Permit •
BUILDING PERMIT
CITY OF TI CARD PERMIT #: BUP2004 -00559
II� DEVELOPMENT SERVICES DATE ISSUED: 12/1/2004
r :W 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15820 SW UPPER BOONES FERRY RD BLD.B PARCEL: 2S112DD-00701
SUBDIVISION: OREGON BUSINESS PARK II 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: 5N : 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: $ 21,000.00
Remarks: New walls for T.I.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES A J. WEBER CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548
PORTLAND, OR 97224 PORTLAND, OR 97280
Phone:
Phone: 244 -4318
Reg #: LIC 00065238
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 12/1/2004 $244.90 Electrical Permit Required
[TAX] 8% State Surcharl 12/1/2004 $19.59 Framing dsp
FLS FLS PIn Rv 12/1/2004 $97 96 Gyp Board
Inspection
Lio
[FLS] Finallnspection
[BUPPLN] PIn Rv 12/1/2004 $158.74
Total $521.19
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: % ,// 41 / 4: Adir■
Call 639 -4175 by 7 p.m. for an inspection the next business day
Badit , ' __ ,a 1C& . (C �>GB�D� ➢C�lt11 ®HIl �_, :w..._ y q. ' a,� �. - - tT .._ s. rte 7 � ..., A.
1i ,? h FOR OFFICE USEIONLy :'.s::-. : '
City of Tigard Date/B y ip2, r / — 0 tdi k Permit No: k? 69y OQ S r 9
13125 SW Hall Blvd , Tigard. OR 97223 Plan Review G
Phone: 503.639.4171 Fax 503.598 1960 r 'hi �h, DateBy,z / 7 �J� Omer Penult
Inspection Line. 503.639.4175 ''' Date Read B lures El See Attached Checklist fur
Internet. www.ci hgard.or.us Notified/Method. -ri (( Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the
- CATEGORY OF 'CONSTRUCTION • . - work indicated on this application
Valuation: $
❑ I- and 2- family dwelling Commercial /Industrial —
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms. ,
l' 1" ,.r .. JOB SITE INFORMATION AND LOCATION _ Total number of floors:
Job site address: l,<y ' 4 a 400Azwert��y New dwelling area. square feet
,4,6 Z)
City/State/ZIP: 7..c..c- Garage/carport area: square feet
Suite/bldg. /apt. no.: 0 6 Project Q/ ' �?
ct name:. f f� S i tyA 49 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
',c,REQUIRED• DATAr COMMERCIAL 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
e'+,t - }: :: ": h1 frFii 't :`',', _'- a' ` .... `,:'• ... .. ' - ''' "a�.. ,'- :;t - work indicated on this application.
i ?. , i; ' i� ;!
' . %: :, ; `, ,: ! ;y' ,71 ';i.., = fly; �' . ' "' ;'1'D ESCRIPTIO N •:OF; WO .' . , ,,, , .„1.,,, ' ®,�
i y : /- Valuation: $ O/ �-�
J� Existing building area: . square feet
New building area: square feet
:;. ;a irf '.F' : 'rir , ;P r , Number of stories:
,. ,i 11121 RT ; = ( i ❑ TENANT ,
.� = %d`4 �'�(u9•� ?`�, =. . ..,e 1r: a,•n��_•a,;_ ,i1� �':rnB ,'a P- a1'!I «it : ��,�v �,1� ,,.ti�,l. 611', 'Cr.,.'� \ , .'r.
Name: PacTrust Type of construction: r
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups:
City/ State/ZIP: Portland, OR 97224 Existing:
Phone: (503 ) 624 -6300 Fax: ( 503) 624 -7755 New: .,..-
-
s P ... � .l'n ,Fr, y> a-'1 '-'' ? ,'t,; • `1 f; ®'- .CONTACT 'ERSON - l,r:, =, i - ,„
?r ��SL•tt '- ''' r4'AiPPLICANT ,.� .��;' P r +` - - : 1�� TO ICE -
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: / - licensed with the Oregon Construction Convectors Board
04//4//4". o� under ORS 701 and maybe 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:
, 5∎ rt; ' ' ,1., i s I;
• • r . ;a . ; t: - .:,., ' 1 ' ' 'li; r ; ; Y ; ; -� ' CONTR ? ,1 is . • .. - ■
Business name: AJ Weber Construction, Inc. ;' BUILDING :PERMIT FEES*
Address: PO Box 80548 Please refer to fee schedule.
City/ State/ZIP: Portland, OR 97280
F ees due upon application
Phone: ( 503) 244 -4318 I Fax: ( 503) 244 -4318 Amount received
CCB tic.: 65238
X . Date received:
Authorized signature: 7, . . /� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: \ze,,, /%� �� , ' / / Date:// 7_ . *Fee methodology set by Tri-County Building Industry
r Service Board.
r1Butiding \Permits \BUP- PermitApp doc 12/03 440- 4613T( 1 I /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MS T
BUP c
Received Date Requested 1 3 AM PM BUP
Location : -. .g.,• , _4 .4_. )L -' _4 Suite �i lioir
Contact Person Ph ( ) 3 2- 0 - ?6Q / PLM
Contractor Ph ) SWR
IL g) Tenant/Owner G LIN c �ii s LI I-I 'To> ELC
0o ing
Foundation I ELC
Access: / � y _ T
Ftg Drain � i � S � ` ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors , " 7
Ext Sheath/Shear
Int Sheath/Shear C(14-6 �i�l k �; �� " // S�'�'✓'GfS. Framing )
Insulation ,nD �_ 0Q '7 f ( i o )
.
Drywall Nailing !�� / / (�
Firewall L12 7_A 0 C.` — O O 37 ( 1) 1-- sL CAw , )
Fire Sprinkler `f' /
Fire Alarm " 6i- 2 Z6 or - 0 v 0 0 % G C7- / l
— - 1" 11 .12.2yyl Os -i--4_1
Susp'd Ceiling
Roof
Other:
m r�
,‚PART FAIL
1NG
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer /
Rain Drains
#r w
Catch Basin / Manhole
Storm Drain
Shower Pan / •
Other:
Final '
PASS P • - T FAIL . .
CHAN AL -
,..
Po 7 m } ■ I
.,__,
Rou • 0 r "
Gas
Sm• eD -. pers
•ASS PART • IL
LECTRICAL
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 I Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line / ��
ADA I V' `
Date L \ Inspector v Ext
Approach/Sidewalk ,
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL