Permit C ITY OF TI® BUILDING PERMIT
PERMIT #: BUP2008 -00191
.r COMMUNITY DEVELOPMENT DATE ISSUED: 6/6/2008
T1G 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110DC - 02300
SITE ADDRESS: 11535 SW DURHAM RD C -1 ZONING: C -
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT: JURISDICTION: TIG
PROJECT: WILLOW BROOK BUSINESS CENTER
Project Description: Suites C -1 & C -2. Installation of new suspended ceiling.
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: 49 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: $ 3,200.00
Owner: Contractor:
HIP WILLOWBROOK LLC PACIFIC CREST STRUCTURES INC
PO BOX 2708 17750 SW UPPER BOONES FRY #190
PORTLAND, OR 97208 DURHAM, OR 97224
Phone: Contact #: PRI 503 - 968 - 8949
FAX 503 - 598 -6658
Reg #: LIC 66915
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 6/5/2008 $76.80
[FLS] FLS Pin Rv 6/5/2008 $30.72
[BUILD] Permit Fee 6/6/2008 $76.80
[TAX] 12% State Surch 6/6/2008 $9.22
Total $193.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued % j11 .411 Permittee Signature:
Cali 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
- 0 1 L Ott) ( j t 5 7 lZ141
Building Permit Application
• 0 � , `
Commercial _ • FOR OI 1 1(_E USF U \I'1 =
II City of Tigard Received r - 8u��co .45,0/w
tY g JUN 0 2008 Date /B : l ,7 / i ,j ir— Permit No
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.196 OF TIGAAD Date/By: /w�, j 08 oherPerme
f I G A R D , Inspection Line: 503.639.4175 Date Ready /By: tuns: li See Page 2 for
. Internet: www.tigard - or.gov BUILDING. O MS ), Notifi Method: (f Q$ / 6✓ Supplemental Information
•
TYPE OF WORK EQUIRED 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
❑ Addition /alteration/replacement Other: CQ N,, equipment, materials, labor, overhead, and the profit for the
" CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling '5i Commercial /industrial Valuation: $
❑ 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: \ \ s3s 5� ��■-c.\,,,RM ■-4.1, New dwelling area: square feet
City /State /ZIP: --- cs-, .4 Garage /carport area: square feet
Suite/bldg. /apt. no.: <\ Project name: 4�', \.\dw od d Covered porch area: square feet
Cross street/directions to job site: 1 Deck area: square feet
v(t„� q,,,.. ' , / \�.�- / c\� ) 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.
Valuation: $ ?,�2.vO
Existing building area: square feet
New building area: square feet
VI PROPERTY OWNER ❑ TENANT Number of stories:
Name: \.), g,� y q es; &A..e,.)'- Type of construction:
Address: \., -L., S (.4) t t,, Occupancy groups:
City /State /ZIP: �d.ZC\ Tu..., - a v 5 Existing:
Phone: (Sa3) V7,_ - 2 ehc:u Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON . NOTICE
Business name: -\ p 4 (_ itt. 57 "SSL cw e..ARo.. All contractors and subcontractors are required to be
Contact name: �� �� C—• M 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<, t c G< Q , S I u L:"cs.o S BUILDING. PERMIT FEES*
Address: \` J—I y O • cJ t‘.) ��4d x aa .2._ �� : \q> review refer (or de posit): schedule
_ �r '� Structural plan review fee (or deposit): 2 6 —A90
Cit /State /ZIP: „,,\.-
(503) etloS + �C.l � 5 FLS plan review fee (if applicable): �� ��
Phone: F ax: ( Sc:� - (p(p � ”
CCB lie.: 6„:4,„.„„ 5 Total fees due upon application: /Q ?, _j
` \ Amount received:
Authorized signature: \ )� This permit application expires if a permit is not obtained
���JJJ within 180 days after it has been accepted as complete.
Print name: ,\, F ‘ ,) \I U. r ,,, Date: t!D - 5 .. C7a * Fee methodology set by Tri- County Building Industry
Service Board.
8. - •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008-00191
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6d62008
Phone: (503) 639-4171 Azaftpot
Inspection Requests (24 Hrs.): (503) 639-4175 ,-44 1.L
INSPECTION WORKSHEET FOR DATE: 6/113/2008 TIME: 7:O2AM PAGE: 61
SITE ADDRESS: 11635 SW DURHAM RI) 0-1 CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: VVILLOW BROOK BUSINESS CENTER
DESCRIPTION: Suites C-1 & 0-2. Installation of new suspended ceiling.
OWNER: HIP WILLOWBROOK LLC, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-96B-8949
Inspection Request Scheduled For: Date: 6/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
281 Suspended ceiling 071544-01 603-686-5007
Corrections/Comments/Instructions:
•
c ille7) PARTIAL APPROVAL 111 CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- ZGif