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Permit CITYOFTIGARD BUILDING PERMIT PERMIT #: BUP2003 -00487 Ar Iwo DEVELOPMENT SERVICES DATE ISSUED: 8/13/03 `�'` 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 - SITE ADDRESS: 13535 SW 72ND AVE 145 PARCEL: 2S101 DC -00200 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: 15 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: $ 7,000.00 Remarks: Tenant improvement, new demising wall and new offices. Owner: Contractor: PACIFIC NW PROPERTIES LTD PTNSHP NORWEST GENERAL CONTRACTORS 9665 SW ALLEN BLVD STE 115 INC BEAVERTON, OR 97005 PO BOX 25305 PORTLAND, OR 97298 -0305 Phone: Phone: 291 -6986 Reg #: LIC 89425 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 8/13/03 $110.50 Electrical Permit Required TAX 8% Tax 8/ 13/03 $8 84 Sprinkler Permit Required [TAX] Plumbing Permit Required [BUPPLN] Pln Rv 8/13/03 $71.83 Framing Insp [FLS] FLS Pln Rv 8/13/03 $44.20 Gyp Board Insp Total Final Inspection $235.37 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: --.4 _ ■11111111/ Alb 1 Perm ittee Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day B / - uilding Permit Application FOR OFFICE USE ONLY Received ' Building ft - n Ci DateBy: /1 1 Permit No.: / t4f 9 0 9 5 -4 5.5 1 4 l Of Ti and Planning Approval other `J g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Revi Other Tigard, Oregon 97223 D g I f - 0 /,x5 Permit No.: Phone: 503 639 - 4171 Fax: 503 - 598 - 1960 l o , ;n / /(;r,I lAil - Post L Noe Internet: www.ci.tigard.or.us ^^ ' Contact Juris.: El See Page 2 for 24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: _ Supplemental Information urr tr ; w� ('k i o. 6 � . r a h y R K , hQ i t i a' sue' tc 414 `�s yf rs33 . + _ 0 ; =i t 5 sz fin + x � � �`f s 0Z �J 9 F "th e i T '` �i a�ei � " Y' n t- 4 ❑ New construction ❑ Demolition i . a .' � .�il:rt y-r ta._.o +Ys _�il:Y!.- SZ: I•r....e �.'c..'tti'.C46Y_. 4a. ,. AA ❑ Addition/alteration/re.lacement ❑ Other: ,t.i ; c ;`1t l`', > Mii J j(: , Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling ❑ CommercialfIndustrial 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 $ `' -MM"? Y ; ;t• �,.:- '..T fix. , No of bedrooms: No of baths: Total number of floors Job site address: / 9°*! $141 'I2+� ve • New dwelling area (sq. ft.) Suite #: /4 Bld . /Apt. #: Garage/carport area (sq. ft.) Project Name: 0 f F /G+ Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) x tit2 wa_ sn•3 5-`v ° ' 1 l. , . s{ r4,. 4 .s .'.� Z . L._e��_ ,._ K a> li. 42� 5Kel . u x �t S0;ke thite .gym• Subdivision: 1 Lot #: Tax map /. arcel #: Note: Permit fees* are based on the total value of the work performed. Indicate li.,tif#4is, ,t . s'. D ` ,, N @3 " e ,. 'ri ` . xi . ' }.- ' 'from the value (rounded to the nearest dollar) of all equipment, materials, labor, ' overhead and profit for the work indicated on this application. Ot e,i /aim © ncycz S C Gc-frqu , Valuation $ "766 O Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 1 6"s ` r�M �,Wit'�'fi ., " I F F, M , ,WI 1. a Type of construction 7-1, Name: , .fFiC- ' AAA/ /a"QQO'i,7 /e• Occupancy group(s): Existing: I � New:j Address: g(065 SY,J C.lf..�/ & Jo s7.' //S Ci ty /State Lip: ', 0/a, GmEges- - Ph• ne: efAv 2Z Fax: el -700 NOTICE: All contractors and subcontractors are required to be i:' r _ Y licensed with the Oregon Construction Contractors Board under A• y^� �' ®' 0�t ,� al • ® �°' provisions of ORS 701 and may be required to be licensed in the Business Name: /11 /4046./ 42ES /G.1 6120.JP jurisdiction where work is being performed. If the applicant is exempt Contact Name: a ./.n /)f l c,22&./ - from licensing, the following reason applies: Address: 7604, 5w Stiu64 , 57i /SO City/State /Zip: 776r9A0 O Q7 2Z3 Phone: Z44 -05-52 ( Fax: a//4 -6 N r rr- r � '''ie' � ,;- tV .�-q O,.1/_' e �t :44. . y 4 +/ l - � E-mail: & Lq (/• � Co � t�M Y f�`�y�„`ia^'' ii ��' T y C � ;g f b�� � ^���"y � e�Y {� rJ -,F�F V W ?' z a� y �, ; . F �,a , tit ='s' , 241 ; a . F k tir ii: ,/ r - bTT t V L_^.* 2j± '`it .1 .x.:S� Y4:Urs 1�" 12`"•`K 's . Business Name: /1/b/2.^ 5-7 • C • Fees due upon application $ Address: City/State /Zip: Amount received. $ Phone: 1 Fax: Date received: CCB Lic. #: 8?925 Authorized Notice: This permit application expires if a permit is not obtained within Signa e: _ i Date: / / /t9 180 days after it has been accepted as complete. E (' ( C" "' _ *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i:\Dsts\Permit Fonns\BldgPermitApp.doc 01/03