Permit 4: ' CITY OF T BUILDING PERMIT
PERMIT #: BUP2002 -00192
X1 DEVELOPMENT SERVICES DATE ISSUED: 5/21/02
13125 SW Hall Blvd., Tisiard, OR 97223 (503) 639 -4171 PARCEL: 2S112DC -00100
SITE ADDRESS: 15705 SW 72ND AVE
SUBDIVISION: OREGON BUS. PARK III ZONING: I -L
BLOCK: LOT: 002 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: B TOTAL AREA: 0.00 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: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,000.00
Remarks: Construct a sound wall around Air Compressor.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HOWARD S WRIGHT CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 888 SW 5TH AVE STE 415
PORTLAND, OR 97224 PORTLAND, OR 97204
Phone: Phone: 220 -0895
Reg #: LIC 89229
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT CTR 5/16/02 $62.50 27200200000 Final fn'spection
5PCT CTR 5/16/02 $5.00 27200200000
PLCK CTR 5/16/02 $40.63 27200200000
Total $108.13
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 -6699 or 1- 800 - 332 -2344.
Pe mi ittee ,
Signature: r' ,�4pp, ( �("
Issued By: /� J
Call 639 -4175 by 7 p.m. for an inspection the next business day
r , ; 3 V ia- &36
RO" - Building Permit Application 1 I (_ I
Date received: 5 .e' 02-, Permit no. •. c . . , .—d, - -
City of Tigard
^ rl j ' � . Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: B .. 1P Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE 01' I'Llt:\iI F
Ll 1 & 2 family dwelling or accessory O Commercial/industrial l] Multi -family 0 New construction ❑ Demolition
l] Addition / alteration /replacement XTenant improvement ❑ Fire sprinkler /alarm ❑ Other:
Job address: /5 705 jc.✓ 7! n ic,( A w f, ' /-f- Bldg. no.: / Suite no.:
Lot: 1 Block: Subdivision: 1 Tax map /tax lot/account no.:
Project name: 22, / // 6217,d,f 5104)Fi
Description and location of work on premises /special conditions:
OWNER FUR SPLCI: I. INFORMATION. USE (11LCIKI_I51
Name: )---A c _-1-70),<, - 71" (Fltittdli lain .,epliccapacil■.snlar.etc.)
Mailing address: /5 3 50 ,Sal ( 9q i )n/ JJC ,) / 5, /, a2' 1& 2 family dwelling:
City: r � ./ /�,vel 'State• l ZIP: 9 Z y Valuation of work $
Phone: 50 - 6Z. »- �sr'I Fax: E m No. of bedrooms/baths
Owner's representative: ) l t 4 l I- a/ - 4o A Total number of floors
Phone: 5 - 3 Zo 3275 Fax: E -mail: New dwelling area (sq. ft.) ,CYA
Garage /carport area (sq. ft.) A-
// Covered porch area (sq. ft.) �
Name: i . c G . �,J� : �-T S
Mailing address: / 5 705 SW x4w#2 Deck area (sq. ft.)
�,� ,� . 0 ✓�ti�z Other structure area (sq. ft.)
Phone:, -
City: - 6 , 7D - 75'1 Fax:($7p - /y7�j E - mail: �' (St ate: Oj ZIP: 97z z y Commercial/industrial/multi-family: Valuation of work $ i 0 n
W 5 w P-- 4?' ,0.11 t�9, y Existing bldg. (sq. ft.)
Business name: New bldg are area (sq. ft
Address: 4 5 N� / 0 T �' /q7/ " (AE �` - Number of stories /
1 City: P/) _ 1 State i Z IP: ` 7�,
— Type of construction �^- 1
Phone -3.)-o - G �j5 Fax: E -mail Occupancy group(s): Existing:
CCB no.: 29 D-a New:
City/metro lic. no.: • Notice: All contractors and subcontractors are required to be
A R C M " ! F (a 7l) L S I 1 r N I_ R licensed with the Oregon Construction Contractors Board under
Name: A j/,„,'/1 provisions of ORS 701 and may be required to be licensed in the
jurisdiction where work is being performed. If the applicant is
Address: exempt from licensing, the following reason applies:
City: State: 'ZIP:
Contact person: 1 Plan no.:
Phone: Fax: E -mail:
Name: i t) / ,•Ct Contact person: Fees due upon application $
Address: Date received:
City: State: IZIP: Amount received $
Phone: I Fax: 1E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards. please call jurisdiction for more information.
attached checklist. All provisions of laws ands • • • •Ices governing this , o Visa D MasterCard L �
work will be complied 'ilia r�, peci e• I erein or not. Credit card number /4476 67'0 0022 13/1 C (DI 0
Authorized signature: r'f■P• Date: Name of cardholder as shown on credit card
$
Print name: 7S fl I I F F lc-Ft l Cardholder signature
" Amoumt
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/O0 /COM)
Tjl, - t — . 6D SO '
(6,0. 40. (a3 1 1oY,13
ix S (-)( 1
MAY -17 -2002 FRI 01:55 PM HOWARD S WRIGHT- PORTLAND FAX NO. 503 220 0892 P. 02
t- MAY -1 T -2002 10:42AM FROM-BR I DGESTONE SPORTS 6088701474 T - 780 P.002/002 Fill
1►, BaildingPernaitApplicadon , I I , 1 ,
..1,1-11_ City of Tigard nice receive(' 2d 0 ?wink No
civ ed Addrnc 13125 SW Hall Blvd, Timed. OR 97223 »aim no X1s &0a.
Phony` (503) 639417] Data betted: Bar Receipt no.:
Fax: (503) 5984960 Cane Mono.: PAP= type:
Laud use approval: 1&t2 Simple Complex:
111'1 1.1 11 1,'111
0 1 & 2 family dwelling Or accessory CI Coraraercialfiodustrial 0Mtdti.aally 0 New & ucdon CI Demolition
0 Additiadakaadonireglacesnent CrDroant improvement CI Firo sprinkler/thorn 0 Other:
Job adder Bldg. no.: Suite no.:
Lot: 1 Btov [Subdivision: I Tat =Man 101/accomg net:
Project name: -
Description and 1Oo:14On of work on pnmdaes/epetial coadidems:
( 1 ■\ \ I I ' ( 1 I I I , '- 1 ' 1 . [ \ I I \I n1i I.1\ 1'h CH1 1.11" I
Name:
Mailing adthras: - _ 11I p+uetiy dw�e=;
C .. ScaW ZIP; Vahlahlom of welt ..-- .- r....... S
Phone: NYC E-mail No. of bedrooms/baths MI' .....■••••-....
Owner's representative; Total number of floors ......... ..... .......- -
Phone: ex: E-mail; New dwelling ntra (sq 11).- --...- .........
Oatr8NCwpott arcs (sq. it) --------
Name: Covered por'cb (sq. IQ .,.. .. ....................
I address: De* az= (q. •t.) ......au... ..... w.- .. -.-..- ....
City Snttx f Others' et area (sq. R.) .......,... ...,.... .
Phone; Fall: E.ma l: inld-llplriI
Valuation amok ._..............._ -- W.W.Y. $
Mat* idil• area (51. Buslnesc name Ha"! c•-e S. (.t]ri5 ti 3 Co n S o . N s. )
R� " ^ - .-
Addre t.. o i 4 k i -k . ? QC .� Number of stades City; a r a " $tai Q ZIP: 9 7a. a 5 _
53 13 ,z, _war= 4- ) aao cgr. nut il; scAuf e b twcc..ta cy Mugs): bei
....- ._...- ....... .w.
. MB no.: - RR a-1 et _ _ a � w
Cityhooenio lie. no.: NIA Nodaer All ooaaatcors and sulsotenttactors are requited to be
\ 1: ( 111 1 1 ( 1 1)1 ',It , \ 11; lieeaaed with the Oregon Coos r'uWOn COntraetolls Bend terror
Name: provisions of ORS 701 mid maybe required to be llceaawd in the
.Address: - wh. n work is being performed_ lithe applicant is
eitempt City: Slate: 1=
Contact the fbllowing>�oan -
Contactperson: Plan no.: -
Phone: Fax: E -mall: '
maw Contact person: Fees due upon application ,....,......- ............... S -
Address: Date
WY -
y
• .L Sta Amount nWVJvW .. tlMM .r..n- ....r..1.n S
- Plume: IF= LE- hI• Please whey to fee schedule.
I hereby certify I have load and entrained this app/icahan and the tee as jl.idfala.. roast amdu ends. Oslo omyslakdee itr..am air alloI`
attached checklist. All provisions of laws and ordinances governing this oviro o bronacini
work will bo complied with. whether speotlled Minim or not. Ometk e,va ameeec • - -- —
Afvpd7ed dgpann%; Date.' i to ,v =map n mere on ens
s
Paint mono: .lgretow Mona
Noose: MU peandt molicr'4on espies if a permit u not aural l within 1ao days after it has b®a aoaepted as ooa pima. 44O46i1 suowcobq
•
1
CITY OF TIGARD 24 -Hour
BUILDING -" Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received Date Requested /�'/ AM PM BUP
Location 1 576 5 769 lri Suite MEC
Contact Person Ci.41.4 Ph ( ) PLM
Contractor /1' Ph ( ) g6 03 / SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int th/Shear
Insulation
Drywall Nailing
Firewall NG C /7 , G T - e- /0
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 2 CA/q ll s 4?
O.
PART FAIL
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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE D Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date SI 3/k 7---' Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL