Permit w
ilk CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00432
i DEVELOPMENT SERVICES D ATE ISSUED: 10/8/02
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S112DC -00100
SITE ADDRESS: 15705 SW 72ND AVE
SUBDIVISION: OREGON BUS. PARK III 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: 0.00 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 18,000.00
Remarks: Combine Nike /Bridgestone, create opening between existing offices and remodel existing locker rooms.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HOWARD S WRIGHT CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 425 NW 10TH AVENUE #200
PORTLAND, OR 97224 PORTLAND, OR 97209
Phone: 220 -0895
531 -9492 Phone: 220 -0895
Reg #: 51EI -9492 89229
FEES MET REQCJQIW Npp��
SPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 10/8/02 $216.10 Plumbing Permit Required
TAX 8% State Tax 10/8/02 $17 29 Gyp B o r d In
[TAX] Gyp Board Insp
[BUPPLN] Pln Rv 10/8/02 $140.47 Susp Ceilng Insp
[FLS] FLS Pln Rv 10/8/02 $86.44 Final Inspection
Total $460.30
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 -0111D.- through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 3) 246 -6 6' ° • r 1- 800 - 332 -2344. - P if
Issu d By: K. Q , . 4 /. - �, / /
Perm itte --
Signature: , ��
mi l �%�
Call 639 -4175 by 7 p.m. for an inspection the next business day
7 --- - - lib.
Building Permit Application 1/59‘
Date received: /C 3 4'2 Permit no.:tu �a _G9
� City of Tigard
= .1� ' `) I! g Project/appl.no.: Ex ire date: • •
Ci o Ti and Address: 13125 SW Hall Blvd, Tigard, OR 97223
rY l 8 Phone: (503) 639 -4171 Date issued: C B I Receipt no.:
Fax: (503) 5984960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial O Multi - family 0 New construction 0 Demolition
0 Addition/alteration/replacement » Tenant improvement 0 Fire sprinkler /alarm 0 Other.
JOB SITE INFORMATION
Job address: I 765 01 72- P4 j7 fl•E • Bldg. no.: Suite no.: •
Lot: Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name: M ice 4, .f /btMVJFA tvdIV6 '
Description and location of work on premises/special conditions: A41001 JNT 0 - erPtee iktl' EilL stirs
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
Name: N 1i f pro (Floodplain, septic capacity, solar, etc.)
Mailing address: 1 P o W Eh•M00 PP, 1& 2 family dwelling:
City: >v DOJ I State: CIL ZIP: a(' f dU s Valuation of work $
Phone:b1i_Z86 2 lFaxbt+I.179 IE -mail: No. of bedrooms/baths
Owners representative: tE .tc. S 6r2.4945E1v . Total number of floors
Phone: . : 6 2. Fax: , • (;__ E -mail: New dwelling area (sq. ft.) .
APPLICANT Garage/carport area (sq. ft.)
Name: N 114 6 l loc.- Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi - family:
CONTRACTOR Valuation of work $ 1 Rob•
Existing bldg. area (sq. ft.)
Business name: !t#51AJ (Lf wl4-tQ 5_ w 04,611.1 - New bldg. area (sq. ft.)
Address: 4 Ptv • 1 01 1 &AM tStill 7a) Number of stories 1
City: �j ()Q State :61__I ZIP: 4t7 Type of construction V • 0
Phone:tjg, .pgt{s 1 Fax :ZjA -0/3cj -mail: Occupancy group(s): Existing: $-
CCB no.: $l 22 ''( New: 13
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: t•51 - er - P fr i 44- ( f1 Z1' . provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason applies:
City: lij !!1t a ,- a N State: c --1 Z IP: 4 7
Contact person: 4' 2 C /4140P Plan no.:
Phone: i. - mg Z Fax: • E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: 1 Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied w' whethe specified herein or not. Credit card ° /
Expires
Authorized signatu - . i_ : ;'Ay'Date: 70 .3 '6 Z Name of cardholder as shown on credit card
• $
Print name: A;t�"� 5 = Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (NONCOM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVrSION� Business Line: (503) 639 -4171 MST
Received Date Requested 1/ / 4j AM PM BU$
i
Location d Suite MEC
Contact Person ' Ph ( ) 5 cf - 77 3 Z PLM — act ( 1 4 ?'
Contractor Ph ( ) SWR
Tenant/Owner 41 -4 o , ELC
Footing
Foundation ELC
Access:
Ftg Drain s AO ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear " — a-- C�C---
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - 1"-V Fire Alarm f � j Susp'd Ceiling — t ; r
Roof
Other:
FAIL
P
i .
Post & et eam�
Under Slab
Rough -In
Water Service
Sanitary Sewer 1
Rain Drains
Catch Basin / Manhole /
Storm Drain \
Shower Pan /
Other:
a"
all RT FAIL
M _'.'.ICAL
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 n Please call fo reins.- tion RE: El Unable to inspect — no access
Fire Supply Line
ADA y
Approach /Sidewalk Date < / A A Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL -