Permit . t
CITY' OF TIGARD ' BUILDING PERMIT
PERMIT #: BUP2006 -00484
j i b DEVELOPMENT SERVICES DATE ISSUED: 10/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AA -09100
SITE ADDRESS: 12447 SW 69TH AVE ZONING: MUE
SUBDIVISION: TIGARD CORPORATE CENTER LOT: OOC JURISDICTION: TIG
Project Description: TI - Add wall to create two rooms (storage /office). Work is on first floor.
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: 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: $ 6,000.00
Owner: Contractor:
HOUSEHOLD CREDIT SERVICES BJ CUMMINGS COMPANY
12447 SW 69TH AVENUE 2330 SE CLATSOP ST
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: 503 - 686 -2083 Contact #: PRI 503 - 235 -1282
FAX 503 - 235 -0438
FEES Reg #: LIC 23230
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/9/2006 $100.90
[TAX] 8% State Surcharl 10/9/2006 $8.07
[BUPPLN] Pln Rv 10/9/2006 $65.59
[FLS] FLS Pln Rv 10/9/2006 $40.36
Total $214.92
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 -0 -0010 thr gh OAR 952 - 001 -0100. You may obtain a copy of these r les r.direct questions to OUNC by
call' g 503 - 246 -669' • :1 332 -2344.
lss ed �.
B Y : �2,0C 4/ Permittee Signature: i -ems
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.
•
Co Tenant,Improvement
,, Buildine Permit Application rt)R OFIICI.: (Isl.: ONI.) I
City of Tigard D v`d jpffla�� % n Permit No.: e AT , F W'
0 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit:
r I G n I; 1� Inspection Line: 503.639.4175 Date Ready/By: gnr� ® See Page 2 for
Internet: www.tigard Notified/Method d Supplemental Information
TYPE OF WORK 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 ❑ Multi- family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /2 447 ` f ,1 774 AvE New dwelling area: square feet
City /State/ZIP: 776A/2.40 c4 • Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Hcz oc,t) ogedir Sca✓(cA5 Covered porch ar . square feet
Cross street/directions to job site: 5(,L) (, 5c OE VELA NJO Deck area: square feet
Other struc re area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST •
Subdivision: Lot no.: .300 Permit fees* are based on the value of the work performed.
Tax snap /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.
AOt1� N4ei t. 7:2) Ce2,EAT 7100 /ZOO/L(.5 Valuation: $ ('
) C/24/\ OkI, ;67DAfteE/of-pc.) Existing building area: square feet
W o i2 i2 D f l S LpO� New building area: square feet
❑ PROPERTY OWNER I TENANT Number of stories: Z
Name: /7EXA5,,E/ , 0 cAe_zol T L5-4-A j( cas Type of construction:
Ad dress: X2447 SW E'o� A(�i Occupancy groups:
City / State/ZIP: Existing:
�� 0 g:
Phone: ( 3) 666 - 20 83 Fax: (53) 4,86- 285/ New:
I . %APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 45 , J , c „ ) ,,, (M ( &(c C0 , All contractors and subcontractors are required to be
Contact name: /(Cr_____ 4,41A/J� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2 330 5E cA tsar° jurisdiction in which work is being performed. If the
City / State/ZIP: ���/—�J �. , 97 20 2
applicant is exempt from licensing, the following reasons
apply:
Phone: (.5123 ) 2 35-'/28 Z Fax: : (5o3) 235 - '04 3 E
E - mail: r mac1 sen t bJ Cu mmi f19 Scv. C.otrl
CONTRACTOR
Business name: 13 J , cum ( /Jas Co BUILDING PERMIT FEES* schedule)
Address: 2 330 ✓�[ . CLATc5O/ 5r
(Please refer
(or d posit):
Structural plan review fee (or deposit):
City /State/ZIP: f LAND 0i . e7 2 2.
FLS plan review fee (if applicable):
Phone: (53) 235 - is z_ Fax: (503 235 -o43
CCB lic.: z3z;c, Total fees due upon application:
Amount received:
Authorized signature: c G ► / , This permit application expires if a permit is not obtained
�/�( within 180 days after it has been accepted as complete.
Print name: /sack N I Date: gic/ /0C * Fee methodology set by Tri-County Building Industry
Service Board.
I :\ Building \Permits\BUP- TI- PemitApp.doc 03t23 /06 440 -46131 11 /02/COM/WEB)
e •
i
Building Division
Plan Submittal Requirement Matrix
r ► G n R D Commercial & Multi-Family - New, Additions or Alterations
• Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
■
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
* For over- the-counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians. .
I: \Building \Permits \BUP -11- PermitApp.doc 03/23/06 . - •
CITY OF TIGARD r /
BUILDING DIVISION 11 PERMIT #: BUP200 6.00484
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 A4.11.
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :Q0AM PAGE: 60
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: 00C TYPE OF USE:
PROJECT NAME: HOUSEHOLD CREDIT SERVICES
DESCRIPTION: TI - Add wall to create two rooms (storage /office). Work is on first floor.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503. 686-2083
CONTRACTOR: BJ CUMMINGS COMPANY PHONE #: 603 236 - 1282
Inspection Request Scheduled For: Date: 1 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039850 -01 503-310-2928 N
Corrections /Comments/ Instructions:
' (-(-'
M PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
c1 /6 g(P
Inspector: Dat e: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 00484
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10 /9/2006
Phone: (503) 639 -4171 u i'
Inspection Requests (24 Hrs.): (503) 639 -4175 - 1.L.
INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7:05AM PAGE: 66
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OOC TYPE OF USE:
PROJECT NAME: HOUSEHOLD CREDIT SERVICES
DESCRIPTION: TI - Add wall to create two rooms (storage/office). Work is on first floor.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 - 686.2083
CONTRACTOR: BJ C - UMMINt3S COMPANY PHONE #: 503-235-1282
Inspection Request Scheduled For: Date: 10/30 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 038975-01 503- 310 -2928 N
Corrections /Comments / Instructions:
\ , /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CAL , FOR INSPECTION ❑ ADDI ION.)) FEES ASSESSED ■
Inspector: l a b & Date: f A 0 4. Phone #: (503) 71 S 2�
i 1 t 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00484
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2006
Phone: (503) 639 -4171 , v q I � .
Inspection Requests (24 Hrs.): (503) 639 -4175 , �: _..
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 52
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: 00C TYPE OF USE:
PROJECT NAME: HOUSEHOLD CREDIT SERVICES
DESCRIPTION: TI - Add wall to create two rooms (storage/office). Work is on first floor.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 -686 -2083
CONTRACTOR: BJ CUMMINGS COMPANY PHONE #: 503-235-1282
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 038830 -01 503- 310 -2928 N
Corrections /Comments /Instructions:
1 ,),Ei ei,e.f___ ,1A .62-
„.______
0 .
,,„„ , /, 0\6 4 ,,
, •
v
P� ASS PARTIAL APPROVAL E] NO ACCESS
C ❑ ❑ CANCEL
❑ FAIL ■ El CALL FOR INSPECTION El ADDIT ONAL FEES ASSESSED
Inspector: ® � i Date: 16 zio Phone #: (503) 718 -
■Inavr/