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Permit CITY TIGARD BUILDING PERMIT V PERMIT #: BUP2008 -00028 t' COMMUNITY DEVELOPMENT DATE ISSUED: 1/31/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 112AD -01100 SITE ADDRESS: ri V • iSW BONITA RD ZONING: I -P SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG PROJECT: BEDMART 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: 3N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 156 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: Y SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 12,000.00 Owner: Contractor: PACA PROPERTIES, LLC. R & H CONSTRUCTION 6600 SW BONITA RD. 1530 SW TAYLOR TIGARD, OR 97224 PORTLAND, OR 97219 Contact #: PRI 503 - 228 -7177 Phone: 503 - 620 -6600 FAX 503-224-3638 Reg #: LIC 38304 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 1/31/2008 $134.00 [BUPPLN] Pln Rv 1/31/2008 $87.10 [FLS] FLS Pln Rv 1/31/2008 $53.60 [TAX] 12% State Surch 1/31/2008 $16.08 Total $290.78 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 -01 s e. 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: j J lrii # 4 /) i Call 503.639.4175 by 7:00 a.m. for an inspection that bu- ess • . This permit card shall be kept in a conspicuous place on the job site un I corn •letion •f the project. Approved plans are required on the job site at the time of each ins. -c '.n. Biilding Permit Application `Commercial ' - FOR OFFICE USE ONLY, 1 • r • , ° City of Tigard DateB � d� Permit No.: . � , _tea.. 13125 SW Hall Blvd., Tigard, OR 97223 ' g Plan Review C ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: luris 0 See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK - , . - • ��. REQUIRED DATA: 1 - -AND 2- FAMILY DWELLING .2, ' ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all wddition/alteration/replacement 11 ❑ Other: equipment, materials, labor, overhead, and the profit for the •.a.. CATEGORY OF CONSTRUCTION'' ' ' ' :4.,.. " work indicated on this application, 121 1- and 2- family dwelling , � , c;� ommercial /ind � ustrial Valuation: $ � ❑ Accessory building ❑ Multi - family Number of bedrooms: CI Master builder ❑ Other: Number of bathrooms: JOB; SITE INFORMATION;, AND LOCATION , f -. ,,: ` :_,• Total number of floors: Job site address: (I (p 1-0 SAN] 13o N t A .4 • New dwelling area: square feet City /State /ZIP: •f 6 h p_. , CRc Gi C N C1 i -ZZs}- Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: "(" .� to_ jEp,Npp, -r Covered porch area: square feet Cross street/directions to job site: NJ 13, L .- r - i s, I Sv4 S'E Q UQ t p., Deck area: square feet Other structure area: square feet REQUIRED,DATAi COMMERCIAL- USE,CHECKLIST"i` Subdivision: Lot no.: 11 pp Permit fees* are based on the value of the work performed. Tax map /parcel no.: ZS (z fit) equipment, the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the - = - .,r' " • DESCRIPTION. ; ,. - . • , :' ' x' '.1> =• ^- w .•,;.. . ` . x work indicated on this application, OR WORK <e` ..■ i...- 1 o P-n-i N G AND INS S t ,,.....,.--r- t o N 'ikr T'E R- l O I - W ki...L S' ' Valuation: $ �Z, 000 t " Existing building area: 4. 6102 square feet /Z TOLLe -F cvlS E L e C -t CAL 2c, New building area: 4f 8112- square feet • ,; ;x. PROPERTY :OWNER`.