Permit A- li CITY OF T
P ERMIT #: BUP2004 -00495
mi DEVELOPMENT SERVICES DATE ISSUED: 10/20/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AA -00200
SITE ADDRESS: 16398 SW 72ND AVE B -08
SUBDIVISION: OREGON BUSINESS PARK I 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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 16 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: 653, Doc), ov
Remarks: New T.I.
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: 244 -4318
Reg #: LIC 00065238
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 10/14/2004 $492.68 Electrical Permit Required
TAX 8% State Surchari 10/14/2004 $39.41 P Permit Required
[TAX] � Plumbing Permit Required
[FLS] FLS Pin Rv 10/14/2004 $197.07 Framing Insp
[BUPPLN] Pin Rv 10/14/2004 $320.25 Insulation Insp
Total $1,049.41 Gyp Board Insp
Susp Ceilng Insp
Final Inspection
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: �al _ _/, ®�
Permittee
Signature: , . r , 0 OP_ '
Call 639 -4175 by 7 p.m. for an inspection the next business day
B Permit Ap . ? FOR orrlcr usr ONLY
� t
City of Tigard \ � � � n may ! o i'/ 0 PermitNo.:3 (A�o2coy - 00 895
13125 SW Hall Blvd., Tigard, OR 97223 �® Plan Review .�j
Phone: 503.639.4171 Fax: 503.598.1960 G , :a , Date/By: O.' / y 'Q � ,SJ1 Other Permit:
Inspection Line: 503.639.4175 , � ∎ I IU:a te % : L Date Ready/By: June: Ed See Attached Checklist for
Internet www.ci.tigard.or.us v��� ++ CAN �0
Notified/Method: f ? ( Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
p ia - Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling rCommercial/industrial
Valuation: $
�
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 4,3' f 5W 7.2 gag A.147 H m-e. New dwelling area: square feet
City/State/ZIP: / rfila H r e d, 9 7 y 2 Y Garage/carport area: square feet
Suite/bldg./apt. no _c, D P (oject name: S 4f Ai p war real . Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: .01 J 3 -� Q goo Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK , work indicated on this application.
Bu., t Sa - - Ueb/L,rakOf� ) inJrgK/g2 ae " J
Valuation: $ 5 3 00/. pd
/ ' 5 56G /L1 Gt-1, C , puB 1 wm r. / f: P. S E P . Existing building area: 'Zv OOO square feet
P P tz,m 1 T New building arm: h kt. square feet
CV PROPERTY OWNER I ❑ TENANT . • Number of stories: / 51
Name: Pacific Realty Associates, L.P. Type of construction: V • O i V 1■
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: 85. J
City/State/ZIP: Portland, OR 97224 Existing: 7, 5 siF S • 2.
Phone: (503) 624 -6300 Fax: (503) 624 -7755 New: /49 3 S . O 5,517 S 2-
E1 APPLICANT ❑ CONTACT PERSON NOTICT
Business name: Pacific Realty Associates, L.P. 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: Portland, OR 97224 apply:
Phone: (503) 624 -6300 Fax: : (503) 624 -7755
E -mail:
CONTRACTOR
Business name: To ]..i'TF(ZM 6 J .P BUILDING PERMIT FEES*
Address:
Please refer to fee schedule
City/ State/ZIP:
Fees due upon application
Phone:( ) Fax:( )
Amount received
CCB lic.:
Date received:
• uthorized si : =/ e: i This permit application expires if a permit is not obtained
7 i — — within 180 days after it has been accepted as complete.
• • 1 t nam - 1 Z Date: Q-- — • Fee methodology set by Tri-County Building Industry
— 471117 C) Service Board.
i:\Building\Pemtiro\BUP -P- • •.doc 12/. 440-4613T(11/02/COM/WEB)
ARD 24 -Hour
Inspection Line: (503) 639 -4175
CTION DIVISION Business Line: (503) 639 -4171 MST �� �-
c2-3 / BUP / e/�
Received f2 ` . Date Requested / AM P BUP
Location / j4 37 u IA/a Suite 6/ MEC
Contact Person 5 Ph ( 5 1 77-2- 1 ) / PLM
Contractor Ph ( ) 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 Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
tl♦
/ ' PART FAIL
• = ING
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 Please call f ' r reinspe tion RE: ^I Unable to inspect — no access
Fire Supply Line 0/ r/111
ADA � j / r
Approach/Sidewalk Date v 1 ` `, /• Inspector � Ext
Other:
Final DO N • T REMOVE thls Inspection record from the job site.
PASS PART FAIL