Permit CITY OF TI BUILDING PERMIT
PE RMIT #: BUP2005 -00624
IA DEVELOPMENT SERVICES DATE ISSUED: 12/6/2005
-'-.. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136DD-00200
SITE ADDRESS: 11560 SW 67TH AVE 333 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 004 JURISDICTION: TIG
Project Description: TI, interior wall sheathing and insulation.
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: 18,101 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: $ 5,000.00
Owner: Contractor:
JOE GREEN INVESTMENT CO JOE GREEN INVESTMENT INC
PO BOX 1 PO BOX 1
DONALD, OR 97020 DONALD, OR 97020
Phone: 503 - 970 -2927 Contact #: PRI 503- 970 -2927
FAX 503 - 678 -6266
•
FEES Reg #: LIC 57652
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/6/2005 $91.30
[TAX] 8% State Surchari 12/6/2005 $7.30
[BUPPLN] Pln Rv 12/6/2005 $59.35
[FLS] FLS Pin Rv 12/6/2005 $36.52
Total $194.47
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
952-001-961 I rough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli ►• 503 - 246 -6.' • • 1- 800 - 332 -2344.
Iss • d By: / l paL. 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.
RECEIVED
Bidding Permit Application DEC 0 6 009 FOR OFFICE USE ONLY
City of Tigard Received 476 S Permit No.: ± ` ,_%; .e:Z6 ,
13125 SW Hall Blvd., Tigard, OR 97223 CITY O GA Fi Plan Revi M�
a: s Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 BUILDI • , DateB agro id
Inspect Line: 503.639.4175 _,-;_-.10.9k .`t �_, Date R::. H See Attached Checklist for
Internet: www.ci.tigard.or.us Notifie. , et, Information
_ TYPE OF WORK . REQUIRED DATA 1- AND 24AMILY DWELLING
p 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.
Valuation: $
El 1 -and 2- family dwellingEommercial /industrial Tt m
13 Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB "SITE INFORMATION AND LOCATION - Total number of floors:
Job site address: /1560 Sif (7Th /Ivfs i New dwelling area: square feet
City /State /ZIP: 7_ 647'L /9,, °A, Cj 7 -2-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: d..-5 Project name: ( ' � J Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
('7 G.J 641 (" 4 * 4 6 4 • 0P of 6 S ,tVE) Other structure area: square feet
4J 4 44i & 777 /t✓6 f " ✓21 ,�yLeL ' 'irJ 4 '4i%Jr) REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: l 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
' 2 DESCRIPTION OF "WORK - - work indicated on this application. �,�/�
/1/ r v+ � r/yt/ Met Rl i 0 ./6 (n u �' ■ - / 1 /✓ TC G Valuation: : i7 $ n �C W "
f 'Di9 ,7 f, 7 (/y1 MOV o v b t/, - - : _ 7 square feet (CO0
New building area: — square feet ',
A5 PROPERTY OWNER " ❑ TENANT Number of stories: .3 C3rd Wary)
Name: `�� � G . / e r y „, -
V Go Type of construction: ////--- \ Wary)
Address: o /D 4P/y— / Occupancy .
City /State /ZIP: ,a/r/,g1 e, /L 9'7 OZv Existing: Q
Phone: (503) 9 7 0 2 _ 1 2 _ 7 Fax: (57)3 ) 6 -7g 024 New: Q
APPLICANT " : ` ❑ CONTACT PERSON NOTICE
r '
Business name: r i it/, GA/ 7/�� All contractors and subcontractors are required to be
Contact name: 6/1,/ At) cA90 474— licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to be licensed in the
Address: /D?/1- 6'f7' jurisdiction in which work is being performed. If the
„ y, 2-47 apply is exempt fro 1 licens• g the following reas . s
City /State /ZIP: /vi+/ OA. 0
/ � �y apply a i ♦ _. - � '
Phone: & J) 9 f/Q''/ om, 1.9 / Z � Faax:: (9 3) 67e1 /703 y l �� � 1 lchls
E -mail: / .V fiN / /ri //ri- / /fZ ' e GJ/eci( - �1
- CONTRACTOR
Business name: �Oc Ij�/l�itq � ^ � BUILDING PERMIT FEES*
!"
Address: o e.o,r / Please refer to fee schedule.
City /State /ZIP: 00, AO q2 97 aZ-°
( p ,, Fees due upon application
Phone: (�ij) '77 tj z.9 Z 7 Fax: (.S�;) 6 62-4'
C-/ Amount received
CCB lic.: C7 4f2., j / 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 ] � �� Date: 1 Z 1, / * Fee methodology set by Tri -County Building Industry
"" t
Service Boaard. �
i:\ BuildingTemtits lBUP- T1- PermitApp "doc 12/03 440- 4613T(II /02/COM/WEB) ..u'--
CITY-CF TIGARD 1
BUILDING DIVISION PERMIT #: 13UP200.S.00(31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 32/6 ftlO ,
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR, DATE: 519'20061 TIME: 7:01ANt PAGE: f3
SITE ADDRESS: 11560 SW f.p7TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND) HEIGHT'S LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN
DESCRIPTION:' TI, interior will sheathing and insulation.
