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Permit
ip .•:-•;; -' CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00512 COMMUNITY DEVELOPMENT DATE ISSUED: 10/3/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DA - 00100 SITE ADDRESS: 13010 SW 68TH PKWY 140 ZONING: C - P SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 007 JURISDICTION: TIG PROJECT: PACIFIC SOURCE HEALTH Project Description: TI 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: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 71 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 93,250.00 Owner: Contractor: SCHNITZER INVESTMENT CORP NORWEST CONTRACTORS INC PO BOX 10047 PO BOX 25305 PORTLAND, OR 97296 PORTLAND, OR 97298 -0305 Contact #: PRI 503 - 291 -6986 Phone: FAX 503 - 291 -7036 Reg #: LIC 89425 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/3/2007 $577.91 [TAX] 8% State Surcha 10/3/2007 $46.23 [BUPPLN] Pln Rv 10/3/2007 $375.64 [FLS] FLS Pln Rv 10/3/2007 $231.16 Total $1,230.94 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 • . - 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 r I • I Issued By: _ 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. Building Permit ApplicatiofiECEI I-OR OFFICI: I;SI: o\ l.1 City g of Tigard ! ' 3 1 0� nil._ Permit No.13 U p � Cr' 6/ �j DateBy 13125 SW Hall Blvd., Tigard, OR 97223 t ' j `� it Plan Revie . , C Phone: 503.639.4171 Fax: 503.598.1960 L V O 2001 Date/By: ' f 1013 Other Pertmt . 1 G A K D Inspection Line: 503.639.4175 CI 1 Y U Date Ready : y: Juris ® See Attached Checklist for r j Internet: www.tigard -or.gov �� � IUAR i'�lotified/Method: I' f ' Supplemental Information TYPE OF WOR DIVISION 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. ❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i 30 1 o s 4 68 PKw 7 New dwelling area: square feet City/State/ZIP: 7 Garage /carport area: square feet delD • Idg. /apt. no.: 1 40 I Project name: 13 0,4.. � r isgjf !4144714 Covered porch area: square feet Cross street/directions to job site: � v Q Deck area: square feet 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. L) ,) r e,si... , 1.10.) ri4tA ,o, AA 4.Yr Ti o.J lJwr c.s• Valuation: $ J j 2 SO Existing building area: square feet New building area: square feet RI PROPERTY OWNER I ❑ TENANT Number of stories: Name: Pp t: r F , t✓ r) 4 AQ 5 r PitisPervt is S Type of construction: Address: fr te 0 D S W / o S' 5 4.) • T 1 'i 5 Occupancy groups: City/State/ZIP: 'a 4 ya,J 0 2 q 7 00 5 Existing: Phone: (jo3 ) `2.L - 3 6 Fax: (So 7 ) C 1 1 - 61. l New: WI APPLICANT ❑ CONTACT PERSON NOTICE Business name: N W PR cot S I o J ' Dc_ S 1 All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: --tA 2 1 tJ 3o u under ORS 701 and may be required to be licensed in the Address: 1'644 kJ Co JG 14 S T jurisdiction in which work is being performed. If the City / State/ZIP: /.� d ei TS 6 0 7 applicant is exempt from licensing, the following reasons CA M 1 ,AS W apply: Phone: (93 ) 6,$0_ a 444 I Fax: : (340) $38- 06S7 E -mail: CONTRACTOR Business name: J ` . r awc t!n BUILDING PERMIT FEES* / V OD•J 1 cS T CO l.J` Address: PO 30 . Z 5 3 o S (Please refer to fee schedule) City/ State/ZIP: Structural plan review fee (or deposit): Po �Tc,.►.J J e 4 7 2 5 9 FLS plan review fee (if applicable): Phone: (co 3 25 - G 'P b L Fax: ( 511) 2 q 1 - , e 3(.. CCB lic.: �� 5 Total fees due upon application: Authorized signa Amount received: /A3 95 This permit application expires if a permit is not obtained ^ within 180 days after it has been accepted as complete. Print name: — D m t ...is . Date: I o f 2 lei • Fee methodology set by Tri -County Building Industry // J Service Board. CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3 /2007 Phone: (503) 639 -4171 # i I Inspection Requests (24 Hrs.): (503) 639 -4175 %" I I INSPECTION WORKSHEET FOR DATE: 2/29/2 08 TIME: 7:03AM PAGE: 18 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: TI OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: NORI+VEST CONTRACTORS INC PHONE #: 503291 -698G Inspection Request Scheduled For: Date: 2129/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa.e 299 Final inspection 065910 -01 503 -2.91 -6986 0 -44 Corrections /Comments /Instru tions: r O z , s ce &°) Cam �2—.172 vQ U - %�ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL rj CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■omb. Date: Z D Phone #: (503) 718- Z.417` CITY OF TIGARD BUILDING DIVISION , i PERMIT #: BUP2007- 00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1013/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 II INSPECTION WORKSHEET FOR DATE: 2/20/2008 TIME: 7 :00AM PAGE: 28 SITE ADDRESS: 13010 SW 60TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: TI OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: NORWEST CONTRACTORS INC PHONE #: 503-291- 6906 Inspection Request Scheduled For: Date: 2/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mess- • - 299 Final inspection 065278 -01 503-291 -6986 Corrections /Comments /Instructions: c` `71 – O j �t� ZOO — CDC-7 / — . 