Permit . . .
C ITY OF TIGARD BUILDING PERMIT
A„,,,,A • PERMIT #: BUP2004 -00224
�� DEVELOPMENT SERVICES DATE ISSUED: 5/18/2004
s= „I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 290 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 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: 2 -1HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 32 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: $ 39,500.00
Remarks: Tenant Improvement
Owner: Contractor:
PACIFIC REALTY ASSOCIATES C.A. GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA PKWY. #300
PORTLAND, OR 97224 PORTALAND, OR 97224
Phone:
Phone: 503 - 624 -7717
Reg #: LIC 156496
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 5/18/2004 $395.80 Electrical Permit Required
BUPPLN Pln Rv 5/18/2004 $257.27
Sprinkler Permit Required
[BUPPLN] Plumbing Permit Required
[TAX] 8% State Surchari 5/18/2004 $31.66 Framing Insp
[FLS] FLS Pin Rv 5/18/2004 $158.32 Gyp Board Insp
Total Final Inspection
$843.05
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: j J '
Permittee
Signature: /l�,/� //// , .1/1111_
/
Call 639 -4175 by 7 p.m. for an inspection the next business day
01
•
Building Permit A lication A r = 'FOR OFFICE1JSE ONLY
City of Tigard REC ED Received ", 1 D�� ,
Date/By: L, �. Permit No . teaao L i c t(
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.595,1,9 Qf J. v Q L �,'„'1; f'' 004 ,F l � DatelBy:,§""�,'Qy���� Other Penlit:
Inspection Line: 503.639.4175 MI - Date Ready /By: runs: 0 See Attached Checklist For
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF TIGARD
BUI �InJ O W OSKON REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction �YI'E ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building 0 Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms: • JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: loops -J x ,fr 4 � 9 b New dwelling area: square feet
City/State/ZIP: 796,94A 6 4K . 9 ?2,24 Garage/carport area: square feet
Suite/bldg. /apt. no.: 1...0, name :J /RN /� Covered porch area: square feet
Cross street/directions to job site: . / / / Deck area: square feet
/45, ,/, . r — A-A /7 Other structure area: square feet Ze
• REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Ey fs - Ji L A^ 22 /i Valuation:
4/ $ ���_
/ y -,►, / ��� Existing building area: f Q�7 square feet
/ New building area: square feet
,PROPERTY OWNER, , , ' . ,0 TENANT" Number of stories: ff
Name: PacTrust Type of construction: 21' /, fAcK
Address: .15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups: 7
City/ State/ZIP: Portland, OR 97224 Existing:
Phone: ( 503 624 -6300 Fax: ( 503) 624 -7755 New:
; ' • 1 ,'.YZ APPLICANT .' ' .,., . , . • ❑ CONTACT 'PERSON , •.. ' NOTICE ... • Business name: PacTrust All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy. , Suite 300 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: Portland, OR 97224 apply
Phone: (503) 624 -6300 ' Fax:: ( 503) 624 -7755
E -mail:
. - 'CONTRACTOR.. '. :'
. •
Business name: C. Green Company ._ . BUILDING PERMIT FEES*
Address: 15350 SW Sequoia Parkway, Suite 300
Please refer to fee schedule.
City/State/ZIP: Portland, OR 97224
Fees due upon application
Phone: ( 503 ) 624 -7717 Fax: ( 503) 968 -1686
Amount received
CCB Iic.: 156496 Date received:
Authorized signature, ,r 7 , 7 0..7 ",. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name. 49 • 47 r • 1 - f / / /$e Date: . 4" . ./M-1210 4 * Fee methodology set by Tri- County Building Industry
'7' Service Board.
i:\Building\Permiu\BUP- PermitApp.doc 12/03 440 -4613T(II /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
WILDING Inspection Line: (5Q3) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -417 MST
7 � 4rJ �/ _ BUP 5I -0 0 4
Received Date Re ested a AM P - BUP
Location �&SV Suite d MEC
Contact Person ■iy Ph ( )
Contractor Q P ) SWR
LD
I G Tenant/Ownerr ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: `� , 547 `2 SIT
Post & Beam
Shear Anchors Wt'(.C,it •
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
� 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 R
Service
Rough -In �- , a AIP■'
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 Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL