Permit BUILDING PERMIT
I - CITY OF TIGARD PERMIT #: BUP2007 -00611
COMMUNITY DEVELOPMENT DATE ISSUED: 12/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113BA
SITE ADDRESS: 07632 SW DURHAM RD 130 ZONING: I - P
SUBDIVISION: SW CENTER SDR1999 - 00020 LOT: JURISDICTION: TIG
PROJECT: UNITED HEALTHCARE
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: 42 BASEMENT: sf AREA SEP. RATED:
STOR: 4 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 18,300.00
Owner: Contractor:
OPUS REAL ESTATE OREGON IV LLC RAVEN CONSTRUCTION
1000 SW BROADWAY 4949 SW MEADOWS #175
1130 LAKE OSWEGO, OR 97035
PORTLAND, OR 97205
Phone:
Contact #: PRI 503 - 526 -1088
FAX 503 - 697 -4097
Reg #: LIC 63403
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/29/2007 $184.05
[BUPPLN] Pln Rv 11/29/2007 $119.63
[FLS] FLS Pln Rv 11/29/2007 $73.62
[TAX] 8% State Surcha 11/29/2007 $14.72
Total $392.02
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: ,Z;rzeZiltfd 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.
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Buildin Pe rmit Applic EIVED • FOR OFFICE USE ONLY
Cit of Tigard �/ Received
y g Date/By. ir 0 Pemut No.: No 0 D�l7 -- 0 //
1111 s v 13125 SW Hall Blvd., Tigard, OR 97 23 t . \ 2001 Plan Review /
Phone: 503.639.4171 Fax: 503.5 0 DateB : ® O ' Other Permit:
Inspection Line: 503 Internet: www.ti and -or.639. .4175 ov Date Read Janis 0 See Attached Checklist for
TIGARD i; O TIGARD y _
www.tigard-or.gov N ot ifi ed/Metho hod:J�t V ) Supplemental Information
BUILDING DIVISION
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,, -. - . • .��. , .. , ,W" �;��TYPE � FrWOR = ' :., :: - „y� " . -' � "" ,
,, , .O _. „, RE UIRED' DATA '°%: -AND12FAMIlYDW'Eti.,,,, ,
�.,,„, -: ,.�..�_ .;..< ,..�. yam. _ _,., , ..... t',,, <T��," _. ,".,�. , _ ... . � _..n�� .,,,< <.- °,...,, _ �,, .,.�_ - x�,:�� . -.� -�. <,.. _ A .
❑ New 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: TI equipment, materials, labor, overhead, and the profit for the
,n ; � .• ' r te : ., ,<-
?�° ;z;, • i:rT, "''� -' °, �>r"��' %<.� °"_ "° work indicated on this application.
CATEGORY .OF;,CONS° LIGT;Ir2 §1 10, ..
El 1- and 2- family dwelling El Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
1=1 Master builder ® Other: Commercial Number of bathrooms:
" 'JOB ' °SITE; I NFORMATI d N_AND LOC "i -�s Total number of floors:
Job site address: 7632 SW Durham Road New dwelling area: square feet
City/State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 130 Project name: United Healthcare Covered porch area: square feet
Cross street/directions to job site: Durham /Hall Blvd. Deck area: square feet
Other structure area: square feet
'C REQUIRED DATA: CQMNIERCIAL'-USEMGHECKL.ISTI `
Subdivision: 1 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:-
_ equipment, and for the
`' �" <s; DESCRIPTION'='OFeWORK. work indicated on this application. o
° ::. -; a the profit
- for
of existing space Valuation $$18,300.00
Existing building area 1 square feet
New building area square feet
P P N RT R °° '- r'
RO ,E Y'. OVYNE _ TEN ANT ° `'`' Number of stories: 4
Name: United Healthcare Services, Inc. (0 {14.4.4 ,c, 4 "
v /� D „ -.� Type of construction: IIB
Address: 9900 Bren Road East - MN008 -E305 ` � ` a Occupancy groups:
City /State /ZIP: Minnetonka, Minnesota 55343 Existing: /k L/ 0
Phone: (952)936 -7302 Fax: ( ) /� 9 2
New: YL t 1 7 .. b J
a- AP >I NT:-
PL CA � > CONTA d.