-. -;>: ❑ TENANT - :' ':;4 ". ` AV;;` ° Number of stories: Name: TIN Pc `ire t.Tle S L-LC Type of construction: 111 - 13 Address: ( 0 0 sw 13. N tret. FD • Occupancy groups: • City /State /ZIP: TE,►`tit , ©RF 6 DN 91/742.4 Existing: N OI.I c_. Phone: (5b3) (,Q,2,0. t e L O O Fax: ( ) New: M ,:s.- ;`,,; ',APPLICANT'', CONT AC PE T,RSONr:.� ' ; : ": ' � -3:� � �e�= .` -:`� - a�,�_- OTICE '' ' = }:• .s�iu:s:'•'+'.'. i -` r � ❑- � < _,.. `ac -_ 1 - , ' ;, t � , a,'N'' , . `�- - Business name: M t ,1,12.e. N ps I G3a) o qa All contractors and subcontractors are required to be Contact name: 17 1. t licensed with the Oregon Construction Contractors Board [[ under ORS 701 and may be required to be licensed in the Address: 94/ Sd SO ' 'tk tT•Ec 12 jurisdiction in which work is being performed. If the City /State /ZIP: Tc ,Nrat 1 � oN q•- applicant is exempt from licensing, the following reasons apply: Phone: ( 03 D 3 ) . DsS.Z- Fax:: ( 50 a ' - ©4.1 i- E -mail: �f+N W D &pC. Co M ; ., ��. CONTRACTOR 'CI `'�_-�.`: _'r:�a�i�'. �t�.., ae --' �;�rr:�� Business name: �j� 14 I'-� l n DWS'T' RLkCt I0ti r7 b BUILDING * "� ( � 3 s ' ' ° ' ' f t> ' `.. (F1ease refer to fee schedule) I.', ', ; : ° ' r .- , ' , '�• Address: N � h Le.- (2 S - I • " ' " Structural plan review fee (or deposit): City /State /ZIP: - 1%15. p..T 1,11> i G O i ci 9-2 S FLS plan review fee (if applicable): Phone: ( 5b3) A1$ . 9-43_9_ Fax: (5p7j) AiZ+. 36¢3$ c)- ) Total fees due upon application: CCB lic.: 3 8 3 0�-- e. i :- j a -� U Amount received: Authorized signature: I 1 This permit application expires if a permit is not obtained l `A1 within 180 days after it has been accepted as complete. ^ Print name: fit Rim( 1 V I NJ,' Date: 1 131 \ D c j * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB) • CITY-OF TIGARD BUILDING DIVISION PERMIT #: I3UP2008•00028 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/1812008 TIME: 7:00AM PAGE: 35 SITE ADDRESS: 06670 SW BONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: BEDMART DESCRIPTION: TI OWNER: PACA PROPERTIES, LLC., PHONE #: 503-620-6600 CONTRACTOR: R & H CONSTRUCTION PHONE #: 503-228-7177 Inspection Request Scheduled For: Date: 3118/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 739 Final inspection 066845-01 603868-8368 Corrections/Comments/Instructions: 1 ' 4 1110 PASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL El CALL sR INSPECTION H ADDITIONAL FEES ASSESSED Agli Inspector: Mlaw,r Date: 3 toi3 Phone #: (503) 718- • CITY: OF ����������� ��m u wrn�'n TIGARD BUILDING DKNG DUVUSUON PERMIT #: BUP208800020 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2808 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR DATE: 3/1772008 TIME: 7:01AhH PAGE: 24 SITE ADDRESS: 06570 GWI3ONITARD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: BEDMART DESCRIPTION: ll OWNER: PACA PROPERTIES, LW,, PHONE #: 503-620°6600 CONTRACTOR: R&HCONSTRUCTION PHONE #: 503-228-7177 Inspection Request Scheduled For: Date: 3/17Y2008 Pour Time: Code # Inspection Description Confirm # Contact # M 299 Final inspection 006703'01 800'886-8358 A4/ Corrmcdbna/Connmanta/|nutructiono: / ' -uIk 11■■ ri PASS pi PARTIAL APPROVAL EL 0 NO ACCESS FAIL ri CALL FOR INSPECTION ADDITI L FEES ASSESSED ~�. �-7 r�C�. Inspector: � | �� �/^�/ Date: ?7 \ \ ( � [j[-� Phone #: (503) 718'^� (c::;' - '' ' CITY. OF ��un w-n�'n nn�m��na�� BUILDING K����U«�U��0� ~~~°.~~~°""~~~ ~°"°"~°"~~"~ PERM|T 8UP2008-00028 13126SVV Hall Bhd, Tigard, ORA7223 ' DATE ISSUED: 1/31/2000 Phone: (503) 639-4171 Inspection Reque��o(24Hmj:(5O3)G30'4175 .