Permit . s
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2001 -00101
ALN � ,, DEVELOPMENT SERVICES DATE ISSUED: 3/29/01
�'' �---' 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 07342 SW KABLE LN PARCEL: 2S112DC -00200
SUBDIVISION: OREGON BUS. PARK III ZONING: I -L
BLOCK: LOT: 003 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 4 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: $ 6,100.00
Remarks: Commercial TI.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES IN LINE COMMERCIAL CONSTRUCTIO
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 5837
PORTLAND, OR 97224 ALOHA, OR 97006
Phone: 892 -2500 Phone: 642 -5117
Reg #: LIC 51880
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PLCK CTR 3/22/01 $71.83 27200100000 Framing Insp
Gyp Board Insp
FIRE CTR 3/22/01 $44.20 27200100000 Susp Ceilng Insp
PRMT CTR 3/29/01 $110.50 27200100000 Final Inspection P9EID
5PCT CTR 3/29/01 $8.84 27200100000
Total $235.37
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
1
Permitee
Signature: Lett / j .. .d
/ Q/
Issued By: / _ /_
Call 639 -4175 by 7 p.m. for an inspection the next business day
",1-2.7
Building Permit Application
Date received: -3�Z 2/d / Permit no BG(/ 4g /_ j') /0 /
1 b�y ;in City of Tigard
• "`= Project/appl. no.: Expire date: �J
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
• Phone: (503) 639 -4171 Date issued: • By: Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type: N.
Land use approval: ( 1 &2 family: Simple Complex: -
TY'I'E OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction 0 Demolition
U Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
..sk Job address: `' _ _ _ Bldg. no.: Suite no.:
Lot: `• Block: Subdivision: Tax map /tax lot/account no.: C
Project name: N 0 S r C G i s •. iL
Description and location of work on premises /special conditions: t nF ) 2 ,& o/ c
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
i (Floodplain, septic capacity, solar, etc.)
Mailing address: � / - 1 & 2 famil dwelling:
State: ZIP: Valuation of work $
Phone: • -. Fax: E -mail: No. of bedrooms/baths
Owner's representative: L 't✓ C. 0' Total number of floors
Phone: - _ New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
f _ Covered porch area (sq. ft.)
lirrihil Deck area (sq. ft.)
lea
State:p ZIP: �- ! `' Other structure area (sq. ft.)
f v
Phone: _S // s~_ Far y 30 E-mail: Commercial/industrial /multi- family:
CONTRACTOR Valuation of work $ to,, / 0 (7
Existing bldg. area (sq. ft.)
Business name: t_ ' T
Address: _ ; 3 New bldg. area (sq. ft.)
Number of stories
i = ziP: • o �n/ /
Phone: _ __ Fax: E -mail: Type of construction J
CCB no.: Occupancy group(s): E xisting: S'� 5
` • New:
City /metro lic. no.: '� Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 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: Plan no.: .
Phone: Fax: E -mail:
ENGINEER
Name: 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, lease call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ visa 0 MasterCard XPPRFP
work will be complied with whether specified herein or not. Credit card number: Expires /
/
Authorized signature: Date: ..?-.2. 7 —0 I Name of cardholder as shown on credit card
Y Print name: ` e, 5 7�--- $
.. J Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days ale .it Ills been accepted as complete. 440 -4613 (6/00/CO f)
\Y GI) l C qkli
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
TYPE ®F SUBMITTAL t laps
414,; KEY:
. Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
•
•
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
•
P (New, Add or Alt) 2 P = Plumbing •
E (New, Add, or Alt) 2 E = Electrical •
New = New Building
Add = Addition
.Alt = Alteration to existing
building
•
• *For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
•
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EXPLED
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