Permit CITY O TI GARD BUILDING PERMIT
PERMIT #: BUP2006 -00442
i DEVELOPMENT SERVICES DATE ISSUED: 9/19/2006
��' I - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AC -00900
SITE ADDRESS: 07128 SW GONZAGA ST 200 ZONING: MUE
SUBDIVISION: PAHLISCH /GONZAGA PROFESSIONAL LOT: 015 JURISDICTION: TIG
Project Description: TI - walls (1,340 sq ft)
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 14 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: $ 6,000.00
Owner: Contractor:
PHIL GENTEMANN CENTURION HOMES INC
7128 SW GONZAGA SUITE 100 7128 SW GONZAGA ST SUITE 100
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 - 620 -2047 Contact #: PRI 503- 620 -2047
FAX 503 - 620 -2287
FEES Reg #: LIC 28427
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/19/2006 $100.90
[TAX] 8% State Surchari 9/19/2006 $8.07
[BUPPLN] Pln Rv 9/19/2006 $65.59
[FLS] FLS Pin Rv 9/19/2006 $40.36
Total $214.92 .
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 50 -6699 or ) 800- 332 -2344.
Issued 6,� .y( (LA ,J Permittee Signatur
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.
Building Permit Application FOR. OFFICE USE ONLY .
City of Tigard Received DateB : 7,
Ajar i
`J g 2 / /
C� " '96954142
13125 SW Hall Blvd., Tigard, OR 97 RECEIVE* ' plan Rev
Phone: 503.639.4171 Fax: 503.598.1960 b t/'t 1 4 1 �� � > Date/13 • ( ,��� Other Permit Permi t: G ( '
Inspection Line: 503.639.4175 S E P 1 9 2006 !JiJ ' Date Rea 0 See Attached Checklist for
InterneC www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF TIGARD
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❑ 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: equipment, materials, labor, overhead, and the profit for the
ra:'?:.:�°�i,\:= =aw. ^ � r�?:w't. w ° „i ''5 <,>'w =,,.- '�;m-::. "- , ,3nr r 7 .'t,.:; *:,. ','+i ..'; work indicated on this application.
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C> ATEGORY `OF— = +DN TRiTCTL(:,,, y h,,,, , , W
❑ 1 - 2- family dwelling ®Commercial /industrial Valuation: �t Q
❑ Accessory building ❑ Multi- family Number of bedrooms: \
❑ Master builder ❑ Other: Number of bathrooms:
:,,' :._': <,„ '' ''�Jt4B';SLTE > €INF(1!It14IATICI , :z: P� ' , , A C -£ -,. ,, Total number of floors:
Job site address: 7128 SW Gonzaga St. New dwelling area: square feet
City /State /ZIP: Portland, Oregon, 97223 Garage /carport area: square feet
•
Suite/bldg./apt. no_ 3�4 and 200 Project name: Go+txag t- Brlfhlirtg /� Covered porch area: square feet
Cross street/directions to job site: SW 72 " Ave � Deck area: square feet
Other structure area: square feet
Subdivision: 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
. „ = +tea Pe ” a: ,3 equipment, materials, labor, overhead, and the profit for the
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= �:� WORK* = _" ' �1�;f„ - � , ; , ;;; .�- ..a work indicated on this application.
Valuation: $ (v ;av
Existing building area: 15 square feet
New building area: are feet
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°_ ®- ,, . y, , :i 3" ' �T)Ea N A:NT ° " ° ° Number of stories: 2
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Name: Phil Gentemann Type of construction: 56
Address: 7128 SW Gonzaga St., Suite 100 Occupancy groups:
ups:
Portland, Oregon 97223 Existing: \ 3Y / d
Phone: (503)620 -2047 Fax: (503)620 -2287 New:
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Business name: Centurion Homes, Inc. All contractors and subcontractors are required to be
Contact name: Alana Barakat licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7128 SW Gonzaga St., Suite 100 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, Oregon 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -2047 Fax: : (503) 620 -2287
E -mail: alana @centurionhomes.net
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Business name: Centurion Homes, Inc. ^gi - - --'- -" . ^--
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Address: 7128 SW Gonzaga St., Suite 100 "'
Please refer to fee schedule
City /State /ZIP: Portland, Oregon 97223
Fees due upon application
Phone: (503) 620 -2047 Fax: (503) 620 -2287
Amount received
CCB lic.:
O� 48 ".
