Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00539
ltil DEVELOPMENT SERVICES DATE ISSUED: 11/15/2004
Alt ilk
SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10775 SW CASCADE AVE PARCEL: 1S135BC -00600
SUBDIVISION: ZONING: I -P
BLOCK: LOT: 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 98 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: $ 2,744.00
Remarks: Fire sprinkler system.
Owner: Contractor:
AMB PROPERTY L P DELTA FIRE INC
BY TRAMELL CROW NW.lNC 14795 SW 72ND AVE
8930 SW GEMINI DR PORTLAND, OR 97224
BEAVE TON, OR 97008
Phone: 620 -4020
Reg #: LIC 64174
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 11/15/2004 $72.10 Sprinkler Final
[TAX] 8% State Surchaq 11/15/2004 $5.77
[FLS] FLS Pln Rv 11/15/2004 $28.84
Total $106.71
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:
Permittee
Signature: ��ie
Call 639 -4175 by 7 p.m. for an inspection the next business, day
•
Building Per Appl FOR OFFICE USE ONLY
Permit No. ' /A
City of Tigard Received (/ 2 Y IA — 79
13125 SW Hall Blvd., Tigard, OR 97223 Pla R r ��
//4". _ Date/By: By:
(/ Other Permit:
���I' Date/By: f � "
Phone: 503.639.4171 Fax: 503.598.1960 ��� dT
Inspection Line: 503.639.4175 ' Date Read /B Juris:
� . . Ready /By: /� ® See Attached Checklist for
Internet: www.ci.tigard.or.us Nottfied/Method: -,---)L7,- Supplemental Information
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
DR Indicate the value (rounded to the nearest dollar) of all
(„Addition/alteration/replacement I ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
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El I - and 2- family dwelling Commerci industrial
Valuation: $
❑ Accessory building I El Multi-family Number of bedrooms:
❑ Master builder I ❑ Other: Number of bathrooms:
z a '41, = ^`=;[ e B' 415 '� �I r Total number of floors:
5; ,� .: ��a`> �.: �tw�-+ a•. c5���' �czx «�:3�-s:s':2 kIl � .a #xasra )( � 444,- �.� ;�' „,
Job site address
w U R O �t
: `7 75 ,.2,0 I . New dwelling area: square feet
City/State/ZIP:[ a Garage/ca rport area: square feet
Suite/bldg. /apt. no.: Project name: - Covered porch area: . square feet •
Cross street/directions to job site:
7 /Le 02 Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: .5/35 U� Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
” , 7. D,5 tt , s Z work indicated on this application.
^x�5�,.- ..r� + c�c #, �,„su a � a..exs- s ''"w.•,..' ^.. '�� .,. - ,.;. .•�
Valuation: $ 627
Existing building area: square feet
New building area: square feet
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Name: �4 :1, �� ` / ,� a � Type of construction: I /'/
Address: �I.�•/ / Y
� _, < ���• _ Occupancy groups:
M T Existing: �,
Phone: C' j .—C 0 _ . Fax: Q — L L/
�t New:
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Business name:��� // '_..�a,�r�x#��� �- ,�,�.€;��• ,� ��.R � r
l r 4 , All contractors and subcontractors are required to be
Contact name: . j A �' i _ licensed with the Oregon Construction Contractors Board
�' under ORS 701 and may required to be licensed in the
Address: �C- r jurisdiction in which work k i s being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: e
7��" aPPly:
Phone: 4 % %) � — ith, id) Fax:: COge ' (j
E -mail: t r A ��� t/ !_,:r0 v C. • Rica♦
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Business name: C f s ` �
/ , Tr. .., i--t.« - „Tr.�Y..an ^saaa.., -..,, ,,g : r 5+� ' s , zx . A J
• .
Address: 1 (� "7Q C y ' 7�� _ I ” Please refer to fee schedule. •
City /State /ZIP., _
/- 9� Fees due upon application
Phone ) �� - Fax (o — CE/
( C J 7 Li ., ,Amount received
CCB lic.: l
' �� — Date received:
Authorized signature:
_,- / I This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
.L� tj - rt1�='
Print name. a� Date: .I ` Fee methodology set by Tri -County Building Industry
f Service Board.
is 1 But ding,Pcrm,u\BUP• PCnm!App doc I2./03 440- 4613T( I I /02/COM/WEB1
■
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION, DIVISION Business Line: (503) 639 -4171 MST
42105,0 deC5?
Received Date quested /;- c? AM PM BUP
Location /(:)? SGT Suite MEC
Contact Person 4 Ph ( ) — T - r.)c. PLM
Contra .tar_ • • h ( ) SWR
ILD Tenant/Owner ' / � � "�'��`' ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
•
Firew-
Fire Alarm 0111
Susp'd Ceiling
Roof Ai
_Final 1rf/ f I liwirripfaim W
PASS PART FAIL
PLUMBING
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 •
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 f r reins ti ection RE: Unable to inspect — no access
Fire Supply Line 0 ts,
' ,
ADA Date 11,4 lk Ins ecto r` % Ext
Approach /Sidewalk P
Other:
Final DO N ' REMOVE this insp on record from the Job site.
PASS PART FAIL