Permit °- --'' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00244
° COMMUNITY DEVELOPMENT DATE ISSUED: 5/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 120 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
PROJECT: ETHICS POINT
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: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 116 BASEMENT: sf AREA SEP. RATED:
STOR: 6 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: $ 57,525.00
Owner: -- Contractor:
TIGARD TRIANGLE I LLC R & H CONSTRUCTION
4650 SW MACADAM AVE STE 220 1530 SW TAYLOR
PORTLAND, OR 97201 PORTLAND, OR 97219
Contact #: PRI 503- 228 -7177
Phone: FAX 503 - 224 -3638
Reg #: LIC 38304
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/2/2007 $514.56
[TAX] 8% State Surcha 5/2/2007 $41.16
[BUPPLN] Pln Rv 5/2/2007 $334.46
[FLS] FLS Pln Rv 5/2/2007 $205.82
Total $1,096.00
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 r - - : -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue. By: 1 ,_/I / ;� .e / Permittee Signature: ,� b� G •
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.
< .. -•1
Building Permit Application FOR OFFICE USE ONLY •
City of Tigard va DateB ��b/' Permit No. / 71 , 11 r .. ,,,r 13125 SW Hall Blvd., Tigard, OR % ; , COVE Plan Review
Phone: 503.639.4171 Fax: 503.59: !. • a't DateBv: Other Permit:
Inspection Line: 503.639.4175 2007 Date Ready /By: 3 uris• ® See Attached Checklist for
Internet: www.ci.tigard.or.us MAY Notified/Method: Supplemental lnformation
CM � C>a11 ON
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.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13221 SW 68 Pkwy. New dwelling area: square feet
City/ State/ZIP: Portland, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 120 Project name: Ethics Point TI Covered porch area: square feet
Cross street/directions to job site: SW 68 Pkwy & SW Hampton St. 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.
Interior Tenant Improvement Valuation: $$57,525.00
Existing building area: 11,502 square feet
New building area: 11,502 square feet
❑ PROPERTY OWNER I ® TENANT Number of stories: 6
Name: Ethics Point Type of construction: 1 -B
Address: 13221 SW 68 Pkwy. Occupancy groups:
City/State/ZIP: Portland, Oregon 97223 Existing: B
g�
Phone: ( ) Fax: ( ) New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Peter Kim licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1515 SE Water Ave. #100 jurisdiction in which work is being performed. If the
City/ State/ZIP: Portland, Oregon 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 I Fax: : (503) 228 -1285
E -mail: pkim @grpmack.com
CONTRACTOR
Business name: R &H Construction Co.
BUILDING PERMIT FEES* .
Address: 1530 SW Taylor St.
Please refer to fee schedule.
City/State/ZIP: Portland, Oregon 97205
Fees due upon application
Phone: (503) 228 -7177 Fax: (503) 224 -3638
Amount received
CCB lic.: 38304, 148238, 148237
- Date received:
Authorized signal re: __ y _ -, may This permit application expires if a permit is not obtained
r" :�� within 180 days after it has been accepted as complete.
Print name: Pete m� Date: 05/01/ 07 * Fee methodology set by Tri -County Building Industry
Service Board.
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