Permit ._ 'CITY OF TIGARD. BUILDING PERMIT
P ERMIT #: BUP2004 -00204
A DEVELOPMENT SERVICES DATE ISSUED: 5/5/2004
�` il
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
041,1- SITE ADDRESS: 07204 SW DURHAM RD Q300 PARCEL: 2S113AC-00103
SUBDIVISION: PACTRUST ZONING: I -P
BLOCK: LOT: 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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 110 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:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: TI, new walls for offices.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES C.A. GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA PKWY. #300
PORTLAND, OR 97224 PORTALAND, OR 97224
Phone:
Phone: 503 - 624 -7717
Reg #: LIC 156496
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 5/5/2004 $187.30 Electrical Permit Required
[TAX] 8% State Surcharl 5/5/2004 $14.98
Sprinkler Permit Required
BUPPLN Pln Rv 5/5/2004 $ 121.75 Framing dsp
[BUPPLN] Gyp Board lnsp
[FLS] FLS Pln Rv 5/5/2004 $74.92 Final Inspection
Total $398.95
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
952-001-0018 • • . • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin• 83) 246 - 6699 0 - 800 - 332 - 41 '4.
I. 6— –6032 MAAli
Iss � ed By: L - .•��
Permi - -
Signature: A �/ �� = r._ / /����
Call 639 -4175 by 7 p.m. for an inspection the next business day
B y ICI�YY1 i�1 �� y f i h4 �'3FOR0 t u
'_, EFICE�TSE UNI.Y s .
l.. �'< .i'iT 4's.`y.3a. — " -,7.Ja 1C �,, -` _.� -L s r '-;
Receiveo
of � � ,_ /� ,\ f Tigard ��pp �O Date /By. " . Pemu[ No. r ^
City o '
13125 SW Hali Blvd ,Tigard. OR 9 :2 +p� \ pN J 0 I — i �� 9ioi �, /��'
'' Date / By: - O' 4'f � Other o
- ��A ` Q ���� \ ' �'rr,�� ,, . DBv: ,�' - e, —, i:r
Phone: 503.63e . =1i i i Fax 50,.395. i ` `l
Line: e 75 r - - 1 ! ' Date Ready/By: Junes fr] See Attached Checklist to *-
Internet: www.ci.ti gard.or.us
inspection �me: 03.639.41 , ` �N G' ,r, �/ l7 /Q Cupplcrntta:d Attached Checklist
,
w \ \ ' Notified/Method: / (
. TYPE OF WORK . REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
❑ New construction ❑ Demolition
Indicate the value (rounded to the nearest dollar) of all
kddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
, CATEGORY OF CONSTRUCTION Fork indicated en this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial/hid tts trial
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
, „JOB SITE,; AND :LOCATION Total number of floors:
Job site address: 7_2 S� �4 nhi �. New dwelling area: square feet
City/State /ZIP: / p � �j� ✓ ®� Garage /carport area: square feet
Suite/bldg. /apt. no.: # ®- ljProject name: ger l��,�^��ld porch area: square feet
Cross street/directions to job site: . ' ^, v Deck area: square feet
•
Other structure area: square feet
4j 7 ?Q 'REQUU ED`DATA:',COMMERCIAL -USE CHECKLIST
Subdivision: /• . �AV17, rj,S'74,0 - 4' , � 4 Lot no.: �+ Permit fees* are based on the value of the work performed.
°° Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
I
; D RIP
ESC TION OF . WORK work indicate d on this application.
:: �• ... , ,. ,:. � . e , • Valuation: $ /c _-----
/j /5/ 76 417V/ Existing building area 41‘,0 square feet
,h New building area: !/f square feet
i. PROPERTY "OWNER ❑=TENANT: Number of stories:
Name: PacTrust Type of construction: /-. Ai
Address: 15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups:
City /State/ZIP: Portland, OR 97224 Existing: J8/$ i Y
Phone: ( 503 ) 624 -6300 ax (503) 624 -7755 N ew:
CtAPPLICANT ®`'CONTACT : r NOTICE
Business name: PacTrust 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: 15350 SW Sequoia Pkwy . , Suite 300 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Portland, OR 97224 apply:
Phone: ( 503 ) 624 - 6300 Fax:: ( 503) 624 - 7755
E -mail:
`, CONTRACTOR °' _ J
Business name: C.A. Green Company rh *
DUILDING PERMIT FEES
Address: 15350 SW Sequoia Parkway, Suite 300 Please refer to fee schedule.
City/State /ZIP: Portland, OR 97224
Fees due upon application
Phone: (503) 624 - 7717 Fax: (503) 968 - 1686
Amount received
CCB lic.: 156496 Date received:
Authorized signature: / This permit application expires if a permit is not obtained
p within 180 days after it has been accepted as complete.
Print name:��Q ,/y � /��\ �, 9 /�" ), Date: c.L,5 * Fee methodology set by Tri- County Building Industry
/ /// /� // G �fF`/ / Service Board.
i Building \Permits \BLIP- PermitApp doe 12/03 440- 4613T( I I (02 /COM/WBB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST `
BUP a� IZ — 00 .`-6)4(
Received Date Requested_ 7 _._) AM PM BUP
Location . L 0 C Suite K2- MEC
Contact Person Ph ( )35/ _ DNS PLM
Contractor Ph ( ) SWR
BUILDING Tenant /Owner d , .L4- ?To/1J c2e -t-4 ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
hea eath/Sh lShear
Int Sheath /Shear
Framing �► _/
Insulation d: � j tau F1 -� l ' ^Z.�( dl., 1
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
1(1
PASS PART FAIL
PLUMBING `ti
Post & Beam r NA
I�
nder Slab
Rough -In I W r
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 7 '
Rough In _� A ,4 %∎,
Slob WW �'� � !' //�-�/ -
Low Voltage - � - Fire Alarm - ` . f �1i1� '�' Low
Final 0 Reinspection ee 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