Permit r ( BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2004 -00087
4 11 DEVELOPMENT SERVICES DATE ISSUED: 3/5/04
�' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 200 PARCEL: 2S112DA - 01400
SUBDIVISION: PP1996 - 048 ZONING: I -
BLOCK: LOT: 002 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: 2 - HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 60 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: 4 5:0, 000• bd
Remarks: Commercial 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 3/5/04 $634.90 Electrical Permit Required
Sprinkler Permit Required
[TAX] 8% State Surchart 3/5/04 $50.79 Plumbing Permit Required
[BUPPLN] Pln Rv 3/5/04 $412.69 Framing Insp
[FLS] FLS Pln Rv 3/5/04 $253.96 Gyp Board Insp
Total Final Inspection
$1,352.34
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 -00 i 110 throug ` k - 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli•. (503) 246 -6699 or 1 -: 0 -332 04.
Is- ued. By: _ , i� /� :�
Perm
Signature: _ "P ®1 , kirr,&k
Call 639 -4175 by 7 p.m. for an inspection the n t business day
Building rnli App ratio ,r- � . F~ FOB tcuusE Or my s , . #
Received /
City of I ila'al Date /By. If/ i Permit No.:, + � : /,/ b
13125 SW Hall Blvd., Tigard, OR 9 ?233 Plan Revici: % �S� / �
Othe 'erur.
Phone: 503.0394i7i Fax. 503.5981960 I' l h v Plan
I
inspection Line: 503.639.4175 ' Date Ready /By, Juris g see attached Checklist for
Internet: www.ci.ttgard.ocus NodfiecUMethod: Supplemental lnlormadon
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
X Additionialteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
thi a ppli ca t i o n .
, CATEGORY OF CONSTRUCTION work indicated o •
Valuation: S
❑ 1- and 2- family dwelling ;Commercial/industrial
❑ Accessory building Number of bedrooms:
❑ Multi- family
❑ Master builder ❑ Other: Number of bathrooms:
'r ` JOB SITE INFORMATION AND LOCATION' . Total number of floors:
Job site address: 40~ SO/ /�•� wz # 44. 4 0-- a New dwelling area: square feet
City/State /ZIP: 7 -/e 23,4Z ✓l7t'2- 172-,--g-- Garage /carport area: square feet
Suite/bldg. /apt. no.: 2e" Project name: 9 -2 ♦ /4 2/ rr�� Covered porch area: square feet
Cross street/directions to job site: . �' / Deck area: square feet
,s�;,�P0,4 / r Other structure area: square feet
' REQUIRED DAI'Ai ;COMMVIERCIAL -USE CHECKLIST
Subdivision: 447,pz,fr-rs..G/e Lot no.: Permit fees* are based on the value of the work performed.
i Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
`_ DESCRIPTION OF WORK work indicated on this application. p-J�
i S 'G . • .... Valuat $ 4, (-- �- �/ Existing building area:? le square feet
.e i •
New building area: square feet
IY PROPERTY' OWNER ' ':j=1 , TENANT .', Number of stories:
,5
Name: PacTrust Type of construction: boe
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: 6
APPLICANT;:: t ❑ PERSON z ` : ,NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: .tLJ���(//5 ,4Qo7fi/ 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:
Business name: C . A. Green Company BUILDING 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: frikri■V 4 This permit application expires if a permit is not obtained
w f, within 180 days after it has been accepted as complete.
J/Y ,
Print name: may, /) � Date: * Fee methodology set by Tri- County Building Industry
/ , / r' Service Board.
i:\ Building \Permits \BUP- PermitApp doe 12/03 .i- 10- 4613T( I I /02 /coM/wEB)
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
Received a ' 2 2 Date Reque d 4 AM PM aUP 200 - eVQ d fZ^
Location (70 6,625 / , /liD te - -- e^- Suite Z J) tiEc d 0q _ 00/07--
Contact Person Ph ( <) Z522 PLM
Contr Ph SWR
BUIL Tenant/Owner C-&i_Q ELC
Footing
� � ELC
Foundation
Ftg Drain Access: � %lf?4vl "=' G�' ..- f & ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam C a-1/e- 7)7(12 v ,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear (/�/p ' !'�' fr
_ _ P o
Framing ��// ,..-/- , ��/' a
Insulation kit I r 1 b L i'— o O ®� Cv )
Drywall Nailing r ' P 2-
Fire Sprinkler �cj 4 —000E-2_ ` ' � v � (.0(;-
Fire-Alarm ft 7001-4 --6V a O
Susp'd Ceiling r i / r ` / . ` ' -
Roof * ivied 26U L - Go C/j 2- C Z t, �/ , -
i C- '7j0 Li --60 C ( 10 (t...„? rt)
0.8 PART FAI , I '.e ' BING ./�1/tG(.x NWT -- 2�o t- 'l U a 1 0 C-6- (--d `
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
it '''-- ) '
Rain Drains
Catch Basin / Manhole
Storm Drain /f�
Shower Pan / /�
Other: I
Final d ��- cp
FAIL 6
CHANICA ��
Post & Beam 0 b,�(/
Rough -In /f .'� PI/ ' Un
Gas • Line p (7__ ` (/ l�' V S i e . am ers
E W PART FAIL } G W V I
RICAL I 0(; ;
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: / 0 Unable to inspect - no access
Fire Supply Line �j
ADA D - 0 �O Ins P act /4 l =t Ext
Approach /Sidewalk /;
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL