Permit , .
A v CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00094
�,L c.'yn DEVELOPMENT SERVICES DATE ISSUED: 3/10/04
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB 00600
SITE ADDRESS: 16150 SW UPPER BOONES FERRYRD BLDG. C
SUBDIVISION: FANNO CREEK ACRE TRACTS 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: 12 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: $ 8,000.00
Remarks: Demo exterior door enlargement light replacement.
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
Reg #: LIC 00065238
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 3/10/04 $120.10 Electrical Permit Required
[TAX] 8% State Surcharl 3/10/04 $9.61 Framing Insp
BUPPLN Pln Rv 3/10/04 $78 07 Bolts Board Insp
[BUPPLN] Bolts in concrete final repot
[FLS] FLS Pin Rv 3/10/04 $48.04 Final Inspection
Total $255.82
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.
z- Issued By: A �fd e,t_. ,&-Zre-z
Pe rm ittee
Signature: 'Wile/ jT , I/
Call 639 -4175 by 7 p.m. for an inspection the next business day
b Permit p� `' FO R U OFFLCEUSE ONLY �`'
.. Imo._ 1 - .. 5... -.;2 , ,5.: . r'_• f[ 5'.fY T. �: .-... S »:.+-F:i
` • \
CI of TI Received ^
Tigard ' —
/
g Date/BY. J /� 6 6
Permit No. ��i1 �(](�f�'
13125 SW Hall Blvd , Tiaard OR 97223 Plan Rev,e Other Pernut
.
Phone 503 639 41', l Fax 503 598 1960 Win,', , . Date /By
inspection Line. 503 639 4175
'•`� 11:1 „, . Dar Ready/By kris 0 See Attached Checklist ter
/
Internet www.ci ngard.or us Notified/viethod j / C\ Supplemental Inlormanon
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
, Addition /ahierauotu replacenient ❑ Other equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
Valuation $
❑ I - and 2 -family dwelling V ,Commercial /industnai
❑ Accessory build ❑ Multi-family y Number of bedrooms:
❑ Master builder ❑ Other.
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /46.25) � //���/� 0I� / Y ' —mew dwelling area: square feet
City/State /ZIP % Garage/carport area: square feet
Suite/bldg. /apt. no.: ly67/1/A:y2
; C' Project name: o ffrOW „'' s,�� Covered porch area sq
'/ uare feet
Cross street/directions to job site: y -5 72�L ��/ Deck area: square feet
Other structure area: square feet
REQUIRED DATA : COMMERCIAL -USE CHECKLIST
Subdivision: 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.: ai ty)I L equipment, materials, labor, overhead, and the profit for the
j' V ; ,..'DESCRIPTION OF WORK work indicated on this application.
P)4 p 44ih6 '/L X/ — . Valuation: $ . /j
41 .-141/7--- Existing building area. square feet
New building area: square feet
[ , PROPERTY_ . OWNER ; - ❑ TENANT Number of stories:
Name: PacTrust Type of construction: V , -#
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: 1 5
City/State/ZIP: Portland, OR 97224 Existing:
Phone: (503 ) 624 - 6300 Fax: ( 503) 624 - 7755 New:
] APPLICANT'. ❑'CONTACT PERSON `NOTICE
Business name: PacTrust 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: CONTRACTOR
Business name: AJ Weber Construction, Inc. BUILDING PERMIT FEES*
Address:
PO Box 80548 � Please refer to fee schedule.
Ciry /State /ZIP• Portland, OR 97280 a�
Fees due upon application
Phone: ( 503) 244 - 4318 Fax: ( 503) 244 - 4318
Amount received
CCB lic.: 65238
/�� Date received.
, �i �.” " ' /
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: . ✓ �i.1ry77�ii Date: ` j > 2 7 * Fee methodology set by Tn -County Building Industry
Service Board.
1 \ Building \Permts \BUP- PernitApp doc 12/03 440- 4613T(I I /OJCOM/WEB)
I
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/APPROVED 'VC' i 9 q t
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l:tili '��mII61 °0 *AO
ROOF LINE
Q TS 4x6x1/4
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TYP> E PROPOSED OPENING
\ 3/16 EXISTING OPENING
L 3 1/2x3 1/2x1/4x0' -4"
4' -O" OC MAX, STAGGERED, ,,\
W/ 1/2 THREADED ROD <
' W/ SIMPSON SET EPDXY W/ • /` \ l
. 4 1/4" EMBED W/ SPECIAL / //
INSPECTION
� �_'. N�
E \\ 8" MIN ` ,'
18" MAX ',, %�
1 i ;
1 1/2"
T1P> < 3/16 .L
1 /,
FIN FLR • i \/
NOTE: PLACE (2) ANGLE 1 3' -6" /
CLIPS AT TOP AND BOTTOM MAX
OF TS STRONGBACK
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t TS STRONGBACK
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' • Nt.`r# 2 -u.s t 3`t # . 1 9 3 BY Pf6
G R (7 ll P Date 2.,s. D y
MACKENZIE1 Job4 .20 (.1 D0$-/
0690 SW Bancroft St / PO Box 69039 Portland, OR 97239 -0039 '
Tel: 503.224 9560 / 360.695.7879 Fax: 503.228.1285 Sht. of
Net: info @grpmack.com Web: www.grpmack.com 02003 GROUP MACKENZIE ALL RIGHTS RESERVED
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line :3503) 639 -4175
6ST
INSPECTION DIVISION Business Line: (503) 639 -4171 �_ O v
BUP
Received Date Requested L i t — °Z AM PM BUP
Location 8.0 L } ACV - Kea f Suite '• G MEC
Contact Person Ph ( ) 3 7 8? 4 4 `6 r PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner Gat ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam � Qn /� /
Shear Anchors C��
Ext Sheath/Shear U
Int Sheath/Shear
Framing
Insulation
Drywall Nailing •
Firewall • V `�
Fire Sprinkler
Fire Alarm
Susp'd Ceiling Roof
Other:
in-
9 FAIL
• BING
Post & Beam
Under Slab ;I
Rough -In • •
Water Service
Sanitary Sewer
Rain Drains I
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
ADA (7./ v`
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL