Permit A -- CITY OF TIGARD BUILDING PERMIT
1 DEVELOPMENT SERVICES DATE ISSUED: 55 -00189
5/3/2005
. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112DC -00500
SITE ADDRESS: 15895 SW 72ND AVE BLDG B 100 ZONING: I -P
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT: 040 JURISDICTION: TIG
Project Description: TI, new walls.
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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 25 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: $ 7,200.00
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: 503 - 624 -6300 Phone: 503 - 244 -4318
FEES Reg #: LIC 65238
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/3/2005 $120.10
[TAX] 8% State Surchan 5/3/2005 $9.61
[BUPPLN] Pln Rv 5/3/2005 $78.07
[FLS] FLS Pln Rv 5/3/2005 $48.04
Total $255.82
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 ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 1 -0010 t - • h OAR 952 - 001 -0100. You may obtain a copy of these rules o irect qu to OUNC by
cal ng 503 - 246 -669 • , r -:1 332 -2344.
Iss d By: 0...._ _ 0 / V! , 1, / , 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 am required on the job site at the time of each inspection.
Building Permit Application FOR OFFICE USE ONLV
/
City of Tigard
Date/B 5 D �r / Permit No.: : M P ,5 -� if 1
13125 SW Hall Blvd., Tigard, OR 97223 P � Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 _Big.' Date/B : 3 M %L ,,�
�
Inspection Line: 503.639.4175 !� . Date Ready/By: Juris: H See Attached hecklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental lnformation
,. 5 ,. ,. .r rn" r•q•4,Y• .. =y -" +,., •, i'IJt;XiY,.ltc Ga!!r:.�r„,•.Igy W j.V,;ti; p� -t �:Y ` i � ign'tk �twt-9 E� J��� Lrt fi r 1 1 �,'Nr- �r:' +n •,N§ iU � - 't.jt�iu t j+c , t ...r. ..
Vi- f t. ifOit'"i .. ," r 11 Tii ';I r 4 7� 1 cl r r X1 6 , r t ^ p
' y .;�a t: r9t i , '• . -. i� QI. y" f 2a lai " IF 1�. 7 , ., r i Q rA `& t FAIk
. �i��7. �t.:.; n5'![+ k�u�n�e . *ttooa�''..�'+'�`,7�.r ..�41•N[ntl"_'�.r. +M�•@ 3�v1n .tr,. M: .rt�.l uil ,.: , ..i -. '.t�ll:k"�. i u.. rdS � "�. I.rf. aid :. . .Ji:� :. i -i,w r .:�. D�Vi! ELLIIVG�
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
LI • ddition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
•�4i �k,�� {p , n z"�'t t n t+ryi�J.,,�.�63'- ,r,�. +,�t i s
et x,7.1 8, — .. .51 I � ( pSr!�i, IR'r ;,
r :ir it �' r3T lY7 work indicated on this application.
•� 4 r,rtr 5l 5Mrii iriKda&:> W "„•�+ *r W.t'1�} �KweQ ' itrit a.:e '..O x.4kN .0.! t. tat0 *, * : :,, l O'iiro` 0.1„Pri P'
Valuation: $
❑ 1- and 2-family dwelling / latommercial/industrial _ •
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
w, >., t r ^• k ,. � t u P a.r 4.�.,m ' , ;err a r s '�' I,d 14 Total number of floors:
„ i .rol s> ;? o ° � as �cal7; ,,> �I ,� N 11
mJsz„� :l�.tst3.z'�' lw�'�'....,cnv. � `�. �3. ,n cnu...... •ri xctx: s,. .a �c.n. <,:. •.� '<..mi
. „ ��. :
Job site address: 158,5 s 2.,�4 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg. /apt. no.: t t ap Project name: I. 144 aC ter -1 Covered porch area: square feet
Cross street/directions to job site: 5 .7 e Deck area: square feet
_'td.) i VE / l 5 , Ur ®\ Other structure area: square feet
j RQ BATyE011dMER� IA� �1 iLlI ; a
Subdivision: 0 I Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel Indicate the value (rounded to the nearest dollar) of all
P/P no.: equipment, materials, labor, overhead, and the profit for the
;°4:, tit;;; 40:41:' ,f, � kitae u Ql riC1 OR` - rw: 1 .�t r y es >r 4`' work indicated on this application.
