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Permit (50) IN v .�tpITY OF TIGARD BUILDING PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: /2 PERMIT 00209 DATE ISSUED: 6/24/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136DD -04100 SITE ADDRESS: 11850 SW 67T1 AVE 110 ZONING: MUE SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG PROJECT: SPEC SPACE Project Description: TI REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: „CMS e-Om SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 30 BASEMENT: sf AREA SEP. RATED: STOR: 2 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 16,000.00 Owner: Contractor: PACIFIC NORTHWEST PROPERTIES PACIFIC CREST STRUCTURES INC 6600 SW 105TH AVE 17750 SW UPPER BOONES FRY #190 BEAVERTON, OR 97005 DURHAM, OR 97224 Phone: Contact #: PRI 503 - 968 -8949 FAX 503 - 598 -6658 Reg #: LIC 66915 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/24/2008 $162.60 [TAX] 12% State Surch 6/24/2008 $19.51 [BUPPLN] Pln Rv 6/24/2008 $105.69 [FLS] FLS Pln Rv 6/24/2008 $65.04 Total $352.84 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 r direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue By: 4 / ..,‘,._� Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business 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. Buildinjpermit Application Commercial ® 1 _ : �� FOR OFFICE I _ O\ _ City of Tigard �� Received D /_ , :l • 13125 SW Hall Bl Tigard , Plan Reviely /, / � • Phone: 503.639.4171 Fax: 503.598.1969, A zpa Date/B : (g;�TI' pi, Other Permit: � - I G A �. �� 3 Inspection Line: 503.639.4175 � 2 Date Ready. y: turis 0 See Page 2 f Internet: www.tigard-or.gov AQD Notified/Method: Supplemental Information TYP gVr1 13V �U vn` v�ON %N 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 work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: Commercial/industrial ❑ 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: // g 30 4114 A New dwelling area: square feet City/State /ZIP: -7-7/442.4) / a.e J 772Z3 Garage/carport area: square feet Suite/bldg. /apt. no.: /10 I Project name: )i 1'E / /o 77 . Covered porch area: square feet • Cross street/directions to job site: G;g-rti I L[- i.vst2N1 Deck area: square feet Other structure area: square feet 'REMEDIED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. Valuation: $ /'p 00 O fie- [Jott.e .S tbm(LS / R-e hrT (NI Ex' Vrttie2 Existing building area: 44 66 7 square feet OWfl NTT SpAe -C iN -i_u 'S CvvNr-12 c,.rf 5,k) le- J New building area: Jo square feet [PROPERTY OWNER I ❑ TENANT Number of stories: z Name: 73-4.1 FI C- / vC) R-Ti, t-; 13 r -Tt es Type of construction: Or - 6 Address: 6,4 co si.ti /o r*( A Uc' Occupancy groups: City/State/ZIP: 13e-7t t/ c,,,o, 0 0 ) 7700S" Existing: 8 A i Phone: ( )..,/ Fax: ( ) New: 8 Ur APPLICANT ❑ CONTACT PERSUN. Business name: M 4....,;" "�c�Cy n1 5,,,, All contractors and subcontractors are required to be Contact name: /mast_JcZ� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 766o S;,J Revell-4 { Su { r. /2-..c, jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: — eiv p / 1), `7 c ) 9 7113 apply: Phone: ( 5 2.44 - D S S 2. I Fax :: (-43) 2 44- - 04-i 7 E -mail: D 6.? M -( PG , cool CONTRACTOR �1 aa f� ,, , �Qt .Q I l t. ` hn� � Business name: rut1'u,2� BUILDING PERMIT FEES* • Address: (Please rejects fee schedule) Structural plan review fee (or deposit): City /State/ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): „ /f; S Total fees due upon application: CCB lic.: ( Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: T,d ©tly____ Date: / /08. � * Fee methodology set by Tri -County Building Industry l Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB) t 1 • • Building Division Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering [11 $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: (2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ • l: \Building \Permits \BUP -COM PermitApp.doc 02/23/07 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008-00209 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2000 Phone: (503) 639 -4171 , f I °� Inspection Requests (24 Hrs.): (503) 639 -4175 '!� °' �L. INSPECTION WORKSHEET FOR DATE: 9/121. ` TIME: 7:OOAM PAGE: 2 SITE ADDRESS: 11850 SW 67TH AVE 110 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: TI OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 968 -8949 Inspection Request Scheduled For: Date: 9112/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 075435 -01 503 -312 -3876 N Corrections /Comments/ Instructions: nt I ev �v(S� -+�� SPo kc" i.J r 7,+ N. P. PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -■ 41111P Date: �� Phone #: (503) 718 - 1 — W • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008 -00209 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2000 Phone: (503) 639 -4171 phli' Inspection Requests (24 Hrs.): (503) 639 -4175 .'`'I .. INSPECTION WORKSHEET FOR DATE: 8/7/2008 TIME: 7:01AM PAGE: 46 SITE ADDRESS: 1185() SW 67TH AVE 110 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT # 008 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: TI OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503. 868 -8919 Inspection Request Scheduled For: Date: 8/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 073830-01 603.312 -3876 N Corrections /Comments /Instructions: • _ .�� 41 0 0 . 0 W P % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL %, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4e 7/4 Phone #: (503) 718- C--a