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Permit
CITY T I G R D SITE WORK PERMIT � ;rr�11� DEVELOPMENT SERVICES PERMIT # : SIT2005 00030 6 - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED 5/26/2006 PARCEL : 2S112AC -03000 SITE ADDRESS: 14775 SW 74TH AVE ZONING : I -P SUBDIVISION: METRO PART /MLP2002 -00008 LOT: 001 JURISDICTION : TIG Project Description: New 6656sf building. CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: 30,000.00 EXCV VOLUME: 200 cy LANDSCAPING ?: Y FILL VOLUME: 550 cy SITE PREP ?: Y ENG FILL ?: STORM DRAINS ?: Y SOILS RPT REQD ?: U IMPERV SURFACE: 14,400 sf Owner: FEES HORNEL LLC Description Date Amount PO BOX 159 [BUPPLN] Pln Rv -Valu 12/15/2005 $208.52 AURORA, OR 97002 [FLS] FLS Pln Rv 12/15/2005 $128.32 [BUILD] Prmt Fee -Valu 5/26/2006 $320.80 Phone: 503-651-1878 [TAX] Valu 8% State Surcha 5/26/2006 $25.66 [ERPRMT] Erosion Control 5/26/2006 $100.00 Contractor: [ERPLN] Erosn Pln Rv CWS 5/26/2006 $32.50 [EROSN] Erosn Pln Rv COT 5/26/2006 $32.50 OWNER Total $848.30 Contact #: REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 - 4444 Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 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 copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Signature: %1 /� �_ 11` Permittee Si nature: / /lL 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. Site Work /r?? S GcI 7� � Buildirigfermit ., i ApV` ie�-io>rlp r,C+R of I ICF usr o \1 Y ., g �„a t . i 111— '� Receive I / /� City of Tigard Date/By ( ty Q 1 I f Permit Nc r5Oo `'' (/oo o 13125 SW Hall Blvd., Tigard, OR 972 r . - f 1 b Plan Re ew ! / /�y + / Other Permit: Phone: 503.639.4171, Fax: 503.598.0'60G t ,(`� 1 �NU� ! � Date/B : , , Inspection Line: 503.639.4175`x` v'I_�� Date Read /By. Juris: ® See Page 2 for Notified/Method: Supplemental Information Internet: www.ci.tigard.or.us CITY OF T GARD 8UILDIN6 nnuc; ;r, TYPE OF WORK REQUIRED DATA 1- AND 2- FAMILY DWELLING Iew 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. ❑ 1- and 2- family dwelling Crn omercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: . - -A -' = "7 JOB SITE INFORMATION AND LOCATION' Total number of floors: Job site address: ' ^ 5 GC1 -7 7 g CZ-- New dwelling area: square feet /y77 5 City /State/ZIP:7� 6 n/1 0 ? 2 s2 9 7 y ''2– _ Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: fi - L iy'1lfG p / /(/ C Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 17 G Ai/ - 7 - ii?- RP 0 x) 5 (49 '7 CI Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST ' Subdivision: Lot no.: 9 0 0 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.: 2. 5' / Z C. equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. 0 O b O /ti E U--) 6f–D‘ + 5 / ` - �c ,� /9 „,iRCV& 0 Valuation: $ _ j _ �,, Existing building area: square feet New building area: 3 F40 square feet . ,PROPERTY OWNER • ❑ 'TENANT Number of stories: °y Name: / ,V EL ) . G G:_ Type of construction: • Address: re , / r 5 cy Occupancy groups: City/State/ZIP: �i t3' � t: >/'L. iV pi/4- / !/ /7 97 ©c, ' Existing: Phone: (� �) c,5-1,- ( 7g Fax: (5'c;3) C S fr % 9 / 0 New: APPLICANT ❑' CONTACT PERSON C . NOTICE Business name: j.,/�- /1)E /.... y V 1 J All contractors and subcontractors are required to be ' /f LC Contact name: 6 J UG- 1._ 50 9 31 r licensed with the Oregon Construction Contractors Board 7 m a y Address: / o , � O X / 9 6 jurisdiction in which work is being performed. If the 5 0 applicant is exempt from licensing, the following reasons City /State/Z1P: h 0 rCbiez � 1 0 /2 9 7 0 ci Z app ( 2 ( , �1 . ; � -/,c Phone: (.5 –'r $ Fax: : (Sb3)6"5" -- / -/'/ E -mail: 6... -ems i i i .0 /9 N/U 0/1-ei 'F5. c O i - f 2,075-5” r ",.1..&2›_--- CONTRACTOR / • G q Business name: u,.)