Permit
CITY OF TIGARD BUILDING PERMIT
PERMIT BUP2006-00461
DEVELOPMENT SERVICES DATE ISSUED: 9/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 2S112DA-01400
SITE ADDRESS: 06650 SW REDWOOD LN 330 ZONING: I-P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
Project Description: T.I. walls (2,654). FRED MILLARD
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 40 BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: $ 15,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ROBERT EVANS
15350 SW SEQUOIA PKWY #300-WMI 1200 NE 48TH AVE. STE 1250
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Contact PRI 503-648-7805
FEES Reg LIC 14426
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/26/2006 $187.30
[TAX] 8% State Surcha 9/26/2006 $14.98
[BUPPLN] Pin Rv 9/26/2006 $121.75
[FLS] FLS Pin Rv 9/26/2006 $74.92
Total $398.95
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. Y ay obtain a copy
of these rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344.
Issued By: 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.
Building Permit Application
FOR OFFICE USE ONLY
City of Tigard Received Ymmi1 No p
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223
Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/By
Inspection Line: 503.639.4175 Date Ready/By: Juris- ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA I-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
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2-family dwelling ommercial/industrial
El 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: IN sv/ New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 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.
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:
Existing building area: 6 .fI e feet
New building area: -.(5--- square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction:
Address: 15350 SW Sequoia Prkwy, Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing:
Phone: (503 ) 624-6300 Fax: (503) 624-7755 New:
❑ APPLICANT 10 CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: Dennis Pa ni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E-mail:
CONTRACTOR
Business name: a ~V ~s tJs
BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City/State/ZIP: Fees due upon application
Phone:( ) Fax:( )
Amount received
CCB lic.:
Date 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 n 1v J - Date: zG Fee methodology set by Tri-County Building Industry
Service Board.
i~`,Building\Peiriits\13I1P-TI-PermitApp-doc 12103 4404613T(11/02XUA/ T:B)
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: BUP200600461
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2612006
I Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
,-1. 01 1. if
44,041 I
,41,1-
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7:0301 PAGE: 49
SITE ADDRESS: 06650 SW REDWOOD LN 330 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: FRED MILLARD
DESCRIPTION: T,I. walls (2,654). FRED MILLARD
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503-640-7805
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 040286-01 503-679-3271 N
Corrections/Comments/ Instructions:
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I PASS ri PARTIAL APPROVAL 1 1 CANCEL NO ACCESS
1 1 FAIL _.. 1 I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: Date: P. a A, Phone #: (503) 718-
CITY Of TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00461
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/2006
Phone: (503) 639 -4171 041
Inspection Requests (24 Hrs.): (503) 639 -4175 Ask IL
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 48
SITE ADDRESS: 06650 SW REDWOOD LN 330 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: FRED MILLARD
DESCRIPTION: T.I. walls (2,654). FRED MILLARD
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 -640 -7805
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 040286 -02 503 - 679-3271 N
Corrections /Comments/ Instructions:
F AMMINBreilrAtilr
•
PASS 1 1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
1 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
V N 7.
CITY _QF� TIGARD
BUILDING DIVISION PERMIT #: t31.IP200 -00461
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/26/20M Phone: (503) 639 -4171 a � ' � I
Inspection Requests (24 Hrs.): (503) 639 -4175 s !! __.
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:O2AM PAGE: 79
SITE ADDRESS: 06850 SW REDWOOD LN 330 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: FRED tv1ILLARD
DESCRIPTION: T.I. wall: (2,654). FRED MILLARD
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503.6413-7805
Inspection Request Scheduled For: Date: 11/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 038484 -01 503 - 679-3271 Y
Corrections /Comments /Instructions: CALL_ / '''S'1
W 1 II di Wit'
PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS
n F 1 CAL FOR INSPECTION _ ADD ITI AL FEES ASSESSED
l ig
Inspector: 1f Date: I 6 , Phone #: (503) 718-