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Permit /i/o1 �n - 7d . / ,O�c _. �/ » / LDIN CITY OF TIGARD BUI GPERMIT PERMIT #: BUP2004 -00008 i D E VELOPMENT SERVICES DA ISSUED: 1/9/04 - � f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 06650 SW REDWOOD LN 180 PARCEL: 2S112DA 01400 SUBDIVISION: PP1996 - 048 ZONING: I - 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 - HR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 3 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: $ 11,000.00 Remarks: New interior & corridor walls to create new suite. 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 $91.30 Electrical Permit Required [TAX] 8% State Surcharl 1/9/04 $7.30 Sprinkler Permit Required BUPPLN Pln Rv 1/9/04 $5 9.35 Framing Insp [BUPPLN] Gyp Board lnsp [FLS] FLS Pln Rv 1/9/04 $36.52 Final Inspection (additional fees not listed here) Total $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: Az,-7,4"..- ..7d..." - \ii___---iie Pemiittee i ,/� `,A,A Ap1 / - Signature: y i Call 639 -4175 by 7 p.m. for an inspection the next business day 4( .I.° ljLe-/Z- L-/-0660 /6o /49A__, * R gPerm tApp - ,u, j �� •{a of T , •gard ° Date rec eived: / ; O % Pernu ; / , cI City i ; City ogard Address: 13125 SW Hall Blvd, Tigard, OR 97223 �ject/appl.no.: deli � date: . Phone: (503) 639 -4171 Date issued: i '/ Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: TYPE OF PERMIT 0 -1 & 2 family dwelling or accessory 0 Commercial/industrial Cl Multi - family 0 New construction 0 Demolition O: Addition/alteration/replacement k Tenant improvement ❑ Fire sprinkler/alarm 0 Other. JOB SITE INFORMATION k b address: d / � ird it P -� / i j / �•ti � Bldg. no.: _ -: .4 Suite no.: Lot -- -_ _- Block - Subdivision: _ Tax map/tax lot/account no:: - -' � - : - S *- _ ; ir Project name: Description andlocation of work on premises/special con ��tion ir - . ' .tom s /�� /J �'->7� OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: PacTrust ( Floodplain ,septiccapacity,solar,etc.) - Mailing address:_ 153 50 _ SW . S e q u o a Pkwy. /300 1' do 2 family :dN City: Portland eu1°g' - _ _ - --- - - -- - - _ ]stater OR 9722 ---- Valuation of work $ 03 Phone:5624 _ 6300 :21Fax:6:24 -775% -mail. No. of bedrooms/baths Owners representative: D e n n 1 S P a g n i Total n of floors .- • Phone: S a Me • Fax:. Same E -mail: New dwelling area (sq. ft.) APPLICANT Garagdcarport area (sq. ft) Name:. P a CT r u S t Covered porch area (sq ft) Mailing address:15 3 50 S W . Sequoia Pkwy ., /300 Deck area (sq. ft ) City: . Portland ( Stater OR l ZIP: 97224 Other structure area (sq. ft) ) 3 Phone:6 24- 6 300 Fax6 2 4- 7 7 5' E -mail: Commercialrmdustrial/multi- family: 0p CONTRACTOR Valuation of work _ Existing bldg. area (sq. 4lj�f - Business name: H. L Green ` f .) Address: 1 35 0 SW Sequoia Pkwy., #300 New bldg. area (sq. ft.) ' I. City: Portland I State: OR ZIP: 97224 Number of stori f ) 3 , Phones 2 4 - 7717 I Fax: E -mail: Type of construct .. CCB no.: 41328 Occupancy group(s): • / 'i / ./E-...o Existing: � City/metro lit. no.: New: `. Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Boaid under Name: tl o h n . R o m i s h provisions of ORS 701 and may be required to be licensed in the Address: 15 3 5 0 S W Sequoia Pkwy. #300 jurisdiction where work is being performed If the applicant is City: Portland State: 0 R � ZIP:9 7224 exempt from licens the following reason applies: Contact person: j Plan no.: 13 Phone:624 -6300 Fax{24 -775' E : - ohnr @tact, usti t.com ENGINEER Name: - Contact person: Fees due upon application $ Address: . Date received: City: State: ZIP:. Amount received $ Phone: I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all )misdicdons accept credit cards, please call juisdiction for more information. attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑MasterCard work will be complied wi w ethe s ifd herein or r .t. Credit card number: Authorized signature: i� ■/ / ., . n on credit card Expires •..,-/ G <`r! /' ' Name of cardholder as showdi Print name: N./.4 — /`N f S Caniholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (6 Vl1000M) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received / Z 4 1 '9 Date Request-y, 4 �ci AM PM BUP Location a (a 57) G &? Suite MEC Contact Person n / /� Ph (s_ ) 3 5/ - Z S 3 c? PLM Contractor v Ph ( ) SWR BU ) Tenant/Owner 6-&0 ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation , 7E Drywall Nailing c.� Firewall Fire Sprinkler Fire Alarm usp'd Ceiling oof cor FART FAIL • 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 PASS PART FAIL I I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE n Please call for reinspection RE: ' �� Unable to inspe•. no access Fire Supply Line r / to ADA 22 Approach /Sidewalk Date b` J Inspector / _ A �� 1� `� Ext Other: di Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 6 75 MST INSPECTION DIVISION Business Line: !l (5 5/ 03 * y y ' i'z Received Zy p Date Requested y �� 7AM PM t O a d Location l � � uite ! ced MEC Contact Person t Ph (6O (021) - 6 Mo PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Mr. Footing E ` rillW • Foundation Access: Ftg Drain Crawl Drain Ar Slab Inspection Notes: Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear SL A ( / K ( ) Framing / 'i 1 Insulation ��---- Drywall Nailing e in rink) ire Alarm (70 S T- (29...,,.,-..-,c___... 9 , S S .4.-- • Susp'd Ceiling Roof Other:__ 'mo FAI PLtMBI _ � ' S Lr ■ I ' - - Pos & Beam Under Slab Rough -In 4 J 'T_ 5 �/ . J / 1 2,i-$� (� � c,l Water Service ) yJV �C�CdI �--e D°-- ' Sanitary Sewer /� '•e -d � _ Rain Drains '° • Catch Basin / Manhole h.) '� s- I 5 -P ( �.� ?1 Irk Q. � Storm Drain �" Shower Pan C�,-, c� Other: Final C) �/V S c . e---ck---C - S4 " C- S PASS PART FAIL / MECHANICAL r Post & Beam ' L.- ' ' � MIFF Rough -In — Gas Line 1�/ G �� T V � -(� Smoke Dampers Final Y PASS PART FAIL C '°-° " � ,'� Q ELECTRICAL Le--e Sr–e L---CL-<e 6-YI S Service / Rough -In C171 L1e (-1.e!--e_ 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: ❑ Unable to inspect - no access Fire Supply Line f (,,� /� ` ADA �L 7i( l V (,, Approach/Sidewalk Date o Inspector Cr �� Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL (c253 ` 7/ C - D-k-f? , f,.