Permit AI, BUILDING PERMIT
CITY OF T I GA R D PERMIT #: BUP2004 -00311
l4. DEVELOPMENT SERVICES DATE ISSUED: 6/30/2004
�' I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 450 PARCEL: 1S126BC -01506
SUBDIVISION: ZONING: C -G
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 24 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: $ 30,000.00
Remarks: Demo walls in suite 450 and new walls for TI.
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES PACIFIC CREST STRUCTURES INC
BY TC PORTLAND, INC 7233 SW KABLE LN STE 900
8930 SW GEMINI DR PORTLAND, OR 97224
BEAVER TON, OR 97008
Phone: 503 - 968 -8949
Reg #: LIC 66915
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 6/30/2004 $320.80 Electrical Permit Required
[TAX] 8% State Surchari 6/30/2004 $25.66 F P Required
Fire Alarm P Per ermit Requires
[BUPPLN] Pln Rv 6/30/2004 $208.52 Framing Insp
[FLS] FLS PIn Rv 6/30/2004 $128.32 Gyp Board Insp
Total Final Inspection
$683.30
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: X(.4414-44,...e.‘, 4,411_,z,
Permittee (04
Signature: ,/,G.
Call 639 -4175 4 '7 p.m. for an inspection the next business day
Building Permit liftati I E,o FOR OFFICE USE ONLY
City of Tigard Receive
13125 SW Hall Blvd , Tigard, OR r Date/Bv d ��i / �_ - / I /_ L
Phone- 503.639.4171 Fax 503. u O; Plan Rev
X00 �f Other Permit:
A ( i
Date/By _
Inspection Line: 503.639 4175 ■ " I I - , Date Ready /By iuns ® See Attached Checklist for
Internet: www ci.tigard or.us OlTy OF TIGARD Notified/Method Supplemental Information
QUIZ DING nlvisIrml
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION r work indicated on this application.
❑ 1- and 2- family dwelling -IA Commercial/industrial
Valuation: $
m
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors -
Job site address: c r c W.P■c lR6 l0 tk st;), '-.). New dwelling area: square feet
City /State/ZIP: \( A4:::, pca... q-v223 Garage /carport area: square feet
Suite/bldg. /apt. no : Li..5c., Project name: i 'C1 1MM p Covered porch area: square feet
Cross street/directions to job site: - 11 . 412 - PPt KTIC 7 T Deck area: square feet
- 2-r - 1 TD sct - oLLS FER - -f i Z Tu74-1 P-T Other structure area: square feet
o 1.1 IN A • 5Q. W. (Re ) t 'TO e t(VI .. (jlr a REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: � II Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.. 7 -S1 2b FSC. f7 3 C) co 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.
NeuJ - c.t.UNa : bEM1S 1A•c/ v4fr A 1mP12o11Ems1o5 Valuation: $ 3p p00
Pt-r G . ` . 1 -T S O Existing building area: 912 0 1 O square feet
��1 New building area: Nl p, square feet
PROPERTY OWNER I ❑ TENANT Number of stories: 5
Name: v4 45E. '3E. IN VeST I nE N .
1 8e \I I C j co. Type of construction: II -• r��-
Address: t 11 ( c 5' t -AJE # t l a 0 Occupancy groups:
City /State /ZIP: 470� c pd4 V) D IZ pt •-1 ,0 Existing: S
Phone: (5/117..) 2atL- DLk 0 0 Fax: (5p3) 22'7 • -2_1z,-1 New
❑ APPLICANT w, CONTACT PERSON NOTICE
Business name: (.�}Z O�17 m All contractors and subcontractors are required to be
Contact name: �1 � �'� ER. m O Q /y am �' licensed with the Oregon Construction Contractors Board
��S' under ORS 701 and may be required to be licensed in the
Address 15,0),,_ (0 I ()loci° ,J1/41 '5 S•r jurisdiction in which work is being performed. If the
City /State /ZIP: 'b C\.,p,, Nd D... ck- _01039
applicant is exempt from licensing, the following reasons
apply:
Phone ("5(;) 22L . g 5-t o o Fax:: (1m 02:2_4?) . l 2eb 5
E -mail: l'�1�0 4 1� ( CA - g.pn'1Pr( co yyl
CONTRACTOR
Business name: P.I -u�V_..,, G SESr 5 c OTu2e S BUILDING PERMIT FEES*
Address: — 1 - 2... -- , 2 ) 3 146 IJLE t$ . dt
Please refer to fee schedule.
City /State /ZIP: 'PO� - ).PeNO, Oa__ ell-L
a ¢ Fees due upon application
Phone: (5? ) O) b U . U q LA al Fax: ( J3 5 G1 9 ( 5 2
Amount received
CCBlic: bCp(t1
� q� (� Date received:
Authorized signature: C L /A ' ` (• t ( - This permit application expires if a permit is not obtained
1iV within 180 days after it has been accepted as complete.
Print name: 7SrAN P V'I a2N I pW__ Date 3O J 1.(i s ‘G ac = Fee methodology set by Tri- County Building Industry
1 Service Board
1 \ Building \Permns \BUP- PermitApp doc 12/03 440- 4613T( I I /I1JCO51/WEB)
CITY OF TIGARD 24 -Hour
BUILDING • • • Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP 4 1 - 60
7 6U
Received Date Requested c3 ' - 1 AM PM BUP
Location ZC� Li-) r • SQ Suite 4/ 7� A MEC
Contact Person 9I �- 1 IJ P h ( ) 7 I 1 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner y T � � � ELC
Footing
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 co,
Susp'd Ceiling
Roof
((OA
' FAIL
*LUG NG
Post & Beam
Under Slab
Rough -In ` 4 ,
/
Water Service
Sanitary Sewer ,4
■
tVk 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
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL