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Permit f . CITY OF T PERMIT PERMIT #: BUP2004 -00343 �� DEVELOPMENT SERVICES DATE ISSUED: 7/16/2004 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S113AD -01800 SITE ADDRESS: 16650 SW 72ND AVE B -12 SUBDIVISION: OREGON BUSINESS PARK I ZONING: I -L BLOCK: LOT: 011 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: S2 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: -3 3-g Remarks: Rack Owner: Contractor: PACIFIC REALTY ASSOCIATES NORLIFT OF OREGON INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 68348 PORTLAND, OR 97224 7373 SE MILWAUKIE EXP Phone: PORTLAND, OR 97268 Phone: 659 -5438 Reg #: LIC 67294 FEES REQUIRED INSPECTIONS Description Date Amount [BUILD] Permit Fee 7/16/2004 $81.70 [TAX] 8% State Surchari 7/16/2004 $6.52 [BUPPLN] Pln Rv 7/16/2004 $53.11 [FLS] FLS Pln Rv 7/16/2004 $32.68 Total $174.01 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: 1U` ,61,1_, , Permittee !: ��� Signature: „� ,_, Cali 639 -4175 by 7 p.m. for an inspection the next business day JUL -30 -2004 11:22 AM P. 01 a y Building Pmt Application trii (» 1 I( 'I( I OINI. City of I Tigard , 13123 SW Ball Blvd,. Tigard. OR 97223 Dawn : Permit No,; ; 4, Phone: 603.639A171 Fax S03,598,1960 . I Plan Review f 1,g'Q / AS� Impaction Lino: 503,639,4173 1 ' 1 Date/ay; Other Permit; Internet: www,ci.tigerd.or,u8 Date R Bee Athena' C6eeWltt for Notl&dM 8 •:• *mead Information ,44,1', , 11 . :I �� ... I ■ (., .1 ti { :'' 1 (‘ 1 ' 1 ' 1 A li 1 ih1 rr ; 1i. , +111' 7 ,41 IO!1,,,1,� )1,114 , :,./, !I r d,1.. lis ! lin }I l �r � , i ,' ,� .1....d.y, ..- r.... ,, I L, .:dr FI �.tA,i•:':�!ill a 1 1 � n��'9 �Ff l C 'I�, YI'!' ■ 1 � 1 I I � y } r�ntt , l t k RV�] },1r �QkYMtl1 •. . !•I, .,6� �. 'Lima le a ,... ,q � p 1 •,,lr i• �,r,xhi„:11�1..t�u „l,•. 'lyl �,rY'.� ;�.;,;i;,,� , ;. „ ,;;.;� ❑NewCOnstruction ©Demolition (] Addition/alterahon/replaoemeat ' : Other Indicate the value (rounded to the nearest dollar) of all 0.; " , ther - , , G • hh .., � a,: „. - ' '1' '' �' 1'P` ?'' '..1 >. ' af a r.'';:? +c u y,� .:. equipment, materials, labor, overhead, and the profit for the , I1 vl.-. 11' 1; .; i' I . 7 , ... rt . r ! •11 I' , ■ \ , P1 1 , , i 1 1 � 1 111 x11 T;, i t, I t M i �. work indicated on this application. p i„ u . i� .r ..{ L ' . It Irt1(u:al1H :9:,J..iSl I..d•1uY1 — ❑ 1 -and z- fbmily dwelling I'� Commercial/industrial Valuation: S ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder 0 Off: Number of bathrooms: '�. �. q .A: . I '.I l :� " °i,i N ' . I� � '�' ;I, ,. !1 ,� ^.'I.`' 1 1. I', ,Y;i�� l (, •, ... 1,•1r :,; 1 . I' S 9; I I .a:,:r ; ', :: ! floors: , ., : .::. 1 1 . ,:,•, ,:... ; •..;,;., ..,, r ; ; h' � . i, , .• , - •is,,••,, Total number of address; , - D , " !� °: ` 1 , lob site addre New dwelling area: square that City/Statc/ZIP: 0 r '- ' - / i Garage/carport area: square feet ■ Suite/bldg. /apt. no.: _ Covered porch area: square feet Cross street/d rections to Job site: Deck area: • square feet - Other structure area: square feet 1 1 1 1 J , 4 11 (41L(t I, ,L I 1 .1 '.O r 4 Y , ,. . ++ 1 .„0 , '+ , : Subdivision: tl c.1 r r_ 9 a ?! .n. ;.,CL�61. jpp " ''! 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, materiels, labor, overhead, and the profit for the I 1 I , 1 1 ti' work indicated 1'h ;! , - 1 j I> 1,n ..,..� �I' f� I i. 1 1 1 ! 1 � ii 1 1 , I�Iall on application, �m Valuation: S (L� u �. bl„ Existing building area: square feet t . . . ';','-,'I New building area: square feet 1 , .. . 1:,J 7 i 1, i {{ "'L ' 1 '•! „ I '•• ,' n •1f;J 'l l' ,61P 1 M '1; PY `� il .1 j , J' '3• .: -01U � Number of stories: Name: r/. l ✓ Type of construction: Address: - Occupancy groups: - City /State/ZIP: Existing: Phone: ( ) _ .'; :; . ,.... Fax: (. ) Now: , 4 Ia. ,: , I I �Y ,.1 ., , 1 ;ill '..,, 1 , ' r,r I Ill. f 'I 1 ,l r: ,! 1 ,, I. 1, 1 111 1 1 1 1 1 '.I i .Il. ! : {� i t 1 i 1 I ;,t 1 II r 11 t ,,, ,1, 11 , ;.• Buamtrss � / � 'F'' G r . •. �; � .I. .,..•4 ,)_i I�I C � ! i 1 � 'il � (h } ri i 11 . � 5.a y ,e All contractors and subcontractors are required to be Contact name: rr A 0 r licensed with the Oregon Construction Contractors Board Address: under ORS 701 and may be required to be Hcensed in the ?�L - jurisdiction in which work is being performed. If the City/State/ZIP: L r• M applicant is exempt from licensing, the following reasons Phone: (f0 ) El� �. rPt� ' Ar� apply: E -mail: ff 11'1' t 1 . , , I .. , , ,. f ' } I,,.1 1,1''. t , ll1 { 1 ' I ! I f i 1 I l { '!.�� �J 71,61 - r... � ,'.: , ., .I •, ..J .. I , :., I , 1. 1 .I. Business name: l 1� i r i r• „1 ' 1 ;,` 1 %{ ,,, ., . I a' Ir' 1I i l ' i 17 1 1 @ t Ci re ate/ZIP: -`/ n , L Please refer to fee schedule, • /r i i r Phone; Fees due upon application ( ) 37 ' p Fax: 110 • 2 7/7' , Amount received Date received: Autbotixed signature; This permit application expires if a permit 1a not obtained Print name: within 180 days after It has been accepted as complete. ( ,- ' /'/t e ' Date: • > A' O t f • Pas methodology at by Th- County Building Industry Service Board, Lt8anairupereautUtlP 6reetaApp,doe IMO 44aoetrr(ttroyC0MIWa91 • CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 • MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP O4 - 3 Received Date Requested 77(6 (04--- AM PM BUP Location (f0 65 72- Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: 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 PAS RT 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 An M /, _ i ` M/ UG/Slab I' 1 W rw' - $ /- Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: 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