Date received:
Authorized signature: ' � __ _— This permit application expires if a permit is not obtained ii
` � __ within 180 days after it has been accepted as complete.
■ Print name: Phil Genteman Date M • — * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP- PermitApp doc 12/03 440- 4613T(11/02/COM /WEB)
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CITY QF TIGARD
BUILDING DIVISION Alo
PERMIT #: BUP2006.00442 '
13125 SW Hag Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006
Phone: (503) 6 4 ,e1/141#
Inspection Requests (24 Hrs.): (503) 639-4175 z.,-011. 1.11.
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 16
SITE ADDRESS: 07128 SW GONZAGA ST 200 CLASS OF WORK:
SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE:
PROJECT NAME: LENDING SOLUTIONS
DESCRIPTION: Ti - avails (1,340 sq ft)
OWNER: GENTEMANN, PHIL PHONE #: 503-620-2047
CONTRACTOR: CENTURION HOMES INC PHONE #: 503-620-2047
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message p
299 Final inspection 036865-01 503-764-6001 Y
Corrections/Comments/Instructions: :v-c-_ (Oh
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I • PASS pi PARTIAL APPROVAL r7 CANCEL fl NO ACCESS
El FAI fl. CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
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Inspector: f 'RV Date: - a., ,' . Phone #: (503) 718- Z
._ ._ . .
CITY TIGARD
• BUILDING DIVISION PERMIT #: BUP2006-00442
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006
Phone: (503) 639-4171 bA
u repilti
Inspection Requests (24 Hrs.): (503) 639-4175 ,...._,10■ - " t
INSPECTION WORKSHEET FOR DATE: 1019/2006 TIME: 7 PAGE: 28
SITE ADDRESS: 07128 SW GONZAGA ST 200 CLASS OF WORK:
SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE:
PROJECT NAME: LENDING SOLUTIONS
DESCRIPTION: TI - walls (1,340 sq ft)
OWNER: C4ENTEMANN, PHIL PHONE #: 503-620-2047
CONTRACTOR: CENTURION HOMES INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/9/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
280 Insulation 037862-01 503-754-6001 Y
Corrections/Comments/Instructions:
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SITAIIIIME'
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1 PASS ! PARTIAL APPROVAL pi CANCEL El NO ACCESS
I I FAIL CALL FpR INSPECTION H ADDITIO AL F ES ASSESSED
Inspector: driq Date: O o& Phone #: (503) 718- Olk—Z5-
CITY-9F TIGARD
BUILDING DIVISION PERMIT #: BUP2006 00442
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/19/2005
Phone: (503) 639 -4171 "tilt
Inspection q ection Re uests (24 Hrs.) : (503) � W I ��
) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 9129/2006 TIME: 7 : 06AM PAGE: 57
SITE ADDRESS: 07128 SW GONZAGA ST 200 CLASS OF WORK: '
SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE:
PROJECT NAME: LENDING SOLUTIONS
DESCRIPTION: T) - walls (1,340 sq ft)
OWNER: GENTEMANN, PHIL PHONE #: 603- 620.2047
CONTRACTOR: CENTURION HOMES INC PHONE #: 503 -620 -2047
Inspection Request Scheduled For: Date: 917912006 Pour Time: i
Code # Inspection Description Confirm # Contact # Message
276 Framing 037375 -01 503. 754 -6001 V P
Corrections /Comments /Instructions: E L
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ASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL r CALL FOR INSPECTION ❑ ADDITI AL F ES ASSESSED
Inspector: , , j Date: Phone #: (503) 718 -
,