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Permit _ t CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00508 A stIA DEVELOPMENT SERVICES DATE ISSUED: 12/12/03 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S112AA -00900 SITE ADDRESS: 14160 SW 72ND AVE 110 SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H 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: 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: $ 24,000.00 1 Remarks: Rack storage Owner: Contractor: SPIEKER PROPERTIES LP OWNER 4380 SW MACADAM AVE STE 100 PORTLAND, OR 97201 Phone: Phone: Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp [BUPPLN] Pln Rv 8/25/03 $177.91 Final Inspection [FLS] FLS Pln Rv 8/25/03 $109.48 [FLS] Addl FLS P1nRv 9/23/03 $200.00 [BUILD] Permit Fee 9/23/03 $273.70 . (additional fees not listed here) Total $1,056.69 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: OtticA/LA ,,ZA Pe mi ittee Signature: ..y �....,; I► Call 639 -4175 by 7 p.m. for an inspection the next business day Pt/60 sw p26)O G A,,rRIk."f PvRN /SHpvL Building Permit Application FOR OFFICE USE ONLY Received / 6 Building w ,�� !/ 0 P 3_ Date/By: � � D� j Permit No.: Gl (/�.3cJ City g of Tigard Planning Approval Other Date/By: Permit N �(�P�Qp ® 3 Op ��� 13125 SW Hall Blvd. E,Q\ V Plan Review / Other / �� Tigard, Oregon 97 i� Date/BY: /Z �$ '�3 >�s� Permit No.: l Phone: 503- 639 -41 CI : 503 -598-}� 0 1 ii'' ?ost Review ' 2 , 3 Land Use o Internet: www.ci.tigard.or.0 IN') .;__.. Date/By: 1. Case No. `� , Contact See Page 2 for 24 - hour Inspection Reques�y 3 - 6 � 9AkW Name/Method: C Supplemental Information c,I ' .. c gA WORI ' El New construction t REQUIRED DATA,: ❑ 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.S1TF INFORMATION and LOCATION , . No. of bedrooms: No. of baths: Job site address: Lt. s '1 2 �n " U 1Tir 1 „ Total number of floors . Lt. �� W New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: .p1.S 1 P 1 Ftwi,S 6%0(0.5 ilnWCovered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) %- REQUIRED DATA: COMMERCIAL - USE CHECKLI T Subdivision: 1 Lot #: Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate , r DESCRIPTION OF WORK r ` the value (rounded to the nearest dollar) of all equipment, materials, labor, t-6 ��0,40) t'Z overhead and profit for the work indicated on this application. ,,/,,i Valuation -( N (/ $ 29- moo• . Existing building area (sq. ft.) New building area (sq. ft.) Number of stories '' ❑ :PROPERTY OWNER - • 1� TENANT ' . - -. , Type of construction J� Name:CW[144(X kN `3 !tjt6 WVl• PcR 1 Occupancy group(s): Existing: , wei Address: ci 1 S S 4' p,� Lv 04 bB 0 , New. City /State /Zip: P©i."f O p fl 2-I y- Phone: ay- 0_12 Fax: 5 03 - 2:4,— 372.1- NOTICE: All contractors and subcontractors are required to be APPLICANT ❑CONTACTYERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: 5 900 jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: City /State /Zip: Phone: 1 Fax: . E -mail: EIIILDJNG PERMIT FEES* , Please refer to fee schedule.. - -_ ... :. CONTRACTOR: - ' . . Business Name: IP Vi/ I 6 Fees due upon application $ Address: City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lic. #: / — Authorized l � - Notice: This permit application expires if a permit is not obtained within Signature: Date: D 180 days after it has been accepted as complete. --I-1444 RE_C--0 1 *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) /77'x/ i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 / v (7. qt Plan Submittal Requirement Matrix =•� I! Commercial & Multi - Family City of Tigard New, Additions or Alterations TYPE,•F SUBMITTAL # of Plans (Includes Nei+, A dditions or Alterations) . Required at 'Submittal' Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing - Building 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 - 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. i:\ Building \Forms \PlanSubMatrix.doc 04/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) <9 -4175 MST INSPECTION DIVISIONN Business Line: (51 i r 4171 ^ 00 5 Received / ,, c ;;11 �D Date Requested 2'4 C/0 3 AM PM BUP Location 4 2- b7222 v 1 2 Suite 1 & MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDI Tenant/0 c ) St 4 ELC - ooting Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ra Drywall Nailing N v � L.1\ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Others o 4 PART FAIL MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains,,` Catch Basin / Manhole fir 4.0 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 \ ✓ /fi ADA • Approach/Sidewalk Dat I V1(c d Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL