Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00525
IA DEVELOPMENT SERVICES DATE ISSUED: 11/4/2004
��' I- ' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 330 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: $ 12,000.00
Remarks: T.I.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ROBERT EVANS
15350 SW SEQUOIA PKWY #300 -WMI 1200 NE 48TH AVE. STE 1250
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone:
Phone: 503 - 648 -7805
Reg #: LIC 14426
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 11/4/2004 $158.50 Electrical Permit Required
[TAX] 8% State Surcharl 11/4/2004 $12.68 Spr
gr Permit Required
Framing Insp
[BUPPLN] Pin Rv 11/4/2004 $103.03 Gyp Board Insp
[FLS] FLS Pln Rv 11/4/2004 $63.40 Susp Ceilng 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 -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:
Permittee
Signature: _
Call 639 -4175 by 7 p.m. for an inspection the next business day
.
.
a
Building Permit Application FOR OFFICE USE ONLY
ed �� /�
City of Tigard 1/ — y 7/t� Permit No. � �
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13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / u r /� (� Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 / �";k-sw /44,\ Date/By: �/ / O iD J
Inspection Line: 503.639.4175 —f1�. : Date Ready/By: to ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: j! (/ Supplemental Information
iii . � :!' _ .�lr_ - i I' - ^ I,l - :: ''SI
i A
�' 1 "��, '• "' ;r'� �' •,x2E LTII2ED DATAND - FAMILY DWELLING
i TYEE .UF; W ORK' . ,, � ' '' .., Q .. . .. .. •
Permit fees* are based on the value of the work performed.
ID New construction El Demolition Indicate the value (rounded to the nearest dollar) of all
„� Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
''
4 '• ,, .. .,, . ',a .,. .j work indicated on this application.
�_ 'ii CATEGURY_ � OF: CONS�RUC?fION< �:%' �'' �' '
Valuation: $
❑ 1- and 2- family dwelling ,r Commercial/industrial
❑ Accessory building ❑ Multi - family
Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
- . < . •, , • , Total number of floors:
'•iJ , r `! ' JOO SITE= INFORMATION: " AND; •I 0,,C4ION :'i :a:,. ' ' „y,,,' ; ;' ; ,
Job site address: 6, 6 , Q S W /2& (•., v #k 33o New dwelling area: square feet
City/State/ZIP: i c o Q 9 -Tv. Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: gx civic n Covered porch area: square feet
Cross street/directions to job site: Se c o t.1., /42,, / Red woo Deck area: square feet
F S �
/� 7( ) Other structure area: square feet
;`:REQUIRED DAB 'Ai'COMYIMERCIAL- 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
, ` ;, .. , • . , work indicated on this application.
�r I k d'
,• -, �DESCRTPTION�: O'F� • ' ,, • � . T . ;�' a p
• L
V
- 3 aluation: $ / 000. o
. t
,4 t- €�! SI -t cy.>PiLt O Qri ✓a.T.0 0 1 7
U of ft I - D Existing building area: / t 74 square feet
ad ju St144 14, g f I Iv c. , Fi.Lr Fp - c_e. . r•a e New building area: (.1, , L.... square feet
-r. g /'' TENA :; Number of stories: 2 y
Name: PacTrust ��• ;PROPERTY`OWNER'r ` !:' .. .. '�❑ .. .`. "'•.`;' N
L ' '•`` b 3 Sf'a'
Type of construction: //. A (,' j II. / H09
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups:
City /State/ZIP: Port land, OR 97224 Existing:
Phone: (503 ) 624 -6300 Fax: (503 ) 624 -7755 New: /
,' � r`� - ° ® CONTACT �PERS •y . ; i : '' i �
3t ? APPliI : l . ■iOTICE
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:
t '. C
.O l '
-, iORI �.' i , rG
:-.4- : :, .- 4._5,'•. ..
Business name: Robert Evans Co., Inc . -i ''
, ��� � BUILDING. ::PERNLIT. ,BEES* •
Address: 1200 NE 48th Ave., Suite 1250 Please refer to fee schedule
City /State/ZIP: Hillsboro, OR 97124
Fees due upon application
Phone: ( 503) 648 -7805 Fax: ( 503) 648 -5883 Amount received
CCB lic.: 14426
— Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ..,1227O //Y�/ Date: N + Fee methodology set by Tri-County Building Industry
Service Board.
is\ Building 'Permits\BUP- PermitApp.doe 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
BUP aov q — Do,7Zcc
Received Date Requested / / —° c� I AM PM BUP 2 6)0 4 -- C
Location 6 t �2 //o--6 Suite 330 MEC
Contact Person R JA't Ph ( ) 67 Q -- 302 7/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear ,
Int Sheath/Shear
Framing
Insulation
Drywall Nailing / =inisler...- l , (I
Fire Alarm . , ` ( =;
Susp'd Ceili i - — -
Roof
Othe •
PART FAIL
- ING ��-- . �.
Post & Beam ii."
Under Slab do/
.
g Ilwr v ' /
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 f r reinsp tion RE: ❑ Unable to inspect - no access
Fire Supply Line -.4161
ADA f f -
Approach/Sidewalk Date v� Inspect dL�� Ext
Other:
Final DO NOT REMOVE this inspe on record from the Job site.
PASS PART FAIL