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15350 SW Pacific Hwy #100
CITY
OF TI q(G•'+ARD BUILDING PERMIT
(v'
PERMIT Vit: BUP2003-00072
DEVELOPMENT SERVICES DATE ISSUED: 2/13/03
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL 2S110D6-01300
SITE ADDRESS: 15350 SW PACIFIC HWY 100
SUBDIVISION: PP1996-010 ZONING: C-G
BLOCK: LOT: 002 JURISDICT,ON: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N S: a E: W:
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N 3f N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf F OOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: Sf AREA SEP. RATED:
S''OR: HT: It GARAGE: sf OCCJ SEP. RATED:
BSMT?: M,=ZZ?: _ READ SETBACKS_ REQUIRED__
FLOOR LOAD. psf LEFT: ft RGHT- ft FIR SPKL: SMOK DET:
D'+YELLING UNITS: FRNT: ft REAP': ft FIR ALKM : HNDICP ACC:
BEDRMS: BATHS. IMP SURFACE: PRO CORK. PARKING:
VALUE: $ 3,500.00
Remarks: Ack .s-*L�J_ 4"
Owner: Contractor:
PARR-FRANKLIN LLC MENG-HANNAN
330 SW LINCOLN 5906 SE 122ND AVE
PORTLAND,OR 97201 r ORTLAND, OR 97236-4607
Phone:
Phone: 761-5290
Req #: 20-7100 47283
(FEES RECUIRED INSPLCT'ONS
Description Date Amoun, f=raming Insp
1BUILDj Permit Fee 2/13/03 $81.70 Final Inspection
TAX]80%State Tax 2/13/03 $6.54
1 Fl,SI FLS Pin Rv 2/13/03 $32.68
�1tI 1'I'I NJ Pln Rv 2/13/03 $53.10
Total $174.02
This permit is issued subject to the regulations contained in the Tigard Municipal Cods, State of OR. Specialty Codes
and all other applicable law. All work will be do a in accordanoe with approved plans. This p�rmit will expire if work is
not started within 180 days of issu ce, or if wo is suspended for more than 180 dayG. ATTENTION: Oregon law
requires you to follow the-rutet a by th regon Utility Notification Center Whose rules are set forth in OAR
952--0Oy0= through CSAR 9 -0( - 100./You may obtain a copy of these rL:as or direct questions to OUNC by
calf (503)246- 9 or 1-86 -33
Issued By: —
Pe nn ittee /
Signature: J
Cair 62'.= 4175 by 7 p.m. for an inspection the next b ,siness day
OFFI E USE ONLY
Bulk - _ Permit Applic-ation Received rf' i3aildi��
Date/By: G rJ Permit Nn.:I- r - e7
Pitrimng Apptbval Other
City of Tigard f Date/By: Permit No:
13125 SW Hall Blvd. Plan Review Other
I igard,Oregon 97223
PostDate/By:: Pernit No.: ^
Phone: 503-639-4171 Fax: 503-598-1960 Date-RRy:
Land Use
Date _ _ Case No.
Internet: www.ci.tigard.onus Contact Juris.: 2g See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information
TYPE OF WORK _ REQUIRLD DATA:
New construction _ Demolition - I&2 FAMILY DWELLING
Addition/alteration/re lacement Other: —
CATEGORY OF CONSTRUCTION _ 'Vote: Permit fees*are based on the total value of the work performed. Indicate
I & 2-Familydwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labe-,
_ �� -- overhead and profit for the work indicated on this application.
Accessory Building - 1ltulti-Family
rJ Master Builder Other: Valuation......................................................... a_ _
--- - No.of bedrooms: No.of baths:
JOB SITF.1NFnDar�'t'rn ,.,.t t nrATION --- - - ---
Total number of floors.....................................
Job site address: 1�3sa e4� �+GPic- 4'Y New dweliing area(sq.(t.)............................. -
Suite#: I J0____J Blrlg./Apt.#: J _-- Garage/carpor,area(sq.fl:)............................ _
Project Name:NV1 J!Sk-fryomc. Covered porch area(sq.ft.).............................
Cross street�Directions to job site: Deck area(sq.R.).............._..... ..... ................
Other structure area(sq. ft.
------
REQUIRED DATA:
COMMERCIAL-USE CIIECKLLST
Subdivision: _ _ Lot#: -- - _ --- ----
Ta map/parcel #: _ -- Note: Permit fces*are bi.scd on the total value otthe work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the genres(dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this applicatt n
ULIW IP
— A0cer—A Valuation....... ................................................ $__ t
Existing building area(sq.ft.)......................... I A;bq f9r
ALOW-- ----- _ New building arca(sq. A.)...............................
Number of stories............................................ -- --
PROPERTY 0 aTENANT _ Type of construction....................................... y U
sole: M�AyOccupancy group(s): Existing:
--- -�� ,�_�� � --- New: -
1:.1dress:City/State/Zip: 1!q4 ?7 74 7---" NOTICE: All contractors and subcontractors are required to be
Phnnr!/62 -MoFax:
=� licensed with th+ Oregon Construction Contractors Board under
APPLICANT _` _ I III CONTACT PERSON provisions of ORS 701 an.may be required to be licensed in the
Business Name: A,X401p_V4
r14W �t2� %Aeff, juris,iiction where work is being performed. If the applicant is exempt
Contact Name: J'kX _-,)Ogff* _��,L —_ from licensing,the following reason applies:
Address: 6770 —A4/--oe% -- --_- _ __ _.—_.--- ----
City/State/Zip: pbk" el-mfq �-
Phone: q7 IlZ _ Fax: - ---------------
.C BUILDING PERMIT FEES*
E-mail: 170E10
�A" a Please refer to fee schedule.
CONTRACTOR _ -- ----- --
Business Name: N1 t4
_—_ }� g&4..-09*_r_— Fees d-ie upon application. ............ .............. S_
Address: DGAp. _
City/State/Zip. �� Airrunt received... _..... ...... ... .... ....... .......
—1--- -
Phone 7-1 x: 76 Q Date received
CCB Lic. #: - -- —- - ------ —_
Authorized Notice: This permit application expires IIs permit is not obtained isithin
Signature- _-_ _ Date:1 180 days after It has heen accepted as compete.
*Fre methodology set by Trl-County Building Industry Service Board.
(Please print name)
is\Drts\Permit Forns\BldgPcmmApp.dm 01103
Commercial Plan Submittal
Requirement Matrix
City of Tigard
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
Fire Protection System 3**
Mechanical 2
Plumbing - Build;nq 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-c-luiliter 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 "T' technicians.
iAdsfs\forms\C0M-mstr1x.doc 9124/01
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 Lb4s_
INSPECTION DIVISION Business Line: (503)639-4171 T
r -
Received — ---Data Requested__ '?__—� AM –PM . BUP
1 _ / �
Location _- -� �-��' ,Suite D .-_ MEC
Contact Person ------ Ph( ) Lam!" " y��S PLM -- -
Contractor _ _ — Ph(— _ _ — SWR
UILDTenant/Owner ELC offs' zc�
Footing ELC ___--
Foundation Access:
Ftq Drain ELR _--
Crawl Drain
Slab Inspection Notes: G1 SIT —
Post&Beam
Shear Anchors _--
Ext Sheath/Shear boo ----------_
Int Sheath/Shear
Framing - ----- - ----- - ---
Insulation
Drywall Nailing ------ _.-_�- - --- ---
Firewall Am
"ire Sprink4ir - - ------ - `--
Ire Alarm
Susp'd Cr aing --- _.--.----- -----
Root
–. AU
er
TART FAIL 1W /Oor
UWlijING
Post&Beam -
Under Slab --- -- - -- ------------
Rough-In
Water Service --- --------- - - -
Sanitary Sewer
Rain Drains --_- - - ------- -- --- -
Catch Basin/Manhcle
Storm Drain - - ------- ----- --
Shower Pan
Other: ----
Final -
PASS PART FAIL_ --- -`- - ---- -_.- --.---- -- -
MECHANICAL ----
Post&Beam
Rough-In --
Gas Line
Smoke Dampers - -- - - ---- ---- -- --- ----
Final
PASS PART FAIL -- -- ----- ---- --` -� - --.._-T-
ELECTRICAI
Service - - _- ---- -._ -_-.- •--
Rough-In --� ---- -- -- --- ---
UG/Slab
Low Voltage -- -__---. -- ---
Fire Alarm
Final Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Elvd.
PASS PART _FAIL
SITE - Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line + --I) �• _
Approach/Sidewalk Deft
-��Z(/_ --- InspeetOr_ ._ \�'�l - ___— ExtADA ----._.
Other:
Final DO NOT REMOVE this Inspection record from the job site,
PASS PART FAIL