Permit 'p .r ' ',? .. y CITY OF TIGARD BUILDING PERMIT
i COMMUNITY DEVELOPMENT PERMIT #: BUP2008 -00268
DATE ISSUED: 8/5/2008
T IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AD - 00100
SITE ADDRESS: 12725 SW 66TH AVE 207 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 034 JURISDICTION: TIG
PROJECT: CRAWFORD CLAIMS
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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 39 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: SO 000. 00
Owner: Contractor:
EXECUTIVE CENTRE LLC OWNER
1590 NW 117TH CT
PORTLAND, OR 97229
Phone: 503 - 526 - 1331 Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
•
[BUILD] Permit Fee 8/5/2008 $366.70
[BUPPLN] Pln Rv 8/5/2008 $238.36
[FLS] FLS Pln Rv 8/5/2008 $146.68
[TAX] 12% State Surch 8/5/2008 $44.00
Total $795.74
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 By: /� ' 0`�' Permittee Signature: ' _.,,,./ ' < f
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.
Bugldj, Permit Application
Commercial -
CI of Tigard Received
'., City ^CV / AM Permit No.: / �,i 1
D eiv
ill
° 13125 SW Hall Blvd., Tigard, O'er -% `^ 0 Plan Revie s �i
C Phone: 503.639.4171 Fax: 50 I ' .% '..10 5f° Date/B : ( MIA {�4M Other Permit:
Ins P
. l' 1 c 3 i 1. 0 p ection Line: 503.639.4175 r n�U � Date Ready': y: Juris ® See Page 2 for
- Internet: www.tigard or.gov „ ® Notified/Method. Su Information
‘} O�
TYPE OF �l „10` REQUIRED DATA: 1 AND 2-FAMILY DWELLING
❑ New construction 1:3\‘Colition 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.
El 1- and 2- family dwelling NI Commercial /industrial Valuation: $ —
❑ Accessory building CI Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: J2,. l t 04-6, Am,. 5u, ) / New dwelling area: square feet
City /State /ZIP: IV 66.• Ya 01 . a '7213 Garage /carport area: square feet
. Suite/bldg. /apt. no.: ZD 1 Project name: GY, w Rl yijk - erOQa ire_ Covered porch area: square feet
Cross street/directions to job site: 1vef 4-)0\ * kk AWI ptoti Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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
�` //!! D ESCRIPTION OF WORK work indicated on this application.
O TT { - 4-ev IAfi iYn pro Ve- Y+n . Valuation: $ eaIO0Q
Existing building area:3e square feetSQ(
New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories: 2
Name: exeC.u.kive, GeN.+-y..e, W A ' - ` I �'a-
�/�� Lc, Type of construction: lr-la
Address:' ,1 �, W . (A , Occupancy groups: Y5
City /State /ZIP: •T i t fY d D ell .24,17 Existing:
Phone: ( ) 124 - 1 �l Fax: (6D#3 ) btu) "q --7 14.5 New:
❑ 'APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1,3A t Oen Ay CAA') c - u All contractors and subcontractors are required to be
Contact name , ' 56Tovk 5D, k a�� licensed with the Oregon Construction Contractors Board
`J under ORS 701 and may be required to be licensed in the
Address: /1LV? . . .}-} 4 Y' C, A jurisdiction in which work is being performed. If the
City /State /ZIP: 19 ` i MA L4 ' 0 t2-. 6 1 1 22Z applicant is exempt from licensing, the following reasons
p /� L a apply:
Phone: (il��j ) ' 4.- Zvi 1F. Fax::! o3 ) �4 -. gli e7� .
E -mail: in r o V► G b A 1 o9L1 C'Ar& . GO m
CONTRACTOR
Business name: � _J 1 0 t, 1 /l eAr BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax:( )
FLS plan review fee (if applicable):
CCB lic.:
Total fees due upon application:
Amount received: -- 7q - 5”. 7C(
Authorized signature: `.• t� : I' This permit application expires if a permit is not obtai d
x within 180 days after it has been accepted as complete.
Print name: • = • op __ • ' /A - Date: 8 N. * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440-46 I3T(1 I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13t)P20013 0026f3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: WEJ O()B
• Phone: (503) 639 -4171 � °,��, � ��
Inspection Requests (24 Hrs.): (503) 639-4175 ... !�i ' :__ .
INSPECTION WORKSHEET FOR DATE: 9/9/2000 TIME: 7:OOAM PAGE: 25
SITE ADDRESS: 1272E SW 66TH AVE. 207 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE:
PROJECT NAME: CRAWFORLD CLAIMS
DESCRIPTION: TI.
OWNER: EXECUTIVE CENTRE LLC, PHONE #: 5O3 - 526 - 1331
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 075229 -01 503 -526 -1331 N
Corrections /Comments /Instructions:
E. / 10
PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL V] CALL FOR INSPECTION n ADDITIO AL FEES ASSESSED
______ :I_
Inspector: " Date: a 6 Phone #: (503) 718 -
Tr
T TIGARD
CI ■ Y OF TIGARD
BUILDING DIVISION PERMIT #: Bt.JP2008•00268
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81512008
Phone: (503) 639 -4171 ",..
Inspection Requests (24 Hrs.): (503) 639 -4175 14.
INSPECTION WORKSHEET FOR DATE: 8122/2008 TIME: 7:01AM PAGE: 12
SITE ADDRESS: 12725 SW 6GTH AVE 207 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE:
PROJECT NAME: CRAWFORD CLAIMS
DESCRIPTION: TI.
OWNER: EXECUTIVE CENTRE LLC, PHONE #: Ei0" 526.1331
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
:'m I ` - `' Framing 074541 -01 503 -526 -1331 N
Corrections /Comments /Instructions:
r 5 ( / A.c OS L_ C73)
oR) 4 co ( -35)
✓rc✓L 4r1 Screw S ( J y /FFar/ lI n 'e/ riv / 1 r
ri Cl C- O r/' <Ci ‘ t, K- C3
Lo i n
PASS U PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �-S Date: 4v,4fs Phone #: (503) 718- ,2 %23
c i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008-002 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 06/ 2006
Phone: (503) 639 - 4171 ���i�� +f���1
Inspection Requests (24 Hrs.): (503) 639 -4175 �':� °:_..
INSPECTION WORKSHEET FOR DATE: B/20/2 TIME: 7:O2AM PAGE: 26
SITE ADDRESS: 12725 SW 66TH AVF 207 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE:
PROJECT NAME: CRA:ORD CLAIMS
DESCRIPTION: TI
OWNER: EXECUTIVE CENTRE. LLC, PHONE #: 503.526. 1331
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8r07808 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 °1 Framing 074373 -01 503 - 5261331 N
Corrections/Comments/Instructions:
See. Z., f r+ JoAec) /9/1/a os ()
b iz t PriCkiZ r e 0- .---- V‘G.:4 CO,- A \ w■ -___ O 1 tA-5 r cas..1.,---
- ?,0%..,;.0e., kic_ktr Corrtc4;o..:_. 0..k
I I PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: Vs Date: aD.0L� �e Phone #: (503) 718- !1c /g 3
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
BIJP2001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: L � / •
Phone: (503) 639 -4171 "���� ir1��i
Inspection Requests (24 Hrs.): (503) 639 -4175 �' _�
INSPECTION WORKSHEET FOR DATE 8/19/2000 TIME: 7:00AM PAGE: •p-
SITE ADDRESS: 17721 SW 58TH AVE 207 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 03,1 TYPE OF USE:
PROJECT NAME: GRAWFORD CLAIMS
DESCRIPTION: TI
OWNER: �: PHONE # & 1
P::X�f,�l)TI YE' CENTRE LI..$� , ,
CONTRACTOR: f3v FR PHONE #:
Inspection Request Scheduled For: Date 8119/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 074330 -01 503. 619.0691 N
Corrections /Comments /Instructions:
) g.c= 7'K.c, a,f tt /kt -L- ,,, !+ Gmf} -N A E
T — i 1'te--._ ' r -f ► J
' -Vii � . Li 'k %r S . ..
.''V2 L i r 7 c., Fe 4_ i'L -C-._. /#-C F c.9 ry A1-1--S
iek'S pCe a7 L1").4'1 40/0 /1-13.
/
6`4-- (s 1Nc� e, --
PASS 'A = A . 'PROVAL n CANCEL fl NO ACCESS
1 � ► ,' CALL FOR INSPECTIa ADDITIONAL FEES ASSESSED
/ e _______E
Inspector: .. "% Date: e //06 Phone #: (503) 718 - L7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2003.002W
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/b /2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175, "' .. _
INSPECTION WORKSHEET FOR DATE: 9110/2008 TIME: /:00AM PAGE: 30
SITE ADDRESS: 127 25 SW 615TH AVE 207 CLASS OF WORK:
SUBDIVISION: ST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE:
PROJECT NAME: CRAWFORD CLAIMS
DESCRIPTION: H.
OWNER: EXECt.m CENTRE LL C, PHONE #: 503-526
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Hrr. -1! inspection 075286.01 603-626-1331
1331 N
Corrections /Comments /Instructions:
6Z..6.2_("06 - oo yG 6 0 ��- --
czAL0c8 - ooZSs c
G i g S' F ' o
U PASS IN PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
AI /i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ . L Da �� ..6 � Phone #: (503) 718 -Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: P'JP2000 -00; G8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 101612008 TIME: 7:O0,M PAGE:
SITE ADDRESS: 127:x?; � 1�! 66TH AVE 207 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGI - IT i LOT #: 034 TYPE OF USE:
PROJECT NAME: CRAWFORD CLAIMS
DESCRIPTION: - -
OWNER: Eery:; : CENTRE LLC, PHONE #: 503-526-1331
1
CONTRACTOR: t WNE PHONE #:
Inspection Request Scheduled For: Date: 10/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 076315 -01 503 -526 -1331 N
Corrections /Comments /Instructions:
2 Coe. - 0 0 1 /66 - CA A ) ) 5 -a6•0o
L TL Aco8 -- oa aSS - (ci ,v) /o-A-
g o
A S ear , 9 61 fa Q
,-PASS (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION ( 1 ADDITIONAL FEES ASSESSED
Inspector: 23S Date: A" o % o e Phone #: (503) 718- Z 4 0 3