Permit 4,, ,
CITY OF TIGARD PERMIT #: BUP2003-00416
- mi � � BUI PERMIT
DEVELOPMENT SERVICES DATE ISSUED: 7/14/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CC -00100
SITE ADDRESS: 11765 SW PACIFIC HWY
SUBDIVISION: ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 36,705 sf N: S: E: W:
. TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 36,705 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 80,000.00
Remarks: Interior modifications, partitions and CMU.
Owner: Contractor:
WORLDWIDE REAL ESTATE PRECISION INSTALLATIONS
GENERAL MOTORS CORP. 12413 NE RUSSELL
DETROIT, MI 48202 PORTLAND, OR 97230
Phone:
Phone: 503 - 257 -1330
Reg #: LIC 62425 •
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require .
[BUILD] Permit Fee 7/14/03 $634.90 Electrical Permit Required
Plumbing Permit Required
[TAX] 8% State Tax 7/14/03 $50.79 Framing Insp
[BUPPLN] Pln Rv 7/14/03 $412.69 Insulation Insp
[FLS] FLS Pln Rv 7/14/03 $253.96 Gyp Board Insp
Total $1,352.34
Final Inspection
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: al, , ,`�'I
Pe mi ittee %`,,
Signature: 1t 14V1 ,
1 all „ up ,
6394175 by 7 p.m. for an inspection the next business day
•
07/08/2003 16:09 FAX 5035981960 CITY OF TIGARD 0002/009
- c)OD OO 3?
Building Permit Application FOR OFFICE USE ONLY
Building ,O 14.005
Date/By: ce / —O 3 Permit No.: -1 :::' O q/6
City g of Tigard Planning Approval Other
Date/By: No.
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: 7- q- 031/35.3 Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 �5 ""'d gp}iijl Post-Review Y LLandd Usse
Internet www.ci_tigard �
or.us s"' e - Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503-639-4175 Name/Method: 77 Supplemental Information
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New construction a oliti `;, t;: ;,f=:i% . ; :ii ..., . ,; r '1'1, , ; ; ! i� I :!i :; , 4 'c s 1 ; i ? fvl ; ;ti j,:..
Addition/alteration/replacement ❑ Other:
°' Gy yN nl `'" 1 °I `' ° • ::' :'!, ;u;::! :°r' Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2 -Famil dwellin • Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor.
overhead and profit for the work indicated on this application.
❑ Accessor Building • Multi - Family
❑ Master Builder ❑ Other: Valuation $
: ;: ,..' A: ;:li l >l ' .%1Nri'. i !1 p 'r ir'+'i '`0 :iii f).. a tic's s ; No of bedrooms: No of baths'
Job site address: / l 7CO5 5401 PAe_. Fie- /" 'Y Tl P-O Total number of floors
New dwelling area (sq. ft.)
Suite #: _ Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: e C( f3,( 05 :J- ><c-2G1y Covered porch area (sq. ft)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
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Subdivision: I Lot #: . : i ;; ; ' r.,' J q -:' r : .:.
In r l .ri:,„' , I • r'u' ,� ",w;l: -
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed indicate
n ''.'+v}.an J I L�'Cs' H•: �!*� .t:':al! > ' e value (rounded to the neatest dollar) of a ll equipment, m aterials, labor,
.�r�•+.1tYTr�� ��.'��t�i O Jl'' h1�' �IIIJ, IC�R. �C :,i:.�•' • „r:,.'A;rl..•:��.. t: �l4 :; i'__t�, th l ( ,
overhead and profit for the work indicated on this application. .
Valuation $ $° etxevez . •
Existing building area (sq. IL) "Cc 7o6
Ncw building area (sq. 3 co 7o'S
Number of storic 1
tr 67 R i , yea Ip IaF v 4' D y p -
�F `� '�: 4 � 11 I 1 1��.:Lf1.+(1.11. .P �id I i 1 S: �'��1 �'�� ��'@: @r`..��r7sll'' � .. ip ” T ype of coestruc �OII. .G.��r K �.f :/"..�u � 't rJ�J��
Name: Cr ( C'e ful2C Occupancy group s): i. /E U OF Existing: l3 A S .
