Permit 4 CITY OF TIGARD
� md. �� 1, DEVELOPMENT SERVICES BUILDING PERMIT
���'
!+� °= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PERMIT # BUF'99 - 0099
DATE ISSUED: 03/24/99
PARCEL: 2S113AD -01900
SITE ADDRESS...: 16640 SW 72ND AVE #B -10
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •009 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT FIRST 0 sf N: S: E: W:
TYPE OF USE. ..:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP. :S2 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 25000
Remarks: TI - No C of 0 required - No change of occupancy load.
Owner: FEES
PACIFIC REALTY ASSOCIATES, LP type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 170.50 DLH 03/24/99 99- 313958
STE 300 5PCT $ 8.53 DLH 03/24/99 99- 313958
PORTLAND OR 97224 PLCK $ 110.83 DLH 03/24/99 99- 313958
Phone #: 624 -6300 FIRE $ 68.20 DLH 03/24/99 99- 313958
Contractor:
H L GREEN
15350 SW SEQUOIA BLVD
STE 300
TIGARD OR 97224
Phone #: 624 -7717 $ 358.06 TOTAL
Reg #..: 000413
-- REQUIRED ACTIONS or INSPECTIONS--- -
This per.it is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with S u s p C e i i n g Insp
approved plans. This perait will expire if work is not started ,7n/99L- ff/S/'•
within 180 days of issuance, or if work is suspended for sore
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 952-08181987.
You aany obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature ed By:
+ + + + + + + + + ++ + + + + ++ +++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +++
Call 639 -4175 .y 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
/'b9A/ cif - 0-. 37f3
CITY 'OF TIGARD Commercial Building Permit Rec'd By t---/7
• 13125 SW HALL BLVD. • Tenant Improvement Date Rec'd v
TIGARD, OR 97223 Date to P.E. A " O Te.
(503) 639 -4171 0/ Date to DST 24
Permit* 6uP99 -0099
Print or Type -7,6- Related SWR a
Incomplete or illegible applications will not be accepted caned •
139 y'_oos"3
Name of Development/Project Existing Building New Building 0
Job 4eje /f/ it //Y �AAe -
Address Street Address Suite Building
/6b 479 7,N4A - P6= . Data
Bldg s 7/GyRiZ,4 97,7-÷2 City /State Zip Existing Use of Building or Property: •
• // J _
Name ��/
Property PACIFIC. REALTY ASSOCIATES, L.P. Proposed Use of Building or Property:
Own er Mailing Address Suite S, 9/e .
15350 SW SEQUOIA PKWY 300 No. Of Stories:/
City /State. _Zip Phone
PORTLAND;. OR 97224 624 -6300 Sq. Ft. Of Project
Occupant Name. ...- . _ _ ... . ... _ _ _ .. _ _ _
/'if �S/Ar �A1 1 <4 ,0%/-G�`" Oau��paa��n Class(es) - -
. ... _ /6 . , *r. , /�
Contractor H. L_ GREEN COMPANY Type( Con ction
Prior to permit Mailing Address • Suite •
issuance, a copy Will this project hav a Fire Suppression System?
of an ncenses 15350 SW SEQUOIA PKWY 300
are required if City /State Zip Phone Yes - No ❑ R7v
( �
expired in C.O.T. Americans wi Disabilities Act (ADA) �.,��/ J _ I
database PORTLAND, OR 97224 624 - 7717 Valuation X 25% = $ — - ParticipationC� '"
Oregon Const. Cont. Board Licit Exp. Date Complete Accessibility Form
. 41328 • . • . Project $ --
Name Valuation 2.C SO2j .
Architect JOHN H. ROMISH• • Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
2216 SE 24TH AVE.
•
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
PORTLAND, OR 97224 236 -6306 given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
- Signature of Ow gent ` D to
Mailing Address Suite 3 . 1/4 99
Contact Person Name Phone
City /State Zip Phone J /`/ �OMiS 4
/l ,z, -A..9,4
FOR OFFICE USE ONLY •
Indicate type of work: Nerk 0 Addition 0 Demolition 0 MaptrLf# Land Use:
Accessory Structure 0 Foundation Only 0 Alteradon .
Repair 0 Other 0 - Notes: ..
Deserlption of work: � � � � a9A
,k f & �1� TIF:
1/5.1 % /ilel �i N/i& , - , 4 /f///4 • - •
•
Parks: Estimated s of Employees /v ws /4/�/�
Note: Site Work Permit Application must precede or accompany Building . 1' .
Permit Application
1:1COMNEW.DOC (DST) 8/97
. _ ; OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: - I - 7
ko , 0 outs, - y . oedet.i•
Coo
CLASS OF WORK: FLOOR AREAS: ` EXTERIOR WALL CONSTRUCTION
TYPE OF USE: C4V1 FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: r s 2 *" THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: 1 BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ 110 Permit Fee
Masonry rar n $ 11 , Plan Review
Insulation Shear Wall $ 4.3 5% State Surcharge
Firewall ;yp Boar* $ bg FLS Plan Review
Susp- • ed Celli*. Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Fina $ MIS Fee
FOR OFFICE USE ONLY:
TYPE: OS USE OPTIONS (COM= commercial; CMS= commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new, Add =addition; ALT= alteration; ACS= accessory;FND- foundation;
OTR other, DEM demolition; REP = repair; FPS =fire protection system, NOTE USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 4/97
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 9 Fi_ 0O d
77
Date Requested 8 /9 9 AM PM BLD
c
Location 7 7 0 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
Q 11:13If Tenant/Owner ELC
Retain all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation P4l Drywall Nailing � 5 S/Z`� C'.d t frere-W
v
Firewall
Fire Sprinkler eQ�
Fire Alarm
Susp'd Ceiling
Roof
( / - 7 7
6 PART JAIL)
P 1 BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
BackfilUGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date 9 9 Ins /0 4/ Ext
Other 7 1 r
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.