Permit .w f
'
Y -`_ CITY OF TIGARD D BUILDING PERMIT
4 T PERMIT #: BUP2007 -00122
COMMUNITY DEVELOPMENT DATE ISSUED: 4/26/2007
TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-04100
SITE ADDRESS: 11850 SW 67TH AVE 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
PROJECT: AMERICAN FAMILY INSURANCE
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: 3N : 37,445 sf N: N S: N E: N W: N
OCCUPANCY GRP: B TOTAL AREA: 37,445 sf ROOF CONST: B FIRE RET? N
OCCUPANCY LOAD: 869 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:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 950,000.00
Owner: Contractor:
PACIFIC NW PROPERTIES P & C CONSTRUCTION CO.
6600 SW 105TH SUITE 175 390 NE 9TH
BEAVERTON, OR 97005 GRESHAM, OR 97030
Contact #: PRI 503 - 665 -0165
Phone: 503 - 626 -3500 FAX 503 - 667 -2565
Reg #: LIC 38619
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 4/3/2007 $3,905.30
[TAX] 8% State Surcha 4/3/2007 $312.42
[METCET] Metro Const 4/3/2007 $1,140.00
[BUPPLN] Pln Rv 4/3/2007 $2,538.45
(additional fees not listed here)
Total $9,458.29
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: , , LC � - w _ Permittee Signature: __` s_.-/
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 "' :' , ' , r �� �� , . I , x, r , 1 . , IG ,z,- ��, , � �{ , ,
: i !z , hz orrlc �r:oNw ,-, ; �a i w a"� : 76. r � ;' ar
k'rt f.': 7 1 7 ;� '•X..0 ol w?'1 v. ter. . ' + .:, sc �n'tJJ ynA. 4 .... .F I �r , �.i• .' 't{ r
City of Tigard Received � .
/� i � h
Da / .� 4 A PZ Permit No.: �• / /./ — I�d?
' 3125 SW Hall Blvd., Tigard, OR. 97223 Plan Re - I/
lone: 503.639.4171 Pax: 503.598.1960 r: `t:,w + e �� � b Other Permit
nspection Line: 503.639.4175 ��� I _. Dat•B 2'Pa-kW
�-,.'�zt'4 .• " «r... , hate list for
Internet: www.ci.Cigard.or,us g , , ��
Q Supplemental . Soo Attached Checklist
Informstlon
� A I ' '� r i 9 j 7, 9 „ � :. r r •. i ,�}?�Gti F .•i� r h \.rr'ffl:W'' y � M :.'rr. l x•n. r :a 5 : : I °..w: r. •
;.ik :;g l ;.:I.:, 'i:. • ' •4 : ,.1',A ' a ::i1a :k . '1��Sic� t1` c .,: -lo s l , 4 1;ir�?(r a r• �a yµ ,I g .i;
• t:t'; .�ttcl: .il ,�r`� , r •"y�il.i�'.._. -:�,. _r.:.. �d�i '!'ir1�Pd,'1 "�1 r4:�rrr.ri. v ;.._�•y,� • • : IGifi '1+�:.F• "•��.y�Y%Y•iY1�1Fir
0 Ncw construction ❑ Demolition Permit fees* are based .4 the value of the work performed.
p�� Indicate•the value (rounded to the nearest dollar) of all
�Addition/alterationheplace
equipment, materials, labor, overhead, and the profit for the
,��,,}} `�. 1 l I { r, l':,10,1 ' ,.Jr•� : ' r ti R' r a ,ld.. ,, ''a "'4-r• . w k i
lf]. A' 'l 1;16. ?. & ''ti :;.b. . ,; Y R i t ' \ 1 ^ I' I! I i J [ 1' liEJ 'i' , P.iitf :r!•�Ji or ndicatui on this application.
❑ 1- and 2- family dwelling (5 Commcrciallmdustrial Valuation: $
0 Accessory building 0 Multi - family Number of bedrooms: '
❑ Master builder ❑ other. Number of bathrooms:
PT k,�; a w y, ,'t1 ' ; ; " 45'it I ��rt a J! t �� ji , u)' N ; Y ! r <� d n!I a r y ' I�t y T , r .1r 1 "i , ' Total number of floors:
E, i '.J.. V !1 I - z. 4 -% - r r.L iL - ::t ].....c .11 . ' ! :L... 1, �'�' �'�fi - i,. ;- z _
Job site address: 1(bScf ) Gift, "ire New dwelling arca: square fat
C i t y / S t a t e / Z I P : • _ . . . . . X _ 4 4 : 7 1 * (50 9 3 Garage/carport area: square feet
C O .IdgJapt. no.: 1450 l Project name: AM Ili 1 6.4 43,4 1 /'5 Covered porch area: square fat
Cross street/directions to job site: • S(A) C $•(C- Dat ¢rreiv Deck area: square feet
Other structure arca: square feet
1 " 4 ,.1 k` .', : - 1L1'y ! ^ ?., --1 . ; .'F ii`a;'T.'iN E. J tiei 1' ?
