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Permit C TY OF I G A R D BUILDING PERMIT PERMIT #: BUP2003 -00654 l� DEVELOPMENT SERVICES DATE ISSUED: 11/18/03 „� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15860 SW UPPER BOONES FERRYRD B -15 PARCEL: 2S112DD 00500 SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L 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: 77 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 46,500.00 Remarks: Tenant improvement, new offices and exterior openings. Owner: Contractor: PACIFIC REALTY C.A. GREEN 15350 SW SEQUOIA PKWY #300 15350 SW SEQUOIA PKWY. #300 PORTLAND, OR 97223 PORTALAND, OR 97224 Phone: 503 - 624 -6300 Phone: 503 - 624 -7717 Reg #: LIC 156496 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 11/18/03 $448.30 Electrical Permit Required [TAX] 8% State Surchart 11/18/03 $35.86 Sprinkler Permit Required BUPPLN Pln Rv 1 1/18/03 $291.40 Plumbing Permit Required [BUPPLN] Framing Insp [FLS] FLS Pin Rv 11/18/03 $179.32 Insulation Insp Total Gyp Board Insp otal $954.88 Susp Ceilng Insp Final Inspection 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) 2 6-6699 or 1- 800 - 332 - 2344. Issue By: K'�t C.-cIAL- S igna t u e - Signature: 6--f c � c x_t Call 9 -4175 by 7 p.m. for an inspection the next business da Y P P day CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00654 A DEVELOPMENT SERVICES DATE ISSUED: 11/18/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD 00500 SITE ADDRESS: 15860 SW UPPER BOONES FERRYRD B -15 SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L 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: 77 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 46,500.00 Remarks: Tenant improvement, new offices. Owner: Contractor: PACIFIC REALTY C.A. GREEN 15350 SW SEQUOIA PKWY #300 15350 SW SEQUOIA PKWY. #300 PORTLAND, OR 97223 PORTALAND, OR 97224 Phone: 503 - 624 -6300 Phone: 503 - 624 -7717 Reg #: LIC 156496 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 11/18/03 $448.30 Electrical Permit Required [TAX] 8% State Surcharf 11/18/03 $35.86 Sprinkler Permit Required i nr Pllumbing Permit Required [BUPPLN] Pln Rv 11/18/03 $291.40 Framing Insp [FLS] FLS Pln Rv 11/18/03 $179.32 Insulation Insp Gyp Board Insp Total $954.88 Susp Ceilng Insp Final Inspection 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 -00 s • • ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling •13) 246 -66 or 1- 800 - 332 -2344. Issu-d By: b � o ,(.(0/ ' • • - Perini -- Signature: ,C ✓ Call 639 -4175 by 7 p.m. for an inspection the next business day WI 118 - 03 A S% A - Building Permit Application OFFICE USE ONLY - Date received: // id e 3 Permit no : ; 1, „ — .� , , l t ��ii City of Tigard �' � Project/appl. no.. Expire date: 6 e, City of Tigard Address: 13125 SW Hall Blvd, Tigard, gQEJVE� ) Phone: (503) 639 - 4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 NOV 18 2003 Case file no.: Payment type: Land use approval: CITY OF T fib l&2 family: Simple Complex: B 'a. - - -- TYPE OF PERMIT 0 1 & 2 family dwelling or accessory v�Commercial /industrial 0 Multi - family 0 New construction 0 Demolition 0 Addition / alteration /replacement ..0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: / 625(, 0 SW U pper Se ocaa rPS few -7 fz,,Q . Bldg. no.: 1 g Suite no.: Lot: I Block: ISubdivision: I Tax map /tax lot/account no.: Project name: d/ eotpR l9 02_ X 7 - : L . . Description and location of work on premises/special Si •j i.e. • - S'f n . eKdp .(.44, /d pi--1 / r OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: FQc_Thu.St (Floodplain, septic capacity, solar, etc.) Mailing address: /, T3,So S i Seg....o;.`, P(e .Sao I & 2 family dwelling: City: pc) ,.,_ k I State:O/2 I ZIP: ?122/ Valuation of work $ Phone:5 4Ze f 4'3oo I Fax: Co L`( 7 7S3f E -mail: d ip 4. " • No. of bedrooms /baths Owner's representative: / {KpH; PCL . i Total number of floors Phone: - s. _ _ Fax: - s-, E -mail: - s.e...•i•,e — New dwelling area (sq. ft.) APPLICANT Garage /carport area (sq. ft.) Name: ,Pote-T--4.1-- Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E-mail: Commercial /industrial /multi- family: CONTRACTOR • Valuation of work $ Ill/ 5 1-29c Existing bldg. area (sq. ft.) ... (.T: r.)........... / // 1oD Business name: L • A . G!'.Q.Qh New bldg. area (sq. ft.) — sa...ti.e_ .— Address: /533 SW s p f Soo City: �� ,._ Y Number of stories Sr /.e Y: I S I Z : c' 7 2 Z ``� Phone;5D oz.( 7717 I Fax: I E -mail: Type of construction V• k.1 � ��r Occupancy group(s): Existing: 15 CCB no.: 1p New: B (S.t.wL City /metro lie. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: Vl ar f.,,, L /-r „« provisions of ORS 701 and may be required to be licensed in the Address: /53 SO s"...., .Se Seca. y P Soo jurisdiction where work is being performed. If the applicant is City: Po (-( - StatepyZ' II ZI : S? 2 2 Y exempt from licensing, the following reason applies: Contact person: ".42.e Plan no.: Ph one:5 , 3 G1Y 6,3 Fax: (r2t( 7755 E -mail: w ' C. ENGINEER OFFICE USE ONLY Name: 6 eaLis $�� (1 e Contact person: / j ' . . Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied with, whether specified herein or not. Credit card number / / Expires Authorized signature: Date: /09(03 Name of cardholder as shown on credit card Print name: Al. ete• �n }4.41.501,. 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 -46l3 (6 /00 /COM) CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION • Business Line: (503) 639 -4171 MST Received 7 / Z ` r 3 �Date Requested °/ (�� ` AM PM BUP Location / e v alpe n� Suite MEC Contact Person 46VgAi I%tJt Ph ( " 3) 57- 2-53PPLM Contractor I i Ph ( SWR BUILDING Tenant/Owner � . 1 — �� GL/ • LC Footing Foundation Access: ELC 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 •• •er Il ^ 7 PART FAIL • 1 ' BING Post & Beam Under Slab kV, Water he 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 El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 2 /' /b L / Inspector 1 7 77 >fr7 Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL