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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00381 . #��;� DEVELOPMENT SERVICES DATE ISSUED: 6/23/03 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S136DA -00100 SITE ADDRESS: 11308 SW 68TH PKWY 2ND FL SUBDIVISION: ZONING: MUE BLOCK: LOT: JURISDICTION: TIG 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 : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 18 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: 1HR 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 : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 50,000.00 Remarks: Computer room expansion Owner: Contractor: BENENSON 68TH PARKWAY IN LINE COMMERCIAL CONSTRUCTIO KEY LLC, THE PO BOX 5837 BY FIRST AMERICAN TAX VALUATIO ALOHA, OR 97006 WORCESTER, MA 01615 Phone: Phone: 519- 3970(CEL) Reg #: 05117 338 FEES LIC REQUIIED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 6/23/03 $470.80 Electrical Permit Required [TAX] 8% State Tax 6/23/03 $37.66 Sprinkler Permit Required Framing Insp [BUPPLN] Pln Rv 6/23/03 $306.02 Final Inspection [FLS] FLS Pln Rv 6/23/03 $188.32 Total $1,002.80 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: 6 1G'� Pe rm ittee Signature: %' / / V.7) Call 639 -4175 by 7 p.m. for an inspection the next business day • wilding Permit Application . . Date received: Permit no.:..) 72 Off- Oe5S1/ - r, tit I i Ci ty of Tigard .,1.1 - _ , Project/appl. no.: Expire date: Ci o Ti Address: 13125 SW Hall Blvd, Tigard, OR 97223 N f gQ7 Phone: (503) 639 -4171 Date iss By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: .. 1 11'1.. OF 1'1_10I I:f - O 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi- family 0 New construction 0 Demolition O Addition/alteration/replacement Tenant improvement 0 Fire sprinkler /alarm Cl Other. • IOB SI 1 1•; 1N14)1 I. I IO . . . Job address: / - ; $ 6 g rZ - C _ o.- Bldg. no.: Suite no.: Lot: Block: Subdivision: / Tax map /tax lot/account no.: Project name: / , _ o •P. Description and location of work on p ' . - • special conditions: +. z ----.- : G • - - ' O O∎1 NI: R 1012 S1'2.(1. %I: :IN1.0121I:\IIO \. 1! (:IiFChlISI .. Name - (110 6(1 pkiin. seltlic ca parii■ . solar. etc.) ' , Mailing address: 1& 2 family dwelling: 5p D O O City: State: ZIP: Valuation of work $ Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) I' I' 1. I ( V\ I -. • •• Garage/carport area (sq. ft.) Name: ' , - olc.„) � u / L S Covered porch area (sq. ft.) u , , :. ,� G _ c.,.> Deck area (sq. R) .. Stated C . � Other structure area (sq. ft.) Phone: • Fax: E -mail: - Commercial/industrial/mold-family: ( O N I1 k ( I O 12 Valuation of work $ Existing bldg. area (sq. ft.) 6,--),(-) 0 e Business name: , .. La_ . - ■ o . m 7 6 ew bldg. area (sq. ft.) — Address: - ; - Q Number of stories Q2 1 i - D ' Type of construction Phone: _ _ / / Fax: - y - D , E-mail: Occupancy group(s): Existing: P yl� P CCB no.: • New: City/metro lic. no.: OD OD 3g SO Nodce: All contractors and subcontractors are required to be Ut ( ' I I I I I• ;( lc N i; it licensed with the Oregon Construction Contractors Board under Name: ' 4 a _, . _ A, , _, _ - , . - 1 provisions of ORS 701 and may be required to be licensed in the Address: a $ E 3 d • - d 0 jurisdiction where work is being performed. If the applicant is _ exempt from licensing, the following reason applies: Contact person: a , z, -e Plan no.: Phone - -) 3 7 7 _ ,�� E -mail: 1:N(:1 \ 1:EH (11 1 I• t : S I (.INI •l Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard work will be complied with, whether specified herein or not. Credit card number / / Expires Authorized signature: 1'.t. t // I Date: (-, , . ? 01 Name of cardholder as shown on credit card le,i.,46 ! $ Print name: k . ,F'F . YB..J7�„/ Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM) CITY OF TIGARD 24 -Hour BUILDING (: Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received( 2 15 — c ZArilate Requested / a/ AM PM BUP C,C) 3 el 2- Location !/ D (o ! ,reed Suite A ' MEC • Contact Person �... i ( ) • - ii ' l PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner 77 - /&uv. I4)t. d ELC Footing Foundation Acc S' , ELC Ftg Drain "�. ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Fi Fig. PART FAIL P I BING • Post & Beam Under Slab Rough -In Water Service r Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service • Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next ins PASS PART FAIL pection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Ej Unable to inspect — no access Fire Supply Line / �j ADA Da l 2/ T/ /o3 Approach/Sidewalk I nspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OFTIGARD 24 -Hour BUILDING i Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) MST ) Received ( 2 1 5 - cZ/ Date Requested / Z./F/0 3 AM PM BUP . 7 r5 c) 3 9 Z Location !/ i D (D � '&0 (/ Suite MEC • Contact Person -� � �-- i ( ) I — i> 9 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner . 7Z • ,< Cti. /J&?/tJ. //4 1 ELC Footing ELC Foundation Access: Ftg Drain - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam _ - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof O -r Fig t` PART FAIL _ P I BING Post & Beam Under Slab Rough -In Water Service 1/1 "! Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl Please call for reinspection RE: D Unable to inspect — no access Fire Supply Line ADA Date /2/Y / o3 Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL