Permit . BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2004 -00007
�� DEVELOPMENT SERVICES DATE ISSUED: 1/9/04
�- II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 160 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: 29 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 30,000.00
Remarks: TI, new walls.
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 1/9/04 $320.80 Electrical Permit Required
[BUPPLN] Pln Rv 1/9/04 $208.52 Sprinkler Permit Required
Plumbing Permit Required
[FLS] FLS Pln Rv 1/9/04 $128.32 Framing Insp
[TAX] 8% State Surcharl 1/9/04 $25.66 Gyp Board Insp
Total Final Inspection
$683.30
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
callin 6,99 or 1- 800 - 332 -2344.
Is ued By: - / , - /1 4i v
Perm! tee / /
Signature: r // 40 / -_4" /
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
BuildingFerm tApplication'
...4„
f 0 i
Datereceved: / , Permit
City of Tigard
bu ?�,. o, ,
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappi.no.: - date:
City ofTigard Phone: (503) 639 -4171 Date issued M Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l&2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/ industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration /replacement j Tenant improvement 0 Fire sprinkler/alarm 0 Other. •
JOB SITE INFORIIATION •
Job address: MEM' 'MFAIIVIWArir �� /I1,7 Bldg. no.: A i Suite no.: b
Lot Block: Su.. 'vision: Tax map/tax lot/account no.:
Project name: i ff_�2∎ f� , � � -
Description and ocation of work on premises/special con• 'tions: �i, _ Jw�i / ./.. - 'gj��
4 ' - — a % _ / 1,41,x /64 IrW1%
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
.Name: PacTrust ( Floodplain ,septiccapacit},solar,ctc.)
Mailing address: 15350 SW Sequoia Pkwy., #300 1'& 2 family dwelling:
City: Portland . (state: 0 R IzIP: 97224 Valuation of work ... $
5031 Phone:562446300 01Fax624=- 7.'/,5$ -mail: No. of bedrooms/baths
Owner's representative: De n n i S P a g n i Total number of floors
Phone: Same Fax: S a e E New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: Pa c T r u s t Covered porch area (sq. ft.)
Mailing address:15 3 50 SW Sequoia Pkwy ., #300 Deck area (s q* ft-)
City. Portland State: OR ( ZIP; 97224 Other structure area (sq. ft.)
503 Phone$ 2 4 - 6 3 0 0 Fax6 2 4 - 7 7 5' E - mail: Commercial/mdastrial/multi family:
CONTRACTOR Valuation of work $ --ite",-
Business name: -H 1. C pe{.n a. 4 _ ,. /L.i-ry Existing bldg. area (sq. ft.) 7i �lO�.e
Address: r5 3 50 SW Sequoia Pkwy., #300 New bldg. area (sq. ft.)
City: Portland. ( State: OR (z1P: 97224 Number of stor
Type of
503 Phone 24-7717 ( Fax: (E- f")
l S[P 491v Occupancy group(s): Exi sting: ,�
CCB no.: -44-3-2-8— New: 43
City/metro tic. no.: Notice: All Contractors and subcontractors are required to be
ARCIIITECI /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: John R o m i S h provisions of ORS 701 and may be required to be licensed in the
Address: l5 3 50 SW Sequoia Pkwy. #300 3 0 0 jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason
City: Portland State: OR ZIP:97224 P g °g applies:
Contact person: Plan no.:
503) Phone:624 -6300 Fax{24 - 775 E - mail: 'ohnr0 actrust l . com
Name: 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 cre cards, Pty call jurisdaion far rmre ioformatioo.
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard •
work will be complied wi w ethe s • • if • herein or , . t. Credit card amber: / /
Expo
Authorized signature: / e ` /�/ / j _ J , . ., j , V , ' f ". � ' Name of cardholder as shown oo credit card
Print name: v . %•%��'Z/ ro ` / Cardholder rignatere $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6vorCOM)
CITY OF TIGARD 24 -Hour • -*
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: ' (503) 639 -4171
UP
Received lit � "�//,‘ ll __ Date Requested _ AM PM '�
Location LP 6 % c Suite / w MEC
Contact Person 2.06kA Ph (7v3) Z&
Contractor (— 4 Ph ( ) SWR
ILDIN Tenant/Owner ELC
•
Foundation 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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
(i7Z9fr - -PART FAIL k
P I 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 reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date °,2 ' 57 L/ Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL