Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00138
11�I�i DEVELOPMENT SERVICES DATE ISSUED: 4/11/2005
`--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S113AC-00103
SITE ADDRESS: 07216 SW DURHAM RD P100 ZONING: I -P
SUBDIVISION: PACTRUST LOT: JURISDICTION: TIG
Project Description: TI Walls
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: 71 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: $ 19,000.00 .
Owner: Contractor:
PACIFIC REALTY ASSOCIATES A J. WEBER CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548
PORTLAND, OR 97224 PORTLAND, OR 97280
Phone:
Phone: 244 -4318
FEES Reg #: LIC 65238
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/11/2005 $225.70
[TAX] 8% State Surchari 4/11/2005 $18.06
[BUPPLN] Pin Rv 4/11/2005 $146.71
[FLS] FLS Pin Rv 4/11/2005 $90.28
Total $480.75
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- 10 ti ough OAR 952 - 001 -0100. You may obtain a copy of these rules or irect ques s OUNC by
calli 503 - 246 -66. or 1- 800`32 -2344.
IssUed By: ; i - — Permittee Signature: k ± _
Call 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.
EIVE® •
Building Permit App i Fon oFF[cE USE ONLY
City of Tigard e a
�' g A PR 0 7 2005 ? A Pemvt Cal. — �)0/ g
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
IN f p \
Date/B e T
Phone: 503.639.4171 Fax: 503.598.196bn —, O TIGAR� i�d Date/B Other Permit:
Inspection Line: 503.639.4175 ^ ; ' � I Date Ready/By: ® See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVI - Notified/Method: IM Supplemental Information
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work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
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Valuation: $
❑ 1- and 2- family dwelling Commercial/industrial
❑ Accessory building
❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: • Number of bathrooms:
,�;;; . , ;t ;, ,,.- .a = v:<, ur , }y:', a . _ma, > k,E Total number of floors:
M i?d!:s x il"c >- E ., e Fj:V'' S num
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Job site address: 7., 11,e 5; ii h t yl New dwelling area: square feet
City/ State/ZIP: _-f-t „Q 6 g f 7 ? - Garage/carport area: square feet
:
Suite/bldg. /apt. no.: . Proje name: �-Pr�.j ,.l r (L T�� 1 �� � \ ` Covered porch area: square feet
Cross street/directions to job site: Sc ) ,i r", a, v i 2 ) (Ai a / Deck area: square feet
7� eLGV �1T-t° • Other structure area: square feet
rog :T D D TA GO I MER G; I4I;'�USE CI g
° 1 ST; s
Subdivision: I 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
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.� ,�?�• �t ?' �, :�. f <��• �����`��' � work indicated on this application.
5 l> DES TTU Oli "e b ` ` r _: 3 "" PP /
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Pa / i f(Dv) 5 __ 'ti bl ki /Q � ' ,// -- _ , !�j/1 !NJ D r— �l-l�L 5� Valuation: $ ow _. D®
work__ /�� x'000`1 ��Q . ��'LG6> C i Q S� [! Existing building area: 7 Q$ j square feet
2 f / Lt. *` ifr iv , 14 , / ( ell' l O s p 1 . New building area: y f square feet
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�` 6� 441 4$4 0 � C :R;� ' .1 tt M „tip � i� a ”' ANT +,, s Number of stories: ,
Name: PacTrust • Type of construction: t1,
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing: .
Phone: (503 ) 624 -6300 Fax: 503) 624 -7755 New:
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Business name: PacTrus t 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:
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Business name: " A�, ��6_� T .eT1o 7 ',, , ,!;,, ;.h ,, ,�,sk. G.cr.0 ", ,.:gar;,, •�;:':�..'��",:;,,,. -..:_ .
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Address: - �jp �, _ , Please refer to fee schedule,
City/State/ZIP: )-rem ®n 91. a s
°� Fees due upon application
Phone: l3- t{,?1Cd Fax: -- — - n
Amount received •
CCB lic.: 4 6.2,, $
�/ � Date received:
Authorized signature: 4 /� �,?�Ey� This permit application expires if a permit is not obtained
/// within 180 days after it has been accepted as complete.
Print name: Al
4.4(1--, He( � Date: V 7 /05 * Fee methodology set by Tri -County Building Industry
1 { r ` Service Board.
i:' Building \Permits\BUP_PermitApp.doc 12103 4404613T(i1 /02/COM/WEB)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 00138
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2005
Phone: (503) 639 -4171 b f i l tl
Inspection Requests (24 Hrs.): (503) 639 -4175 - 1.E.
INSPECTION WORKSHEET FOR DATE: 4/29/2005 TIME: 7:11AM PAGE: 68
SITE ADDRESS: 07216 SW DURHAM RD P100 CLASS OF WORK:
SUBDIVISION: PACTRUST LOT #: TYPE OF USE:
PROJECT NAME: NEWKIRK
DESCRIPTION: TI Walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: WEBER CONSTRUCTION INC, A PHONE #: 244 -4318
Inspection Request Scheduled For: Date: 4/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 005671 -01 503. 320.8601 Y
Corrections /Comments / Instructions:
ti _A
A/ i /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE ;- ASSESSED
. A
4 IOW 4
Inspector: Date: Phone #: (503) 718-