Permit CITY OF TIGARD PERMIT
PERMIT #: BUP2003 -00517
L �i�� DEVELOPMENT SERVICES DATE ISSUED: 9/11/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S1266C -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 350
SUBDIVISION: 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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 19 BASEMENT: sf AREA SEP. RATED:
STOR: 5 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: F RNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 27,500.00
Remarks: TI: new walls for offices.
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES PACIFIC CREST STRUCTURES INC
BY TC PORTLAND, INC 7233 SW KABLE LN STE 900
8930 SW GEMINI DR PORTLAND, OR 97224
BEAVERTON, OR 97008
Phone:
Phone: 503 - 968 -8949
Reg #: LIC 66915
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 9/2/03 $305.80 Electrical Permit Required
[TAX] 8% State Tax 9/2/03 $24.46 Framing Insp
BUPPLN P1n Rv 9 /2/03 $198 77 Gyp Board Inspection
[BUPPLN] Finallnspection
[FLS] FLS Pin Rv 9/2/03 $122.32
Total $651.35
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: 1444,
Pe rm ittee •
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
l '
. l
Building Permit Application OFFICE USE ONLY
• RECEIVE
D ate received: �� Permit no l )'-a c 93 O 7
t pi's City of Tigard
Project/appl. no.. Expire date.
City of Tigard Address: 13125 SW Hall Blvi Epar6 2R �,7 3
Phone: (503) 639 -4171 CC�r VV L(U� Date issued: By Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
CITY OF TIGARD
Land use approval: BUILDING DIVISIM 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition /alteration/replacement (Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
,10B SITE INFORMATION
Job address: ' p 20 l.) LA) • .. C al. 11 . • i# 3 • Bldg. no.: Suite no.: 3 5 •
Lot: Block: Subdivision: Tax map /tax lot/account no.: 151 Z (,t3C.. O 50
Project name: 'j PA .. ,,,, r . - _,
Description and location of work on premises /special conditions: C9'1"� r, e . T I .
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: b1-(5t, V. I S (Floodplain, septic capacity, solar, etc.)
Mailing address: 5w ' a f.. S IT., 00 1 & 2 family dwelling:
City: 'p__ 7 wo OEM ZIP: ■ p Valuation of work $
Phone: s -2g et-oyez Fax: , -a, , E -mail: No. of bedrooms/baths
Owner's representative: . . J . Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage /carport area (sq. ft.)
EMINIMEII
Covered porch area (sq. ft.)
Lr ��
Mailing address: DG p ; � ..‘ G 6 , g - licir Deck area (sq. ft.) .
M State: p-n_ ZIP: q -725, Other structure area (sq. ft.)
Phone: 0 g _2Zy -95 6o Fax: G . $ 4g: , E -mail: Commercial/industrial/multi-family:
CONTRACTOR Valuation of work $ 27, 5OO
Business name: / `/C g - . S T t Existing bldg. area (sq. ft.) Cf ( 2 qD
Address: L33 .5 -ZS E-4/ 4'6.0 New bldg. area (sq. ft.) —
Number of stories S
City: e 7 ' State: b .' ZIP: " LL Type of construction - I� IZ
Phone: +. ' y' 4 �. ' ;%
�� �� 1r Occupancy group(s): Existing: B
CCB no.: , , "l_ j ' New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: p _ p - ■ c ‘51C 57. jurisdiction where work is being performed. If the applicant is
EIZI • State:�� ZIP: q X23 exempt from licensing, the following reason applies:
Contact person: v,-_, . Plan no.:
Phone: Fax: E -mail:
ENGINEER OFFICE USE ONLY
CM L EPPEMMEMI Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information
attached checklist. All provisions of laws and ordinances governing this ❑ Visa O MasterCard
work will be complied with, whets • r s ecified herein or not. Credit card number I /
Expires
Authorized signature: _ . .40( ,/ i Date: Name of cardholder as shown on credit card
Print name: i.i ., F a_ C - Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6 /00 /COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION I3usiness Line: (503) 639 -4171 MST
a -005/7
Received Date Requested / 6 — AM PM BUP
Location LOAD I4J I 157 S • Suite _35 MEC
Contact Person Ph ( ) �o� — `¢`/ O' PLM
Contractor Ph ( ) SWR
BUILDING . Tenant/Owner 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
• 1 - r:
tiMIP
ja PART FAIL
• ' BING
Post & Beam • ' "" " " •
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
// / 2
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 Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date �0 % /c' Inspector Ext
i.'
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
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