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Permit
., 'I 11 v CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 00551 COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135BC-00600 SITE ADDRESS: 10777 SW CASCADE AVE ZONING: I - SUBDIVISION: LOT: JURISDICTION: TIG Project Description: STATE OF OREGON. Add (3) heads. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: /) 00 Owner: Contractor: AMB PROPERTY L P MCKINSTRY COMPANY BY TRAMELL CROW NW INC 12021 NE AIRPORT WAY SUITE G 4949 SW MEADOWS RD #150 PORTLAND, OR 97220 LAKE OSWEGO, OR 97035 Phone: Contact #: PRI 503 - 331 - 0234 FAX 503 - 331 -6906 FEES Reg #: LIC 40981 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/13/200€ $62.50 [TAX] 8% State Surcha 11/13/200€ $5.00 Total $67.50 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 503.246.6699 or 1.800.332.2344. Issued By: /� f %s! Permittee Signature: ��� 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. Fire Protection System III., • BuiIdina Permit Application FORi©FFIC>C'LISC30.NL`l ¢� City of Tigard * ECE \,!ED Dateve i PermitN... ,. v io l /_ 13125 SW H Blvd., Tigard, OR 9 ���•��"v Plan Review Phone: 503.639.4171 Fax: 503.598.196 �'TM "// I I +. ir' • Daze /Bye Other Permit N 0 V 13 2006 1 li M , Received U Inspection Line: 503.639.4175 ' ' . ,1 DateReadyBy: lu 63 See Page 2, for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method Supplemental Information ran III nii\i(; DIVISION r >r �'^- ,9r. �., „3.., r': r r G , a. 1. � 3c � t ' �R UIBED DAfCA':1z�A7T1Du2 =pA TYP;); OT.rWORK °. ,, �� c � � � � c E Q 'M ❑ New construction ['Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all g Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the •"e:,: ,. . '- ...:., t, �nw_ :L� ", - - - 5o;'_Y=r^_r,dk " =d _ _ �, 4c3.r : ?tC..s,A :�ac',,.< . �.. y ,,, ; ,. ; . �1:.,`l;w; r;:' -. ; fw:' u' ti l�" ci;'• v*. i?c.:::: �z :::,tr•a- r:n�a':;; +',, work indicated on this application. ;...; :4N x a:t.' ., z'G�ATEGOR1'"OF CONSZRUOTION" A4' yf - ; t q P P Valuation: $ ❑ 1- and 2- family dwelling .Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms:. ❑ Master builder ❑ Other: Number of bathrooms: . ,. emu., 1 of floors: Total number o floo �aos sr. �L�; uvFOii�a� 'ioN..rrr'm�000rlr�' = , � Job site address: /• 7 7 7 S(j (l/ /S /� d New dwelling area: square feet rAlGLe. �? -.'C City /State /ZIP: , e rr.e a Garage /carport area: square feet f Suite/bldg. /apt. no.: ( Project name: ,j TO, ei' i r:; 0 �,,rt, Covered porch area: square feet Cross street /directions to job site: Deck area: square feet • Other structure area: square feet t1t.0IJIRIED::DAT'A COM112ERCIAI§ USE1CIi-E'CKJ Its - ; x Subdivision: Lot no.: Permit se work o , ed . " -. 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 - - this application. - ,� ":'` -= w rk indicated on his w � ` o - - S CRIP T O �O O - �d ' :: > ,• i4'�evL n � Valuation: $ //en) Existing building area: square feet New building area: square feet ® "PR©'ERTX COWNER ; tr ® +1?ENANaT dl Number of stories: Name: ,,, (( Cy2O ev Type of construction: Address: Occupancy groups: - City /State /ZIP: _ Existing: . g • • Phone: ( ) Fax:( ) New: .. :ELTCANT �.. ..:. > ., ,,,,,�, : G-�ON1'ACT� .L IiSO /'� _ ,j ; AP - a. Business name: -7' 'e ,'r '0 e i ,,.. 6O -„- 5 All contractors and subcontractors are required to be Contact name: �J ,� licensed with the Oregon Construction Contractors Board C -d� r / ✓„..„ under ORS 701 and may be required to be licensed in the Address: /,'ex I f4. ,dam °' (A/0,4. , . g'- .7. jurisdiction in which work - is being performed. If the �;�;. = applicant is exempt from licensing, the following reasons City /State /ZIP: y".� /aa e.c. �+ �G :•d apply: • Phone:() 3 3/ —. 0 2 3 e f Fax:: ( ' 3) T i dr F ` 7 E -mail: ,:.' .,0. ''.5 ,z ^t'sx „•. - `.ut!; `r i s' - :�r: 3,, 2, Fe ;. ;.le- :�,r. ;;CONY T '':,i,, „A_ _: ?u: c u: Business name: f' "• ' yt !"' ea ;;' . 4BiJILDING =?ER]VIIT`' :FEES* ;''- ' = tF ? ...... L. .. .. ,.. -.e ...: :ru.,. rev. ..... .r ..., {.. _: 's.iV.{'.,. i '• b !y: - . "y. y . Address: /., 0 p.- / ,j ' A / j 1K S �; + ( 77 Please refer to fee schedule.. City /State /ZIP: d,,27/ / 4„ J c' 4,71,02...7-0 Fees due upon application Phone: (co 3) '3 I 0,e2, 3 y Fax: (5 0 3 ) 3? t-- g , el e--/ 045' � • 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: e s� f / e. a G y, Date: ) / -- 9, -- Q L * Fee methodology set by Tri -County Building Industry Service Board. • i:\ Building \Permits\FPS- PermitApp.doc 12/03 440- 4613T(11/02/COM/WEB) • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP 006 -00651 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11113/200; Phone: (503) 639 -4171 1 �� owl , Inspection Requests (24 Hrs.): (503) 639 -4175 J I_.. INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7 :02AM PAGE: 60 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: STATE OF OREGON. Add (3) heads. OWNER: AMEN PROPERTY L P, PHONE #: CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503.331 -0234 Inspection Request Scheduled For: Date: 11/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # , Message 999 Sprinkler final 039669-02 503-209-5769 N Corrections/Comments/Instructions: 4 i11 . i liW ir Migilk ,F`" _ _ • — _ .,'". . i ..____ ____ _____/ PASS , PARTIAL APPROVAL l CANCEL NO ACCESS FA I I CALL F. INSPECTION I I ADDITI'NAL FEES ASSESSED ►iiil Inspector: !, Date: t Phone #: (503) 718 i��� --� CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-00551 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 lii3/2006 Phone: (503) 639-4171 hop Inspection Requests (24 Hrs.): (503) 639-4175 .- INSPECTION WORKSHEET FOR DATE: 11r14/2006 TIME: 7:02AM PAGE: 61 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: STATE OF OREGON. Add (3) heads. OWNER: AMB PROPERTY L P, PHONE #: CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503-331-0234 Inspection Request Scheduled For: Date: 11/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough-in/test 039669-01 503-209-5769 Corrections/Comments/Instructions: °I in : hir Mi LAWAYMI —1 4I11 I 111 .M i t a I Ni rar El PARTIAL APPROVAL I I CANCEL E NO ACCESS pi FAIL 7 CALL FOR INSPECTION ADDITISNA FEES ASSESSED 411 Inspector: AWL/ Date: Phone #: (503) 718- NINIP