Permit • C ITY O F TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00365
DE SERVICE DATE ISSUED: 8/16/2005
= 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110DC -00300
SITE ADDRESS: 15700 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 016 JURISDICTION: TIG
Project Description: Fire damage restoration.
•
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: S1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N 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: $ 108,000.00
Owner: Contractor:
SHURGARD STORAGE CENTERS INC ERIC GAMBEE CONSTRUCTION INC
21669 REDWOOD RD PO BOX 13354
CASTRO VALLEY, CA 94546 PORTLAND, OR 97213 •
Phone: 510- 733 -5600 Phone: 503 - 638 -0170
Reg #: LIC 105085
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[FLS] FLS Pln Rv 8/2/2005 $310.20 Special inspection (see pla
[BUPPLN] Pln Rv 8/2/2005 $500.08
[BUILD] Permit Fee 8/16/2005 $775.50
[TAX] 8% State Surcha 8/16/2005 $62.04 •
Total $1,647.82
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: _ _ _ _ A71 Permiftee Signature: ��
___
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.
1S 7a9 sw tii<VRi4IDuaA(!G ihty
Building Permit Application 910111A41° FOR OFFICE USE ONLY
City of Tigard � Date/B 0 6 M��
of
Hall Blvd., Tigard, OR 972211 `� `' an Rev
an i ���� '� ,_ �0 3
13125
Phone: 503.639.4171 Fax: 503.598.1960 Da �o�as Other Permit:
Inspection Line: 503.639.4175 c 2�? - 4"d414:- )-t Date Rea. n' Jails H See Attached Checklist for
Internet: www.ci.tigard.or.us ° ' Notified/Method: � �� / T/ � Supplemental Information
Tilt Q> !'Q , , i `,
t3:TItJ F;- REQUIRED DATA: 1 - AND 2 FAMILY DWELLING
t'
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement 5t1 Other: pF.,6_ (y1'Al1AelE RESTOe_ equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial
Valuation: $ i
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ' ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: is-1m - tij P c.v Ly -� New dwelling area: square feet
City /State /ZIP: fl ( ( QJ _� q -ZZ4 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: ,I6\41.I EC A _ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: l Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
PKG. b1'[ul/16G f.t�-reo-n� Valuation: $ $ __
i� Existing building area: square feet
New building area: square feet
tifi PROPERTY OWNER ❑ TENANT Number of stories:
Name: PTCO &I. ei Fu `Hl- C� 1r� , f� tVl ' . Type of construction: vkk k (
Address: 2 V10 -1 r G at , A ( Q /) IV Occupancy groups: RET -1O f4
City/State/ZIP: . ` O ' f r-'- ;
�ffCl.(.r� l . t 51+.0 Existing:
Phone: (S10 ) 1 - ILh'3O Fax: (Si 0) 1 33 - S(00 Z New:
APPLICANT - ❑ CONTACT PERSON
NOTICE
Business name: / _ ` p ^-���
r � ' 1U 1 i ' , All contractors and subcontractors are required to be
Contact name: L�.�C t'T'ul licensed with the Oregon Construction Contractors Board
Address: PO 6 m(, ( under ORS 701 and may be required to be licensed in the
"' Tom' �-.4 jurisdiction in which work is being performed. If the
City/State/ZIP: Pee lj 1U{) c 011.--24 applicant is exempt from licensing, the following asons
Phone: (ma X 12 - � 11 e I Fax:: !1 Las 8 _oil 0 apP ST Q., . �i�.o 8 `�
E-mail: E -�1 O.. N1,510 , C n til ! No. CONTRACTOR a L D•.✓
Business name: Ec1 Q /'n�1 �a.1 i
Address: Po t '.�' E 4 .►� w .1 (JR J BUILDING PERMIT FEES*
City/State /ZIP: 1'�. •�l l l�'[ )O . ` q q -� Please refer to fee schedule.
Phone: aB) -co 0 I Fax: �'g � i 0 Fees due upon application
I
CCB lie.: ' ruSo 85 4/A456; V . Amount received
Authorized signature: l- u..I ` / Date received:
This permit application expires if a permit is not obtained
Print name: - J 6 Uc=E. Date: within 180 days after it has been accepted as complete.
Mill S * Fee methodology set by Tri -County Building Industry
i:\ Building \Permits \BUP- PermitApp,doe 12/03 Service Board.
440-4613 T(11 /07/COM/ W EB )
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: gUP200f, 00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/16/2005
Phone: (503) 639 -4171 i� l
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' "'I (
. —
INS WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 57
SITE ADDRESS: 15700 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 016 TYPE OF USE:
PROJECT NAME: SHURGARD
DESCRIPTION: Fire damage restoration.
OWNER: SHURGARD STORAGE CENTERS INC, PHONE #: 510- 733.5600
CONTRACTOR: ERIC GAMBEE CONSTRUCTION INC PHONE #: 503-63 8-0170
Inspection Request Scheduled For: Date: 9/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 015399-02 503 - 690.9690 N
Corrections /Comments /Instructions: -
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SS ❑ PARTIAL APPROVAL ❑ CANCEL O SS
❑ FAIL ❑ CALL FOR INSPECTION
Iii
L ES ASSESSE /�/
Inspector: ��� " Date: q (' Phone (503) -