Permit , I. ' .
A CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2004 -00430
� � DEVELOPMENT SERVICES DATE ISSUED: 9/9/2004
--- '� II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 105 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 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 9 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: $ 11,100.00
Remarks: TI, enlarge office area.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LANE
PORTLAND, OR 97224 PORTLAND, OR 97225
Phone:
Phone: 503 - 892 -0066
Reg #: MET 00002036
FEES LIC REQ6a00
WED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 9/9/2004 $158.50 Electrical Permit Required
[TAX] 8% State Surchari 9/9/2004 $12.68 F Permit Required
BUPPLN Pln Rv 9/9/2004 $103.03 Framing Insp
[BUPPLN] Gyp Board Insp
[FLS] FLS Pln Rv 9/9/2004 $63.40 Susp Ceiing Insp
Total Final Inspection
$337.61
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 -. S • rough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli • • (503) 246 -•: • • or 1- 800 - 332 -2344.
Is ed By: , 1 ; !•
_a.01.
Perm! = - / A►
Signature: ir� :r ! , ..-,4 � .■
/
Call 639 -4175 by 7 p.m. for an inspection the next business day
y .. -
Building Permit Application A = FOR OFFICE IISE
City of Tigard N. Received Fif� g/ �� ' Date /B :
13126 SW Hall Blvd., Tigard, OR 97223 Plan RevieN ' Du
Phone: 503.639.4171 Fax: 503.598.1960ir IC I' Date /B : �7 Other Permit: Inspection Line: 503.639.4175 Date Ready /By: r See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: I/ Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
•
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION • work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling Commercial /industrial
Number of bedrooms:
❑ Accessory building ❑ Multi- family
El Master builder ❑ Other: Number of bathrooms:
. JOB SITE INFORMATION AND LOCATION Total number of floors:
' / Job site address: rQ'�Q SX/ 2E '6 9 � hA ^ New dwelling area: square feet
V City/ State/ZIP: 77 QA '17.Z.— '17.Z.— Garage/carport area: square feet
g P
./a t. no.: /� L".". J Gev
Suite/bld Project name: , �//�� /�✓S G i b ,� �/1��!l D/V ,e / Covered porch area: square feet
d/
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 ' L . work indicated on this application. � j ®�
4-/f09 ' ,'% o l/ - /x //..c� v Valuation: $ /or s / -'
/ Existing building area: 7// square feet
New building area: 19.3 square feet
: ;.' a ,PROPERTY OWNER : , '❑ . TENANT ,, , • Number of stories:
Name: PacTrust Type of construction: !/ 4,(/0 S �/�
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: �/'
City/State/ZIP: Portland, OR 97224 Existing:
4 �
Phone: (503 ) 624 -6300 Fax: ( 503) 624 -7755 New:
.' -ti1 APPLICANT„ • .❑ CONTACT, PERSON . NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: `jai ,/,JS" L licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe 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:
� ' C NTRACTOR �
Business name: �
7 BUILDING PERMIT .FEES*
Address: ,53 e 10/1/0 Please refer to fee schedule.
City/State/ZIP: Portland, OR '97280
-y Fees due upon application
Phone: ( 503) ,3to7 -?,/e Fax: ( 503) ` _- i iv, -40e,/ Amount received
CCB lic.: AWNS ?Q
�� Q Date received:
Authorized signature: This permit application expires if a permit is not obtained
t ... within 180 days after it has been accepted as complete.
Print name: \dO * /aV Date: qr giOl * Fee methodology set by Tri- County, Building Industry
/ / Service Board.
i:\ Building \Permits \BtJP- PCrmitApp.doc 12/03 440- 4613T(II /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING , Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST s�
BUP c= Ue) y bO ys
Received Date Requeste . /A -/ 3 AM PM BUP
Location 1660 Suite 5 MEC
Contact Person Ph ( ) 30 7 / 05 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner /7 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 a (S...T.7:4111k ����,
Roof
Other:
• SS PART FAIL
(P = ING
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: Una. to inspe t — no access
Fire Supply Line // ns -
► � ,
ADA Date ( Inspector I ' � Ext
Approach/Sidewalk P
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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