/V �` - BUILDING PERMIT FEES* ' . Address: Please refer to fee schedule City/State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lic.: Date received: Authorized signature: �J� _ This permit application expires if a permit is not obtained �' /( /// within 180 days after it has been accepted as complete. Print name: 6 /7 Ltd A l t--4 ,) Date: / 'L/ /0, * Fee methodology set by Tri-County Building Industry Service Board. CITY OF TIGARD BUILDING DIVISION PERMIT #: SIT2005- 00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006 Phone: (503) 639 -4171 *SP i11t Inspection Requests (24 Hrs.): (503) 639 -4175 Ail, INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7:04Alvi PAGE: 7 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PART /MLP2002 -00008 LOT #: 001 TYPE OF USE: PROJECT NAME: FAWN() CREEK BUS. PARK DESCRIPTION: New 6656sf building. OWNER: HORNEL LLC, PHONE #: 503 - 651 -1878 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 499 Final inspection 040394 -01 503-939-9575 N Corrections /Comments /Instructions: 1 1 ( PASS I I PARTIAL APPROVAL fI CANCEL ❑ NO ACCESS ❑ FAIL c f CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED l I ' 1 Date: V" 1 7 4 '� Phone #: (503) Inspector: �� / ( ) 718- 7)64C7-7,,, CITY OE TIGARD BUILDING DIVISION PERMIT #: SIT2005 11030 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5126/2006 Phone: (503) 639 -4171 u 0 Inspection Requests (24 Hrs.): (503) 639 -4175 =11 INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7 :03AM PAGE: 22 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PART /MLP2002- 0000t3 LOT #: 001 TYPE OF USE: PROJECT NAME: FANNO CREEK BUS. PARK DESCRIPTION: New 6656sf building. OWNER: HORNEL LLC, PHONE #: 503 - 651.1878 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 420 Sprinkler supply lines 039147 - 01503- 718 -2423 Y �� Corrections /Comments /Instructions: t, 00 4 1,11FA MI NEr w, 01 . LIMA1 all - • , PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ` n CALL F R INSPECTION n ADDITI NA .FEES ASSESSED di,,, •, 1 Inspector: Date: ( X Phone #: (503) 718 - Zis4C' CITY OF TIGARD BUILDING DIVISION PERMIT #: SIT2005.00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2612006 Phone: (503) 639 -4171 Ak i i , Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 617/2006 TIME: 7:06AM PAGE: 114 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PARTIMLP2002 - 00008 LOT #: 001 TYPE OF USE: PROJECT NAME: FANNO CREEK BUS. PARK DESCRIPTION: NE v 66560 building. OWNER: HORNEL LLC, PHONE #: 5q3 -65 -1878 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 420 Sprinkler supply lines 031078 -01 503-939-9575 Y Corrections /Comments /Instructions: Z (3 -Z ■ 2 , ea ;kk ' "PP ‘.__ ellt. \I I.' , , Avis' i _ , _ Iva/ lip � 1 � If ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL E. CALL FOR INSPECTION ❑ ADDIT, •NA FEES ASSESSED CI F,IA / ‘, Inspector: „14, Date: A - 1 • Phone #: (503) 718 -' CITY OP TIGARD .. . ,_ BUILDING DIVISION PERMIT #: 55(7 Zv C.) c- 13125 SW Hall Blvd., Tigard, OR 97223 ' ((. E ISSUED �'3 Phone: (503) 639 -4171 VITtiit / r � I / e� Inspec Requests (24 Hrs.): (503) 639 -4175 .. ode,- I� INSPECTION WORKSHEET FOR DATE: (- Q TIME: PAGE: SITE ADDRESS: I L - 7 c 7 ( t1 -4 ,--° CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 9 2 A o h 0 3 ( 0 7 r - 6 / Corrections /Co ments /Instructions: �° , V A y kj , _12— Vt'N f A. S --- 0 c* (:-. ) (ir \f( gli---- L6 .. 'N : U c \,, \i,„,,,_,61 ,l/k„(viLsi t 1. Kt-- (',//yjci,t(1 k. .., v1A-,z. . 4- f e"- El PASS PARTIAL APPROVAL ❑ CANCEL ' ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VA Date: (� / Phone #: 503 718- Z 'fZ Insp ( ) CITY OF TIGARD BUILDING DIVISION PERMIT #: SI -00030 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7:O8AM .r9 PAGE: 23 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PARTIMLP2002 - 00008 LOT #: 001 TYPE OF USE: PROJECT NAME: FANNO CREEK BUS. PARK DESCRIPTION: Nent 6656s1 building• OWNER: HORNEL LLC, PHONE # 503-661 -1878 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # -s age 495 Misc. inspection 031017 -01 503 - 938 -8575 Y (24_0 — \ Corrections /Comments/ Instructions: I -c53 LoS < • / VJI Cj t/ki- l r 14/A-(t • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t (1/1 x( Inspector: Dat e: Phone #: (503) 718 - lil‘q