Permit ill I f C ITY OF TIGARD BUILDING PERMIT
P ERMIT #: BUP2008 -00361
' -'' COMMUNITY DEVELOPMENT DATE ISSUED: 10/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DA
SITE ADDRESS: 11481 SW HALL BLVD 101 ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HEALTH TOUCH
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 27 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 52,000.00
Owner: Contractor:
L N PROPERTIES, LLC PACIFIC CREST STRUCTURES INC
12725 SW 66TH AVE 17750 SW UPPER BOONES FRY #190
PORTLAND, OR 97223 DURHAM, OR 97224
Phone: Contact #: PRI 503 - 968 -8949
FAX 503 - 598 -6658
Reg #: LIC 66915
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/29/200E $376.30
[TAX] 12% State Surch 10/29/200E $45.16
[BUPPLN] Pin Rv 10/29/200E $244.60
[FLS] FLS Pin Rv 10/29/200E $150.52
Total $816.58
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 9 2 - 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. Oa Ma
Issued By: - `.�� + ' erm i ttee Signature: °SKI
/�
Call 503.639.4175 by 7:00 a.m. for an inspection that busine s 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
Commercial FOR OFFICE USE ONLY
City of Tigard Re Re ceived /c eiv : :) 4 Permit No.: , I'
114 °' 13125 SW Hall Blvd., Tigard, OR 9 CENEu
2 Plan Revi . -'t / 1
C Mho Other Permit: T Ph one: 503 . 63 9.4171 Fax: 503.598.196 Date/B : �. 11/&* 7 0Mho
T I GA RD Inspection Line: 503.639.4175 �� Date Ready /B : runs ® See Page 2 for
Internet: www.tigard- or.gov ���� OF �f Notified/Method '/')" Supplemental Information
' . x ;"-:: ... `TYPE; ( G,Oi V-.I O N 4 - " ',:,,: .. "j "` REQUIRED DATA : -AND 2 FA Y DWELLING'
❑ 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
, : ` ' -; . work indicated on this application.
�' °C ATEGORY OF.i; CO = ''� �
El 1- and 2-family dwelling Valuation: $
y g ❑Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder CI Other:
Number of bathrooms:
_ ° JOB SITE:` INFORMATION ° "AND, "LOCATION- . Total number of floors:
Job site address: I 1 tI 1 I S U /4 1/ /3/ 1/0/. i New dwelling area: square feet
City /State /ZIP: Tre iVei ,, 8 UL ci 1.-273 Garage /carport area: square feet
Suite/bldg./apt. no.: /6
Project name: /lea w` // . Tta j Covered porch area: square feet
Cross street/directions to job site: / l Deck area: square feet
Other structure area: square feet
_ REQUIRED DATA ;;COMMERCIAL- U
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.
. ,7 II LA ( — i V aluation: $ s2
Existing building area: square feet
New building area: square feet
' U PROPERTY' OWN k t ❑ ` T - Number of stories:
Name: L cc, it k(-1, Type of construction:
Address: -1 /DO o 1 46 Pei, V _ Occupancy groups:
City /State /ZIP: PpV f ru k / 61•2 • -`1 2 ZS Existing: 5-b
Phone: ( ) Fax: ( ) New:
',w„ , ❑° °APPLICANT ❑ CONTACT:PERSON NOT ICE .A
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:
.) a', $ a , CONTRACTOR
Business name: AR, 4 ,1 /‘ ' C L �1 Fs v ,, BUILDING PERMIT FEES,':
Address: ( - 7 -�d GJ Lipp fr.- x,
Structural :', _' (Pleaserejer'tofee'schedule). :..r ° ?