Subdivision: 1 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
r F } �I J ' �r 4 y;t i t p -��r 't 1' it ' y 1 4t + , „ - � �p-- �� equipment, materials, labor, overhead, and the proft for the
r. t4.1._ ::.,:lL'li� ;A J c�.... u .: t! ei ,i )1 1, . x . : .. _ . 1w .:'.:d ^ ' ., i1 1� =... ,,,t work indicated on this :..lication.
r Valuation: $ 01 so t p
I fr.(4CK"f?tr n..Nsf- i 1 ,.....,............1- • .
,. + 1 4 Existing building area: 7 -11 5 square feet T Z •
New building area: square feet
t ^fig
., T . l 1 i ( T Y- � � e� L ",� y }r t . vtlM i 1 x . i t' .. t 1 ` ? r"
,l r i, ; 1 ,,, i 4 :=,y1.. 1 . ;S; i ,h. L �I 1 r 1. , ' •j Numb of stories:
",�.., .� fL A �P �' 1 �� �ts I i. 11 f?" d!I . •. r;. - . Z
t..� i,..__.. r.:�' ..l'.m .� ,F 9,i:,,D,!.i . ..� ..i. . �.W ,.f rtr�.rir,�C..1. -1.>: . .U't
N 'a ' , i e. NW ' . v •e..2 Type of construction:
. e.
Address: (/tom e u) ( 0 stt, S-k-. 1 S Occupancy groups:
City/State/ZIP; (3.eeLircy -f.9h R-? Or7S Existing: B
phone: ( ) 6,2, • ;50c. Fax ( ) 6,71. 0211 New:
I ,.,7 I r �. .. II I i1 I E' r 1. L. , I : .an�rr�_ ! h i wpm
l i i . I.,, l y , rl l r x'11 r.. r ! , f �k «hi "t 'i' �'st a - 7' i }-i. . I ` 1 t ` r� a • T"•'• • hrt''i ' �• + ., :,.: .• t•';.;r
1 r - , 1...'L..v:l_� � ,.., ? 1 , 1 �� _.J .. .1.. .dYY..�:�_�, ��:'Si ).14.::':"...i...:' �' y ' � as atr ,, ° � .
>L 3'Fl.�; i�,;�,, •'r rim ��.3`kS�- Fy�!:lw, iG i;aS
Business name: Il All contractors and subcontractors are required to be
Contact name: �ti v `- licensed with the Oregon Construction Contractors Board
Address tinder ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
Phone: (505) ,? 5) 1 - 055 2 J Fax.. ( ) apply: —
E -mail ly4.,GE r, c . c.d.n •
Nix IVift,1�,{J' jf )'it ,� tlti) TkKi I i1F1 :7"71—'1' I 1 7 4 F j' l `ly l0fa1•,NG0p.IgJ.I�F "'� ! ' • t''' :._, 4,.!,x1 , F.�o ', ' ' zt_ �I e ,: : -: t :. .... 1: X7 :',5, -` . Y A t .1;. f2.2_ �NI.'•,?..l2
Business name: i k r IA._ ■ d r ,, . .'
Address: 0 (46- G14( ...�. -_____
City /State/ZIP: Please refer to fee schedule,
�'�t.c 0 3 0 •
Phone: ( ) 667 $ • Of ceS ax: ( ) 67(P1 — 2.. S >: due upon application — 1 .------
lie.: Amount received
03 Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it hat been accepted as complete.
