Permit Ai
71 v CITY OF TIGARD 4 ' BUILDING PERMIT PERMIT #: ° COMMUNITY DEVELOPMENT DATE ISSUED: 7/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AD-01900
SITE ADDRESS: 16640 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 009 JURISDICTION: TIG
PROJECT: VERIS
Project Description: TI
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
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
Contact #: PRI 503 244 - 4318
Phone: FAX 503 - 624 -9697
Reg #: LIC 65238
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/5/2007 $119.70
[TAX] 8% State Surcha 7/5/2007 $9.58
[BUPPLN] Pln Rv 7/5/2007 $77.81
[FLS] FLS Pin Rv 7/5/2007 $47.88
Total $254.97
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
Orego - ' • ' , 'fication Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy
of t' -se rules or dire• questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
1- ued By: , I4 /..I`Ll i ' Permittee Signature: Pli , _...-...•_....
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 are required on the job site at the time of each inspection.
Building Permit Application
Commercial . :-. p gNj l FOR OFFICE USE ONLY
City of Tigard r DateBea 5 � PermitNo.: i 3
II
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review WI
p ,Ii���B O Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 JUL 0 5 2007 Date/B
T GA E: I� Inspection Line: 503.639.4175 Date Ready /: y: lug . ® See Page 2 for
Internet: www.tigard- or.gov
CITY OF TWA' `` 1 go ,,r` y , i � Notified/Method: Supplemental Information
I D L I N G : T ; . WI ! 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
7( 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 `Comercial /industrial Valuation: $
m
❑ Accessory building L0 Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address /'ye (j ,9 /ID New dwelling area: square feet
City /State /ZIP: r p?. / i OR 9rZQ -2 cf Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: v' I T 1 r 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.: 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.
c // ;,J /. �, /L Valuation: $
Existing building area: �` �� square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: , 2 7 7 r 0 5 - 4 - - Type of construction: /// 2F
Address: j--4 ,.C ' , f c 3 rJ 0 / /- ?iF� s j 2 Occupancy groups: '
City /State /ZIP: R ��bl'� C/ iz (/2 al Existing: c =?r r/ /J
/ "
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1 /� �.1..J A / f - 1 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: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
. CONTRACTOR
Business name: /4 /4 f � e BUILDING PERMIT FEES*
Address: J'�' AA. (Please refer w fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
Total fees due upon application:
CCB lic.:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
7 ` within 180 days after it has been accepted as complete.
Print name: I 4,4/Ai ., Date: / C 9 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Perrnits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
r J
V
° Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: 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 $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
l:\ Building \Permits \BUP -CO\4 PcrmitApp.doc 02/23/07
CITY OF TIGARD
BUILDING DIVISION , AI N :
. PERMIT #: 13UP2007- 003.19
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 702007
Phone: (503) 639-4171 ui°l'
Inspection Requests (24 Hrs.): (503) 639 -4175 ' 61 I
INSPECTION WORKSHEET FOR DATE: 11f21/2007 TIME: 7 :00AM PAGE: 56
SITE ADDRESS: 16641) SW 72ND AVE B10 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: 009 TYPE OF USE:
PROJECT NAME: VERIS
DESCRIPTION: TI
OW NER: PACI FIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503244 -4318
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 060065~01 5033248601 Y
Corrections /Comments /Instructions:
A 15 - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL / ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
G
Inspector: Date: 11 2 1 U r l Phone #: (503) 718- Z6 41V'
Tidemark Advantage Rick Bolen o RB] o la '(
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„.._ . 1. Case #
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6640
3. Master #
4. Name Street Name: Unit:
5. Parcel # Z 2
6. Project Name _. _ .____ .__ _.�_
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Case No Status Address Project ,
BUP2007 -00476 I 16640 SW 72ND AVE B10 (SPA'-- °^"-At-L' 5 ) VERIS PAC 1 ',„ -
BUP2007 -00436 1 16640 SW 72ND AVE B10 (, 1" I- ) VERIS PAC
i MEC2007 -00538 I ' 16640 SW 72ND AVE B10 Ca DA '^'% off VERIS PAC
mr-
E LR 2007 -00357 I 16640 SW 72ND AVE B10 L hJA-c) VERIS PAC
ELR2007 -00287 F 16640 SW 72ND AVE B10 VERIS PAC
. C L� 2607 - 11 i 0 U r64111 S\. 711•1 G AVE ®n( 4 47, 4 E0 0S F'AIi .
B U P2007 -00349 I 16640 SW 72ND AVE B10 L r ) VERIS PAC + " --
E LR 2007 -00338 I 16640 SW 72ND AVE B10 LC,..., Lc /S VE R I S PAC
• ELR2007 -00305 F 16640 SW 72ND AVE B10 VERIS PACE
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