Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00086
I DEVELOPMENT SERVICES DATE ISSUED: 3/4/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16252 SW UPPER BOONES FERRY RD PARCEL: 2S113AB -01201
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L
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: 4 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: $ 7,900.00
_ Remarks: TI Walls
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
FEES Reg #: LIC 65238
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/4/2005 $120.10
[TAX] 8% State Surcharl 3/4/2005 $9.61
[BUPPLN] Pln Rv 3/4/2005 $78.07
[FLS] FLS Pln Rv 3/4/2005 $48.04
Total $255.82
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 - 800 - 332 -2344. �
Issued By: ,i.A.._ iC_f.UGC, ��. / ...!/�il,/_.)
Permittee
Signature: / ' _
Call 639 -4175 by 7:00 p.m. for an inspection the next business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. 1
11 See Attached Checklist ter
7g q� Permit 111X11 0 Pe mit :r I t - K c :_ - ` ma
� �' F O R ICE U NL
VED O F
F SE O ' Y
J N Received / y ! �(
City O8 Tigard / Date /By N Q ! Pemut No & ' n�6 ' Q0 lJ
13125 SW Hall Blvd , Tigard. OR 97223 [ Plan Re ie � p y — `1
Phone 503.639 41 1 Fax 503.598 196 4 't005 °'' ' �' Dat e/By 3 /y /iv, S' filer Pe t t
+I 0 . I1l � 0 inspection Line: 503.639 4175 -i , Da te Readv /By !urn
internet www.ci beard or us Noutied/btethod. T 1 C Supplemental Intormaeon
CITY OF TIGARD
BU S I REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New onstruction ❑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 $
❑ 1- and 2- family dwelling Commercial /industrial •
❑ Accessory building Multi-family
Number of bedrooms
❑ Multi -famil
❑ Master builder ❑ Other Number of bathrooms
' JOB SITE INFORMATION AND LOCATION Total number of floors
Job site address: go, j, 51.0 u y ,- at�� � 7 New dwelling area: square feet
/� Garage /carport area. square feet
City/State/ZIP Pp/� -H4 u d� i (�� 7'�a�
Suite/bldg /apt. no.: Project name: po,„,„ ,- +e-1,N_ Covered porch area square feet
�
Cross street/directions to job site: ' . Duch a si„,_ f / 001'7 g e fte7 Deck area: square feet
e 11 /(�� 1 Other structure area: square feet
(� ( / REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 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
DESCRIPTION 'OF' WORT{ work indicated on this application.
Valuation: $ 7 goo. .a.7
PM',', (L ea r... f , Pvo/'3 (r✓w.u..F 5 / fi n Ls � Y �
S . 1 ii or^ I
' Existing building area: �l/, 3V square feet
/- / VA r Gf 'ACA. / fir pa. ✓f i f l a.t5 /A/.e
S•
' .ev �G L i New building area: square et
( j,, [�l RO PERTY OWNER'- _ '� '❑ ,TENANT' Number of stones: 7 51-0,,,-,
Name: PacTrust Type of construction: V, B v, ,„/
Address: 15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing: . '
7755 New:
_..
h 3 624-6300
APPLIC�ANT, Fax: ( 503) 624 CONTACT '� � �. � � ���_ � - ;.., �,
P one: X50 y��` x -_ ; ❑ CONY � O I ,
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be 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:
• _ + -.' CONTRACTOR
Business name: AJ Weber Construction, Inc, ' ' BUILDING PERMIT FEES*
Address: PO Box 80548 Please refer to fee schedule.
City/State /ZIP: Portland, OR 97280
Fees due upon application
Phone: ( 503) 244 - 4318 Fax: ( 503) 244 - 4318
Amount received
CCB 1ic.• 65238
Date received.
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /14,4r,;,1 S o - Date: 373 /p5 * Fee methodology set by Tn -County Building Industry
`/ ` Service Board.
r \Budding \Permits \BUP•PermttApp doe 12/03 440- 4613T( I I/02/COM/WEB)
CITY OF. TIGARD `'` ..
BUILDING DIVISION PERMIT #: BUp2005 -00086
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4/2Q05
Phone: (503) 639 -4171 /parwei��
Inspection Requests (24 Hrs.): (503) 639 -4175 J #' ' ��
INSPECTION WORKSHEET FOR DATE: 3/28/2005 TIME: 7:10AM PAGE: 72
1 SITE ADDRESS: 16252 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: TYPE OF USE:
PROJECT NAME: REIVIINGTON
DESCRIPTION: TI Walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: WEBER CONSTRUCTION INC, A , PHONE #: 244 -4318
Inspection Request Scheduled For: Date: 3/28/2005 Pour Time: ' y,7 rtA
Code # Inspection Description Confirm # Contact # Message , 7 0
�i
299 Final inspection 002917 -01 503 - 320 -8601 Y
G
Corrections/Comments/Instructions:
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A '` RAS,S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y Date: / k / d Phone #: (503) 718-