Print name: Date: 3 • °l . (9 * Fee methodology set by Tri- County Building Industry
Service Board.
is1 Building 1 Permits \BUP- PermitApp.doo 17/03 440- 46131(11/02/COM/WEB)
x00 033 30 X1IO 096Tfi6BC0S XV3 CT :ZT 50O /LO /I0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 3UP2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4126/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9114/2007 TIME: 7:00AM PAGE: 20
•
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF E:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: TI
OWNER: PACIFIC NW PROPERTIES, PHONE #: 5503-626 -3500
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 503 - 665.0165
Inspection Request Scheduled For: Date: 9/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Firm) inspection 055740 -01 503-572-7306 N
Corrections /Comments/ Instructions:
` .j PASS . - ARTIAL APPROVAL CANCEL n NO ACCESS
al CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector': - Date: / G Phone #: 503
Insp ( ) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E3UP2007- 00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2&2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
• INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION:. TI
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 503 - 6650165
Inspection Request Scheduled For: Date: 9/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 055648 -03 503-572-7305 N
Corrections /Comments / Instructions:
tF25 r r t��� i/ Ut S G
( Pe---1Z__ c
•
(l PAS IP PARTIAL APPROVAL E CANCEL n NO ACCESS
• i ii ;) P CALL FOR INSPECTION (1 ADDITIONAL FEES ASSESSED
--' O - M�
Inspector: Date: 7 Phone #: (503) 718
CITY OF TIGARD •
BUILDING DIVISION - ; PERMIT #: BUP2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171 Ami A
Inspection Requests (24 Hrs.): (503) 639 -4175 4. ; 111:
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 59
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: TI
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 503 -665 -0165
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 052125.01 503- 869 -2981 N
Corrections /Comments / Instructions:
L 0u/ (� j / ' r�
4 _' .- L4.___-
1
n PASS +1 RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL IV LL • - 1 • ECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7/7/17 Phone #: (503) 718 - � X--
CITY OF TIGARD
BUILDING DIVISION 41 ,, , ,. PERMIT #: BUP2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4126/2007
Phone: (503) 639 -4171 ll' �� t�
Inspection Requests (24 Hrs.): (503) 639 -4175 �' F'' L.
INSPECTION WORKSHEET FOR DATE: 7/11/2007 TIME: 7:01AM PAGE: 71
SITE ADDRESS: '11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: TI
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 503 665 - 0165
Inspection Request Scheduled For: Date: 7/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 051738 -01 503- 969 -2981 N
Corrections /Comments /Instructions: 2l��
"i Z0 a e 1__ 1 al ' - / -
n PASS i APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL FOR 'ECTION El ADDITIO AL FEES ASSESSED
,* i
Inspector: p `rlib., Date: / ,, ' Phone #: (503) 718 -
, CITY OF TIGARD •
BUILDING DIVISION PERMIT #: BUP2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:OOAM PAGE: 63
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: 'TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: TI
OWNER: PACIFIC NW PROPERTIES, PHONE #: 501626-3500
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 501665-0165
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M- -
275 Framing 050996 -02 503- 969 -2981
Corrections/Comments/Instructions:
c . j S Tl
❑ PASS • RTIAL APPROVAL ❑ CANCEL 7 NO ACCESS
n FAIL BALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 Phone #: (503) 718-
.
CITY OF TIGARD , ..
BUILDING DIVISION PERMIT #: BUP2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171 . a°"��� 't
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ': ''-
INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:OOAM PAGE: 13
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: 11
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626 -3500
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 503 - 665-0165
a- d Inspection Request Scheduled For: Date: 5/31/2007 p Pour Time: • ?)-
j
117711 �� ""
Code # Inspection Description Confirm # Contact # Me- • age / fit
W
295 Misc. inspection 049336 -01 503-519-6199 Y N T,y" +
l S bus
Corrections /Comments /Instructions: I,
kiet � .
a
-i,4 2 - 00 1 CTS) Wo to4 t G. t C
L t '2 - 66 k —) ( (TT) 1‘ra` fi z.e --(e✓
r N 0 all ca.il_ Q c_e"re-cA.
•
•
I I PASSARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A \4
Inspector: 1 Date 3 1 / ° � L1
Phone #: (503) 718- `
•
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: BUP2007 -00122
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .
..
INSPECTION WORKSHEET FOR DATE: 573012007 TIME: 7:00AM PAGE: r;
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: TI
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 6263500
CONTRACTOR: P t& C CONSTRUCTION CO. PHONE #: 503. 665 -0165
Inspection Request Scheduled For: Date: 5/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 049261 -01 503 - 969-2987 N
Corrections /Comments /Instructions:
• 2 ,..ic Ft— 7 ., it ' . ��
n PASS Fri PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL '4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ` Date: .- Phone #: (503) 718 -
—. 2-4Y
4116