Permit 4. BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2001 -00188
'2 ,4.,. DEVELOPMENT SERVICES DATE ISSUED: 6/7/01
''" ,.� �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15957 SW 72ND AVE BLDG -A PARCEL: 2S112DC -00701
SUBDIVISION: OREGON BUS. PARK III ZONING: I -P
BLOCK: LOT: 038 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: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 278 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: $ 60,500.00
Remarks: Tenant Improvement
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 BB gg772222
Phone: 307 -7117 T R A M: (Z4 7T17
Reg #: LIC 41328
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 5/23/01 $345.13 27200100000 Electrical Permit Required
Plumbing Permit Required
FIRE CTR 5/23/01 $212.39 27200100000 Framing Insp
PRMT CTR 6/7/01 $530.97 27200100000 Gyp Board Insp
5PCT CTR 6/7/01 $42.48 27200100000 Susp Ceilng Insp
Final Inspection
Total $1,130.97
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 -101 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1 -:1 a -. 32 -234
Pe rm ittee
Signature: // -.
Issued By: i c__? �Q_�
C� 639 -4175 by 7 p.m. for an inspection the next business da
C Y p P day
•
6i74 }01 _ _-
wldingPernntApplication
.: (J j ' /' Permitno.: .. 1, : ;xt' ` / Q �"
City of Tigard Date r f CD '
�lj." I I! . ` ,d Project/appl.no.: Expiredate: 1 • ;:%%.- Ciryv gard Address: 13125 SW Hall Blvd, Tigard. OR 97 , z l
Phone: (503) 639 -4171 - , . • k -- Date issued: By:. I Receiptno.: :� ,
Fax: (503) 598 -1960 tij . ' `
Y s Case file no.: Payment type: t'N
J •
Land use approval: 1&2 family: Simple Complex:
TYPE OF PERMIT r
°4 .
01 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration/replacement � Tenant improvement 0 Fire sprinklealalarm 0 Other: - r
JOB SITE INFORMATION
Job address: /5' Sp ti 2 ` Bldg. no.: ; ay Suite no.: /7 .
Lot Block: Subdivision: Tax map/tax lot/accountno.: • Nt
Project name: D e,-f-4 w !L.__ a, ( - .
Description and location of work op premises/special conditions: G 111 ' V • ' 144 t 5 - ( G _ . ri -Gt..J
ic' , al P: . ._ ?.V 5 ' - . • 1N! ± , ' 4. •' 0 -- CA P .fo . WI., .
OWNER FOR SPECIAL INFORIIIATION, USE CHECKLIST
i -
Name: PacTr s ( Floodplain , septic capacity. solar. ctc.)
'1;1'1 .r• • -,•, 15350 S.W. S-' r e • ' ^ . #300 1 &Z family dwellings _ t:
City: Portl and State: OR ZIP: 97224 Valuation of wodc $
Phone503/624 - 6300 Fax624 7755 E - mail: No. of bedrooms / baths. ........- ..............._..... _ : •
CI - . a ., .k° 1 . De P [.Iti. Total number of floors ..«. - ..
• Phone: Same Fax: Same E-mail: New dwelling area (sq.. ft.) •
APPLICANT Garage/carport area (sq,ft) ».. •
Name: PacTrust • . Covered pow area (sq. ft.) _ ..
1 • ... g . dress: 1 . , • a a Deck area (sq. ft.) -... •
City: P o rt l and dirimannumi •
Other structure area (sq. ft.)
Phon§03 624 - 6300 +*L II1s'1 E - mail• Commertcial/indnstrial/malt[ family:
CONTRACTOR Valuatio of wo .„ $ 60
g area(sq. ft.) `f to lSS)= -
Business Address: name: H. L. Green
- . , ' • 1 NN ew (sq. ft.) rd - ..
:- .... J to Z SSSST r� ..���•.�� Number of stories ........_.
•. 1 �. �r�1 'r /.�.N • Type of construction V/J
Phond303 6 ' — Fax: E -mail: Occupancy group(s): Existing: M
CCB no.: 41328 New: M
City/metro lic. no.:
Nod= All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: Martin Hanson provisions of ORS 701 and may be required to be licensed in the
, jurisdiction where work is being performed. If the applicant is
City: p 0 rt 1 • I exempt from licensing, the following reason applies:
Contact personaMarti n Hanson Plan no.:
Phone503 6_4 -. t1 3 •1I:12I/61:1 u. r. .. . on
ENGLN EER
Name: Contact person: Fees due upon application —.- $ -
Address: Date received:
City: State: ZIP:. Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Na all jean accept aedit ands. please ads junsdiction for more information
attached checklist All provisions of laws and ordinances governing this Ovtsa 0 MasterCard -
work will be complied with, wh ther specified herein or not. Credit card number:
Expiate
Authorized signature: Date: 5 .23.0 I Nance of aadbolder as Chown on aeda anti
Print name: A"d-1 h /. ti so signature $
Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 446.4613 06 xiCOM)
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] $
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 $ '1 f a--
(b) An accessible entrance:
(c) An accessible route to the altered area: $ w /CL—
(d) At least one accessible restroom for $ qc„.
each sex or a single unisex restroom:
(e) Accessible telephones: $ G
(f) Accessible drinking fountains: and $ wGO%-
When possible, additional accessible
��" `
(g) Whe po e, add t
elements such as storage and alarms: $ ��' • Ba
TOTAL: Shall equal line 2 of Value Computation
- 5' - Le� pr.e. IAA t s„ 5 a heaL� t o l w/ CA.%
s k C V'L* A.'• s t
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