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Permit r , BUILDING PERMIT CITY OF T PERMIT #: BUP2005 -00626 L _��; DEVELOPMENT SERVICES DATE ISSUED: 12/7/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DC -00200 SITE ADDRESS: 13535 SW 72ND AVE 200 ZONING: C -P SUBDIVISION: 72ND AVE OFFICE BUILDING LOT: JURISDICTION: TIG Project Description: 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: 2N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 207 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: $ 18,950.00 Owner: Contractor: THE ADVISORY BOARD COMPANY PACIFIC CREST STRUCTURES INC 13535 SW 72ND AVE #200 7233 SW KABLE LN STE 900 TIGARD, OR 97223 PORTLAND, OR 97224 Phone: Contact #: FAX 503 - 598 -6658 PRI 503- 968 -8949 FEES Reg #: LIC 66915 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 12/7/2005 $225.70 [TAX] 8% State Surchari 12/7/2005 $18.06 [BUPPLN] Pin Rv 12/7/2005 $146.71 [FLS] FLS Pin Rv 12/7/2005 $90.28 Total $480.75 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 -6 9 or -800- 332 -2344. Issued By: , )L; &I) Permittee Signature: _ • 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. Building Permit Application FoR OFru c 1 se (.)N 1._1 City of Tigard RECE1VEDA Det(ed. a 1 O5 /, %6 r,,44.- n94 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax 503.598.1960 C( � r ' *s ?. DateBy: Other Permit: Inspection Line: 503.639.4175 E C 0 r 200 a14:- ' I Date Readyn3y: J H See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: SupplementalIntormatlon CITY OF TIGARD v lc l51 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 F P'Addition/alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit 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 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1-5.5" 3S �, 2 A,,1„4:, New dwelling area square feet City /State/ZIP: Ti 6_,,,i- 8 o e... 977,-7-3 Garage /carport area: square feet Suite/bldgJapt. no.: Z Project name: 7' i x sQ. Y Z C7lLtz -3> Covered porch area: square feet Cross street/directions to job site: Deck area: square feet (J 5k) N ('./.7-1 Y 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. 6‘/C PO - &%e. /ST/ 0 C --/L, too A"-- Valuatio» / a • q5 $. — Uit_ E> Lo k.tt:5 ovek_ C-4epsr 7 e tODeg. Gk Existing building area: q6, / Q O square feet New building area: g ,./l o, i 9 0 square feet ❑ PROPERTY OWNER TENANT . Number of stories: Z Name: - 77#e J4-. Vl S 94Z. re 't> A z- Ca 4.c.P.a - v Y Type of construction: - 8 Address: 1 b S 3 S St.,) 7Z ' ,,4 V6 41 —Z -0C) Occupancy groups: g City/ State/ZIP: -7--jr A.. e sp . C9 p al -7 ZZ.3 Existing: 3 Phone: ( ) Fax: ( ) New: ,A ,r p+, APPLICANT ❑ CONTACT PERSON NOTICE Business name: ?,aU g/C e-g.-or' ST7Z -ULTU P_ c 5 All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board Cvi,'cn) under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR Business name: F,4 c...1 i. e mss, /zuLll . c s BUILDING PERMIT FEES* Address: - 72 3 3 ) 2 -Le L 4 -lu -r 9 a v Please refer to fee schedule City/ State/ZIP: ?op__.-TZ ' A) t> , C i ,,,,� p � 7 Z Z Fees due upon application Phone: ( ) -! , e, — e,c5 zl9 . Fax: ( 563 S� £� - 6,(0,5--e, CCB lic.: ( 9 S Iv'y'bi Amount received l e / c Date received: Authorized signature: �� This permit application expires It a permit is not obtained l `_ within 180 days after It has been accepted as complete. Print name: b 4 S =. Date: ` 7._( 69/c, s * Fee methodology set by Tri- County Building Industry CITY OF TIGARD BUILDING DIVISION PERMIT #: I3tJP2005-00626 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7 /')pp!, Phone: (503) 639 -4171 r° y r� Inspection Requests (24 Hrs.): (503) 639 -4175 ,-- "— INSPECTION WORKSHEET FOR DATE: 1/25/2006 • TIME: 7 :03AM PAGE: 2 SITE ADDRESS: 13 535 SW 72ND AVE 200 CLASS OF WORK: SUBDIVISION: 72ND AVE OFFICE BUILDING LOT #: TYPE OF USE: PROJECT NAME: THE ADVISORY BOARD DESCRIPTION: TI OWNER: THE ADVISORY BOARD COMPANY, PHONE #: CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: a03 -9GB -13919 Inspection Request Scheduled For: Date: 1/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 025716 -02 503- 706.3211 N Corrections /Comments / Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR NSPECTION ❑ ADDI ONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718 - �-3 CITY OF TIGARD BUILDING DIVISION PERMIT #: 13Up2005.0062f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2006 Phone: (503) 639 -4171 /ups �' Inspection Requests (24 Hrs.): (503) 639 -4175 . .lit INSPECTION WORKSHEET FOR DATE: 1/2512006 TIME: 7:03A1 Vi PAGE: 3 SITE ADDRESS: 13535 SW 72ND AVE 200 CLASS OF WORK: SUBDIVISION: 72ND AVE. OFFICE BUILDING LOT #: TYPE OF USE: PROJECT NAME: THE ADVISORY BOARD DESCRIPTION: 11 OWNER: THE ADVISORY BOARD COMPANY. PHONE #: CONTRACTOR: PACIFIC CREST SrRUCTURE:3INC PHONE #: 503 - 968 -8949 Inspection Request Scheduled For: Date: 1/2.612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 02571E-01 503 706-3211 Y Corrections /Comments /Instructions: III Ak i A .. INUF SS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITI NAL FE S ASSESSED ` :. P 1 r 0 � 1�j7 2 Date: l Phone #: (503) 718 - I 0 _ CITY OF BUILDING DIVISION PERMIT #: M P :4)0 -00626 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/200 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:02AM PAGE: 6 SITE ADDRESS: 13535 SW 72ND AVE 200 CLASS OF WORK: SUBDIVISION: 72ND AVE OFFICE 6l1ILDINC LOT #: TYPE OF USE: PROJECT NAME: THE ADVISORY BOARD DESCRIPTION: TI OWNER: THE ADVISORY BOARD COMPANY, PHONE #: CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-966-8949 Inspection Request Scheduled For: Date: 12/213/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 024099 -01 503- 706 -3211 N Corrections /Comments/ Instructions: (CI �. t A WL» ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ICE Date: Phone #: (503) 718-