Permit '\ '. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00117
r` DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 500 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: New 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: 242 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: $ 32,000.00
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: Phone: 503 - 228 -7177
FEES Reg #: LIC 38304
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/31/2005 $335.80
[TAX] 8% State Surcharl 3/31/2005 $26.86
[BUPPLN] Pln Rv 3/31/2005 $218.27
[FLS] FLS Pln Rv 3/31/2005 $134.32
Total $715.25
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 -2'; ;699 or 1- 800 - 332 - 344.
Issued By I" , ..i_ ` ,...: Permittee Signature:
i
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit caul 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.
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Builtlitg Application �® FoR OFFICE USE ONLY
City of Tigard R EG l� Received ` permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re e � �� �� ��� } �� 1 7
Phone: 503.639.4171 Fax: 503.598.1960 �) 1 e i `� Date/By: Other Permit:
Inspection Line: 503.639.4175 �� (l 2 ` L .471:11 Date Ready/13y: Juris: ® See Attached Checklist for
Internet: www.ci.tigard.or.us �+
I Notified/Method: -ri( Supplemental Information
OF TIG VISION
Tl>� . 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.
E3 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: TRIANGLE BUILDING III- 13221 SW 68 Parkway New dwelling area: square feet
City/State/ZIP: TIGARD, ORegon Garage/carport area: square feet
Suite/bldg. /apt. no.: 500 I Project name: University of Phoenix Expansion Covered porch area: square feet
Cross street/directions to job site: 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Tenant Improvement Valuation: $S32,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Pacific Real Estate Management Group, Inc. Type of construction: I -B
Address: 1120 NW Couch st, Suite 610 Occupancy groups:
City /State/ZIP: PORTLAND, OR 97209 Existing: B
g�
Phone: (503)224 -1460 Fax: (503)299 -6748
New: B
• ® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Group McKenzie All contractors and subcontractors are required to be
Contact name: Peter Alto licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 69039 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: Portland, OR 97201 apply: 53 S . SO
Phone: (503) 224 -9560 I Fax: : (503) 228-1285 /Q.L • t 7
E -mail: 7 - x ( - bk, •
CONTRACTOR . Fc• 1 34 .
Business name: R &H Construction
BUILDING PERMIT FEES*
Address: 1530 SW Taylor St Please refer to fee schedule.
City/State/ZIP: Portland, OR 97205
Fees due upon application $715.25
Phone: (503) 228 -7177 Fax: (503) 228-3638
Amount received
CCB lic.: 3834, OR
Date received:
Authorized signal 4... r / /i % /, ^�_� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ei . )C-41 4i pf --4) 1 Date: 03 -25 -05 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440-46137(11/02/COM/WEB)
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3131 /2005
Phone: (503) 639 -4171 a q�4i4�i�l , i ∎
Inspection Requests (24 Hrs.): (503) 639 -4175 - ` __..
INSPECTION WORKSHEET FOR DATE: 7/20/2005 TIME: 10:30AM PAGE: 1
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: New TI .
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503 -228 -7177
Inspection Request Scheduled For: Date: 7/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 011822 -01 503- 248 -5502 N
Corrections /Comments/ Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
7( z - ) Ins ector: Date: — Phone #: 503 718 � )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200500117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005
Phone: (503) 639 -4171 14 � 11i
Inspection Requests (24 Hrs.): (503) 639 -4175 - "':_..
INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:13AM PAGE: 70
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: New TI.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503-228-7177
Inspection Request Scheduled For: Date: 6/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 008494-01 503.780 -9463 N
Corrections /Comments/ Instructions:
YeSk 0 • . , ki-e ,e. ALL-- c 7 , ,, __,_ , k_____
L►' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4/ ° < ----- :1 one #: (503) 718-
CITYOF TIGARD
. A BUILDING DIVISION PERMIT #: BUP2005 -00117
AR 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/31 /2005
Phone: (503) 639 - 4171 ° "N0
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: • 5/19/2005 TIME: 7:12AM PAGE: 88
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: New TI.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503-228-7177
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 007264 -01 503-816-3102 N
Corrections /Comments /Instructions:
OPP' - 101:01 , illiti
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❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: or�� Dater ( Phone #: (503) 718-
CITY Y ; OF TIGARD Mets4,
BUILDING DIVISION PERMIT #: BUP2005 -00 1 1 7
13125 SW Hall Blvd., Tigard, OR 97223 DAT S 0 0 : 3/31/2005
Phone: (503) 639 -4171 iv I L i,
Inspection Requests (24 Hrs.): (503) 639 -4175 I / o s
INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7:09AM PAGE: 11
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: New TI.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503.22B -7177
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 006959`01 603-3 N
Correctio s /Comments /Instructions: _
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❑ PASS 0PARTEAL APPROVAL j4�( [1 CANCEL Ill NO ACCESS-
❑ FAIL (� O ❑ CALL FOR INSPECTIO __11 ❑ ADDITIONAL FEES ASSESSED
ki Inspector: `■ Date: 7 ( -9` - ' S Phone #: (503) 718-
CITY,.9F TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00117
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005
Phone: (503) 639 -4171 : aiiiilN� ���
Inspection Requests (24 Hrs.): (503) 639 -4175 .� ' `__—
INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7 :12AM PAGE: 93
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: New TI.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: R & H CONSTRUCTION PHONE #: 503-228-7177
Inspection Request Scheduled For: Date: 5/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 006769-01 503 - 780 -9463 N
Corrections /Comments / Instructions:
(0 s 7 - pc4 .4) GE( re-AP
f \ -- (9...Z - 7 r ' lg !Al A -
❑ P S ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL 111 CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: Date: / (S 05 Phone #: (503) 718-