0 Fr n : _ur t — C—< r* I li C_— o P( t Fg j -t t CCU Pic ❑ PASS ❑ PARTIAL APPROVAL • CANCEL l ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION • ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD _ BUILDING DIVISION PERMIT #: BUP2007 -00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/312007 Phone: (503) 639 -4171 4* Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4 .111k008 TIME: 7 :00AM PAGE: 10 SITE ADDRESS: 13010 SW 6BTH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEATH DESCRIPTION: TI OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: NORINE:ST CONTRACTORS INC PHONE #: 503-291 -6986 Inspection Request Scheduled For: Date: 2/1512008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 065112 -01 503- 291 -6986 to -c - 77 Corrections /Comments/ Instructions: ©C, v %t N142— 41\L SPee- -T t. � 1 ce7 -- 4.0 - / 6 N Cd f' dc / 1i • — fi g - I t • A�l _ A-3o /C P G(ZM I TS Ni ?2402 - rzo r rnrv���rSPc�T.�'�� - P,C ! 1 64 4 1 j tf sTXr- C •r iv 1 c di S er -tl eft) , j.Xm2 v ifrvc---C 5 . too Ld c 'Z' S Z M SS &g-r A u z 5 %t( F ,1 - is �� 0c • ' - • 6 ( O t- A - � O o ,i ❑ P' • 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAI CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED Inspector: Date: Phone #: (503) 718 - —C CITY OF TIGARD BUILDING DIVISION - PERMIT #: 13UP2007 -00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1211'1/2U07 TIME: 7 :00AM PAGE: 45 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: TI OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: NORWEST CONTRACTORS INC PHONE #: 503-291 -6986 Inspection Request Scheduled For: Date: 12/11 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 287 Suspended ceiling 061260.01 503- 710.0577 • Corrections /Comments /Instructions: a Cam" _ i ►1/ -4 - r/ A=F:= i ❑ PASS • • ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITION L F ES ASSESSED p Ins ector: Date: I I l fI Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION , -` • PERMIT #: 13UP2007- 00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/312007 Phone: (503) 639 -4171 giTis Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01ANI PAGE: 42 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: TI OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: NORWEST CONTRACTORS INC PHONE #: 503.291 -6906 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 061163-01 503 -710 -0577 N Corrections /Comments/ Instructions: c PL PP . M ( �I -__ FL. o / APPg_cp osq--L 1Z /7 7 �, ���� -i�S 4 v --1 4 Si;--1 - "Mti S --- T7 / c e ❑ P II 'ARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS L E -ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 718 -a� / Inspector: _ V D ate: t� /b Q Phone #: ( 503 ) CITY OF TIGARD BUILDING DIVISION • . PERMIT #: RUP2007 -00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 & 1 J' F:_.. INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7 :00AM PAGE: 27 SITE ADDRESS: 13010 SW 69Thl PKWY 190 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PAtFIC SOURCE HEALTH DESCRIPTION: TI OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: NORWEST CONTRACTORS INC PHONE #: 503 -291 -6986 Inspection Request Scheduled For: Date: 17J7/20Q7 Pour Time: Code # Inspection Description Confirm # Contact # Mess. •, dip %37 -/2cL lspended ceiling 061061 -01 503 - 291 -6986 /� Corrections /Comments /Instructions: 7/ D / l 7 . ?I , . MCr Zoo'] -m 6 7 Z.— Ro .)giti- -114 r/&1S Amy Rvva -c_ Pg �-)i c Z ru ' 7- oo>y Cia_z_;.f& 0 v &._ 72o\7/t� L IA t'' q;ALS,e_C-----,1;7=7::-C L)--q--T-711— (2 --' 1)40__K_c ❑ PASS % 'ARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS , FAIL) // ,. LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Date: Phone #: 503 Z"# ■ Inspector: � �� IZ _ � /Dr? ( ) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00512 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2007 Phone: (503) 639 -4171 Arigooki Inspection Requests (24 Hrs.): (503) 639 -4175 •_.. INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: pAC.1I=IC SOURCE HEATH DESCRIPTION: TI OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: NORWEar CONTRACTORS INC PHONE #: 503 -291 -6986 Inspection Request Scheduled For: Date: 11115/2007 Pour Time: Code # Inspection Description Confirm # Contact # , Mess. Framing 05972001 _503 -291 -6986 C ' Corrections /Comments /Instructions: • 7/0-0S-77 67C/ Li AlAit 1 (Q Cam, ,4 pC A V C� c . L11 - 7 1 0 1\107 C- ; b a tho— ���� 2 +' t rr ( f Pi frt itt-P 2a tea- ❑ PASS , fil • . - TIAL APP: • •,•••• ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED /I Inspector: Date: ` c ) Phone #: (503) 718- a