CT \PER
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Business name: Raven Construction All contractors and subcontractors are required to be
Contact name: Alan Hotchkiss licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4949 SW Meadows Road, Suite 175 jurisdiction in which work is being performed. If the
City/State /ZIP: Lake Oswego, OR 97035 ` applicant is exempt from lice ing, the following reasons
apply: / / - 7't.
Phone: (503) 526 -1088 Fax: : (503) 697 -4097 �%S �" 40—
E -mail: ahotchkiss@oocc-raven.com
/'
'.: y ,: ,';: !, ONTRACTOR :
:.
:y'�
Business name: Raven Construction .:<-
'" : BlIILDINGPER1<IIT FEES*
Address: 4949 SW Meadows Road, Suite 175 .'s.a a, We ( Pl ea' sereferto ...._.
City /State /ZIP: Lake Oswego, OR 97035 Structural plan review fee (or deposit):
Phone: (503) 526 -108 Fax: (503) 697 -4097 FLS plan review fee (if applicable):
CCB lic.: 63403 Total fees due upon applic4to
�q/A !Application re q�. o 2-
Authorized signatu :
Th s pe mil pplication expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Alan Hotchkiss Date: 11/29/07 * Fee methodology set by Tri- County Building Industry
Service Board.
I\ Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T( I I /02 /COM /WEB)
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CITY OF �*nn n ��n nw�m��nm��
BUILDING DIVISION `� � .
~°~°"~~~~""°~= ~�"°"~,"=~"° PERMIT #: BUP2007-00611
| 13125 SW Hall Blvd., Tigard, OR 97223 41,14,A DATE ISSUED: 12i i2/2007
Phone: (503) 639-4171 hoe obilif
Inspection Requests (24 Hrs.): (503) 839-4175 °� "lJa
INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 23
•
SITE ADDRESS: D7632 SW DURHAM RD 130 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999 LOT #: TYPE OF USE:
PROJECT NAME: UN/TF D HEAL TMCARE
DESCRIPTION: TI
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
• CONTRACTOR: RAVEN CONSTRUCTION PHONE #: 503-526-1 ON
Inspection Request Scheduled For: Date: 1/312O08 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Firm! inspection 063492'01 603-849-4435 N
Corrections/Comments/Instructions:
` �
����^ /AR TIAL A PP��L � ���EL �lNOACCEGS
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El FAIL A CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: Date: / . � ���7� � Phone #: (503) 718- �-+um��
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CITY OF TIGARD
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' BUILDING DIVISION #: 6UP2007-00611
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13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12j12/2007
Phone: (503) 639-4171 A l
Inspection Requests (24 Hrs.): (503) 639-4175 —Jal■ -11.
INSPECTION WORKSHEET FOR DATE: 12/2712007 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 07632 SW DURHAM RD 130 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999-00020 LOT #: TYPE OF USE:
PROJECT NAME: UNITED HEALTHCARE
DESCRIPTION: TI
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: RAVEN CONSTRUCTION PHONE #: 503-526-1088
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 062139-01 503-049-4435 N
Corrections /Comments/ Instructions:
4 PAS /4 ARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
1 I FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: / _41111111■ Date: / - af Phone #: (503) 718-W
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.
CITY OF TIGARD _
BUILDING DIVISION -� l PERMIT #: i3UP2007 -00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /1i /2007
Phone: (503) 639 -4171 / v�'b4Wh � I,
Inspection Requests (24 Hrs.): (503) 639 -4175 °`:_1.
INSPECTION WORKSHEET FOR DATE: 12114/2007 E: 7 :01AM PAGE: 37
SITE ADDRESS: 07632 SW DURHAM RD 130. CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999-00020 LOT #: TYPE OF USE:
PROJECT NAME: UNITED HEALTHCARE
DESCRIPTION: TI
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: RAVEN CONSTRUCTION PHONE #: 503 526-108B
Inspection Request Scheduled For: Date: 1211412007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
:X75 Framing 061542.01 603. 1398.4435 N
Corrections /Comm -nts /Instructions:
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11 in 6 7ta 7_ 6 , L, , 1/4,1/4 12." 51-0141. 7 , --- - 0 1 4-AQ--
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❑ PASS ! PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 0 14 - ---- Date: i 4 Phone #: (503) 718��