1+,s,'trnii;',° , ; r ..,w; .... 0:v; :,,
U , . - •,, , . r
-. x.> s a ,...�,m 1v ea.. t, ....�..#s. )tt..,,
j _ Valuation: $ 1 -OO. 00
/ - Existing building area: (1 / / / square feet
Mg r. t 1 ) t: a f> lv 4.4 a — (' 1 I ay New building area �1 square feet
ay y3 ^., y i +�.r t t *a '4 , ,
„ ` r • a %.I.....,,.i F : 1l , '
g P p
'dry, - " `- r # 0 , !: , 5 / 1 �!}i S t : 2 ' 'Ii � E . r 7 tE �` w< d ; r •E Number of stori O ) ] �0\
° .e�' .!•._ k. 14 -0x.x to . -a; 8 .k ,o.. 'h � t.. 'i. :r .te.. • . G.3 r• ..¢ . ,Cr . .. 9.: .,�.� _.. ^a ► V�
Name: Y PacTrust Type of construction: VY" /T
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: cx-ic
City /State/ZIP: Portland, OR 97224 Existing: F
Phone: (503 ) 624-6300 Fax ( 503) 624 7755 New: ��rA� / -
'} r W ` lfl Brd., } : a• .y.J . , - w .,, 'h 1io
,a '' i '. 5 :,. t o v , i L.-� , L . x.,:•.
y �' � �skr'`'>3.'� +"�, re Q 'rr� ' yE �. k �ry r r }d � `� r � .i. � ��� �'x,10 € ` `S S Y a nr�"y� �4 � ir � , �s- i { ' : � y r� a;• �r i s y i 7 y '�� r i i ; , I . . ^ ; I
i ws,.',,i,,, t:•1t1N.: ' 4,',, t"y t1. -- .!:tat"! ., 7 ,I017.„. - t _. o w*,CJdR.,,: —: ,„ "i,ot r . t .-ta ,�JSw, 21.0 11:k " :::,, Yr "+QT1CF' h , :4: �„ .
Business name: PacTrus t All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be Licensed in the
Address: 15350 SW Sequoia Pkwy.. Suite 300 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: P ortland, OR 97224 apply:
Phone: ( 503) 624 -6300 I Fax: : (503) 624 -7755
E -mail:
,, « � t „- ea3r 1 t ? i�
�4 rh �c+ai r _1 t � lil �y fir " v.:
Business name: J�q� '': a 4g o r c r; J e * I' •
AJ .Weber Construction. Inc. I, r.P s t,, r dui B Il ,, l
tC::.n3c.1 � a r , -, to r n rw { . r.x. $ .
Address: PO Box 80548
Please refer to fee schedule.
City/State/ZIP: Portland, OR 97280
Fees due upon application
Phone: ( 503) 244 -4318 Fax: ( 503) 244 -4318
Amount received
CCB lic.: 65238
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: 0 p E(' li 6 6(1 Date: 513/05 * Fee methodology set by Tri- County Building Industry
Service Board.
is\ Building \Permits\BUP- PemitApp.doc 12/03 440- 4613T(1I/02/COM/WEB)
CITY Of TIGARD
BUILDING DIVISION PERMIT #: BUP2005 00169
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/3/2005
Phone: (503) 639 -4171 :p 1i,
Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 —
INSPECTION WORKSHEET FOR DATE: 6/10 /2005 TIME: 7:05AM PAGE: 1
SITE ADDRESS: 5895 SW 72ND AVE BLDG 8 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: 040 TYPE OF USE:
PROJECT NAME: T- MOBILE
DESCRIPTION: TI, new walls.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: 503- 624 -6300
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503 - 244 -4318
Inspection Request Scheduled For: Date: 6/10 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 008994 -01 503. 320.8601 Corrections /Comments /Instructions: P
M(K)
... 1 II
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: &C Date: 6) Phone #: (503) 718-