Permit 1
1 .. ,...40.% .,
A CITY OF TIGARD BUILDING PERMIT •
PERMIT #: BUP2003 -00641
,r+ DEVELOPMENT SERVICES DATE ISSUED: 11/5/03
'' I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 220 PARCEL:. 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
I 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: 2 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 8 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: $ 24,000.00
Remarks: New walls for TI. •
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 11/5/03 $273.70 Electrical Permit Required
[TAX] 8% State Surcharl 11/5/03 $21.90 Pprin Permit Required
Plumbing Permit Required
[BUPPLN] Pln Rv 11/5/03 $177.90 Framing lnsp
[FLS] FLS Pin Rv 11/5/03 $109.48 Gyp Board lnsp
Total $582.98 Final Inspection
i
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.
i
Issued By: 16
et,J
. - 1
Perm ittee / /
Signature: ���„ �� /� // '`
/
/ Call 639 -4175 by 7 p.m. for an inspection the next busines •
Bu ldl PermitApp _ A
Datereceived: / Permitno:
Cl of Tigard
�.ew —OI' y
' „ f � I1 b Project/appl.no.: Expire date:
City oJTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223.
Phone: (503) 639 -4171 Date issued: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: I&2 family: Simple Complex: !
TYPE OF PERMIT
O 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi- family 0 New construction O Demolition
❑ .Addition/alteration/replacement %, Tenant improvement 0 Fire sprinkledalarm O Other.
JOBS INFORMATION •
Job address: ( t7&69 `41) 4 WOOD V _ „1 Bldg. o.: ” Y �
g. �'.'y' J Suite no.: �)
Lot I Block: (Subdivision: V Tax map/tax lot/account no.:
Project name: G'S, s VSTA * •
Description and location of work on premises/special conditions: SA ' G .?At; �i i��Z� / �� — - '
'.411P I v //. - % ii
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST -
Name: P a cT ru V S t V (Floodplain, septic capacity, solar, etc.)
Mailing a 15350 SW Sequoia Pkwy., #300 1 & 2: family dwelling:
City: Portland . I State: OR (ZIP: 97224 Valuation of work $
5031 Phone:5524 = 63 Q0 0IFax:6a2.4' - /.'/,54:E -mail: No. of bedrooms/baths
Owner's representative: D e n n i s P ag n i Total number of floors
' ' Phone: Same . Fax: S a e V E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Pa c T r u S t • , Covered porch area (sq. ft.)
Mailing address:15 3 5 0 SW .S e' u o i a Pkwy., #300 Deck area (sq- ft.)
City: Portland State: OR ZIP: 97224 Other structure area (sq. ft.)
503 Phone 24 -6300 Fax6 24 - 7 7 5 ' E-mail: Commercial/industrial/multi-family:
CONTRACTOR Valuation of work $
Business name: .'/ ;. , ' > e n Existing bldg. area (sq. ft.) r,2�,/'
Adds:15 3 t S W Sequoia Pkwy . , # 3 0 0 New bldg. area (sq. ft.)
res
City: Portland . State: O R ZIP: 9 7 2 2 4 Number of stories .3
503 Phone6 2 4— 7 717 Fax: E-mail:
Type of construction // ' /./
CCs no.: 41328 / ! p V Occupancy group(s): Existin
/�' - New:
City/metro lit. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Boaid under
Name: J oh n R 0 m 1 S h provisions of ORS 701 and may be required to be licensed in the
Address:l5 3 5 0 SW Sequoia Pkwy. #300 jurisdiction where work is being performed If the applicant is
City: Portland 'State: OR fzip:g 7 2 24 exempt from licensing, the following reason applies:
Contact person: I Plan no.:
503 ) Phone:624-6300 Fax: 775'E'mail:'ohnr @ .
ENGINEER
Name: Contact person: Fees due upon application $ •
Address: V Date received:
City: (State: (ZIP:. • Amount received $ -
Phone: I Fax: 1E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the ' Not all jurisdctions aexept credit cards. please call jurisdiction for more information-
attached checklist. All provisions of laws and ordinances 'go • ruing this t] Visa ❑ MasterCard
work will be complied • whether . c' . herei i o • : Credit card numbir: / I
Expires
Authorized signatu a //� ' d' Name of cardholder as shown on credit and
Print name: .► i Adi/ -. $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (600/COM)
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection. Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM (ID 3 - 0 0 6 1 /
Location '- 1A7B0 t • Suite aZD MEC
Contact Person '�`' Ph ( ) 3S / -aS38r pLM
Contractor Ph ( ) SWR
UILDIN Tenant/Owner ELC
noting
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
d am
Oa) PART FAIL
• ' BING
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 for reinspection RE: Unable to inspect — no access
Fire Supply Line f /
ADA Date /2/ 2y/ 6 Inspector dria4... Ext Approach/Sidewalk / //
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL