Permit ro. •
CITY OF TIGARD BUILDING PERMIT
Ett!
' COMMUNITY DEVELOPMENT DATE S SUED: 61/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 AA - 09100
SITE ADDRESS: 12447 SW 69TH AVE ZONING: MUE
SUBDIVISION: TIGARD CORPORATE CENTER LOT: OOC JURISDICTION: TIG
Project Description: TI - walls
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: $ 10,000.00
Owner: Contractor:
HOUSEHOLD CREDIT SERVICES BJ CUMMINGS COMPANY
12447 SW 69TH AVE 2330 SE CLATSOP ST
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: 503 - 686 -2038 Contact #: PRI 503- 235 -1282
FAX 503 - 235 -0438
FEES Reg #: LIC 23230
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/15/200E $139.30
[TAX] 8% State Surcha 11/15/200E $11.14
[BUPPLN] Pln Rv 11/15/200E $90.55
[FLS] FLS Pin Rv 11/15/200E $55.72
Total $296.71
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.
• \ � ?
Issue By: ;� � � P erm itt ee Si a � L
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.
. .
Commercial Tenant Improvement •
L Building Permit Appli GNEC) 1 uit um( 1: l Sl: u\l.)
II City and
g of Ti Recei
Date/B ved . �r Perm � , - W 5j
it No.: �q
6 �. �
° 13125 SW Hall Blvd., Tigard, OR 97 ?..23 plan Rode
Phone: 503.639.4171 Fax: 5O3 ) 9 6 vs Date/l3 . t ' Other Permit:
T 1 C A it 1) inspection Line: 503.639.4175 ( GAAQ Date Read 1 41 See Page 2 for
Internet: www.tigard- or.gov 1�'( w. Notified/Method Supplemental Information
WO NG prr" '''
TYPE OF WORK . . REQUIRED DATA: I- AND 2- FAMILY DELL Nc
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rotmded to the nearest dollar) o all
Addition /alteration/replacement ❑ Other: equipment, Materials, labor, overhead, and the pr it for the
• - EC • OATOR'('' O1' CO1VSTRUCTIOl�t i ''''" " ;' '`- work indicated on this application. •
❑ 1- and 2- family dwelling Comercial /industrial
Valuation: $
m
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB BITE. INFORMATION AND LOCATION' Total number of floors:
Job site address: / 2 4 7 / 64v Av e. New dwelling area: square feet
City / State/ZIP: 776Ap �p Garage /carport area square feet
Suite/bldg. /apt. no.: ( Project name: No cAgair 544Vic:i Covered porch : ea: square feet
Cross street /directions to job site: d (,v, e T74 be I Ve,LANi Deck area: square feet
Other s • cture area: square feet
0
Subdivision: I Lot no.: 300 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 /7 ° work indicated on this application.
AVO W , J, C C ATE TWO Valuation: $ /0, 0O
Off7 ie W 'Pia) 01-4-31,- Existing building area: square feet
/ �� New building area: square feet
d PROPI 1Tft:6WNER ' zW, 4 I r: «r i ' TI;I�Ti N '� i7/� Number of stories:
Name: / f(w5EPf01.1;) ,0/1 elII F6 Type ofcohstruction: 5dh
Address: /2447 I4/ a2 A Vim, Occupancy groups:
City /State/ZIP: / / t7/ (9/2• 601/4/ Existing:
Phone: (5a3) (08(0 — 2036 Fax: (.913) 6756, - Zs5/ New:
. . At APPLICANT ' 0 C( TACT. PEI SO> "- - ' . , , .
. ; NO r
Business name: 5 J. �mm // €E CO All contractors and subcontractors are required to be
Contact name: �� �� ®��� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Z 9 5 7 61e CZA /7 jurisdiction in which work is being performed. If the
City /State/ZIP: ,g / 9 7 20 Z applicant is exempt from licensing, the following reasons
apply
Phone: L50,3) 235"/z I Fax: (503) e15�4.?S
�
E -mail: rmads� c b.; cv,mPri
. CONTRACroR , ; r1 n
Business name: if:). J , ctimiA4 /(V 40• BUILDING PERMTlf FEESI '
Address: c-I L f; — flkeneler lafoleearbtdr�fe)
City / State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) I F es: ( ) FLS plan review fee (if applicable): •
CCB lic.: 23 WO Total fees due upon application:
• '' ' ' • • Atnotttit received:
Authorized signature: ( c....., /66e...)1:2______7........._, This permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
Print name: /,'''/ 4/1ne./%4 I Date: // /B/0 • Fee methodology set by Tri-County Building Industry
Service Board.
1: k Build ing \Perm its \BUP- T1- PamitApp.doc 03/23/06 440- 4613T(1I /02/COM/WEB)
r CITY Of TIGARD
BUILDING DIVISION PERMIT #: BUP200& -00554
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) 639 -4171 gg ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 °_
INSPECTION WORKSHEET FOR DATE: 1/23/2007 TIME: 7 :02AM PAGE: 7
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 - walls
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503- 686 -2038
CONTRACTOR: BJ CUMMING S COMPANY PHONE #: 503-235-1282
Inspection Request Scheduled For: Date: 1/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 042419-01 503-318 -0430 Y
Corrections /Comments /Instructions: A 1
_------- • a s--, .
, _. _/ . A_/ .= goo
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•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAI ❑ CALL FOR INSPECTION ❑ ADDITI . NAL F ES ASSESSED
Inspector: 4 V i l ,� , Date: a Phone #: (503) 718-0+7---, r —
CITY QF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00554
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//1512008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/2912006 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OQC TYPE OF USE:
PROJECT NAME: HOUSEHOLD CREDIT SERVICES
DESCRIPTION: TI - walls
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 - 686.2038
CONTRACTOR: BJ CUMMINGS COMPANY PHONE #: 503- 235-1282
Inspection Request Scheduled For: Date: 12129/2006 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
275 Framing 041645 -01 503 -318 -0430 Y
Corrections /Comments /Instructions:
1
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ALL FOR INSPECTION ❑ ADDITI.NAL F: ES ASSESSED
Inspector: /l�♦ Date: _ . CJ Phone #: (503) 718 2 4E 7
Mir