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Permit CITY PERMIT #: BUP2000 -00495 A: ,y�iJr;, DEVELOPMENT SERVICES DATE ISSUED: 12/21/00 ''=� - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15688 SW 72ND AVE PARCEL: 2S112DD -00200 SUBDIVISION: OREGON BUSINESS PARK III ZONING: I -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: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 110 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Commercial TI - 11530 square feet Owner: Contractor: PACIFIC REALTY ASSOCIATES A J. WEBER CONSTRUCTION INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548 PORTLAND, OR 97224 PORTLAND, OR 97280 Phone: Phone: 244 -4318 Reg #: LIC 00065238 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 12/7/00 $196.90 27200000000 Electrical Permit Required Sprinkler Permit Required 5PCT CTR 12/7/00 $15.75 27200000000 Framing Insp PLCK CTR 12/7/00 $127.99 27200000000 Gyp Board Insp FIRE CTR 12/7/00 $78.76 27200000000 Susp Ceilng Insp Final Inspection Total $419.40 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pemiitee Signature: " ■ Issued By: " i Cali 639 -4175 by 7 p.m. for an inspection the next business day •, ` ~ .....m .. _ "�r :..:�'' —. - ^a'^A;•-�..Ye'c•; ,.a BwildingFermitApplicalioa ---= Datereaived: /.9-7-66 Promirna: ,;[A- d , :°:a �i C itp of Tigard �'of�8� Address: 13125 SW' Hall BIvd,Tigatd.OR. 97223 AroleWappi.no:: Expired= ��&rPo'lrro Phone: (503) 639 -417L - Date issued: By:. 1 Receiptno.c Fax: (503) 598 -1960 Case tile nog Pay type . .: Land use approval: 18a family: Simple Complex TYPE OF PERMIT a t & Z family dwelling oraccessory CI Commercisl/mdustdal CI Multi- family Q New construction 13 Demolition - a'Addition/alteration/replacement ' Tenantimptovement CI Fite spanklea(alana Q Other: .IOQ SITE INFORMATION • .. Job addtrss: /436 A. 4'44/ 7.2✓/Vj, 4j/J) Bldg: no.:. • Suite no._ • — . Lot J Block 'Subdivision: iTax map/tax loiaccountno.: - P` li l . /,/ sl/9A' L�r ti1/J/t /r` -,477 L L : _ . Descrijicat and location of work on premises/special. conditions: Ele,AQ '$J 3i j/' .07% 7;a /V/ 7? . OWNER FOR SPECIAL INFORMATION, ESE CIIECKLIST Name:. PacTrust - ( Floodpla in, septic capacity. solar, etc.) . • Mailing address: 15350 SW Sequoia Pkwy_, #300 = t &Zfamilydwelling: . - City: Portl and • I State: OR Izlp 97224 Valuation of work , $ (503 one 6244630(11FaxfiZ4 =/, / email: - No. of bedrooms/baths Owner's representative: Den n i s P aq n i Total number of floors Phone: Same Fax: a E -mail: New dwelling area (sq. R) .. »............ Garagelcarpartatea (sq. ft) ... Name: Pa cT ru s t '. Coveted porch area (sq. ft.) ••. Mailing address:15 3 5 0 SW -- Sequoia Pkwy ., #300 Deck area (sq- R) »- •--- •••w• - • City: Portland state: OR I ZIP: 97224 Ot er structure area (sq. ft.) __ 5031 Phone624 -6300 Fax€24 -775 ' E-mail: CommerciaffindustriaUmuld-familyt . CONTRACTOR valuation of work • -- ......... $ ./.- `-- Business name: 4,.,J, ,G 4 � G N Existing bldg: area (sq. ft.) ... .. "7 $ S s Address: r? y , ' ...-, ,. ,r e' New bldg. area (sq. ft.) .. .1.‘ _ City: ' o rt an . Stare: I R ZIP: 9 . ., Number of stories .„ .......... ............_. 503 Phone! ?-1 f. ' z, ?/.4 Fax: Type of construction .- .— .- ............. » E -mail: CCB no.: y3 g Occupancy gmup(s): Existin f j„... N ew: ,, City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: J o h n R o m i s h provisions of ORS 701 and may be required to be licensed in the Address:15 3 5 0 SW Sequoia Pkwy. #300 Diction whale work is being performed. If the applicant is ItY: Po r t 1 and 'State: 0 R rzIP 9 7 2 2 4 exempt from licensing, the following reason applies: Contact person: l Plan no.: 503) Phone:624 - 6300 Fax424 - 775$E - mail: 'ohnr@ , actrust t . . com ENGLNEER Name: 'Contact person: Fees due upon application ...._........ . $ Address: : Date received: City: State: ZIP:. $ Amount received » .......................... Phone: I Fax: E -mail: Please refer to fee schedule. _ I hereby certify I have czar and examined this application and the Na au jurisdictions amen acetic card& please oil jumthalca for mom idfamadrm snlrhed checklist. All provisions of laws and ordinances governing this a Visa D MatesCard work will be complied with, whether . - ' - herein or • of credit card cumber: Expum Authorized si Il i ✓,Ail IL % / 2.. ' - '' , Name of cardholder as shown re =tit end \ Print name: /fj/,1/ • . fre,44 /.5'iI �y cs:tieada pgo.mm S Amomu Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (6A0AC0114) 499. 1 i' Oil t G�' e&Z0• -x) /!D 4 • • SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty -five per -cent (25 %). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1] $ multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ 71 In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ �G (b) An accessible entrance: $ "X" (c) An accessible route to the altered area: $ gel (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible � elements such as storage and alarms: $ 44f/'l .r/ •19 TOTAL: Shall equal line 2 of Value Computation $ i:\dsts\forms\access.doc