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Permit iht, CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00600 �� DEVELOPMENT SERVICES DATE ISSUED: 11/10/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101DA -00102 SITE ADDRESS: 13221 SW 68TH PKWY 020 ZONING: MUE SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG Project Description: TI - walls and ceilings 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: 177 BASEMENT: sf AREA SEP. RATED: STOR: 5 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: $ 365,000.00 Owner: Contractor: TIGARD TRIANGLE I LLC R & H CONSTRUCTION 4650 SW MACADAM AVE STE 220 1530 SW TAYLOR PORTLAND, OR 97201 PORTLAND, OR 97219 Phone: Contact #: FAX 503 - 224 -3638 PRI 503- 228 -7177 FEES Reg #: LIC 38304 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/10/200: $1,772.05 [TAX] 8% State Surcharl 11/10/200: $141.76 [BUPPLN] Pln Rv 11/10/200f $1,151.83 [FLS] FLS Pln Rv 11/10/200: $708.83 Total $3,774.47 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: 7'Q sye Permittee Signature a__—__ 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. Bui ul g�Permit Application FOR OFFICE USE ONLY ``' „ A Received 1 P erm it No.: City of Tigard � �� p V Date /B : 4006-- ♦ , 06 41) • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960a�p Date /B : Other Permit: Inspection Line: 503.639.4175 0,d\1 L ' : i lL Date Ready /By: ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CIT nF TIGARD TYPE icEilly91116 DIVlbluly 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 A 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 ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION • Total number of floors: Job site address: /3 a2l s"W ' f4 1:4-„,9.. New dwelling area: square feet City/State /ZIP: 7 a 62 f 7 2-23 Garage /carport area: square feet Suite/bldg. /apt. no.: 44/ Project name: / /r //4 tid s`Wl„ Lw-r-/ Covered porch area: square feet Cross street/directions to job site: y, 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. Valuation: $ 6 � v 4P_ at-Ai cr pi i /til/fico/C/YlA✓l �r 7 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ' TENANT Number of stories: 5 Name: R a fJ A) - if ,/z• Type of construction: aF2 Address: / 3 22/ fL! ‘ 6* Occupancy groups: City/State /ZIP: 7:5 4 ■W' 17 Z2 7 >. Existing: Phone: ( ) Fax: ( ) New: g ❑ APPLICANT ❑ CONTACT PERSON . NOTICE Business name: Pai I All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: /4-,,,,;., O rbl under ORS 701 and may be required to be licensed in the Address: / s- ¢, uw 6,.. � - jurisdiction in which work is being performed. If the City/State/ZIP: �� applicant is exempt from licensing, the following reasons t.,.wr. T apply: Phone: ( r o Z i ) c ( *42 I Fax:: ( ) '( 4 3/Z E -mail: /_/4„.4;,..) G r g,k01 0740 - r(Gi • t07't'r CONTRACTOR Business name: Tj3l,2 BUILDING PERMIT FEES* Address: Please refer to fee schedule. City /State /ZIP: - Fees due upon application Phone: ( ) I Fax:( ) Amount received CCB lic.: Date received: Authorized signature: _4/4. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: km ; i9terk7ifYY1 I Date: /1 — ' Fee methodology set by Tri- County Building Industry Service Board. i:lBuilding \ Permits \BUP- PermitApp.doc 12/03 440- 4613T111 /02 %COM/WEB) CItY O_F.TIGARD BUILDING DIVISION PERMIT #: Bt1P20 }0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 1 /50i2t'•llis Phone: (503) 639 -4171 °tn f; Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/17/200€ TIME: 7:06AM PAGE: f� SITE ADDRESS: 13221 w 60TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NIT OF OREGON DESCRIPTION: ..TI - walls and ceilings OWNER: TIGARD TRIANGLE I LLC, PHONE #: CONTRACTOR: R & H CONSTRUCTION PHONE #: 50 Inspection Request Scheduled For: Date 2/1 - 1/7QO6 Pour Time: Code # Inspection Description Confirm # Contact # Message 781 Suspended ceiling 027083 - 01 603 Corrections /Comments /Instructions: Xtk14 E Q Vtf-10 lkbt" Clt � - I • w ANAZ - 4IIII • ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL II CALL FOR INSeECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4111k Date: l7 Phone #: (503) 7182-4---Z-5 CIiRF.TIGARD BUILDING DIVISION PERMIT #: 13UP2006P00600 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/100006 Phone: (503) 639 -4171 A p110i1ll Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 2116/2006 TIME: 7:07AM PAGE: 74 SITE ADDRESS: 131 SW 68TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: t IF:ALTH NET OF OREGON DESCRIPTION: TI walls and ceilings OWNER: TIGARD TRIANGLE I LLC, PHONE #: CONTRACTOR: R & H CONSTRUCTION PHONE #: 503 -228 -7177 Inspection Request Scheduled For: Date: 2116J2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 026976.01 503. 705 -5460 Y Corrections /Comments /Instructions: - IfPc0■\ 'AA -- 1 c5.? t .._ EV 6 eiP---6= iks - OCCr ‘ r( - 7 P(Nbt ti c C Iz T- CtpuE-1 ( e- 6 or LtOgaittigra0 lop • (a-- -) , D* yu - ►M r;D c ci ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � . Date: ( ® AP Phone #: (503) 718 - 2,J CIT -OF.TIGARD BUILDING DIVISION PERMIT #: BUP200.5 -00600 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 11/10/2005 Phone: (503) 639 - 4171411‘00,0111, Inspection Requests (24 Hrs.): (503) 639 -4175 J- L INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 81 SITE ADDRESS: 13221 SW 68TH PKWY 020 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE. PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NE T OF OREGON DESCRIPTION: - 1 . 1. walls and ceilings: OWNER: TIGARD TRIANGLE I LLG, PHONE #: CONTRACTOR: R & H CONSTRUCTION PHONE #: 0O3 -72B -7177 Inspection Request Scheduled For: Date: 1/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 framing 025127 -01 4 503.706 -546() Y rfasT Corrections /Comments / Instructions: ` 1 ?, P - tS et' 'LeM3 ;ry• ks ❑ PASS [ ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �,, Date: ( (6 06 Phone #: (503) 718- CITY - OF,TIGARD BUILDING DIVISION PERMIT #:O25- 0 6 0O 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ,, v Inspection Requests (24 Hrs.): (503) 639 -4175 -1.91- `__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 3 a a ( 6 O I _ IV [ O Z CLASS OF WORK: ' SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - /e)-e)(0 Pour Time: I in , Code # Inspection Description Confirm # Contact # Message 9 a 1_ p� 1 )os -s v -F-,_<_.9 Corrections /Comments/ Instructions: &xi,/ 5 a , ..,:ntiz, ......- ... Ai • , IMIW‘,..0Al211111., litt ' iii Iv j- - vim ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL F•R INSPECTION ❑ ADDIT NAL EES ASSESSED Inspector: 0 Ins Date t 1 c27 � " Phone #: 503 718 p )