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Permit (. CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00624 * � DEVELOPMENT SERVICES DATE ISSUED: 10/24/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -00800 SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P 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: 511 : sf N: S: E: W: OCCUPANCY GRP: B 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: $ 890.00 Remarks: Install 5 bays of pallet rack Owner: Contractor: PACIFIC REALTY ASSOCIATES SPACESAVER SPECIALISTS INC 15350 SW SEQUOIA PKWY #300 -WMI 9730 SW HERMAN ROAD PORTLAND, OR 97224 ' TUALATIN, OR 97062 Phone: Phone: 503 - 924 -4100 Reg #: LIC 88704 FEES REQUIRED INSPECTIONS Description Date Amount Final Inspection [BUILD] Permit Fee 10/24/03 $62.50 [TAX] 8% State Surchari 10/24/03 $5.00 [BUPPLN] Pln Rv 10/24/03 $40.63 [FLS] FLS Pln Rv 10/24/03 $25.00 Total $133.13 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. i Issued By: ,i Pemiittee , �_ �� ! ! Signature: - — f Call 639 -4175 by 7 p.m. for an inspection the next business day 0 Building Permit Application . Received FOR OFFICE USE ONLY Building City Date /B DateB P lannin : g /O a' 03 Permit Other � _ 2 No. L�/ /, 3-. • of Tigard Approval Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 DateB : Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1960 "'"*"10911,Y1'-' I Pos eB V 1ew Case d Use Internet: www.ci.t "__.. Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 Name/Method: Su . demental Information TYPE OF WORK REQUIRED DATA: ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING [� Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building Multi- Family ❑ Master Builder ❑ Other: Valuation $ JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: Total number of floors Job site address: /r D� .54 9.LiPU4 New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: xi -Ate) Garage /carport area (sq. ft.) Project Name: GEp 1i4l6T ,vS Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, ' S -4/-L 5- d /ct r s o f •� � overhead and profit for the work indicated on this application. - LA E I 4c. /� Valuation $ Y90. Da Existing building area (sq. ft.) / 3 ioZS New building area (sq. ft.) - 19- Number of stories S_ ar-,zR El PROPERTY OWNER I ❑ TENANT Type of construction yN Name: F34c:Ra , r- Occupancy group(s): Existing: 13 New: Address: /S7SP 55 k9 Se_,Qaepi14 tfr Z City /State /Zip: 7 etheiS ©t., 7 2 „i( Phone: - 5 773'62( -( 3 o p Fax: V Ai 77.41— NOTICE: All contractors and subcontractors are required to be DI APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board under � pro visions of ORS 701 and may be required to be licensed in the Business Name ���,�� ,/ " : r '� t e j uri sdiction where work is being performed. If the applicant is exempt Contact Name: ma : , from licensing, the following reason applies: Address: 97 AIW .e, City /State /Zi : 71(414-4.4:t t 97c2 62, Phone ;�� f< '- V i Fax: 52) &/f t -41/4- BUILDING PERMIT FEES* E -mail: p M '14 age.A.0 .4:1126-y pQt • awl Please refer to fee schedule. CONTRACTOR / Business Name: 5' 87 0 L( Fees due upon application $ Address: City /State /Zip: Amount received $ Phone: I Fax: Date received: CCB Lic. #: /if _ Authorized � 03 Notice: This permit application expires if a permit is not obtained within Signature: ate: V �7 / 180 days after it has been accepted as complete. A '-77 /ji *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) is \Dsts\Perrnit Forms\BldgPermitApp.doc 01/03 1 i ll u �� , ; .� Plan Submittal Requirement Matrix �I,j. Commercial & Multi- Family City of Tigard New, Additions or Alterations TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing - Building Fixtures 2 , Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\Building\Forms\PlanSubMatrix.doc 04/03 , .f___ IIIIIII•UI-I -I-I i i i is IT It ' I I d dill ` Q� d ��D , ` O FFICE OFFICE I OFFICE OFFICE #1 I I .� ® [111 # ® ® D 4 4 - ' 'L II' -6' x I0 -6' ' -6' x Ifd' 6' 14xlfd -6 11 -6 xl0 6 9 1 I 1 I i - — iii .1 I .a I 1 . 1 ,_ IA I 2A SA I 6A ENTRYIWAIT/REC I i 101 I I I I 1 E I 1 131 I , - FafAT 1t� co 0 O I r �! - O O �+ O I O O O I O O 1 a? 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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 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: ID, PART FAIL 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 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA /) Z Approach/Sidewalk Date F C' Z 7 / Inspector T ' Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL