Permit N a c QT OF F TIG BUILDING PERMIT
PERMIT #: BUP2007 -00084
° COMMUNITY DEVELOPMENT DATE ISSUED: 2/13/2007
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: 00C JURISDICTION: TIG
PROJECT: HOUSEHOLD FINANCE
Project Description: TI - add wall to create two rooms.
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: 4 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: $ 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 2/13/2007 $139.30
[TAX] 8% State Surcharl 2/13/2007 $11.14
[BUPPLN] Pin Rv 2/13/2007 $90.55
[FLS] FLS Pin Rv 2/13/2007 $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. AU 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 b . - • 503.246.6699 or 1.800.332.2344.
c
Is - ed By: 1 / j/g_ Permittee Signature: L A_ , i - i
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 Im r
'i v- �- r , ' - 4 �)
Building Permit Auu I.I )lt oi• i I( I: 1 SI O\I.1
City of Tigard 9 Re eiv _ 1 Permit No.:
° 13125 SW HaII Blvd., Tigard, OR 1 Soo 1 y - Plan Review / , 1,9e07 ��
' 0 Phone: 503.639.4171 Fax 503.19 60 Date/13 , -0 ` Other Permit:
1 - I G \ It 1 Inspection Line: 503.639.4 I75 f Date Ready/By. ® See Page 2 for
Internet: www.tigard- or.goveli X VI i Notified/Method: Supplemental Information
• . E OP 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 (rotmded to the nearest dollar) of : 1
J Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the prt It 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:
308 SITE: INFORMATION AND LOCATION ' ^ ; " • • Total number of Ho, :
Job site address: /g447 . . C097j New dwelling : ' .: square feet
City /State/ZIP: 7 - / C/ZE Garage/ : : •rt area: square feet
Suite/bldg. /apt. no.: I Project name: CoAdp / 070 CAMt/e 0,5 69,0 Cover:. porch area: square feet
Cross street/directions to job site: ( f 6,177.1 N7 V,E1.-ArA/j) De• area: square feet
ether structure area: square feet
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
. i _ , »ESCI YoN OF'WORK ` : I ',x 5.1, . work indicated on this application.
A 7 t/VA LI/ TO ClaeATE TWO geO Valuation: $ /0,c2:2:31 ( CJYJVEI2 5/r t.) 1-AoM colt/,= ASK - TO 2 R 170 M ,5 ) Existing building area: square feet
New building area: square feet
• PROPi'a OWNER � ,.,, '. °.� � a, :a�: a ��� ;.
• . �1$•T�NAI!1�P• � +� � ���g Number of stories:
Name: f COSE HoL cAED/ T 5e _v, s Type of construction: 6/6 (
Address: / 2 447 5 kJ &7 AUK Occupancy groups: •
City /State/ZIP: r , � € Existing:
Phone: (53 ) & e a , - 20 ae, Fax: (503) , , - Z6ili,5/ New:
lit APPLICANT ,. ,,.... , ... " ' ❑ CONTACT' 1i''ERSON"
NO I , . .. .
Business name: I S J CCJMM f fos CO All contractors and subcontractors are required to be
Contact name: R / V M1/4,:, licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2330 .5C O[Ars®t=, jurisdiction in which work is being performed. If the
City / State/ZIP: fjRTL-/�/�/D O /'- 772O Z applicant is exempt from licensing the following reasons
/ — a pp 1
Phone: (.503) 235 I Fax: : (e3) 235-o4.3
E r rnac45 a b ' carom I rlcisco. corn •
• .. • ^� ' CONTRACTOit
Business name: 0 J OJMM ( 65 r p , a.. • - •
� ��• BUI .,,) L ��� D a�` I _� N ,, G } PERMC y r ;i F th E l ES .
Address: 2 7 j® 5C C ( r' Structural plan review fee (or deposit):
City /State/ZIP: rby 0 air:- 9 Ze z___
FLS plan review fee (if applicable):
Phone: ( 23.5- I 28� I Fax: , 3) 235 -0438
CCB lic.: 52 Total fees due upon application:
A received:
Authorized signature: T hb permit Application expire* If d penult Is not obtained
p within 180 days alter It has been accepted as complete.
Print name: / Vi MAt &) I Date: I ( , /7 I o Fee methodology set by Tri -County Building Industry
j / Service Board.
I:\ Building \Pmnib\BUP- 11- PamiiApp.doc 03/23/06 440- 46131(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ?113/2007
Phone: (503) 639 -4171
A
Inspection Requests (24 Hrs.): (503) 639 - 4175 +-
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OOC TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: TI - add wall to create two rooms.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 - 686-2030
CONTRACTOR: BJ CUMMINGS COMPANY PHONE #: 503-235 -1282
Inspection Request Scheduled For: Date: 3/2612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 045357 -01 503-318-0430 N
Corrections /Comments /Instructions:
. S / /off (CO) caget� C S
If ""
I n PASS •A' IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 11 • L OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ , ' 1 " 1111111....- ° Phone #: (503) 718- ��
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -000&4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _.•
INSPECTION WORKSHEET FOR DATE: 319/2007 TIME: 7:01AM PAGE: 59
SITE ADDRESS: 12447+1/ 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: OOC TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: TI - add wall to create two rooms.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 - 6862038
CONTRACTOR: BJ CUMMINGS COMPANY PHONE #: 503-235-1282
Inspection Request Scheduled For: Date: 3/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
299 Final inspection 044551 -01 503-318 -9946 p
Corrections /Comments/ Instructions:
Ze7o7 - oc,cc<
❑ PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IE FAIL L FOR INSPECTION ❑ ADDITIO L FEES ASSESSED
Inspector: Date: J/ Phone #: (503) 718- Z
CITY OF TIGARD _ __
BUILDING DIVISION PERMIT #: BUP2007 -00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2113(2007
Phone: (503) 639 -4171 ;
Inspection Requests (24 Hrs.): (503) 639 -4175 "__..
INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: O0C TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: TI - add wall to create two rooms.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503-686 -2038
CONTRACTOR: BJ CUMMINGS COMPANY PHONE #: 503-2351282
Inspection Request Scheduled For: Date: 2/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
285 Drywall nailing 043908 -0 503 - 318 -0430 4d0
Corrections /Comments/ Instructions:
t ) t /4-,iz PCZ M /7 ---- r 1 i -• ,moo —D 0. Pl . S
0 c4-e,z_._ r---o Z_ ¶ PR «i /.LC_t Zc) u SI M-
❑ PASS "� • % 1� ❑ CANCEL ❑ NO ACCESS
As ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: fir Date: 2706/7 Phone #: (503) 718- ZSY7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- OOt184
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13/2007
Phone: (503) 639 -4171 4:41V11'.
Inspection Requests (24 Hrs.): (503) 639 -4175 1 ..
INSPECTION WORKSHEET FOR DATE: 7/2312007 TIME: 7:01AM PAGE: 7F3
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: 00C TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: TI - add wall to create two rooms.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503- 686.2038
CONTRACTOR: 13J CUMMINGS COMPANY PHONE #: 503- 235 -1282
Inspection Request Scheduled For: Date: 2/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # 9y
tk 275 Framing 043765 -01 503 -318 -0430
Corrections /Comments /Instructions:
�'-- r =te M
Ft< 4 1 I Ai A
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gehl' Date: Z Z Phone #: (503) 718- Z‘f