Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00170 '
-1 _� yk. DEVELOPMENT SERVICES DATE ISSUED: 4/23/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 01 DC 00300
SITE ADDRESS: 13535 SW 72ND AVE
SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: TI
Owner: Contractor:
PACIFIC NW PROPERTIES LP NORTHWEST CONTRACTORS INC
9950 SW ARCTIC DR PO BOX 25305
BEAVERTON, OR 97005 PORTLAND, OR 97298 -0305
Phone:
Phone: 503 - 698 -2971
Reg #: LIC 89425
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 4/11/03 $139.30 Electrical Permit Required
TAX 8% Tax 4/ 11/03 $11.14 Sprinkler Permit Required
[TAX] Plumbing Permit Required
[BUPPLN] Pln Rv 4/11 /03 $90.55 Framing lnsp
[FLS] FLS Pln Rv 4/11 /03 $55.72 Gyp Board Insp
Susp Ceilng Insp
Total
$296.71 Final Inspection
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
callin (503 26 =6699 or 1- 800 - 332 -2344.
Iss d By: / I i
Permittee / i'' l �;?'
Signature: , / ,% ,
A- " j / /
Cat 639 -4175 by 7 p.m. for an inspection the next business day
FOR OFFICE USE ONLY
Building Permit Application Received Building /�/,
o �—, Date/By: Permit N2() p ?o 3-0917;
City of Tigard Planning Approval Other
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 Aton, . Hr1ickl1l Post-Review
Lan
Internet www.ci.tigard.or.us - Contact \ Juris.: 1I See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Na ethod:l Supplemental Information
i I(-2 •
• TYPE OF WORK . REQUIRED DATA: .
❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING
[ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling �Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
• JOB SITE INFORMATION•and LOCATION No. of bedrooms: No. of baths:
Job site address: /' *w 72- /i.Y& Total number of floors
New dwelling area (sq. ft.)
Suite #: 1 Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: 72- ST�F ,5 .
I 0 Ff /CE D 6: Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
. - REQUIRED DATA :. • •
COMMERCIAL - USE CHECKLIST •
Subdivision: 1 Lot #:
Tax map /parcel #: • Note: Permit fees* are based on the total value of the work performed. Indicate
is = . DESCRIPTION OF WORK , , the value (rounded to the nearest dollar) of all equipment, materials, labor,
/� � . 7'4 overhead and profit for the work indicated on this application.
' Valuation $ 0 0 th
Existing building area (sq. ft.) ° 1H7e •
New building area (sq. ft.)
Number of stories 7—
ROPERTY OWNER • -1 ❑ TENANT . • . Type of construction Ireli
Name: PAG/Fa G W t.I f tesoe.f X7/4. S Occupancy group(s): Existing:
New: O
Address: �v 5 ?A z/s
City/State/Zip: `6,4144 sw ftc c.�+
ty p: 2s,*,4V6 .Ore. 47oo5 NOTICE: All contractors and subcontractors are required to be
Phone: �p 2�0 ' �Sa a Fax: licensed with the Oregon Construction Contractors Board under
, j APPLICANT . ❑ CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: /14 /4 04E01 026/6+/ 6,Eave jurisdiction where work is being performed. If the applicant is exempt
Contact Name: ro C /X1 /(.O/t./ from licensing, the following reason applies:
Address:
City /State /Zip:
Phone: 1 Fax:
BUILDING PERMIT FEES *,
E -mail: Please refe to fee schedule.
•• CONTRACTOR • 71 4 4 0:..
Business Name: Fees due upon application $
Address:
City /State /Zip: Amount received $
Phone: 1 Fax: Date received:
CCB Lic. #•
Authori - 4 Notice: This permit application expires if a permit is not obtained within
Sign r> Date: 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms \BldgPermitApp.doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION' Business Line: (503) 639 -4171 •
BUP - 3-4)4) / 7 b
Received Elate Requested te a ` AM PM BUP
Location / 3 S 35" 7 " nU' Suite MEC •
Contact Person OCW Ph ( ) 7 f ,Q S? / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain • ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors a
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler •
Fire Alarm 1
Other:
ASS PART FAIL
2
BING
Post & Beam `
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line /
ADA Date 6 / Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD : 24 -Hour.
BUILDING Inspection Line: (503) 639 -4175
INS - INSO VON DIVISION Business Line: (503) 639 -4171 MST
Received 340 Date Requested 5// Co AM PM BU ter
Location - 3 S 3C - 71 A)-- Suite MEC
Contact Person Dge Ph ( CO ) 7/ 0 C Y/ PLM
Contractor Ph ( ) SWR
UILDI Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: r ELR
6 '�
Crawl Drain 0, c/ / ' ; c *,4 ''`'7 / 4-)-6
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulatio�n�
crywal101ail g
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fi
ASS ART FAIL
G
eam
Under Slab
Rough -In
Water Service
Sanitary Sewer -
Rain Drains
Catch Basin / Manhole
Storm Drain
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line 7i'&
ADA Date 5 /U 3 Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE -this Inspection record from the Job site.
PASS PART FAIL
CITa( OF TIGARD 24 -Hour ti
BIfILDING Inspection Line: (503) 639 - 41.75
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 3--oo f 7d
Received M 7 7 Date Requested 11-- AM PM BUPA
Location � 2A1( /?1/ Suite MEC
Contact Person / lel/ike- Ph ( ) 1/0 PLM
Contractor / 3035 Ph ( ) SWR
UILDIN Tenant/Owner ELC
ing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain /
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Insulation
Drywall Nailing -�� . /4 - �— / -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
F
�, PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
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: Unable to inspect — no access
Fire Supply Line / DA , '
oachly Line J l O Inspector Est
Approach/Sidewalk Date i
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour •
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received 3 Date Requested AM PM BUP
Location / 3 3 S 7 2 � / Suite MEC
Contact Person 4 .-4 Ph ( ) 7/ 5& 3 PLM
Contractor ( SWR
D N ) II Tenant/Owner 7? a ELC
`foa
Foundation r 6 2s--s--- ELC
Ftg Drain Access: ELR
Crawl Drain •
Slab Inspection Notes: ( .4 4‘ ...7 c. � SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler u1/4 j 61
Fire Alarm
Susp'd Ceiling
Roof I "
Cry
ART FAIL
"� ING
"es & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
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 or reinspection RE: Unable to inspect — no access
Fire Supply Line \(°
ADA
Approach/Sidewalk Date Inspecto Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL