Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00071
DEVELOPMENT SERVICES DATE ISSUED: 6/14/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134BC -00300
SITE ADDRESS: 12240 SW SCHOLLS FERRY RD
SUBDIVISION: GREENWAY TOWN CENTER ZONING: C -G
BLOCK: LOT: 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 102,000.00
Remarks: Tenant improvement
Owner: Contractor:
BPP RETAIL LLC MARKET CONTRACTORS LTD
BY BURNHAM PACIFIC PROPERTIES 10250 NE MARX ST
ATTN: JOHN WATERS PORTLAND, OR 97220
SANK one DIE GO, CA 92101
Phone: 255 -0977
Reg #: MET gg
5
FEES LIC REQU IRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 2/25/2004 $488.87 Sprinkler Permit Required
[FLS] FLS Pin Rv 2/25/2004 $300.84 Plumbing Permit Required
Framing lnsp
[BUILD] Permit Fee 6/14/2004 $752.10 Gyp Board Insp
[TAX] 8% State Surchan 6/14/2004 $60.17 Final Inspection
Total $1,601.98
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: seZIVIZt �
Permittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
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!tire Alm
• Bu Permit ( . ' t JEp i'oR OFFICE 11SE. ONLY
City of Tigard Received ._, YAI ' M oeu 7/
13125 SW Hall Blvd., Tigard, OR 97 2 5 2004 Plan Revi
Phone: 503.639.4171 Fax: 503.59101 % i + DateBy: � %s•4 � 5SJJ der Permit:
Inspection Line: 503.639.4175 CITY OF TI GARD ''� I .. Date ReaayBy: kris: El See Attached Checklist for
Internet: www.ci.tigard.or.us I sION Notified/Method: l a, Supplemental Information
BUILDING DIV
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
NI Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for -
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�: �..;:�;' A” u .��s< ?�;��� work indicated on this application.
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❑ 1- and 2- family dwelling 0 Commercial/industrial
Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms: .
❑ Master builder ❑ Other: Number of bathrooms:
J $ *ST E TI!IFOIJ
R1VfA t x Y L'? t` ”'
" 'x Total number of floors:
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Job site address: 1 Z 2 40 5. t.J . se. ijel I3 r RY 120A New dwelling area: square feet
City/ State/ZIP: j 6P R O 0R EGd'4 Garage/carport . square feet
Suite/bldg. /apt. no.: Project name: RaTL A t D gerAnn6.-t_ Covered po area: square feet
Cross street/directions to job site: Deck • -a: square feet
0 er structure area: square feet
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Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all 1 ”
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
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work 1 on cation.
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DE to No 14 STQu�ul2AL walls Valuation: $ O Z O Q O ---
Existing building area: 172 7g square feet
REc.dcaTE PlOAR1444GY /N Sr012E
MAd C,.e -e(e evrlpkore u^ d PFtG . — RE &FrulZE Sl�'2E ., New building area: .--,01---- .--,01---- square feet
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Name: R r r a . Alp ( , p p tud s $) Type of construction: 3 N ', \
Address: 15-35.-0 $.c.4. sc. PA 2.IGwAT # 35?7 Occupancy groups:
City /State/ZIP: RI2TLA-N0 1 OiL, 97$.2 4 Existing: M CI,F
Phone: (52 3 ) 624.5 Fax: (So3 )1'64 • c/773
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on r actors and are required $tee► / EKA A Rcll ITEM?" 5 `� All co tr ors subcontractors q ���'
Business name:
Contact name: me--, IL. LEE licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 77 S 5 4J. 111 rN AVE 5-r'E ZO jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
g EAVEIET ag 4 7 o.g apply:
Phone: (03) 4 +4. ZzZ Fax:: (93) 444.- G s---4, 7
E -mail: E/cp.. a rEL,EPO T. c.Aii
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Address: l jZ5Z) I-1/4.y -1"-- Please refer to fee schedule yr 97
City/ State/ZIP: Pro, D 2. 97 2-?-c) Fees due upon application •5t Er e ,
Phone: ( ) e —O 1 7 77 Fax: ( ) Amount received 4 7 gq ? 1
CCB lic.: 4 e, ,
Date received:
This
Authorized signature: /�`�� permit p a mit ine
e0:7 �, within 380 days aft application er it es has been ires if accepted per is as not compleobtate. d
Print name: .. C a. Date: 2 /e �/ — * Fee methodology set by Tri -County Building Industry
Service Board.
i:t Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
. � BUP o?40 '4 — 000 7/
Received Date Requested / AM PM BUP
Location / = i /i / / ME ✓�l°:i A? 4,. ,/
Contact Person 4 Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ,R. 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 r"~
Fire Alarm &Mr
Susp'd Ceiling o _W
Roof fV�
Ot : •
016r
• A PART FAIL
UMBING
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
Sjnoke Dampers
PASS PART FAIL
ELECTRICAL ■11111■
Service
Rou h -In ,l • / � "■ -
.•w'/ MI / Vv�'_r :
UG /Slab la
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