Permit � 11 , 1 TY OF TIGARD BUILDING PERMIT
`� PERMIT #: BUP2007 -00589
' ° COMMUNITY DEVELOPMENT DATE ISSUED: 11/14/2007
TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AD - 03200
SITE ADDRESS: 12909 SW 68TH PKWY 340 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
PROJECT: MERIDIAN
Project Description: TI
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: 77 BASEMENT: sf AREA SEP. RATED:
STOR: 4 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: $ 73,630.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LANE
PORTLAND, OR 97224 PORTLAND, OR 97225
Contact #: PRI 503 - 892 - 0066
Phone: FAX 503 - 892 -0067
Reg #: LIC 66070
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit. Fee 11/14/2007 $736.30
[TAX] 8% State Surcha 11/14/2007 $58.90
I BUPPLN] Pln Rv 11/14/2007 $478.60
[FLS] FLS Pln Rv 11/14/2007 $294.52
(additional fees not listed here)
Total $1,736.32
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. 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 --I—, ��
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.
.ding Permit Application
Anmercial v. I
� v • t�3 sEivEi rvw r FOR OFFICE USE ONLY ` " Cl of Ti and i it Received F : =..:.
:' ''' 13125 SW Hall B Tigard, OR 7 DateBv: I }
EL ctp.oa - DD5 =
g �g 1 4 MN Plan Review P11•11 '• - M Date/By: 503.639.4171 Fax: 503.59 1960 Datey: < 1 ('� 6'7 Other Pe
T I C A R D Inspection Line: 503.639.4175 CITY OF FIGARO Date Ready /By: Juris: la See Page 2 for
Internet: www.tigard-or.gov Bu LO NGDW N� ISIOpt Notified/Method: f I Supplemental Information
• . TYPE OF WORK . - REQUIRED DATA: 1-AND 2- FAMILY DWELLING
❑ Ne 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
work indicated on this application.
' CATEGORY' OF: CONSTRUCTION
❑ I- and 2- family dwelling mmercial /industrial Valuation: $
o
❑ 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: /g9Q 9 S7/. f e i,,, j r AA ) / V � y�I ?L__ New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: � Lle. ld JCi 14—:- 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. ej
� r, sp` l /d Valuation: $ 9 -� j if
Existing building area: �f q s' feet
New building area: / square feet
`[YPROPERTY OWNER . ❑ TENANT . Number of stories:
Name: jj�� 74c .t cis' -1-- Type of construction: /./ — "
Address: Occupancy groups: Q
4J /
City /State /ZIP: Existing: r � - � ",,
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 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: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
apply:
Phone: ( ) Fax::( )
E- mail:
CONTRACTOR
Business name: ,�j �i� /��.� BUILDING PERMIT FEES*
✓ (� c � - (Please r to fee schedule)
Address:
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( ) -
CCB lic.: toto 762 Total fees due upon application:
Amount received: f /, b • 1
Authorized signature: This permit application expires if a permit is not obtained
- within 180 days after it has been accepted as complete.
Print name: 2. p j . Date: // /j 4 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
ti -
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Building Division
Accessibility: Barrier Removal Improvement Plan
,
∎D
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: [1] $
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 PennitApp.doc 10/30/07
CITY OFTIGARD
BUILDING DIVISION PERMIT BUIP200-1 00689
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 11/1<1tr0;?7
Phone: (503) 639-4171 t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 21 00f3 TIME: 7:02AM PAGE: 7
SITE ADDRESS: 12909 SW 60TH POW 340 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT TYPE OF USE:
PROJECT NAME: MERIDIAN TECH GROUP
DESCRIPTION: Ternant. Improvement
OWNER: F'AC:IF-IC REALTY ASSOCIATE'S, PHONE
CONTRACTOR: OLSON CONSTRUCTION, MKITHEW PHONE 503.892.0066
Inspection Request Scheduled For: Date: 2/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
:%:~0 Final inspection 0(4369-01 503-%&6290 ,4
Corrections/Comments/ Instructions:
iPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
CALL FOR INSPECTION ADDITION L FEES ASSESSED
Date: lJ Phone (503) 718-
CITY OF TIGARD 9 BUILDING A
DIVISION PERMIT R)P2007-006f39
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/ IrJ/ltjtl7
Phone :'(503) 639-4171 is
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1131/2008 TIME: 7:OOAM PAGE: 2
SITE ADDRESS: 12909 SW 612TH PI(YVY 340 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT TYPE OF USE:
PROJECT NAME: MERIDIAN TECH GROW.)
DESCRIPTION: Defiant Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE
CONTRACTOR: OUSON CONSTRUCTION, MATTHEW PHONE 503-892-0066
Inspection Request Scheduled For: Date: 1/31/22008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa
.99 Final inz;pection 06430LW2 503-9%6290 Y
Corrections/Comments/Instructions: 1 f0
Ill ~ ~Li✓/ A~ 2d
a qn4c--K
09
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION F-] ADDITIONAL FEES ASSESSED
Inspector: Date: 44~~ f lAi? Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT 13UP2007-00599
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1.1/`1.0417
Phone: (503) 639-4171 "
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1216/7007 TIME: 7:06AM PAGE: 9
SITE ADDRESS: 12909 ISN MOTH PKVN 340 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT TYPE OF USE:
PROJECT NAME: MERIDIMI TECH GROUP
DESCRIPTION: Tenant Improvement
OWNER: PACIFIC REALTY ASSOCIATE;,, PHONE
CONTRACTOR: OLSON CONSTRUCTION, MA ITHEW PHONE 563-09?-0066
Inspection Request Scheduled For: Date: 12/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Frarning 060971102 503.956-6290 N
Corrections/ Comments/ Instructions:
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITION L 70,q S ASSESSED
Inspector: Date: 46 Phone (503) 718- Z/-v
CITY OF TIGAR®
BUILDING DIVISION PERMIT p!1P)007-017_:1'39
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1115412007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 121412007 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 12909 SW 68TH PKWY 340 CLASS OF WORK:
SUBDIVISION: TIGARD TFZIANGLE CENTER LOT TYPE OF USE:
PROJECT NAME: MERIDIAN
DESCRIPTION: -fl
OWNER: PACIFIC PEAL Y ASSOCIATE,, PHONE
CONTRACTOR: OLSON COI`IS FMCTION, MAITHEW PHONE 503-892-0066
Inspection Request Scheduled For: Date: •13/412007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
276 Framing 0607MQ1 50::956-G?-90 Y
C%f~,'liCi ~10
Corrections/Comments / Instructions:
r
❑ PASS APPR ❑ CANCEL ❑ NO ACCESS
Q FAIL CALL FOR :INSPECTION ❑ ADDITION L FEES ASSESSED
Inspector: Date: Phone (503) 718-
f 1 1,