�0W� « INSPECTION WORKSHEET FOR DATE: 3/60008 TIME: 7:00AM PAGE: 21 SITE ADDRESS: 06670 SW BONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: BEDMART DESCRIPTION: TI OWNER: PACA PROPERTIES, LW., PHONE #: 503-620-8600 CONTRACTOR: R 8, H CONSTRUCTION PHONE #: 603-228-7177 Inspection Request Scheduled For: Date: 3/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2sU Insulation 068194'01 603-886'8388 N Correotigns4Comments/Instructions: Ar ._ Lev e.-~ mein! w" A . r ~-/ e' 7 PASS 0 CANCEL 0 NO ACCESS || FAIL �� CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: _A Date: e , I ‘ CITY-OF TIGARD BUILDING DIVISION PERMIT #: BUP2008-00028 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2008 Phone: (503) 639 -4171 tea+ a���iipl��l Inspection Requests (24 Hrs.): (503) 639 -4175 .alt. INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7 :00AM PAGE: 67 SITE ADDRESS: 06670 SW BONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCHAT2. FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: BEDMART DESCRIPTION: TI OWNER: PACA PROPERTIES, LLC_, PHONE #: 503-62(6600 CONTRACTOR: R & H CONSTRUC11ON PHONE #: 228 - 7177 Inspection Request Scheduled For: Date: 2122/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messes_ 26'1 I nsuk ticn 065446 -01 503- 866 d . t,,,,,4,( Corrections /Comments /Instructions: 2. ae) /(-- 1 i • `is_ ', ■ tili PARTIAL APPROVAL ❑ CANCEL El NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED e_—iy Inspector: Date: 00 Phone #: (503) 718 - /...-C CITY. OF TIGARD BUILDING DIVISION PERMIT #: 13UP200& -OOO28 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /131/20083 Phone: (503) 639 -4171 miw �'gP'Nl�lh ���'� Inspection Requests (24 Hrs.): (503) 639 -4175 J -__.. INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7 :00AM PAGE: 40 SITE ADDRESS: 06670 SW C3ONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: E3EDMART DESCRIPTION: 11 OWNER: PACA PROPERTIES, LLC ., PHONE #: 5503 -G20 -6500 CONTRACTOR: R & H CONSTRUCTION PHONE #: 503 -228 -7177 Inspection Request Scheduled For: Date: 212//2000 Pour Time: Code # Inspection Description Confirm # Contact # Messese 280 Insulation 065354 -01 503-475 -2037 • Corrections /Comments /Instructions: /� -iNj-C:n 7\ I l )1 _ e S 11 t Nto°1 El PASS P F APPROVAL 7 CANCEL I I NO ACCESS , C FAIL j LL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: .t -. _ �— Date: Zl Phone #: (503) 718- Zg Ljr Y CITY. OF TIGARD BUILDING DIVISION PERMIT #: D,UP2008 -00028 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 'i /31 f2008 Phone: (503) 639 -4171 layi �3j Inspection Requests (24 Hrs.): (503) 639 -4175 A O INSPECTION WORKSHEET FOR DATE: 2121/2008 TIME: 7 :00AMv1 PAGE: 55 SITE ADDRESS: 06670 SW 13ONITA RD CLASS OF WORK: SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE: PROJECT NAME: E;EDMART DESCRIPTION: TI OWNER: PACA PROPERTIES, LLC., PHONE #: 503 - 62(16600 CONTRACTOR: R & H CONSTRUCTION PHONE #: 503 - . 228.7177 Inspection Request Scheduled For: Date: 212//2008 Pour Time: Code # Inspection Description Confirm # Contact # Message ' 275 Framing 065327 -01 503-475-2037 N Corrections /Comments /Instructions: AO P ., r 'ARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL P ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V____L .1 Phone # : 503 718 - Inspector: /l Date: ( ) tY