OWNER: JOE GREEN INVESTMENT CO, PHONE #: 503. 970 -2927
CONTRACTOR: JOE GREEN INVESTMENT' INC PHONE #: fin -W70 - 2 127
Inspection Request Scheduled For: Date: 5/812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2235 Drywall nailing O29554 -01 503-130G-3004 Y
Corrections /Comments /Instructions: - 3 rc) �U17 w
•C' e4tki / l pen Q ( 14% 0 " S Ci4 (A/C&
I Ct •
•
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL _ , n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
• (�
Inspector: Date: ,5 cr / 0 to . Phone #:. (503) 718 - 2 ! Q 3
CITY-4:F TIGARD
BUILDING DIVISION PERMIT #: I UP20050062'1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12i6.120(16
Phone: (503).639- 4171"°b`f �l
Inspection Requests (24 Hrs.): (503) 639-4175 `_..
INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:01$AM PAGE: 12
SITE ADDRESS: '11660 SW 67TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 0011 TYPE OF USE:
PROJECT NAME: GREEN
DESCRIPTION: T1 inierjo wall slseathing ;:71r1 tf insul�?t on.
OWNER: JOE GREEN INVESTMENT CC), PHONE #: 603-970.2927
CONTRACTOR: JOE GREEN INVESTMENT INC PHONE #: 60::f 3'10.29 7
Inspection Request Scheduled For: Date: 5/3 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2t Insul;:;tt.iorn 029186 503 -- W& 3004
Corrections /Comments /Instructions: ° '.1 o a
GUS VAc POP., - FAR R c Utz
(L utN C
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ASS 17 ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
1 71
3C
Inspector: Date: Phone #: (503) 718 _ '
• r
CITY OF TIGARD i • tozk-
BUILDING DIVISION PERMIT #: 13(JP200 ' 43 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6729 /2004
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' ::16111.11111'.
INSPECTION WORKSHEET FOR DATE: 4/27/2006 TIME: 7 :04AM PAGE: L39
SITE ADDRESS: 11560 SW 67TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN OFFICE COMPLEX
DESCRIPTION: Tenant lmprovement..
OWNER: PHONE #:
CONTRACTOR: JOE. GREEN INVESTMENT INC PHONE #: 503 - 670 -6 266
Inspection Request Scheduled For: Date: 4/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 02079..01 503 -1306 -3004 N
Corrections /Comments / Instructions:
•
• PASS Ti PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED
Inspector: ` Date: vl `' Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BtJP2004-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/290004
Phone: (503) 639 -4171 4/60potj I1.
Inspection Requests (24 Hrs.): (503) 639 -4175 l l..
INSPECTION WORKSHEET FOR DATE: 4/ 27/2006 TIME: 7:04AM PAGE: - 98
SITE ADDRESS: 11660 SW 67TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN OFFICE COMPLEX.
DESCRIPTION: Tenant Improvement.
OWNER: PHONE #:
CONTRACTOR: JOE GREEN INVESTMENT INC PHONE #: 503- G76-6266
Inspection Request Scheduled For: Date: 4/27/ 2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 028799-02 503- B06-3004 N
Corrections /Comments /Instructions: 1 Z ' i - 3c
•
•
❑ PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY= OF TIGARD zg
BUILDING DIVISION PERMIT #02003 —Op (e a, y
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 a p A\
Inspection Requests (24 Hrs.): (503) 639 -4175 ' "'' I. .:
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ' 1 'S-6' v b ` 4 0 Ok CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: •
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 _ / 6 J °7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
p A,,,,,,e_ (-2_1/4i- 8'06- 300(1
Corrections /Comments/ Instructions:
0-b \
fr
Aglaia _ 11111° ii._ E r ' M 111 I 10
II 1
•
H PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAI ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: Date P ho n e #: 5 03 718 - z-q- � J
�� `� ( )
NIP
CITY. OF TIGARD - .
BUILDING DIVISION PERMIT #: BUP2005-00624
13125'SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121h/2005
Phone: (503) 639 -4171 .,`
Inspection Requests (24 Hrs.): (503) 639 -4175 &h " "'I �..
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7130AM PAGE: 43
SITE ADDRESS: 11560 SW 67TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN
DESCRIPTION: T1, interior wall sheathing and insulation.
OWNER: JOE GREEN INVESTMENT CO, PHONE #: 503 -9 10 -292.7
CONTRACTOR: JOE GREEN INVESTMENT INC • PHONE #: 5(
Inspection Request Scheduled For: Date: 12/2012005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 023741 -01 503.983. 2992 Y
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Corrections /Comments /Instructions:
•
•
A
. f4 mot Ail - Eff
. _ 4111 4 II/
I 1 PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITI e NAL FES ASSESSED
ti`'
Inspector: " - Date: ( Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: BUP2005-00624
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 206/2005
Phone: (503) 639 -4171 92% ∎ i
Inspection Requests (24 Hrs.): (503) 639 -4175 41x "L
INSPECTION WORKSHEET FOR DATE: 1212012005 TIME: 7 :30AM PAGE: 42
SITE ADDRESS: . 11560 SW 67TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN
DESCRIPTION: TI, interior wall sheathing and insulation.
OWNER: JOE GREEN INVESTMENT CO, PHONE #: J03 2927
• CONTRACTOR: JOE GREEN INVESTMENT INC PHONE #: 503'970.2927
Inspection Request Scheduled For: Date: /2/2012005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 023741 -02 503 - 989-2992 N
Corrections /Comments /Instructions:
•
ti/O 0
El tom' 1
PASS ✓PARTIAL APPROVAL CANCEL El NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED
Inspector: Date: 1 one #: (503) 718 -