Plan Submittal Requirement Matrix Commercial & Multi - Family - New, Additions or Alterations City of Tigard REM Y4s;'�as . T .g,,.�;• ",' �9:' i �• 5 = ;,:ir.'^ — ?.. �.;: « »,.s f .., ».Y.,." a ;i . W��r •� �z�:a� F° l £gf < Plans� , c ncludes new 'add ti ri ' ands altera i o K ' a �`(I�' � , o ='' tions �'� ed - 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* a 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.\Buildmg\Forms \COM- PlanSubReq doc 12/24/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 00118 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2006 Phone: (503) 639 -4171 " "b ll uil � pgl � Inspection Requests (24 Hrs.): (503) 639 -4175 _�� INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12Alvi PAGE: 76 SITE ADDRESS: 07216 SW DURHAM RD P900 CLASS OF WORK: SUBDIVISION: PACTRUST LOT #: TYPE OF USE: PROJECT NAME: OTIS ELEVATOR DESCRIPTION: Installation of mezzanine OWNER: PACIFIC REALTY ASSOCIATES, PHONE #/ 503 -624 -6300 CONTRACTOR: B & B INSTALLATIONS INC PHON #: 503- 722 -8155 Inspection Request Scheduled For: Date: 4/22/2005 our Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 005140 -01 503.519 -3043 Y Corrections /Comments/ Instructions: Illi _ War i b_ -.- ( K - CIALL■ SW k) K UtuDev-aF I Ut ' n PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL El CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: tO Date: Phone #: (503) 718-