Permit `'�` CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00114
COMMUNITY DEVELOPMENT DATE ISSUED: 3/1/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AA - 09100
SITE ADDRESS: 12447 SW 69TH AVE ZONING: MUE
SUBDIVISION: TIGARD CORPORATE CENTER LOT: OOC JURISDICTION: TIG
PROJECT: HOUSEHOLD FINANCE
Project Description: Alter (1) sprinkler head.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: 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: $ 897.00
Owner: Contractor:
HOUSEHOLD CREDIT SERVICES DELTA FIRE INC
12447 SW 69TH AVE 14795 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97224
Contact #: PRI 503 - 620 -4020
Phone: 503 - 686 -2038 FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/1/2007 $62.50
[TAX] 8% State Surcha 3/1/2007 $5.00
Total $67.50
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: 4 Permittee Signature: X (. L".J, 4eitL u
Cali 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.
JAN /16 /2004 /FRI 08:40 AM FAX No, P, 002
is Ina Permit A, A. • ileation FOR OFFICE USE O;v1,l' '
City of Tigard Receive. _
y 13125 SW Hal! Blvd„ Tigard, OR 97 �� ® �� P Review T
' 1 ' Phone: 503.639.4171 Fax: 503.59g. Date/By: Other Pmt:
T C A R U Inspection Line: S03.639.4175 MA R 0 1 2007 dare Ready/By: Jwis: RI See Page 3 for
interne: www.tigard- or_gov NooHediMeiltaie Supptemtatfaronwstuu
�., - _ T _ i• • TIGARD
,fit 27 " ,7 r,. .i "'i i / :�.A., ti '. T T ., ? ,. � -c .. . vi. 11 .• ; • iii r
y ' t' :'q.., i,., , ; ,,,e _ C r •, r • , ,1'0 . ., , r ? . ii 1 5 i 3�d tl i f . �w ? J: fY'� ,
, (_'�
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❑ New construction 0 Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Ed Addition /alteration/replacement 0 Other: , equipment, materials, labor, overhead, and the profit for the
s r;.77-;,� - „' • 'TF "" c a',r � P'W F' '•;;, "' '0. >T':' {': work indicated on this application_
Irv., L,... 1, ,./ U ... u a + r r o r S Pp
C � ri •.� '� � . "� 4�`� , y � � _ ?�_r � r
�� w Valuation: S
❑ I- and 2- famtlydwelling /: Commercial /industrial
❑ Accessory building CI Multi-family Number of bedrooms:
❑ Master builder ❑ Other, Number of bathrooms:
>5`771."(`''''V''472..'' a ,�- f , r , c : .; ' i ' ., . 7:7"....77,,,,-. .vn
ttl • ' •ii�'.;!.:%.rn l u. b. g. if ++ :x'' A ' tl i. t u�i.doh f 1 - o '[t[tl .-e: • r . i e i Totes[ number of Hoots:
Job site address: 1 r�i LILI ? 1 30 3 (( iAUQ . Ncw dwelling area: square fear
Ciry/State/Z[P: I i cl�' c:. d I ) c 7 ( ..... - 3 Garage /carport area: square feet
Suite/bldg./apt. no_: 1 Project name: Ti CL.(Ct. Covered porch area; square feet
Cross street/directions to job site: � Deck area: square feet
Other structure area: square feet
Subdivision: 1 Lot no.: Permit fees' are bused on the value of the work performed.
Tax mop/parcel no.: indicate the value (rounded to the nearest dollar) ofall
equipment, materials, labor. overhead, and the profit for the
' ..� °.r�w� {rd _ ; �� , � y _ � •-tr.:',c'.� t.�*+e"Z+'R. •vn> . r : t ,,. x , ..,- P
� a �,•:!" � �;'W �x ,L -t. -'y �aT� }�� "P_i1 { x .,�4� ? w. � „rye. f, i 1 ?.''•�� �,n •r r` work indicated on this aEplication.
Valuation: s 4 g C 7 7
Existing building area square feet
New building area: square fat
; • r` ,YP470 R ibtH kW 4r' ' . )ii�:�.r"ierld o ' :'aLgii.ift::: Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone:( ) Far ( ) New:
�. , � ��tw: R•! � :_%I � l: • fivM1+ . i1 � q
E '� ` +.��'�'..�l[1�;�'C•,�1,+;, r�, �:;����.., �'�u`.�CV�i $ O � . .. �;p�:,-; '�`
n : :' ,uuel tieve�•: ew ,:�� 7� i �I ,r -,- 5:
Business name: r�l rx;. �, �.n;�s�ti�„�•`a'- ":,; °.. �
, r, �;; ". ,..
7 Pl 4r L t-- i�(e ( j y ' } c , All contractors and subcontractors are required to be
Contact name: AA o m-- 5bran l with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: !Lila5 503 7,..). AUe, jurisdiction in which work is being performed. If the
City /State/ZIP: �(.) 't --iQnd r R or _f
applicant is exempt from licensing the following reasons
9,� /r�//qq apply:
Phone: (503) �C�' ` "l fit/'`•' ax :: (503)6 «c 7
E -mail:
h iii ������r�c� ��,• ti ... � y•:�::. �'.:"ir'f {a' .D �ryP3�'• b%b _
.1, f4 r "ac.�". r 1a, -' ,xi{y i:r ( 9 iuh: 3d;. : :• *:'r• 0400 f. T'�. +;K94*M f1W EVRO ME , �rl11111::4 �' r ,, 4'; d• l - 'y - T . 1 '
Business name:
Permit fee:
Address: 1 1 4 79 5 3(Z 7& ncQ \;P .
City /Statc2lP: a State surcharge (8% of fee):
II • Fi;.S plan review (40% of permit fee):
Phone; (p3 aaQ - g050 Far: (5c3)( o - 1 nag ep
' lobe on application.)
CCB lie.: rani - 7 L U Total permit fees:
Authorized sierwture: n p �,/ �/ Amount received:
l.f L , �- — - - <f el, i e( �/j This permit application expires if a permit is not obtained
Pratt nume: Fl�' C�,c fj',' i r �jrnOSt Da l : 9 r'�•7l t within 18a days after it has been accepted as complete.
� � * Fee methodology set by Tri- County Building Industry
Service Board.
i:, &iildinS''•Pm Iic FPS- Pumitdpp.dac 02Y23/14 446441 M I I/o. 66)
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: k3UP2007 -00114
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .�Val' ...
INSPECTION WORKSHEET FOR DATE: 3/14/2007 TIME: 7:OOAM PAGE: 52
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OOC TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: Alter (1) sprinkler head.
OWNER:' HOUSEHOLD CREDIT SERVICES, PHONE #: 503-686-2038
CONTRACTOR: DELTA FIRE INC PHONE #: 503- 620 -4020
Inspection Request Scheduled For: Date: 3/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 044781 -01 503- 235 -1282 N
Corrections /Comments /Instructions:
0
7 4 PASS M RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL // L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ���. Dat =• _ 1 Phone #: (503) 718 - G�y
W