Address: (12.00 NE �Mvr�T /pR to/�stNew 8 /,a2. / _
Cit / State/Zip: Fb t.- rtAvD, oft. `17 2.240
Phone: 9D3 237 ZZI S Fax: NOTICE: All contractors and subcontractors are required to be
�
1 21' .Ir,, t T;t*.,h�,� �i.,�i licensed with the Oregon Construction Contractors Board under
�, it :r � ; vt, a : �' .' II. :. I! .,;11 I1I$ ', ::I.(' I .' J. �52 : provisions of ORS 701 and may be required to be licensed in the
Business Name: CAP.44 i' 1.1.4 .T Aa.e jurisdiction where work is being performed. If the applicant is exempt
Contact Name: e40 . f '.f S1/ ( from licensing, the following reason applies:
Address: 32 $R, Kw &Ps' AYE.
City /State/Zip: J RT[.ar<'O at2- ' 9 720 ?
Phone:505• Zi43-Zz52 I Fax: so refs- 3c Q. f •. I 1 �" , , ''>;^.,, =u' a
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E -mail: Lg. •. .7$1P.:•1 V I i Sri '.i f ri. a dl C � i :i ol y (I !.' 1 Ii,. i,"
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Business Nam �cl \c4. �r,� , ct i i Fees due upon application $
Address: t 2A V (( r vJ e
City /St e//Zip;6 6 1Z ?. O Amount received. $
Phone: 1 ) 4g / - 4 i 1 Fax: �� 2Ps 7 ' L d 2 Date received:
CCB L . #: (Q Z 4 Lr
Authorized �j Notice: This permit application expires Ir permit Is not obtained within
Signature: 5F-04P . ---- Date: 7- -t • e=" ISO days after it has been accepted as complete. •
/K/K « e5 *Pee methodology set by Tri- County Building industry Service Board.
(Please print name)
r Dsta\Permit Forms\BldgPermitApp.doe 01/05
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
ti BUP 3 r(
Received Date Requeste , - / 3 � AM ✓ PM _ BUP
Location l 1 Suite J ' $ MEC
Contact Person J v"►'• Ph ( ) 1 187 - 4 / 40 ‘--C - 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner C. 6.t/1-62- ELC
Footing
Foundation
Ftg Drain Access' /4d J� ELC
L�� / r 3 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int • eath/Shear
•' . all aili •
Firewall
Fire Sprinkler
Fire Alarm s �-� eo o �1 5 a M/ s C Q-'- ' S •
Susp'd Ceiling _
Roof
Other:
Final
P. SS PART FAIL
F 'os :1
Uncle
Roug
Water 'ervice
Sanit. ' Sewer
-
Rai 8 r.. ns
Ca h Ba in / Manhole
S • rm Dra
ower • — <1
'they: Moll'
F,, _
''IA PART FAIL
� NICAL —
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 LI Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7/(C) � Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site. I
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
-� BUP O 3 — /1 o
Received 70_3 O Date Requested . /0 3 AM PM BUP
5
Location I 6 �I 15LE MEC ,
!�'f (rn ,5" W ?/461 Pit' MI. Suite /
Contact Person / 6m P) O h LE& h ( ,5D3) %) - lit 57 PLM I
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
In eath/Shear
,Framin
`insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm �` • S'- 7 ,, 0
Susp'd Ceiling
Roof
Other:
• / C' g� .
SS1 PART FAIL •
BING •
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 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7A V/d 3 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP 3 (1/
Received Date Rer ested Y AM M BUP
b
Location _ ' - Suite MEC
Contact Person 'T � n1 / Ph ( ) g� T d 5 7 asp 3- O 3 6 '2__
Contractor /
/Phh ( ) SWR
BUILDING Tenant/Owner £ 0- 2 � • G ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
•_ •
(0 PART FAIL
BING
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 1=1 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 �f
ADA Date v (23(a 3 I ns I nspector Ext
Approach/Sidewalk p
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL