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Permit 1 r ? /OD-` (EPa' (Q IuCoN C.0 D A) ).13 CITY OF TIGARD BUILDING PtIRMIT PERMIT #: BUP2002 -00232 � 1 � DEVELOPMENT SERVICES DATE ISSUED: 7/9/02 '�I �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15532 SW PACIFIC HY C -7 PARCEL: 2S110DC -02200 W SUBDIVISION: WILLOW BROOK FARM ZONING: C -G BLOCK: LOT: 011 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: 5 -1 HR : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 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: $ 25,000.00 Remarks: Tenant improvement - Owner: Contractor: TIGARD, CENTER LP BUSH DECOR & FIXTURE INC 9777 WILSHIRE BLVD #609 3949 W YORKSHIRE DR SOUTH BEVERLY HILL, CA 90212 SOUTH JORDAN, UT 84088 Phone: Phone: 1- 801 - 280 -0424 Reg #: LIC 143353 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 7/9/02 $283.30 27200200000 Framing Insp Framing Insp 5PCT CTR 7/9/02 $22.66 27200200000 Gyp Board Insp PLCK CTR 7/9/02 $184.15 27200200000 Susp Ceilng Insp FIRE CTR 7/9/02 $113.32 27200200000 Final Inspection Total $603.43 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 -6699 or 1- 800 - 332 -2344. Pe rm ittee Signature: ' i / - Issued By: / Call 639 -4175 by 7 p.m. for an inspection the next business day C ITY OF TIGARD BUILDING PERMIT RMIT ar, DEVELOPMENT SERVICES DATE ISSUED: 7 9/02oo2 -00232 '�J II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15532 SW PACIFIC HWY C -7 PARCEL: 2S110DC -02200 SUBDIVISION: WILLOW BROOK FARM ZONING: C -G BLOCK: LOT: 011 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: 5 -1 HR : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 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: $ 25,000.00 Remarks: Tenant improvement - Owner: Contractor: TIGARD, CENTER LP BUSH DECOR & FIXTURE INC 9777 WILSHIRE BLVD #609 3949 W YORKSHIRE DR SOUTH BEVERLY HILL, CA 90212 SOUTH JORDAN, UT 84088 Phone: Phone: 1- 801 - 280 -0424 Reg #: LIC 143353 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 7/9/02 $283.30 27200200000 Electrical Permit Required 5PCT CTR 7/9/02 $22.66 27200200000 Framing Insp Gyp Board Insp PLCK CTR 7/9/02 $184.15 27200200000 Susp Ceilng Insp FIRE CTR 7/9/02 $113.32 27200200000 Final Inspection Total $603.43 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. S it e Signature: re: J/ 1 y --G 61/41 Issued By: _„4.4„/„.... Ai-- Call 639 -4175 by 7 p.m. for an inspection the next business day f . .7 Building Permit Application OFFICE USE ONLY Date received: r a op. Permit no.: ,7 T -0623 2, ji, City of Tigard : City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Project/appl. no.: re date: Phone: (503) 639 -4171 Date issued: B : Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: /55 , 32- S E PAC IFIC W - `l Bldg. no.: Suite no.: Go• . Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: T- Iwo rsiLE up) CESTI'LE Description and location of work on premises/special conditions: OEM O 4.1110 V OP .$ALE S A 2 1= A A./—IA, C.& IC../..0 Cr AA) b R &LA D /AO Ez1P•1C 1 /0 NS TO &La"G721cA C. Awb 0)PFUSE2 L.0 CAD ) '/S. . OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: T— MD13) (Floodplain,septic capacity,solar, etc.) Mailing address: 5 291_ sotil Co tL E6 E 1& 2 family dwelling: City :SAL - r [Ake' c It)" State:±D ZIP: 83702 Valuation of work $ Phone 8800 g. b - Fax: E -mail: No. of bedrooms/baths Owner's representative: ,"At C /CC) Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage /carport area (sq. ft.) v Name: 17AN AV An 120 Covered porch area (sq. ft.) Mailing address: 6'20 S W, F, p+1, AV E STE O; Deck area (sq. ft.) City: Pp21)A.n,o( . State: OR ZIP: q7 ZO Other structure area (sq. ft.) Phoneeo3 'f17 -?88/ Fax(So3)Z'ii v.st r Commercial/industrial /multi- family: CONTRACTOR Valuation of work $ 2 S 000 ' Existing bldg. area (sq. ft.) 2 0 2 S Business name: .4 6+4 iLco12 A+ub CON51 c fl0/`/ ' Address: '/y.2 i West ' 00 Sour/ -t New bldg. area (sq. ft.) SA wt City: Iv& s r Sot N DA State: ur ZIP: Number of stories / 2, S, Type of construction V--/ Phone:8o /- 2f�d -o�2f'. Fax:8o/ LSo-o .. E- mail:_, Dec -coA+. Occupancy group(s): Existing: M CCB no.: 3 New: M City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: CS ( provisions of ORS 701 and may be required to be licensed in the Address: 620 S.W. F P+I, AUE Sul 7d. jurisdiction where work is being performed. If the applicant is City: Pd2tLgwfl State:O . ZIP: 97 �O exempt from licensing, the following reason applies: Contact person: DA", NAU)442O Plan no.: Phonea- 3) `ti7 -788( 1=EZEZ E mail:@ a.co Ro ENGINEER OFFICE USE ONLY ,4 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, please call jurisdiction for more information. attached checklist. ovisions r 6 laws and ordinances governing this ❑ Visa ❑ MasterCard 4 ,.. work will be compeie whe ecified herein or not. Credit card number: / / Expires Authorized signature: `�� I �� +ate: 6- L 3 -oZ Name of cardholder as shown on credit card D 4 n/ N S Print name: Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00 /Cora) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP 'ad a-3 D- • Received Date Requested , i b.- UP AM PM Z � Z – 47 3 2.4 Location . 5.� Z ` . Suite C — 7 MEC Contact Person Ph ( ) PLM Contra • Ph ( ) /� _ .0 (' SWR ir r v, � DIN a Tenant/Owner < < n L- - e ELC Fo dation ELC 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 1 9 - Ste 9 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: in A — ART 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 reinspectio RE: El Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Est Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL