Permit A . ,
CITY OF T PERMIT
PERMIT #: BUP2004 -00346
jy;� DEVELOPMENT SERVICES DATE ISSUED: 9/1/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AD -01900
SITE ADDRESS: 16640 SW 72ND AVE B -10
SUBDIVISION: OREGON BUSINESS PARK I ZONING: I -L
BLOCK: LOT: 009 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: F2 TOTAL AREA: 0 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 4,830.00
Remarks: Adding horn strobes and manual pull stations to existing system.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HONEYWELL INTERNATIONAL INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA PKWY #100
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone:
Phone: 503 - 968 -3300
Reg #: LIC 150191
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 7/19/2004 $91.30 Fire Alarm Insp
[TAX] 8% State Surchari 7/19/2004 $7.30 Final Inspection
[FLS] FLS Pin Rv 7/19/2004 $36.52
Total $135.12
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 -0011 • • • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling I ) 246 -6699 • 1- 800 - 332 -2344.
Issue • By: GLAM
Permittee
Signatur- / j d-
Call 639 -4175 by 7 p.m. for an inspection the next business day
06 8/2004 09:54 FAX 50359980 _ CITY OF TIGARD f�J001
i G , w ?-z PP �, - 81 ,„
tse Protection System
Building Permit Application ►:11►: t , i� i� i t P: i . s. Fl u m :.. y�
City of Tigard . Rc c d 7 n o �� ., - car> 3 -
19125 SW Hall Blvd., Tigard, OR 97223 . .. - - R- �sg Other Permit:
Phone: 503.6394171 Fax 503.596.1960 %,i : -': ,• • #.�'_ '' r
;�' D ,
„
.: .•'` 1 *may/ y: C
Inspectlaar Use: 503.639.4175 rtodBedlMatLod 1..
Internet wwW.cidg�d•or.us ��
O i
-x * : 1. $' �� ,�. :, :i: "1: !la r ;qa : ;,) igiiiiDA? I . 1 464 ' �,F }1�t!FLL*6 -"- • ;:1I:i: I •',.F.h,;l ;:'.!!: :I.' ,,.4 1),-.: .. *.n . ':W v;r !.G.. ' i iii:,.. • "J 1:.::• ... �I., .J . r•
= i t:lK #': ' i l: r;, :, :: I" , ';: i:, , :. ! •,. c _�5•R .::,: ,, . s • the value of the work ed.
::. •� 4 ' �.� - . Yem fees" are based on Perform
p Demolition rounded to the nearest dollar) of all I
❑ New construction �— Indicate the value (
Addition/alteration/replacement p Other: equipment, materials, labor, overhead, and the profit for the
� :.I.4. ..•I:
:��1 work indicated on this :l
.7 73 it : ,. w _u ryn': . :,, 45,k • •' : .soi ; ak i ka . i iiii1 ' F .., ,. ,,...:. d 1.4 . si ....... .
at.:•.;a.r:: i` T'`•i' 'a... "' Valuation' S
❑ 1- and 2- family dwelling In Commercial/industrial
Number of bedrooms:
❑ Multi-family p Accessory building E
❑ Number ofbathrooms: .�
❑ Master builder 4 . �y,�.� A�77�,t,, I• Total number of floors:
' F: r l•'' j .: , I y 4 r '$ ' E 1 : L N . i :n, L P' A 4' 001, "!?' :i. :I':'I•;.'.:•Il! a i': :,.:4 y1:!'
—
�° s' 'l i ' p.:. ' �'•�aid�orl�.: +..., ,.... , . ... �I'� .. I I .'' N dwelNng area: agitate feet
iobsltc address /6 6 VO S . t o, -2,2 AvCr t
Garage/carport arca: square feet f....
SuitSuite/bldg./apt. no.: Project name: V Eli S �/1DuSI" 1 2.1 CS Covered porch area: square feet
/0
Cross stmet/dilect otat to job site: Deck area: square feet
JVL Are. Q ► , ,. nD ak v E - Other structure area: square fat
Subdivision: I Lot 00.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/pared no.: equipment, materials, labor, overhead, and the profit for the
.r : l ;q • , : � M1 I : f �" • •. ' � ' • : " .. , i` .:Vii.,:.: 'lark indicated on thlS�hd7ahOn. i. I.•:u ?I f
,.. ,I ?':.';• :. ° a�i'd. x:,1.6.. 1: L + • ..: . • ,.' Valuation: �
141�D■ �O 5'/Qo3C rY1AtnW>►l 1 . - b area: ��,oaQ square feet
�i�i�� ,a E)(15'Sir.(m f1�Lt'c Sy S'fl:M
New building area: 1k square feet
±. •A a . .. . • u • ii I;I,IUI r,: G ;: i . I'"Pi ;i p L i 7:11; Number of stories:
I:IC;•1 .
�114`1a.4>iil. IS �• •' � ' :.:. :fiCi.Il :li:. : :1. C :!�! : °I A'I��: :�I.':''.��I �•' •'+�e� :l.t. .. YS. .. •. ': .;
Name: /e l2- S 1.nDO 51 el ES _ Type of construction: ADD 1 -ri orb
Address: 1 (= tot-10 S . • /a ^n A A`3 E' Occupancy groups:
City /State/ZIP: 1 Q q2Q i on . 9 ,.2eak i Existing:
Phone: (So3) 67 O (. o3) 6 .74 ^ Si. 7 New:
! ! • �. ;I y1:•',1' .'I..:I.r II �! ^ /aS S�: �0� .1w i ; :i' '. 1., ., ,,.,.r�:: i1.
:i" .I:.I • = �1KkY}+ ia�l�ic�� FT=
t :..{.��.' �'' �; Cm?�'A *404...... .... F, ; :k... ..►,.,. rro�iicla�
Business name: V EZ. j S Sv ou&c Q1 E5 All contractors and subcontractors are required to•be
licensed with the Oregon Construction Contractors Board
Contact Warne: p A -r 2 under ORS 701 and may be required to be licensed in the
Address: / &6 c/o 3 . u , .)4e2 ND Pk&AUC jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: / �; § AnD 1 Oa . 9 7a q � t1 aPPIY:
no=( g)3)6,76- /fig J Pan :(9)3)Cse[o -�47
E-mail: a.11en.r1 l-1 P Yr; • c/9�' i .
. : :ill .... '•'.: 4 .1 1 I'.". , •' :I. .. :i' 4,1 "!I : A ' :!:.. ..'.it.1. ::{
;:! .. Iv :- : : ;. : . I,. : : ,;• I•......L :,� :,..i... 'llln i' :.:.!!1: :r :'L
Business Tan= n E u'- nu
� � Il SEeu2i`ty ` : : : :�'�;�`lavn�j:S -
Addboaa: /S .S it.) ,se CCU o i A 4kt / �Y. � kro Please refer to fee schedule- :
City/StatelZIP: ?eyed AIND 1 0/2. 92,742 Fes due upon application 1 4
Phone: (5 96$ -3377 J Fax: (9:0) 9 tif-,3118 Amount received
CCU l ' ° _15 / Date received:
7,/ -- 3 This permit application expires if a permit is not obtained
Authorized signature: ( ``� within 180 days after it bas been accepted as complete.
Print na ,Q / /En f ) U7 J Date 7,.9 o Y 1 • Fee methodology set by TS Building lnduatry
Service Board.
t 8oadinittnestarrS.Pe tniWFdec 19!03 4404613T(I 0031 0Mrwea)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
39 5// 9/7) fj BUPD ci
Received l Date Reque - PM BUP
Location /fro a Sl -) 7 �-( Suite / V MEC
Contact Person Ph (� 3 ) . 7 0/-1' PLM
Contractor Ph ( ) SWR
= OLD Tenant/Owner ELC
- ooting
Foundation ELC
Access:
Ftg Drain • ELR
Crawl Drain
Slab Inspection Notes: / SIT
Post & Beam e___-_, -..,
Shear Anchors -1 /
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing
Firewall
Fire Sprinkler ��� �
Fire Alarm e -21. '• ' . Lt., / •
Susp'd Ceiling
Roof
Other:
S ART FAIL
NG r'� Post & Beam
Under Slab ,.'
Rough -In ! =� � "� M G�� t
Water Service
Sanitary Sewer =ffinbtarAr' � '
MalligaWfAMPI
/
Rain Drains
Catch Basin / Manhole
Storm Drain I ,���' —
Shower Pan
Other: N I.
Final
PASS PART FAIL el 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 for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site. .
PASS PART FAIL