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Permit 1 1 --- a • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00100 • COMMUNITY DEVELOPMENT DATE ISSUED: 2/21/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AA -01400 SITE ADDRESS: 10215 SW HALL BLVD ZONING: C -N SUBDIVISION: METZGER ACRE TRACTS LOT: 037 JURISDICTION: TIG PROJECT: INTEGUMEND Project Description: TI - move wall. 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: 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: $ 17,359.00 Owner: Contractor: INTEGUMEND LLC JHC COMMERCIAL LLC 10215 SW HALL BLVD 11125 SW BARBUR BLVD TIGARD, OR 97223 PORTLAND, OR 97219 Phone: Contact #: PRI 503 624 - 7100 FAX 503 - 684 -5295 FEES Reg #: LIC 158061 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/21/2007 $216.10 [TAX] 8% State Surcharl 2/21/2007 $17.28 [BUPPLN] Pln Rv 2/21/2007 $140.47 [FLS] FLS Pln Rv 2/21/2007 $86.44 Total $460.29 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. Is ued By: Permittee . I • �.,_;'J// /- 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 E. , 1 ., ( / Commercial Tenant Improvemen " FOR OFFICE USE ONLY - - City of Tigard qq r OO 1 Date /B y " �f Q ( Permit No.: L( 7 �Q4D0 II ° 13125 SW Hall Blvd., Tigard, OR. 97 2 0 Plan Review - .,' r Phone: 503.639 4171 Fax: 5 3.$8.1960 e 1 Date /By: y'1 f — o3t�a� Other Permit: TIGARD Inspection Line: 503.639 [( Date Ready/By: -c ®SeePage2for Internet. www.tigard- or.gov `L „ Not i fied/Method: �j Supplemental Information TYPE OF &RK T. ' .. REQUIRED DATA: 1- AND 2- FAMILY DWELLING nn � ` 19emo i tion Permit fees* are based on the value of the work performed. j ❑ New construction Z`' Indicate the value (rounded to the nearest dollar) of all Additio&alteratio&replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling 'Commercial /industrial Valuation: $ 'C ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /Q 7 / 5 560 H co 1 3 /0/ New dwelling area: square feet City /State /ZIP: Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: De. rme,ke / ` .4 Covered porch area: square feet Cross street/directions to job site: (] /fi(L Rem ade J Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST 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 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ (7 3s Oa 1 4(vt 14 FIrt* / LA.9A1I, ( add O6fAV t ('t )1 frf) e 1 / h (! I'd (�{ ' IQ( S j r ( �Y " !C j$ pi Existing building area: square feet l New building area: square feet VJ PROPERTY OWNER ❑ TENANT Number of stories: Name: f d L.l.. r ✓ ` e Type of construction: 56 Address: / .J5 5 w f-41 / / a J Occupancy groups: City /State /ZIP: ! � t Q/' Existing: Phone: ( i q 2 q 1. Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR Business name: j j ; A . / _AA A D, „if A BUILDING PERMIT FEES* (Please refer to fee Address: // , _� bk.- b� Ri l Structural plan review fee (or deposit): City /State /ZIP: par ?IC nod ,ail 4)7z, 9 FLS plan review fee (if applicable): Phone: ( '(C ,, `7 e x Fax: ( ) CCB lie.: Y�� ©`T (n Total fees due upon application: 1•� Amount received: Authorized signature: i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: X1 O1 Le- D u ri r a uf Date: 7 Z / _ 0-7 * Fee methodology set by Tri- County Building Industry C C Service Board. I:A Building \Permits\BUP -TI- PermitApp.doc 12/27/06 440- 4613T(11/02/COM /WEB) • Building Division Plan Submittal Requirement Matrix TIGA Commercial & Multi- Family - New, Additions or Alterations .Type of Submittal - #' of .Plans . (Includes new, additions and. alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I: \Building \Permits \BUY- T1- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION l. PERMIT #: BUP2007 00100 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2007 Phone: (503) 639 -4171 " �m�ii �p Inspection Requests (24 Hrs.): (503) 639 -4175 . J -'. INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 57 SITE ADDRESS: 10215 SW HALL BLVD CLASS OF WORK: SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE: PROJECT NAME: INTEGUMEND DESCRIPTION: TI - move wall. OWNER: INTEGUMEND LLC, PHONE #: CONTRACTOR: JHC COMMERCIAL LLC PHONE #: 503 - 66247100 Inspection Request Scheduled For: Date: 3/27/2007 Pour Time: p q Code # Inspection Description Confirm # Contact # Message 298 Final inspection 045460-01 971-275-4212 N Corrections /Comments /Instructions: • i t" 0 PASS %•ARTIAL APPROVAL (l CANCEL , I NO ACCESS FA L % : LL FOR INSPECTION ADDITIO? AL FE- S ASSESSED • . 11111111111W Inspector: Dat Z G Phone #:. (503) 718- ?‘7 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00100 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2007 Phone: (503) 639 -4171 "welt Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' ; ' l INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7 :03AM PAGE: 11 SITE ADDRESS: 10215 SW HALL BLVD CLASS OF WORK: SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE: PROJECT NAME: INTEGUMEND DESCRIPTION: TI - move wall. OWNER: INTEGUMEND LLC, PHONE #: CONTRACTOR: Ji-IC COMMERCIAL. LLC PHONE #: 503-6247100 Inspection Request Scheduled For: Date: 3/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 045316 -01 971 -275 -4212 N Corrections /Comments/ Instructions: — C)C3 ) ` - — tEr 4 ?r O - O [• it -r-- "1m / - ❑ PASS 'A' ' L APPROVAL n CANCEL El NO ACCESS id FAIL A . FOR INSPECTION r7 ADDITION L FEES ASSESSED Inspecto _ 7 ‘7 : --- Dater Phone #: (503) 718— . CITY OF ��nn m ��n TIGARD ` BUILDING DIVISION PERMIT #: BUP2007-00100 13125SVV Hall Blvd, Tigard, ORQ7223 DATE ISSUED: 2/21/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/14/2007 TIME: 7:00AK4 PAGE: 11 SITE ADDRESS: 1O216[W HALL BLVD • CLASS OF WORK: SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE: PROJECT NAME: INTEGUMEND DESCRIPTION: T|' move wall. OWNER: |NTEGUhNBNQLLC. PHONE #: CONTRACTOR: JHC COMMERCIAL LW PHONE #: 503-624-7100 Inspection Request Scheduled For: Date: 3/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 044810'01 971-2754212 N Corrections/Comments/Instructions: 1■7; 0 CANCEL ) NO ACCESS �] FAIL III CALL FOR INSPECTION ADDITION' FE. S ASSESSED / Inspector: __ --021.111w Oate: mr Phone #: (503) 718- likke CITY OF TIGARD , BUILDING DIVISION PERMIT #: BUP2007 -00100 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7!21/2007 Phone: (503) 639 -4171 ° ,�i °��'f Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 10215 SW HALL BLVD CLASS OF WORK: SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE: PROJECT NAME: INTEGUMEND ' DESCRIPTION: TI - move wall. OWNER: INTEGUMEND LLC, PHONE #: CONTRACTOR: JHC COMMERCIAL LLC PHONE #: 503.624 -7100 Inspection Request Scheduled For: Date: 3/12/2007 Pour Time: Code # Inspection Description Confirm # Co - - - :•=— - sage 275 Framing 044552 -01 971-275-4212 N Corrections /Comments /Instructions: v ∎ ir• L _ - t` AP . • _ e, MO ■ -' a / el ----- C 1--4 ir i n PASS , /�� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 6- e _ , - - TION El ADDITIONAL FEES ASSESSED Al Inspector: ■1111. Date: 3. /Z /07 Phone #: (503) 718 - / 6