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Permit `' CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00248 lI DEVELOPMENT R 9 SERVICES DATE ISSUED: 7/11/2005 r� Blvd., PARCEL: 1S135BB-00500 SITE ADDRESS: 10329 SW CASCADE AVE ZONING: C -G SUBDIVISION: CASCADE COMMERCIAL CTR. 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: 5N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 689 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 150,000.00 Owner: Contractor: CASCADE BLVD CENTER LLC + HILBER INC. CORNELL LIMITED PARTNERSHIP 1210 STABLER LN. BY GEORGE B HELLIG ATTY YUBA CITY, CA 95993 yR RVALLIS, OR 97339 one: Phone: 530 - 673 -2947 FEES Reg #: LIC Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/11/2005 $939.30 [TAX] 8% State Surchari 7/11/2005 $75.14 [BUPPLN] Pln Rv 6/10/2005 $610.55 [FLS] FLS Pln Rv 6/10/2005 $375.72 Total $2,000.71 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 dire qu•stions to OUNC by calling 503-246-6699 or 1- 800 - 332 -2344. Issued By: _____-(/ t_7 � 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. / 4 4 Building Permit Applicatt.O,tfi \�(/ /pI(�� - FOR.OFFICE USE ONL • 11 u� 'iL.l tLI' ' Receiaed /n City 'of Tigard Date (,/ / v t7 ��� - / P erniit No. P�� wU • 13125 SW Hall Blvd., Tigard, OR 97223 r Plan Revie / Phone: 503.639.4171 Fax: 503.598.1960 ��� v 2U �� ' +i Date /B : , . tr �' Other Permit: Inspection Line: 503.639.4175 c - 1 � e. W Date Ready /e; ' 9 See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Metho I Supplemental Information BUILDING DIvIsirmi •;� •��„ 'rte, .. - .:.. . ;, :; - , r:';�' •TYPE ; a y <. DATA s ;AN -2-F t :Y•DW v �REQUIREI)- .�'�`: �:x ^<`;, �' ,.,,�... , ,- % � � ' . ; . ... <.. , ,; ; ^^ fi _. _ - - -_ -- -. . . w. > . .., f ' ^r r�r ";:fitr•.= „ .. ip . - ..J.�,� t ['New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 4 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the OFCONSTRUfi CTION; " °x` °" work indicated on this application. ' CA TE GORY ,, , Valuation: $ ❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building I=1 Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: " � Total number of floors: ,r7 . i JOB. -. ' ATI W ;: - -. _. �y_;�- ;za��. SITI1' INFORM ON AND:��LOCATION= _� � r" `: Job site address: �? 5 W lamas CG.G P y I New dwelling area: square feet City/State /ZIP: T: afri .4 O °l "1 aka 3 Garage /carport area: square feet I Suite/bldg. /apt. no.: I Project name: 5±- i.e Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA'sCOMMERCL USE'CHECKLIST 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 :.- :_:...:- ,.. w work indicated on this application. ,,,.•,;;;;,;,,;.', overhead, and the profit for the .. equipment, materials, labor, overhe d a e o r :,c, 'W - DES - sW ORK ,=' ° y Valuation: $ 1St, 00 0 er a %# \-- fro Yea.rra. e. , oCam (es 1 G . 1 � _ ., re ,f cS � me (1 \ I Existing building area: square feet ITIF►n -`o aotr - 1 X 1 1 1 - 1 J New building area: square feet 0. � �• r � bu l e ng s ua "❑ ';',t;:, ,,,,,1:',,, <... :; �= � � .;PROPERTY O,, R� ��;•; � E N A NT % ;'. s Number of stories: ` Name: 5'i Lt9 l es 1 1 tA Type of construction: V N Address: Sr) 0 --)--440 ieS !Dr . Occupancy groups: YY\ I,(ip City/State /ZIP: F ro, V11 s Y�Vl4 inn , rn A ) a , 0 Z Existing: YY1 Phone: ( D a (� b l , 13 Fax: (50 -, b C > New: S ' J I S N YY1 ' = .- y AP,P 3 > AN NY,--.. "RERSON;: L C . T> f , � . CO ,. -.. Business name: F. w 3acze. a..\_ects All contractors and subcontractors are required to be Contact name: \ ; r ^ �� licensed with the Oregon Construction Contractors Board 1� � under ORS 701 and may be required to be licensed in the Address: 0.,,D,. 1, \_.\- f 11 ,t e 7 4_ i- ( too r jurisdiction in which work is being performed. If the , City/State /ZIP: S 0.G1r(� e C et S 1 applicant is exempfrom licensing, th -0 1 reasons q apply: //ylf 9.� / Phone:( 1 ) LE g&�i'00 Fax: 1 . 1 % ,1 $S6b A /. &/(rJ•.7J E -mail: 11. C.-1e\ O r n e4-tti. Q e YY\ h eLI 4 - he . L6 r+1 ask', "\`w�.'�'�''�C�`„ ::Y� : "�:. 1;4' : .; ,. 33 �;d� �fi:. @�': ::: °, W _ vM ILACTO . �_ ���< 1 - -. P A <....,. `3 , 6 'f Business name: . "_= i ' BiJII,DING „,,„„ IIT�FE, .,. , '`n � v _�:: f "�= .. ':!�Nare ,., ,; V °.max, <;,.,,� -':`tee �:6�;�.:. . - .- Address: • Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lie.: Date received: Authorized signature: ' �' /� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: N,-.F.4 Lh Or 4 ect, a. Date: S _ 5 _ - * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(II /02 /COM/WEB) i CITY OF TIGARD ` BUILDING DIVISION PERMIT #: BUP2005.00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2005 Phone: (503) 639- 4171� „ Npi�p��hit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/5/2005 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 10329 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: CASCADE COMMERCIAL GTR. LOT #: TYPE OF USE: PROJECT NAME: STAPLES DESCRIPTION: TI OWNER: CASCADE BLVD CENTER LLC +, PHONE #: CONTRACTOR: HILBER INC. PHONE #: 530.673 -7947 Inspection Request Scheduled For: Date: 8/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 012945.01 530 - 682 -3282 N Corrections /Comments /Instructions: V ikA } ( '...----.- L i 1 l i -,, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL __ I CAL FOR NSPECTION n ADDITI AL ES ASSESSED 014 , Inspector: Date: 6 odS Phone #: (503) 718-