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Permit
f u CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00276 a ,' ` COMMUNITY DEVELOPMENT DATE ISSUED: 8/26/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DD-05300 SITE ADDRESS: 11850 SW 67TH AVE 110 ZONING: MUE SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 013 JURISDICTION: TIG PROJECT: SPEC SPACE Project Description: Add (30) fire sprinkler heads for TI. 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: 46 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: $ 2,200.00 Owner: Contractor: PACIFIC NORTHWEST PROPERTIES 6600 SW 67TH AVE BEAVERTON, OR 97005 Contact #: Phone: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/18/2008 $69.65 [TAX] 12% State Surch 8/18/2008 $8.36 [FLS] FLS Pin Rv 8/18/2008 $27.86 Total $105.87 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 • Permittee Signature: (. 0, 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. -r(\ TQI M:&& 1(8 e ) r-x3 (0EE u Fire Protection System RECEIV , fLCv211 ` / Building Permit Application AUG o il of l lci USE O\L1 l] 1 S 2000 _ R eaetved � / '...:; r :::.. I II City of Tigard s !ice r'� V b e g 13 125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIQAR ' an Review MIIII ) �, Phone: 503.639.4171 Fax: 503.598.1960 w o :, � g y: J C� Otber Permit: TiGnliD Inspection Line: 503.639.4175 q JiLnikin miss $, y ReadyBy: • Luis: Ed See Page 2 for Internet: www.tigard -or.gov t fied/Method: • /I ) CZ'', '/ Supplemental Information x a�i$ ter i• Z', W : ` 4F t1 h t "` "urn v aye �rtxrx'(; ti " &;sd? �. a ;+ ' ;1 r: .. a1,:5 r� � x t;_ v c te xt ts: 3 y '«;.,• • `L M ;4k k .'+ i - . a lt , :: T•:'S�'tg�� 7�., . ,:at « <. ; , : 'c.} a -x�.'J.;>s'If.';.�F "",°�, tzi ;gL;3•Y, , ' ' r ' • *." v,,,,,,,, ,, ' ..` ".' =7.` y ' ++`` .�,3 - �.. .43:ty., r= s�:r'.: - � . ._ - 'c:y.. ,t .,.e';1'!:•% .. ,..,:i.94,46,.,;,, F `�'�a �f,.3-,. _ Q�. .. K ..t� .,. , r�, : �•-is i . - Jt ... - :� . ... � � - .S' . Ffi•. t �...'�..'x, Ma r. . � ., .:f: -._.. 1, t.::._2:..,:LA� 1� .1S ..v_ .. �:�.�.v....... i� . 0 New construction 0 Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all '✓A Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the .• ` „(i� , ,. " �� + ` :Zti` C3 --c'- rs �,a`+ x-�uti v 7 (_r�'.51c':"4' = •• •:;= i<•r}: " *c- 1 7.•.urnr „{,� work indicated �i Pt g ti.,4ti, r. i'+.:r ?� Y "'T.:4 i4# 8 _ kidi d application. � au4ti :?+t _.�fa�i1'91.:�:rr::.. -?Y.. �'Sv.S�+ .: �:: •�.r.:::: .::t .::art- �`+cz•.}.'E ^ ; rv�.;oz ^ _. ' , . ,,s,ria .. :e:`C;'.i.; t 0 1- and 2 -family dwelling ommercial/industrial Valuation: S , .0 0 Accessory building (] Multi -family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: N'^t ma y. •*.• ;ysfr. , a7, a§ett . +4 '2 {wt�.. f � k ' ;.` x ' fx a '.-u. t .f •,�" r t ;per f ut# . Total number of floors: Job site address: ' 1 Z'5 S (.) 6 - 7 7 t1/41/a- New dwelling area: square feet City/ State/ZIP: IL b q.c,tp OR Garage /carport area: square feet Suite/bldg. /apt. no.: /0Q I Project name f ,, . �,....1, ` 100 Covered porch area: square feet Cross street/directions to job site: , " �' � � p S � Deck area: square feet Other structure arca: square feet •^f,�,�,ky,,2�� y ,_. y . , y..'.[ `” arm• :r •.. y : b� i'kl'S�ly'L'...::•GLk ".' 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 - � 7 t ;e ;@• : �, q r n .. ., ...ter, as: -t`+ nk A =.` fF'.:.•g�'t+" u � «• i'jy c;2• equipment, materials, labor, overhead, and the profit for the ;' , ' - 1z�wt �-' R ©jua'p`p , `3ki� r. , work indicated on this application, ' .. � �M c" �[• sl�l` ii° �, �'` ri. �ts?4 *�i:•N,�LFi:�er$�d'n- r:ss,.• ar�x''` :IS a3��';'" -Jy . t ,�.,.M- i l f f 3 I _ P I E krilliMM Valuation: $ . e 2 2.0O,°' inill Existing building area: Rb square feet '55;00 ' New building area: square feet ZaZ C` ^• t ..,,, ='neq.':.nL Wi J3i.*t t h::. t = ;A • �' •th^:4:�t:r'd�ar4 tx ,�. ^t�. . y 'L' a -•. �1' l ` pi r p; �ik�+�;• 2`' » {{ yy R �� n * - At - ;,, to • u R� {��i Yr„, . y , ' K Number of stories: //� µ C� Y��t S �. Il�+ t" 1w` �r'>.^'-" �' .:,.lA.si.:t(«Zti- �� +:Si �:FU�,.�t<f;F'e����YAp�L �. r1, SR�,L�il�.n-�+.:�1���?�(:•�KY. (- Name: N , W , p Type of construction: Address: t�rr� � /65 A v Occupancy groups: i City/State/ZIP: 6/2_ 77et, Existing: Phone: ( ) Fax: ( ) New: i,`iV0.;1 : V .' ; r.�� ; -.:c.:. :: .k:• "�; :'f!. tikl, °;'rt:.� pat ; 1 .i ,.,.., :6: . q ;: ,ti:•:i::Ce:,t+'-:U.9.1 -�, ,'s +,'y5;� � .,,S . 1 - ✓ D._+ t r' Aa •+ u�,Cy• 'J :>'� � ,.`{''; ?: t+i:� oc � • C': z s)? ":v��t' �''�' O��tt!��!! . `p } �r:Y; r± . , ,J'.• �• '�• ?+e •fi�• > d;: + .�\ rttrq l . b: YS.'7di ; ,tt. ., ,Yy - l „ -•' +.. ., > P` ik-'D.3 ,, t is . .... ��a7 .- Y .�F '.... C.v:,.c,:r:A...�3- .+,x- ,�b^rt. �E:y� : Eh�� ;, 1 .n �^ `?a � ' �.. + • • F 3c .+� s. ��W'"�.'. -, �-, '�' �i7 ,`��� qtt 5 ; , ?r,. � •. d �l:ll'!' � ';� y � [ „i' p '� #� <l Business name: 'P All contractors and subcontractors are required to be i Contact name: 3 1ft 1 licensed with the Oregon Construction Contractors Board ' under ORS 701 and may be required to be licensed in the Address: I 04, � 1,2.91 l- jurisdiction in which work is being performed. If the City/ State/ZIP: r - / C II I , l f �Q applicant is exempt from licensing, the following reasons , y l i 1.17''[ v (1.01/i.- t Q apply: Phone: ( ) / ���� t Fax:: ( 1 1 U E-mail: •'•kt�W:; ;.�3 :.. .:`ti'�?:q }4 � - � /�srY1 -' ': i: �w. •. s:a.E» . ni`.�i'•sSa:Y:yi'; sir ::•�" r.;'Y:- r,7:n, r.i.+..M• -::mot\ �'.;•c o ::�' + '�;, : N ;.,+ , , , ..: w •,u•. ...v '_F:i{: ";'•'S p • - ` q ” :: v ' : •.. r�' � ... ' :. :t! �� ... 'V - '(ry. e.ri ..d G+ x r, � ��� . hp.i. v=1 40,::0 �.i :si•;•,; , -, — . =% ,,' :r.."S•. •f`,'.;'.++:i. \ :.,. ', t$v y �� s. ,;: �'. t i -,.. "; t •'. . .. US v'. i�:. .. ' -� �•�... l h .,. <F�i+ _ .d. r,'� q h. r' y,+t„S l. .. n ame: ;�z:� •x .�o?tb, e f ei%sch" �ar-M1;.�r,. ;- �'�,; , . Business � w'` f � F • Permit fee: 9 . 1, ¶ Address: 14 O s � 1 1 - ^ ! 4T/obi ` ! City /State/ZIP: [i i , ix, State surcharge (8% of permit fee): q � ( FLS plan review (40% of permit fee): Phone: ( 3) 5/ ,0 91,3 . (- I Fax: (r)3 VI 1 IM (Due upon application.) ? . i 7S CCB lie -: b J Total permit fees: Authorized signature: av- (661•?)-^— Amount received: l OGj $7 (J /� This permit application expires if a permit is not obtained Print name: J „� I Date: 8' 18-0 9, within 180 days after it has been accepted as complete. Fee methodology set by Tri•County Building Industry Service Board. t\ BuildinglPennitsWPS- PamitApp.dot 03!23/06 440- 4613T(Ii /02/COM/WEB) CITY OF TIGARD L BUILDING DIVISION PERMIT #: DUP200B-00276 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2008 Phone: (503) 639 -4171 � " I Inspection Requests (24 Hrs.): (503) 639 -4175 , 4' '_ _. . INSPECTION WORKSHEET FOR DATE: 9 /:' . 008 TIME: 7:OOAM PAGE: 5 SITE ADDRESS: 11850 SW 67TH AVE CI ID 1 nc' CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 013 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: Add (30) fire sprinkler heads for TI. OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 9/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sp!inki r final 075217 -01 503 - 312 -3876 N Corrections /Comments /Instructions: SL - ---- - /7o -.410 IP ARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 7/3 e Phone #: (503) 718 - il-(Y CITY OF TIGARD : _ - -{ BUILDING DIVISION PERMIT #: BUP2008 00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2008 Phone: (503) 639- 4171j�l� Inspection Requests (24 Hrs.): (503) 639 -4175 . ' "__.. INSPECTION WORKSHEET FOR DATE: 8/27 /2008 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 11850 SW 67TH , taP f dd CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE :: ONS LOT #: 013 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: Add (30) fire sprinkler heads for 11. OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 8/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough- initest 074696.01 503-312 -3876 AP t�L • Corrections /Comments /Instructions: , Su I T — /ep t g1 PAS O PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED lr Inspector: Date: Phone #: (503) 718- Illb