Permit i p
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00495
� DEVELOPMENT SERVICES DATE ISSUED: 10/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: TI - walls, bathroom & shower. (17,130 sq ft)
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: 449 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: PARKING:
VALUE: $ 550,000.00
Owner: Contractor:
PACIFIC NW PROPERTIES P & C CONSTRUCTION CO.
PO BOX 2206 390 NE 9TH
BEAVERTON, OR 97075 GRESHAM, OR 97030
Phone: 503 - 626 -3500 Contact #: FAX 503 - 667 -2565
PRI 503 - 665 -0165
FEES Reg #: LIC 38619
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/18/200E $2,484.30
[TAX] 8% State Surchari 10/18/200E $198.74
[BUPPLN] Pln Rv 10/18/200E $1,614.80
[FLS] FLS Pln Rv 10/18/200E $993.72
(additional fees not listed here)
Total $5,951.56
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 - 0010- rou • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
cal . ng 5 - • • 9 • : 00- 332 -2344.
952
ued By: _l., , J V 14,1_,,, Permittee Signature cC 'tlr� -��
f -
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 FOR OFFICE USE ONLY
City of Tigard Da Jo / $ olo i / Permit No.: p &- 9 -.
li q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
G Phone: 503.639.4171 Fax: 503.598.1960 DateB : Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: ® See Attached Checklist for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
k 1rH goo& -co 4 /7 9
TYPE OF WORK REQUIRED 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.
Ell- and 2- family dwelling ® Commercial/industrial
Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
ID Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1114. S(.v (, b4 t. f .4 S( New dwelling area: square feet
City /State/ZIP: row- 4,(0 t_ 0(t d( - - I LV Garage/carport area: square feet
Suite/bldg. /apt. no.: 100 I Project name: ON4.6 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
9 t,..) 69 74 . 17&fr h-p..o V-F-L• 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.
Valuation: $ G> p, pp 0
TcwAwfi i ivy rowthewl/•
Existing building area: Il ("jam, square feet
■ew t.(.cc. t r( t,ti. , b. � � •�I`(�s.�'
r d L 0 \/O ('"f 'ti.4( 1...-4. r . pc,- ;.-1' New building area: square feet
ler PROPERTY OWNER 1 ❑ TENANT Number of stories:
Name: P(v P Type of construction: b
Address: (eCe 0 O 130 S( c 1 - ; t G ( Occupancy groups: 1') /A
aw
City /State/ZIP: eyt -Gp. O a., Ll C) OS Existing: / / AS
Phone: ( ) 6,2,C . 3 4 Bo Fax: ( ) O• (.11-1 J New: ['
VII APPLICANT ,e9. CONTACT PERSON NOTICE
Business name: ; (d) g(A. CL.C.S 1 in esvo All All contractors and subcontractors are required to be
Contact name: V� G ,L . under with the Oregon Construction Board
under ORS 701 and may be required to be be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) 2¢4. O °,sZ I Fax :: ( ) 244. •41,",
E -mail: 1, '{ h,.... GL j pc . ca. A
l CONTRACTOR
Business name: 1 I C c.,Ot„ 1 41 0 4.4 Gfi'471.4 BUILDING PERMIT FEES*
Address: #7- 0 h f 6 et .f -L (Pkme refer to fee schedule)
Structural plan review fee (or deposit):
City /State/ZIP: c3rCS . o•. p '10"o
� , 0 ( (q S I Fax: ( ) (d,,�. -Lt�s FLS plan review fee (if applicable):
Phone: ( ) (f(
3 Q 4 `� Total fees due upon application:
CCB lic.: D
Amount received:
Authorized signature: ? p c I k, This permit application expires if a permit is not obtained
�lJ�+�1 within 180 days after it has been accepted as complete.
I Print name: 1 G ,Cf(p(„O,i, I Date: (t •( 1 . CCCo * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ BuildingU 'urmils\BUP- PermilApp.doc 03/21/06 440.46I3T(11 /02/COM/WEB)
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00495
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006
Phone: (50:,) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 •
INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7 :00AM PAGE: 44
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: TI - walls, bathroom & shower. (17,130 sq ft)
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 503 - 665`0165
Inspection Request Scheduled For: Date: 2/76/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 043868-01 503-572-7378 N
Corrections /Comments/ Instructions:
PASS
El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Date: « 0 Phone #: (503) ✓
Inspector: � ( ) 718- ZAZ
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: E3UP2006 00465
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/18/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 a� ill
INSPECTION WORKSHEET FOR DATE: 12/19/2006 TIME: 7:OOAM PAGE: 47
SITE ADDRESS: 1 SW 68TH PKWY '100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: TI - walls, bathroom & shower. (17,130 sq ft)
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: P & C CONSTRUCTION CO. PHONE #: 503 - 665 -0165
Inspection Request Scheduled For: Date: 12119/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 0412413 -01 503- 572 -7295 N
Corrections /Comments/ Instructions:
fffif 1 - _ --
t
OJe
f � PASS WrAVir ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL El CALL ' OR INSPECTION ❑ ADDIT ONA FEES ASSESSED
Inspector: A Date: fi II/_; i i Phone #: (503) 718 -
v i ' ....