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Permit (255) (:-' /i BUILDING PERMIT CITY OF TIGARD PERMIT #: BU P2006 -00367 ,:k111111. DEVELOPMENT SERVICES DATE ISSUED: 8/2/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AB - 01900 SITE ADDRESS: 16200 SW PACIFIC HWY B1 ZONING: C - G SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG Project Description: TI - ADA bathroom & exit door. • 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 45 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: $ 10,500.00 Owner: Contractor: HARSCH INVESTMENTS PACIFIC CREST STRUCTURES INC 1121 SW SALMON ST 7233 SW KABLE LN STE 900 PORTLAND, OR 97205 PORTLAND, OR 97224 Phone: 503 - 242 -2900 Contact #: FAX 503- 598 -6658 PRI 503 - 968 -8949 Reg #: LIC 66915 FEES Description Date Amount REQUIRED ITEMS AND REPORTS ij [BUILD] Permit Fee 8/2/2006 $148.90 [TAX] 8% State Surcha 8/2/2006 $11.91 [BUPPLN] Pln Rv 8/2/2006 $96.79 1 [FLS] FLS Pln Rv 8/2/2006 $59.56 Total $317.16 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 U ' ity Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of thes rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Iss d B j % i Permi ttee Si nature: ,� / � / --1 y z \. �//���}�l /�ri g i ' 11111 141" / Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busine s day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. I'm m Build Permit Application tt - CZ- ; � FOR OFFICE USE ONLY �' ;% Received O /„ anpal City of Tigard A Ur Date/13 : a Q 1I�F Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 I (/ Plan Review C I a Other Permit: Su Phone: 503.639.4171 Fax: 503.59 196 01,0 B b tick j 1 DateBv: Inspection Line: 503.639.4175 63, t BL/I, -- - • ��� " I - Date Ready/13y: Juris: ® See Attached Checklist for "��!! + Notified/Method: Supplemental Information Internet: www.ci.tigard.or.us I A. ' /• / -, V) Pp P. �+" 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 $1 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work • icated on this application. El 1- and 2- family dwelling ptCommercial/industrial Valuatio $ El Accessory building CI Multi-family Number of . drooms: ❑ Master builder ❑ Other: Number of bathro. s: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / zoo 66,0 PA-,c l. (G p,,,, 1 _ New dwelling are. • square feet City/State /ZIP: T ia2D 012- Aka 6iailCy Garage /ca .: area: , are feet Suite/bldg. /apt. no.: Cuict, , L Project name: TI 5 y k C 6 e • porch area: square -. Cross street/directions to job site: 50 D u(e IdA M go AND Deck area: square feet SW Ii Sils. 141/Eve/a ( Ti41a.rd Tow iv SQ vaL6) Other structure area: square feet _ REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 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. /AMA(UR. Valuation: $ I ( ' SO' Q- T I - ADD A R EST oowti AND gAct Dona To I E')' reg -tok. - o eite ✓a l RGN•oOGL_- Existing buildin area: I z ( square feet - New building area: 1 3 L l square feet f ig PROPERTY OWNER ❑ TENANT Number of stories: o ^!(+ - Name: uq Q.SC1J /MV (b .-'1 ANbi k4Lewl Type of construction: Sg Address: 11 2, I 5,4) SA044,71 T Occu pancy groups: s M ysoc _ City/State /ZIP: Po g. rL4 No O l- 17206 Existing: M Phone: (973) 241 - zet ae Fax: (Sc*) 22$' • Sf 7 31 New: fri ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: LEEk ei A RCH / 7- & — c -r< All contractors and subcontractors are required to be Contact name: f �rl L LEE licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: G 77 S $t.J 111 1-11 a Svtt.e. Ze7 jurisdiction in which work is being performed. If the City/State /ZIP: b applicant is exempt from licensing, the following reasons ID 0..i 4 VE -t P' . o R— 17 OD E5 apply: Phone: (6 G¢¢ • ¢12Z Fax: : ( tom4¢• .C5-4, 7 E -mail: N G i/. Ltd a L2e.b.4.4.i C. Gd`vl CONTRACTOR Business name: paGi'F[ C GL65 f 5.ry C t'" - BUILDING PERMIT FEES* Address: 723 W ll4 6 LE L N S Ta qo 0 5 i Please refer to fee schedule City /State/ZIP: PotLTG4 oQ - r72Z4 Fees due upon application Phone: ( y v s Ia. $- gi4e Fax: (Sa3) 5 • Amount received CCB lit:.: 6 G 4' f 5--- Date received: Authorized signature: '..1 , gn `= This permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. Print name: X j e ; / e P , Date: 8/Z /aca a Fee methodology set by Tri -County Building Industry ` Service Board. i:\Building\Permits\BUP- PermitApp.doc 12/03 440.4613T(II /02/COM/WEB) 1F CITY OF TIGARD BUILDING PERMIT 4 4 PERMIT #• BUP2006 -00367 DEVELOPMENT SERVICES DATE ISSUED: 8/2/2006 ' — 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AB-01900 SITE ADDRESS: 16200 SW PACIFIC HWY B1 ZONING: C - SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG Project Description: TI - ADA bathroom & exit door. 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 45 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: $ 10,500.00 Owner: Contractor: HARSCH INVESTMENTS PACIFIC CREST STRUCTURES INC 1121 SW SALMON ST 7233 SW KABLE LN STE 900 PORTLAND, OR 97205 PORTLAND, OR 97224 Phone: 503 - 242 -2900 Contact #: FAX 503 - 598 -6658 PRI 503 - 968 -8949 Reg #: LIC 66915 FEES Description Date Amount REQUIRED ITEMS AND REPORTS ' [BUILD] Permit Fee 8/2/2006 $148.90 [TAX] 8% State Surcha 8/2/2006 $11.91 EXPI ' [BUPPLN] Pln Rv 8/2/2006 $96.79 / Z [FLS] FLS Pin Rv 8/2/2006 $59.56 �/ "`— Total $317.16 /j L 10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other N 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 0 issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the O Oregon Utility'N5tification 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. r 27 i / ------, Issded By: h \ \ , . `.6 ?4 /(I / Permiftee Signature: ��_ � '......,,__. ... . NIIW – i Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busine s day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for 4,90p /0-.20V0 REQUIRED ON GREEN INSPECTION CARD. ✓ Code I Inspection Description I PASS Date I BT] I ✓ Code I Inspection Description I PASS Date I By BUP - Building Permit ELC - Electrical Permit r 405 Excavation _ 105 Underground/slab cover 1 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service _ 205 Footing 120 Electrical rough -in 805 MFG - Structure grading/footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls/anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) ` / 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line X 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper A 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in _ 998 Alarm final 322 Shower pan 999 Sprinkler final _ 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final _ 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: _ 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building\Inspection Cards\Forms\AOP- InspCard- Blank.doc 12/09/2005 • _ I , , - 7 ■ , C - I ai •0 * ; 1 Exit New Open Talk Lir.t QBE GIS jl 1© a L X Je a Clove View Add Delete Sign Off Print Document: �! as _ x General " Name:HARSCH INVESTMENTS Updated: 8282007 AMS z��x, , Address:16200 SW PACIFIC HWY B1 Jur: TIG � .- - c. , � , Specifics & , : . ' Description: Master # IBUP2006 -00367 Project: ISPEC SPACE Areas �� �. ° � �r � � ¢` ms i " r^ _ I - ADA bathroom & exit door. NOTE:Work not done, superceded by work for new � 3= tenant under BUP2007- 00331. Setbacks , f .. . } ■ . Rei .r ^ 1 Class of V Edit 1 ! Activity: 5 D esc: P ermit expired by limitation U pdated: 8282007 AM Type of Disposition:DONE Hold Level: No hold ;'c�l> 1 7 Type of Construe Dates r;f Calendar Tag:I Occupancy G' p y ; Report TagaEXPR Occupancy l: Assigned To:1 t Valui DATE DONE 282007 Done By:1AMS 4K `a Notes: X- Coordinate: Help I i ! Advised by contractor, Alan at Pacific Crest Structures, that no work was done under the permit, issued 82106. Proposed work Y- Coordinate: SGN2007 0015 was for prospective superceded by ros ective tenant, su erceded b work for new tenant IVR Confirmation Numbe under BUP2007- 00331. 1. I A - - Ready • - 4�� f Y , r I , t ,_., . .- -. {': i %``, -: - i.,i. if5 -2i f'a` 6; r rJ,! o . =�t+ start., ; r , R � . Tir�er7}ark .� ® }r ®i t r y t : r�. ;t�� =! J2 ` � � �- U