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Permit . . BUILDING PERMIT A,- CITY O TIGARD PERMIT #: BUP2005 -00347 Allk DEVELOPMENT SERVICES DATE ISSUED: 8/5/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102CC -00500 SITE ADDRESS: 13500 SW PACIFIC HWY 15 ZONING: C -G SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG . Project Description: Free standing shelving. Value: $3,000 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: 5N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 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 Owner: Contractor: 13500 PACIFIC CORP JOSEPH HUGHES CONSTRUCTION, INC BY CAP ADVISORS 7035 SW HAMPTON ST 38345 W TEN MILE RD, STE 170 TIGARD, OR 97223 EARMINGTON HILLS, MI 48335 vnone: Phone: 503 - 624 -7100 FEES Reg #: LIC 45645 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 7/25/2005 $46.87 Bolts in concrete [BUILD] Permit Fee 8/5/2005 $72.10 Special inspection (see pla [TAX] 8% State Surcharl 8/5/2005 $5.77 [FLS] FLS Pln Rv 8/5/2005 $28.84 Total $153.58 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 -246 99 or 1- 800 - 332 -2344. Issued By: Permittee Signature: � Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • ' /3$c0 Sw "4644 . Skew - Willi antis • Buildiu App! fw i,l - EI� �/ /E DA FOR OFFICE 115E ONL1 City of Tigard Received - _ Z ,� 13125 SW Hall Blvd., Tigard, OR 97223 111 y p ' sy Plan Review , 1 '_ • lUL 2 inn _ ;,., ; . ' /f Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Lou 1 1 �' Date/B . �� Inspection Line: 503.639.4175 ! �� Date Ready/By. NNW See Attached Checldist for Internet: www.ci.tigard.or.us CITY OF TIGA `•` Notified/Method EN Supplemental Information 016 BUILDING DIVISION TYPE OF WORK REQUIRED DATA: 1 - AND 2 - FAMILY DWELLING • New construction ❑Demolition Permit fees* are based on the value of the work performed. ` i )( Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement CI Other: equipment, materials, labor, overhead, and the profit for the 1 n CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I -and 2- family dwelling Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /4 S o cc"./ f ,, , L 6,/ j New dwelling area: square feet City /State/ZIP: / it � / 6 Q V( Garage /carport area: square feet • Suite/bldg. /apt. no.: / 5 Project name: S'./7/F,, c.v./A/ _ ln/ / C C / 4m' j- Covered porch area: square feet Cross street/directions to job site: Deck area: square feet • Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. • Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. f/reY S"Tif�t/10J•fi� A j°1,1d C f G '7 %. -- Valuation: $ 3 / �� S '_� v 1 �� Existing building area: 5 0 square feet New building area: square feet PROPERTY OWNER I ❑ TENANT Number of stories: Name: S^74C,2 Ca/b1/ - t,./ /1 L / ,tr, r - Type of construction: 5 3 Address: /(l.//," 4. L 1 54 2/( Occupancy groups: City /State/ZIP: j 7 4/ C i/i C L & oh ply/ Y7 - ?ersf Existing: ' 7 Phone:1 ) If ye - ffG` L dC Fax: (rd S h' 'c -crow- Y ? Y9 New: j / r //!,r 6 )3_ APPLICANT . ❑ CONTACT PERSON NOTICE Business name: / G- L fs2 ec't A -CG L? - e•e.G cc C` All contractors and subcontractors are required to be Contact name: 'l�r�, ,fr E Q C tit' under with the Oregon Construction Contractors Board /f7�' � ! under ORS 701 and may be required to be licensed in the Address: °f'S 70 S w R,r,e�?U/� et_ dp / T '7P-at) jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons I City /State/ZIP: A/Q T - C�.✓o. ©' �f' 72 " " apply: Phone: ( r e - 3 ) a Kr I F a x : : ) ) 2 Yr Syr f E -mail: 771,4 c "Tie- C 2E3 . Co ' CONTRACTOR Business name: --)--°6-- .<1 G 4' r - BUILDING PERMIT FEES* Address: ! 1 1 City / State/ZIP: Please refer to fee schedule. I Fees due upon application �� „ Phone: ( ) Fax: ( , . CCB lic.: /- a7(OI ✓ Amount received Date received: Authorized signature: '. ^r r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ��er� d r F a � L!sk , I Date: 7 2. r T yr • Fee methodology set by Tri-County Building Industry Service Board. i:\ Building \Permits\BUP- 77- PermitApp.doe 12/03 440-4613T(11/02/COM/WEB) 1 Building Division " III; , • Plan Submittal Requirement Matrix Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal 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. • isBuilding \ Permits \BUP- TI- PermitApp.doc 12/03 410- 4613T(I1/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: ft,JP20(I5.Q0347 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BP.i1 .016 Phone: (503) 639 - 4171 °r 4.�� Inspection Requests (24 Hrs.): (503) 639 -4175 :_— INSPECTION WORKSHEET FOR DATE: 1/30/2000 TIME: 7 :01AM PAGE: 50 SITE ADDRESS: 13500 SW PACIFIC HWY lb CLASS OF WORK: SUBDIVISION: TIGARD MARKEFPLACE LOT #: TYPE OF USE: PROJECT NAME: SHERWMN WILLIAMS DESCRIPTION: Free standing shelving. Value: $3,000 OWNER: 13500 PACIFIC CORP, PHONE #: CONTRACTOR: JOSEPH HUGHES CONSTRUCTION, INC PHONE #: 503 -624 -7100 Inspection Request Scheduled For: Date: 1/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 025913 - 01 503.604 - 20/(1 N Corrections/Comments/Instructions: LI ► :t � gel . l►rr _111 P . _ 4 I J V 1 fie ' J ❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL F R INSPECTION ❑ ADDI IONAL EES ASSESSED Inspector: Date: \ 30 6 Phone #: (503) 718 -2-4-2:5