Permit - CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00251
7 .1 x DEVELOPMENT H B�ENg Tigard, R + - 639 - 4171 DATE ISSUED: 6/14/2005
�' +� PARCEL: 2S112DC -01400
SITE ADDRESS: 15865 SW 74TH AVE 110 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT: 004 JURISDICTION: TIG
Project Description: T.I. wall.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 6,000.00
Owner: Contractor:
PACIFIC AMERICAN PROPERTY EXCHAN TRIANGLE CONSTRUCTION LLC
PACIFIC SANTA FE CORP 35155 NE ROCKY HILL RD
17700 SW UPPER BOONES FERRY RD NEWBERG, OR 97132
PORTLAND, OR 97224
Phone: Phone: 503 - 625 - 9194
Reg #: LIC 144370
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/14/2005 $100.90
[TAX] 8% State Surcha 6/14/2005 $8.07
[BUPPLN] Pln Rv 6/14/2005 $65.59
[FLS] FLS Pin Rv 6/14/2005 $40.36
Total $214.92
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 B y : ,- Zi_ .tom Permittee Signature:
Cali 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.
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City of Tigard H L �_ Z '' _ �..: R
O)--- l.. Permit No: 1 1`, /
'3125 SW Hall Blvd., Tigard, OR 47223 Plan Review
lone; 503.639.4171 Fax: 503.598 - 1 940 y �>5� ytr I�, +\ D.,03 inspection Line: 503.639,4175 JUN 1 ' 9 4 2UU5 d< • Other Permit;
V fiixaL Date Meth: Supplemental Soo tor w.Ci.tigard.or,US NotiSed /
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❑ Ncw construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicatethe value (rounded to the nearest dollar) of all
6/Addition/alteration/replacement ❑ pi
RIME r tio r e p , Fir equipment, materials, labor, overhead, and the profit for the
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❑ 1- and 2- family dwelling `'Commercial industrial Valuation: $
❑ Accessory building ❑ Multi - fancily Number of bedrooms:
❑ Master builder ❑ Oth Number of bathrooms:
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Job site address: j S X S v ct_-i tSrv New dwelling arca: square feet
City/State/ZIP; •- t ?j.a---r r,( —°' (2 q -? 2 - 2 4- Garage/carport area: square feet
Suite/bldg. /apt_ tto.: C t v 1 Project name: y-c „ ( .- o vG =\r C ' Covered porch arca: squarc feet
Cross street/directions to job site: SL, -7 ¢, - 4 kc — 1 Deck area: square feet
Other structure arca: square feet
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Tax map /paTCcl no -: Indicate the value (rounded to the nearest dollar) of all
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Valuation: $ F r? C
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IDS, (___(_,C--- . PCL C:- FL,_.-(C- ` /c_ no ir- Type of construction: a,
Address: c(o St,.5 N i l, i IS A 1 Occupancy groups: S
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�� All contractors and subcontractors are required to be
Contact name: _�� S• � �����/ licensed with the Oregon Construction Contractors Board
Address; 1 (� tmdcr ORS 701 and may be required to be licensed in the
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City/State/ZIP: ( ) G' a „�-- c j � ta 7 2
applicant is exempt from licensing, the following reasons
( 1 apply:
Phone: ( ) 24 4-. C3�Jg L I Fax:: ( ) 2_-9 c{, 634 -1 .7
E -mail: h'` - 0/ L . C.-1- d' I
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L-2,, � ` " �f Please refer to fee schedule
City /State/ZIP; W'_,j E(Z ( 7 7 () 2-
Phone: ( ) Co 2S -- ( 7 [f- Fax: ( ) Fees due upon application
r 9 9 'CB lie.: (" t `-t" , 7 p �k `� -6• -a 6 — Amount received
Date received:
Authorized signature: T 1 1
'Q_ ,,, , �' !J -- 1 This permit application expires if a permit is not obtained
within 1S0 days after it has been accepted as complete.
Print name: �. . Date: [� , (7f - c.:S * Fee methodology set by Tri- County Building industry
Service Board,
i:\ Building \Perrnam \BrJP- PermitADp,doc 17/03 440- 46131(11 /01/COM/WP_B)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005- 00251
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005
Phone: (503) 639 -4171 / � r4 ft i
Inspection Requests (24 Hrs.): (503) 639 -4175 � :_..
INSPECTION WORKSHEET FOR DATE: 6/27/2005 TIME: 7:09AM PAGE: 70
SITE ADDRESS: 15865 SW 74TH AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME:. BRAND INNOVATORS
DESCRIPTION: T.I. wall.
OWNER: PACIFIC AMERICAN PROPERTY EXCHAN, PHONE #:
CONTRACTOR: TRIANGLE CONSTRUCTION LLC PHONE #: 503.625 -9194
Inspection Request Scheduled For: Date: 6/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 010148 -01 503. 756.3203 N
Corrections /Comments /Instructions: 41114
Of
i i ‘.....r.---- �l 4
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FE S ASSESSED
Inspector: ■ Date: t7 - -Rh one #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2005 -00251
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2006
Phone: (503) 639 -4171 :iii / jN„dpigl i
Inspection Requests (24 Hrs.): (503) 639 -4175 =��
INSPECTION WORKSHEET FOR DATE: 6/16/2005 TIME: 7:10AM PAGE: 7
SITE ADDRESS: 16865 SW 74TH AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INNOVATORS
DESCRIPTION: T.I. wall.
OWNER: PACIFIC AMERICAN PROPERTY EXCHAN, PHONE #:
CONTRACTOR: TRIANGLE CONSTRUCTION LLC PHONE #: 503-625-9194
Inspection Request Scheduled For: Date: 6/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 009466-01 503 - 756 -3203 N
Corrections /Comments /Instructions:
�� � _ ►tea '
&.__,.
, . . . ot o . c it.,/ k (
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
(t Inspector: Date: Phone #: (503) 718 -
p )