Permit N CITY OF TIGA BUILDING PERMIT
.. COMMUNITY DEVELOPMENT PERMIT #: BUP2007-00438
DATE ISSUED: 11/1/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136DA - 00101
SITE ADDRESS: 11410 SW 68TH PKWY ZONING: MUE
SUBDIVISION: PERS SITE LOT: JURISDICTION: TIG
PROJECT: PERS
Project Description: TI - relocate walls
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: sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: Y PARKING:
VALUE: $ 7,500.00
Owner: Contractor:
OREGON, STATE OF PUBLIC CEDAR MILL CONSTRUCTION COMPANY
EMPLOYEES' RETIREMENT FUND 19465 SW 89TH AVE
11410 SW 68TH PKWY TUALATIN, OR 97062
TIGARD, OR 97223
Contact #: PRI 503 - 885 -9370
Phone: FAX 503 - 885 -9368
Reg #: LIC 131345
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 8/21/2007 $68.51
[FLS] FLS Pin Rv 8/21/2007 $42.16
[BUILD] Permit Fee 11/1/2007 $105.40
[TAX] 8% State Surcha 11/1/2007 $8.43
Total $224.50
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
Oreg tility • ''cation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of ese rules or dir- t qu- : ions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I sued By: / , i/ ,_ ` 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.
(14-(D (,9-)
I . .11P. • ECEI 17 ED
Buildi>�'g Permit Applicati roll orrice USE ONLY
Received /��
Iii City of Tigard Date/13y: I OV 07 .; Permit No.: r 7 (� 3
° 13125 SW Hall Blvd., Tigard, OR 9722AUG 2 2007 Plan Review (; ��
C f Other Permit:
P 5 Fax: 503.598.1960 Date/By: 1 P" ' V
T 1 G A R D Inspection Line: 503.639 CITY OF TI GARD Date Ready/13y: p 1 See Attached Checklist for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: / / 4/O� Supplemental Information
I- VM w/T rru
TYPE OF WORK R UIRED.DATA: 1- AND 2- FAMILY DWELLING
❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
IMO JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13419 V 68 Parkway New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: PERS - Relocate Walls Covered porch area: square feet
Cross street/directions to job site: PERS Building Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
Build walls to divide one entrance and room into two rooms. Valuation: $$7,500.00
Install doorway into one room. Modify electrical, Install voice and data, Existing building area: 60000 square feet
and HVAC. New building area: Same square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: State of Oregon, Dept of Admin Serv, Facilities Dv Type of construction: Alteration
Address: 1240 Ferry Street SE Occupancy groups:
City /State /ZIP: Salem, Oregon 97301 Existing: Clerical
Phone: (503)378.2865 x256 Fax: (503)378.2093 New: Same
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: State of Oregon, Dept of Admin Serv, Facilities Dv All contractors and subcontractors are required to be
Contact name: Terry Nunley, Project Manager licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1240 Ferry Street SE jurisdiction in which work is being performed. If the
City/State /ZIP: Salem, Oregon 97301 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 378.2865 x256 Fax: : (503) 378.2093
E -mail: Terry.Nunley @state.or.us
CONTRACTOR
Business name: Te- be - w 89 .4 mined at_,,, j / .1 ),7J 610 . BUILDING PERMIT FEES* •
Address: /9145-A0 1 /qjJ a (Please refer to fee schedule)
Structural plan review fee (or deposit): 0 68 .51
City /State /ZIP: � ,� 0 2 1 70 67-
Phone: (fit g85 76 Fax: ( ) FLS plan review fee (if applicable): l i LIZ . t6
CCB lic.: / / 5/1 �f / app/ Total fees due upon application: /ft , ep
Amount received: 4 /, 0 . Co 7
Authorized signature
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Terry Nunley, PM Date: 8-20 -2007 • Fee methodology set by Tri -County Building Industry
. Service Board.
I:\ Building \Permits\BUP- PermitApp.doc 03/21/06 440.46I3T(11 /02/COM/WEB)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2001
Phone: (503) 639- 4171t1 ��I
Inspection Requests (24 Hrs.): (503) 639 -4175 �__..
J
INSPECTION WORKSHEET FOR DATE: 2/1J2008 TIME: :02AM PAGE: 70
SITE ADDRESS: 11410 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: PF'RS SITE LOT #: TYPE OF USE:
PROJECT NAME: PERS
DESCRIPTION: 11 . relocate walls
/ ,,
OWNER: OREGON, STATE OF PUBLIC, PHONE #:
CONTRACTOR: CEDAR MILL CONSTRUCTION COMP'' PHONE #: 503-885-9370
Inspection Request Scheduled For: Date: 2/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 064330-01 503 -332 -6618 N
Corrections /Comments /Instructions:
,14 Ell PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: 2 ( 01
Phone #: (503) 718 - (-611?'
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: L3lJP2007 -00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/' 112007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 i l l ..
INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 1 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: PERS SITE LOT #: TYPE OF USE:
PROJECT NAME: PERS
DESCRIPTION: TI - relocate walls
OWNER: OREGON, STATE OF PUBLIC, PHONE #:
CONTRACTOR: CEDAR MILL. CONSTRUCTION COMPANY PHONE #: 503.88; -9370
Inspection Request Scheduled For: Date: 12/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 062296-01 503-332 -6618
Corrections /Comments /Instructions:
O 6-20F E r [ '� �,1� 1�� o Pec-> \/o
• 1 . ,P\ v 1 L_Ir
•
•
❑ PASS ❑ ' . IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Oral∎ %A • FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Iry Date: 9 ,D 7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: R)p2007_0(IA38
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2007
Phone: (503) 639 -4171 - j�l+�
Inspection Requests (24 Hrs.): (503) 639 -4175 ° _—
INSPECTION WORKSHEET FOR DATE: 11/27/2007- TIME: 7 :01AM PAGE: 36
SITE ADDRESS: 11410 SW 613TH PKWY CLASS OF WORK:
SUBDIVISION: PERS SITE LOT #: TYPE OF USE:
PROJECT NAME: PERS
DESCRIPTION: TI - relocate walls
• OWNER: OREGON, STATE OF PUBLIC, PHONE #:
CONTRACTOR: CEDAR MILL CONSTRUC'I10N COMPANY PHONE #: 503- 035.9370
Inspection Request Scheduled For: Date: 11/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 060302 -01 503-680-1781 N
Corrections /Comments/ Instructions:
ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL C FOR INSPECTION ❑ ADDITI• AL FEES ASSESSED
1 Z
Inspector: Date: � l Ph one #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: B!1P2007 -00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2007
Phone: (503) 639 -4171 u� ,��
Inspection Requests (24 Hrs.): (503) 639 -4175 "__..
INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7 :OOAM . PAGE: 6
SITE ADDRESS: 11410 SW 68T11 PKWY CLASS OF WORK:
SUBDIVISION: PERS SITE LOT #: TYPE OF USE:
PROJECT NAME: PERS
DESCRIPTION: TI - relocate walls
OWNER: OREGON, STATE OF PUBLIC, PHONE #:
CONTRACTOR: CEDAR MILL CONSTRUCTION COMPANY PHONE #: 503 - 885.9370
Inspection Request Scheduled For: Date: 11/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
27th Framing 060221 -01 503-680`1781 1
Corrections /Comments /Instructions:
. k 1 e r r - g . c ..-33
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
4111M19 !% ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ _ ....... Date: pp/ pp/7 Phone #: (503) 718- 2Gy