Permit .,
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CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00437
i DEVELOPMENT SERVICES DATE ISSUED: 10/9/2006
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'= - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136DD-04100
SITE ADDRESS: 11850 SW 67TH AVE ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
Project Description: Building 1. Fire Alarm System.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 487 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:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 14,300.00
Owner: Contractor:
PACIFIC NW PROPERTIES CAPITOL ELECTRIC CO, INC.
ATTN: PAUL GRAM 11401 NE MARX STREET
P.O. BOX 2206 PORTLAND, OR 97220
BEAVERTON, OR 97075
Phone: 503 - 626 -3500 Contact #: PRI 503 - 255 -9488
FEES Reg #: LIC 48748
Description Date Amount REQUIRED ITEMS AND REPORTS
[FLS] FLS Pln Rv 9/11/2006 $74.92
[BUILD] Permit Fee 10/9/2006 $187.30
[TAX] 8% State Surcha 10/9/2006 $14.98
Total $277.20
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 B y - Permittee Signature: 14/M- (AO e:-.61--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.
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Building Permit Application • . FOR OFFICE USE
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City of Tigard Received(?
Date/B ate /B _ � � / • , Permit N... A / 6 ` —�
13125 SW Hall Blvd., Tigard, OR 972 3 I09
E� I Plan Revt ` �l ,
Phone: 503.639.4171 Fax: 503.598.1960 tp Date /B Other Permit:
Inspection Line: 503.639.4175 S E P 1 7' 2 006 ,�_ 4 t I Date RT+Q:II / See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/ ethod: ) — 4 — r th ■ Supplemental Information
CITY OF TIGARD
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_
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El 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 ■ O equipment, materials, labor, overhead, and the profit for the
CATEGORY CIF CONSTRUCTION • work indicated on this application.
■ Valuation: $
1- and 2-family dwelling 0 Commercial/industrial
■ Accessory ilding ■ Number of bedrooms: bu Multi-family
■ builder ■ Other: Number of bathrooms:
JOB SFFE INFORMATION AND LOCATION Total number of floors:
• • site address: I New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: BLDG 1 Project name: TIGARD TRIANGLE COMMONS Covered porch area: square feet
Cross street/directions to job site: 3 r,!
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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
INSTALL BUILDING SHELL FIRE ALARM SYSTEM PER PLANS Valuation: $14,300.00
Existing building area: square feet
New building area: / / 7 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: n ll� to
Name: Type of construction: 3
Address: Occupancy groups: B v - z7 &- 2 dee
City/State /ZIP: Existing:
Phone: ( ) Fax:( )
New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CAPITOL ELECTRIC COMPANY, INC. All contractors and subcontractors are required to be
• Contact name: DAN WILSON licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11401 NE MARX STREET jurisdiction in which work is being performed. If the
City/State /ZIP: PORTLAND, OR 97220 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 255 -9488 Fax: : (503) 255-1966
E -mail: dan @cepdx.com
CONTRACTOR
Business name: Capitol Electric Company, Inc.
BUILDING PERMIT FEES*
Address: 11401 NE Marx Street
Please refer to fee schedule.
City/State /ZIP: Portland, OR 97220
Fees due upon application 7 V. 92,
Phone: (503) 255 -9488 Fax: (503) 255 -1966
Amount received
CCB lic.: 48748
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: DAN W. WILSON Date: 9/7/06 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(1I/02/COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00437
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10 /9/200Ei
Phone: (503) 639 -4171 , I � I�a
Inspection Requests (24 Hrs.): (503) 639 -4175 - ��!+� "L .
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:OOAM PAGE: 45
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: --, TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 1. Fire Alarm System.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626 -3500
CONTRACTOR: CAPITOL ELECTRIC CO,_INC. PHONE #: 503.255 -9488
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description ,- Confirm # Contact # Message
299 Final inspection °054504 -01 971-506 -3072 Y
Corrections /Comments /Instructions:
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p ge, 4/ 'So 144 y e<17
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►;•ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL j CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - - Dat€4 _ 0 Phone #: (503) 718-
-