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Permit
i CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00565 ►r� A DEVELOPMENT SERVICES DATE ISSUED: 11/1/2005 - �� I - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1 12AA -00900 SITE ADDRESS: 14160 SW 72ND AVE 110 ZONING: I -H SUBDIVISION: NELSON BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: Racking 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: 5N : sf N: S: E: W: OCCUPANCY GRP: S1 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: $ 14,694.00 Owner: Contractor: SPIEKER PROPERTIES LP PORTLAND RACK & DOCK CO 4380 SW MACADAM AVE STE 100 19969 SW HIGHWAY 213 PORTLAND, OR 97201 OREGON CITY, OR 97045 Phone: Phone: 503 -475 -5333 FEES Reg #: LIC 161384 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 10/24/200f. $121.75 • [FLS] FLS Pin Rv 10/24/200: $74.92 [BUILD] Permit Fee 11/1/2005 $187.30 . [TAX] 8% State Surchart 11/1/2005 $14.98 Total $398.95 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 -6 99 or 1-800- 332 - 344. _ Issued By: Permittee Signature: , � �' 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. fhtez 16 //a Building Permit A i V E D City of Tigard f 9.ef Q S Permit No.: Av6 - (fQej3) 13125 SW Hall Blvd., Tigard, OR 9722 1 Plan Review Phone: 503.639.4171 Fax: 503.598.1tOCT 2 4 2 da °'A ,. 11 �� /4/ s,. Other Permit: Inspection Line: 503.639.4175 %;�.�. - _ Da te R ead y B ` lu� u� A I S See ental I nf ormat i io n for er CI OF TIGARD Internet: www.ci.tigard.or.us N,.; fied/M thod: /O - ; , / 1 c Supplemental Iormatn BUILDING DIVISION A . , ILM. i ,__ TYPE OF WORK / / REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling A Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i t-- / 6 -© c W 7`� Aa / 0 e_ $ v i M.. I/ 0 New dwelling area: square feet /n 9 City / State/ZIP: r rJ 7 v Garage /carport area: square feet Suite/bldg./apt. no.': Project name: J Covered porch area: square feet Cross street /directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. — A a- C A n , Valuation: $ / 9, q (law Existing building area: square feet • New building area: square feet ❑ PROPERTY OWNER I (TENANT Number of stories: Name: C b 0 f� LT /.) rn 54) 5 Type of construction: Address: i y 1 I!7 b S U/ 71 / S v k // 0 Occupancy groups: City /State/ZIP: Existing: Phone: (fj 3) T `l q r X. { op Fax: ( ) S ki 895- - D New: X APPLICANT 4 CONTACT PERSON NOTICE Business name: / I I r (r .( t 7L 0 Lo n All contractors and subcontractors are required to be / ` licensed with the Oregon Construction Contractors Board Contact name: er) 4 in F e r11-CA under ORS 701 and may be required to be licensed in the Address: - 73 7 3 s y - , , Wa vn 7-2.7.790 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: p r i.I a rt 0 g 97)- apply Phone: (f 3 � ` c ) q - 3 n y 3 I Fax:: yDS) GJ 3 6 / C � �j / XJ /A1 .76 - . 7 6 E-mail: 751- 9s'I. CONTRACTOR B /94' • (0 7 Business name: P Q CO Y( L BUILDING PERMIT FEES* Address: l g g 6 7 S w ,% y A kVa o.).1 �I Please refer to fee schedule. City /State/ZIP: fJ (e4 6 n f. -✓` 6 '� 9 7 D�� ,/ Fees due upon application Phone: (59 3 7 7 / , $ T3 I Fax: ( ) Amount received v 3 N CCB lic.: / b 1 q I, _ 4.7....._ , Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: gr _ a h / eivi I Date: / a A L( a.) * Fee methodology set by Tri-County Building Industry Service Board is Building \Pennib\BUP- TI- PermitApp.doc 12/03 440-4613T(I I/02/COM/WEB) • Building Division ` /.,+ir,:tyq�• I 4�I +` . Plan Submittal Requirement Matrix _Al. 61 I - Commercial & Multi- Family - New, Additions or Alterations City of Tigard • Type of Submittal # of ' lans (Includes new, additions and alterations.) . Re I ired at S 1 bmittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible par. g) ' lumbing (site utilities) 2 Buil. ,sg 1* Fire Protecti, Sy em 3** Mechanic • 2 ' mbing (building fixtures) 2 Electrical 2 ' Ian review is dependent upon submittal of a completed applicatio d 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- counter 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 "3" technicians. . is\ Building \Perm its \BUP- TI- PertnitApp.doc 12/03 440.4613T(11/02/COM/WEB) CITY-OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00565 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2005 Phone: (503) 639 -4171 Syr °yuri �' Inspection Requests (24 Hrs.): (503) 639 -4175 ' f— INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 36 SITE ADDRESS: 14160 SW 72ND AVE 110 CLASS OF WORK: SUBDIVISION: NELSON BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONTRACT FURNISHINGS DESCRIPTION: Racking OWNER: SPIEKER PROPERTIES LP, PHONE #: CONTRACTOR: PORTLAND RACK & DOCK CO PHONE #: 503 - 475.5333 Inspection Request Scheduled For: Date: 12/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message A-1Ak 299 Final inspection 023289.01 503 - 519.3043 Y {2 r IMO Corrections/Comments/Instructions: 1 o 2 0 1V 4 T1 / ❑ S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: (Z #: (503) 718-