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Permit
, Alk fi . ' CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00252 , � DEVELOPMENT SERVICES DATE ISSUED: 6/20/2006 '� J� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 101 AD -03200 SITE ADDRESS: 12909 SW 68TH PKWY 410 ZONING: MUE SUBDIVISION: TIGARD TRIANGLE CENTER ' LOT: JURISDICTION: TIG Project Description: TI - 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: 2 -1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEP. RATED: STOR: 4 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: $ 14,000.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION 15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LN PORTLAND, OR 97224 PORTLAND, OR 97225 Phone: 503 - 624 -6300 Contact #: FAX 503 - 892 -0067 PRI 503 - 892 -0066 Reg #: LIC 66070 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/20/2006 $177.70 [TAX] 8% State Surcha 6/20/2006 $14.22 [BUPPLN] Pin Rv 6/20/2006 $115.51 [FLS] FLS Pin Rv 6/20/2006 $71.08 Total $378.51 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: '�- C 111.� Permittee Signature ,1 � s- 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 Applicatio E® FOR OFFICE USE O City f Tigard C Date/ �. i i ��_ - 131 SW Hail Blvd., Tigard, OR C Plan Revie 1 0 206 /lr-7r91 ,,, / Other Permit: Phone: 503.639.4171 Fax: 503.598. q Date/By: A 7 � Inspection Line: 503.639.4175 ` ARC .' ' . I� i Date Ready y: �u ® See Attached Checklist for Internet: www.ci.tigard.or.us car( OF O V1S1O14 Notified/Method: � Supplemental Information • 11 j n4. i 4 � - 1 1 �o 1N � JA ^Ix �dl ' t 1 M Il t t ti :, 4 l;'t .'4 a rli �{ f �G ti r, a1 Q 0Bf rF`it . REQ '}RED DATA 1 - ANYD 2 FANIILY DWELLING tTr• Y. .L� ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all o ddition/alteration/replacemem ❑ Other: equipment, materials, labor, overhead, and the profit for the . �e`r1 ^ a;,x = 4 r to �^' {' r .,�mn I"r �.: �t Q '.4:81414494i-4 !1 k n ;, Fi I . arx l F ( I x . work indicated on this application. .: d; ,•' r '1 y� , yl -e� f �1'V , F o I t �, S 1 ,, , Ad k ti Y'.....;• : -' r - . ,,,,-4 Nt,�', o r .pi,1 • .040 :1• FlU +Y i�.3nl, ' 4:: : , 1,, .e.11,, ,7a, •r;'�� ,,, ,,l t t,,, •u I �. Valuation: $ ❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: u K... r r ry,. m t +a;yv r N n G r.;F , act�r .. l ua 'aE " ( 4.t ••i :._ - .,,: x : y mu x l . ) :;.; .r. 'ti 2 Pf 141 �� j �.' , "I€' ,' B 4 I © f r Hi l ti o e i d4 t6 - d t � ,� i '� mo . , i l. r U , Total number of floors: t!:41,�'�y� N r.. f.,.. ;cari4t',,,.,Q... ,p :a 't x �G. :se,,,,, Ats F t r k . ,, d. ..,c . -. *:, ,111 t I t ... 't :. ' fi Job site address: 1,2.70 l 5u/ & b slt l New dwelling area: square feet • City/State/ZIP: p 1 l I , 1 ,� , �� 4! p� y Garage/carport area: square feet Suite/bidgJapt. no.: fi 'f D Project name: flab I L7 Covered porch area: square feet Cross street/directions to job site: 510 1-1- 4 _,,,„ 4 s—. Deck area: square feet 6 t Pk wi Other structure area: square feet 444 n 1t a � pro"; R r it rw .� I... Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no equipment, materials, labor, overhead, and the profit for the , t t 1�,,I it* tr t t t ' r;.,m tic ufi.rin3ny,Y . , ^.. - �_s ,@ . ,� ^. qii 4 11 A144-4T-V4': k cL ,N `y work indicated on this application. aG �µ` a3f� J l ' f = !n JA, A to x. / �- - ,.,+s �. 1w n+tx - 1 i I IOW1_^ . rs. O∎ 1i:u:.. y pO p , Op tzfi,�duh S �d✓'S / �� S Valuation: $ 17 1 Existing building are ` r Gtr er^�1 n a :mi /7 2— square feet • 44d r• h t.. t ��Q4 �(ve r !'a rZ. - aAdep -- / I.EG �.��wu� New building area: 4 2 1 /72_ square feet A. .. a!z& +va.c nrs:x ; "I' �r r T - IP trwt l . b 5N �": �,' " ' r' �t4,,.xi„..;), s e 1 ' c . °l , h,,'„ " ' . !. A' . 1 ''.ri ' � r " : - 4 ,,.. a,',: Number of stories: Ls T a ,� , n ,,.. P_ uxr: „nit! r. Sn x. r , m, a�`smAl+.tM�uwet ial . • Name: PacTrust Type of construction: .1/ •A it Address : .15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: City/State/ZIP: Portland, OR 97224 Existing: Phone: (503 )624 -6300 Fax: ( 503 ) 624- _ New: .- $a jot 5 ,. d c 7 r l Jm "dWu. "6 ., '? twill i:'0),,..: atX y^u ,v ` 4 jl, :' l , i - � + 'n, qi il' (('r M:>..u:. ., , . g.,r � ( r ¢ � . hl - ,�� I r h , p `' + m i,,,, P , t „ tv e. 1 1' .s t ∎AP l(I i P� . j�' .; p. , v.?-... la . . d c: t 4 - • ,cd�'t. . {. ', 1 : ' , ...tt M ' °i �i. hr.. :3 ]ca'r ,,. - I :J.- 'n..:- •l -w..- '''''''.4' " ( 14114014 � 14�P.�li , # t �i u lNl% � P I s:� ? -W tl';�4 c .6 . Business name: PacTrust All contractors and subcontractors are required to be • licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: 15350 SW Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: Portland, OR 97224 apply: Phone: (503) 624 -6300 I Fax: : (503) 624 -7755 E -mail: E n,, 'flap , 't dusts w ^� S 7 t� ..,.,,,� • .- v v a I prol I t § l� t 0ttn•I • IVii•, �i qq� � j 4; i � cT `. li �' � ; I:: � �' 't'�'' }' i lF' va9, 1 .a.h , ., ,'r. . n1 '4fi i ".2:,N; :.. V. .. Business name Matthew Olson Construction , ° °,r a Aie2Vi'll4 4�'p?, ( .i ��!i riii.,F'EES* Address: 5320 SW Dover Lane Please refer to fee schedule City/State/ZIP: Portland, OR 97225 Fees due upon application J 7�'" 3 Phone: ( 503 892 -0066 Fax: ( 503 892 -0067 Amount received CCB lic.: 66070 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: /144, LK ,i,`. -i —/ wi Date: 4/1 1/0 D , * Fee methodology set by Tri- County Building Industry 6 l Service Board. i:\ Buildn alPem>its\BUP- PemdtAoo.doe 12/03 440.4613T(11/02/COM/WEB) CITY <)f TIGARD • BUILDING DIVISION PERMIT #: BUP2006.00252 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/20/2006 Phone: (503) 639 -4171 p d I i l i Inspection Requests (24 Hrs.): (503) 639 -4175. `__.. INSPECTION WORKSHEET FOR DATE: 7/26t2006 TIME: 7 :07AM PAGE: 2 SITE ADDRESS: 12909 SW 68TH PKWY 410 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE: PROJECT NAME: NATIONAL TITLE DESCRIPTION: TI - walls OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300 CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 - 092.0066 Inspection Request Scheduled For: Date: 7/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 207 Suspended ceiling 033793 -01 503 -307 -2105 N Corrections /Comments / Instructions: — cedtt 1 a u r OV i ( Ca &Th0rT / • . Ail : EP $1 - wpm= Is mr...a' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDIT NAL FEES ASSESSED 4 Inspector: I f Date: Phone #: (503) 718- 2423 I I T - E.TI ARD BUILDING DIVISION PERMIT # AD -DO & 5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �rA i 3 Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / oZ 5 w I=-/0-) CLASS OF WORK: SUBDIVISION: V LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: �± OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 1p / "- IJ (to Pour Time: Code # Inspection Description Confirm # Contact # Message �7s /Y)ah 3 0 7 -a / O S — Corrections /Comments /Instructions: • / �1, t WE MI &WI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED 1 . Inspector: 1 111, T Date: Phone #: (503) 718- CITY-OF TIGARD BUILDING DIVISION PERMIT #: BUP2006- 00252 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/20/•2006 Phone: (503) 639 -4171 4 � r°i�y�t (' Inspection Requests (24 Hrs.): (503) 639 -4175 `'I�� INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7:06AM PAGE: 70 SITE ADDRESS: 12909 SW 68TH PKWY 410 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE: PROJECT NAME: NATIONAL TITLE DESCRIPTION: TI - walls OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 6246300 CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066 Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message .... 299 Final inspection 034011 -01 503- 892 -0066 Y Corrections /Comments /Instructions: gAW '/,,_ 11.1arr t i■ 4 7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FA ❑ CALL FOR INSPECTION ❑ ADDIT NAL EES ASSESSED r l i, 7 31 Inspector: Date: O6 Phone #: (503) 718 -