Permit V CITY OF TIGARD BUILDING PERMIT
_ PERMIT #: BUP2007 -00089
COMMUNITY DEVELOPMENT
' DATE ISSUED: 2/14/2007
`: I9q 13125 SW H Bl Ti OR 97223 503
"" PARCEL: 2S113AA - 00100
SITE ADDRESS: 16350 SW 72ND AVE B4 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: OOA JURISDICTION: TIG
PROJECT: POWER TELEPHONE
Project Description: Rack storage for warehouse.
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: sf N: S: E: W:
OCCUPANCY GRP: 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: $ 24,209.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES F E BENNETT CO
15350 SW SEQUOIA PKWY #300 -WMI 739 NE BROADWAY
PORTLAND, OR 97224 PORTLAND, OR 97232 -1213 . .
Phone: Contact #: PRI 503 - 288 -2321
Reg #: LIC 68668
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/14/2007 $283.30
[TAX] 8% State Surcha 2/14/2007 $22.66
[BUPPLN] PIn Rv 2/14/2007 $184.15
[FLS] FLS PIn Rv 2/14/2007 $113.32
Total $603.43 •
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. 2ii
Issued By: Permittee Signature: N is. r .1
-
Call 503.639.4175 by 7:00 a.m. for an inspection that 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.
./ 9 .
:) � � 1 Hs �� l FOR OFFICE USE ONLY
Permit Application
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City of Tigard F EB 14/ 2001 Rec Rec ve -.41, l/ Penult No ► 0 G- 7�KJ 7 —�� '�
a 13125 SW Hall Blvd., Tigard, OR 97223 1 P1anRevie• Other Permit:
t 2 : - Phone: 503.639.4171 Fax: 503.598 1960
Date/By:
I Line: 503.639.4175 uI i }Y (Ur' d I^ , Q Q ' p Date Ready/By: l4v� ® ✓ See Attached Checklist for
TIGARD +°��� Notified/Method: I Supplemental Information
Internet: www.tigard- or.gov --n Try, (,„., tr' TWIT Tyclirrm r) p
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Demolitio Permit fees* are based on the value of the:work performed.
❑ New construction Indicate the value (rounded to the nearest dollar) of all
[Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
�,� + t , 1s s , l.1 $ 4 ' work indicated on this application.
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� ,r. , Valuation: $
❑ 1 - and 2- family dwelling Commercial /industrial
Number of bedrooms:
❑ Accessory building
❑ Multi- family
❑ Master budder
[•�]�Other: RAC K1 t36 T ALL Number of bathrooms:
. s ii ( u r( �s ar t u„t� �.( „1 , , a r�wr ! `ass a ”; 33 31 it t } "r' " L U� I � °ras ' j Total number of floors:
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Job site address: 1103 SLR q at lit , , 1 4 New dwelling area: square feet
City /State /ZIP: T Q, t\-Q t 0yz 91 Z2.4 Garage /carport area: square feet
Suite/bldg. /apt. no.: g4 Project name: ?owroik moo+ Covered porch area: square feet
Cross street/directions to job ste: 51 12 kr L / 5W U Deck area: square feet
z
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PiC_.∎4 "1 D r Other structure area square feet
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;i0.sR 6 UitE D \ a B ' �g 3Q]Y1< ERClA " 0 1 . 4 3 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.: f + [/ �y� h 4j[/ n� equipment, materials, labor, overhead, and the profit for the
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" ` " I j 1 rR �cr f � 7 pp lication.
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41'160 P11-EN) r 0 ll1a -��Ck.) 10 Valuation / �c� 3
tZkiLl1tDl57_, t1 V./ �. ✓ !loco � mn Existing building area: 12My-) square feet
Ktric 5 S New building area: .,,_ "'�' square feet
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)1 f <l l 6� , ti 0P'l •41 J 12 iV t ^ t ., 4 ;r 1 F k „„, ,, . +,�fi' ,! r ; * 'E " } ' t r" " 4 t. , Number of stories:
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Name: 'Po V.) V. s "T'/ 1 F m).. nowo now( Caw4'.93J Type of construction: RACI6 11)6 113$ 11C1`loi1
Address: ` ,35-b 5 Z ►)D Nit, t gl.DG 4 Occupancy groups: .s.
City /State /ZIP: 11f7► p 1 0 1 2. 99 Existing: 100 0/,
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( '� New: py.A A�
Phone: (��, � ?n " 4� t ( ) � f �^ti � ��t���'� -z, ��
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Business name: ? , lV7 S ?'S LC'Vj vvij ,. j t, I All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Board
Contact name:
J f t F f { 51 r1lS of �hYV\ wAn under ORS 701 and may be required to be licensed in the
Address: 1 (D(Q1o10 5 '9.7 r r) fr t i 81 Dr. 1 Z jurisdiction in which work is being performed. If the
applicant is exem from licensing, the following reasons
City /State /ZIP: T 1G ge:r) i (X / , - 2. i apply: n a.g 3 .3 O
Phone: (503) .1.40s -3.5-14. (col Fax: : ( O3 k22.0 t4.4. t� !sq. 5 �
E-mail: %(21 t, t r 1 Cw ' 3 ,,
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Business name: FT . Y1� ?f C . F ?,e0 • /0 4 TT 'i nZ�t4iulr" `�'`''tl , t I C , Y
Address: 3 e� z. ., ./
vote' F14 x wortIA lr ref 7 ve r , i , ' ,
• �� ` 1 Structural plan review fee (or deposit). j j, •
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City /State /ZIP:' rJj� L 011 ?3D 1213 FLS plan review fee (if applicable): ` /
Phone: (503) 2 -•2321 Fax: ( ) Z - 11 - 08
CCB lic.: ier 03 w // /O� Total fees due upon application:
Amount received: (Lt/J,
Authorized signature: Lt.,-„...,.., This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name: J Q�1-1tn1 31iN Date: fi, b 1 i Zen. * Fee methodology set by Tri -County Building Industry
Service Board.
1 \Rttildinn \ Permits \ RUP•PermitAon.doc 03/21/06 440.4613T(11/02/COM/WEB)
CITY ����~�� ���� �����������
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BUILDING DIVISION
PERMIT #: B0P2007-00089
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2120yI007 TIME: 7:O9AhA PAGE: �5
SITE ADDRESS: 1O35O SW72N[) AVE B4 CLASS OF WORK:
SUBDIVISION: OREGON F3USINESS PARK LOT #: 00A . TYPE OF USE:
PROJECT NAME: POWER TELEPHONE
DESCRIPTION: Rack storage for warehouse.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: F E BENNE7TC0 PHONE #: 5O3-208-2321
Inspection Request Scheduled For: Date: 2120/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Fina!inmpmctinn 043592'02 503-320-8801 h/ '
Corrections/Comments/Instructions:
Adik
-VPASS ri PARTIAL APPROVAL | | CANCEL | | NO ACCESS
ri FAIL ri CALL OR INSPECTION 1 l ADDIT ONAL EES ASSESSED
Inspector: k V
I I Date: Phone #: (503) 718^�~-�C-~3