City /State /ZIP: c plan review fee (or deposit):
Phone: (S63) 469y. c(ci 4 Q Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: (96'�J _ Total fees due upon application: � J
—1 Amount received: 09 „5�
Authorized signature: This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name: -44 6 j ji /�l Date: /0 • 2 �-c) * Fee methodology set by Tri -County Building Industry
”" �� �� Service Board.
l:\Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
•
•
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
I: \Building \Permits \BUY -COM PermitApp.doc 06 /25/08
CITY OF TIGARD
BUILDING DIVISION / PERMIT #: BUP2008 -00361
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10t28120013
Phone: (503) 639 -4171 Aor4ua;;
Inspection Requests (24 Hrs.): (503) 639 -4175 + -:
INSPECTION WORKSHEET FOR DATE: 179'2009 TIME: 7:01Am PAGE: 26
SITE ADDRESS: •I1zitii SW HALL BLVD 101 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEALTH TOUCH
DESCRIPTION: TI
OWNER: L N PROPERTIES LLC, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503•96t —8949
Inspection Request Scheduled For: Date: 1/9f2O09 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final int pection 079542 -01 503-004 -2447 N
Corrections /Comments /Instructions:
/ `WPASS, / If/ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
i FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- �.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t3IJP2008- 003E;1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/29/2000
Phone: (503) 639 -4171 //�aiM��lhu i1
Inspection Requests (24 Hrs.): (503) 639 -4175
• INSPECTION WORKSHEET FOR DATE: 12/1512000 TIME: 7 :00Am PAGE: 9
SITE ADDRESS: 114181 SW HALL. BLVD 101 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEALTH TOUCH
DESCRIPTION: 'fl.
OWNER: L N PROPERTIES, LLC, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 968 -89i9
Inspection Request Scheduled For: Date: 12/15.2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
20] Su spended ceiling 079046-01 503-004-2447 Y
Corrections /Comments/ Instructions:
C- (----' t-7--C3 e_.e) v,- afk..)
n ` PASS j 1 'ARTIAL APEEI VA ❑ CANCEL ❑ NO ACCESS
I I FAIL - _ 'SPECTION n ADDITIONAL FEES ASSESSED
7
Inspect. Date: Z/. ••�
p — i � Date Phone #: (503) 7 18-
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CITY ������U�������� � •
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BUILDING DIVISION ~ PERMIT #: BLP2O08-00361
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i0/290008 Phone:(508)039'4171
|nopeo�onRequoe����Hm�:U503 639~4175
li
INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7 PAGE: 16
SITE ADDRESS: 11481 SW HALL BLVD 101 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEALTH TOUCH
DESCRIPTION: T|,
OWNER: L N PROPERTIES, LLC, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-968-8949
Inspection Request Scheduled For: Date: 12/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.
275 Framing 078781-02 503-804-2147 N
Corrections/Comments/Instructions:
) __
e
PASS E PARTIAL APPROVAL __ CANCEL __ NO ACCESS
Ali
il FAIL INSPECTION __ ADDITIONAL FEES ASSESSED
Inspector: Date: /2-i//��� Phone #: (503) 718'
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BUILDING DIVISION ` ` PERyN|T#
~~~°"~~~�""°~= �°"°"~~"~~"~ #: BUP2008'00361
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1009/2008
I
Phone: (5O3)53S~4171
Inspection Requests �4Hnnj (503) 9�
Hrs.): ��' ^�-..
INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7 PAGE: 17
I
SITE ADDRESS: 1148j @VVHALL BLVD 1U1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEALTH TOUCH 1
DESCRIPTION:
OWNER: L N PROPERTIES, LLC, PHONE #:
CONTRACTOR: PACIFIC CREST ST UCTURES INC PHONE #: 603..9680048
Inspection Request For: Date: Pour Time:
n*p�uu —` . ' 12/4/2008 �
Code # Inspection Description Confirm # Contact # Message
280 Insulation 070781-01 503-804-2447 N
Corrections/Comments/Instructions:
. PARTIAL APPROVAL CANCEL fl NO ACCESS
al 'AIL /I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: = -- [}ate: IZW Phone #: (503) 718-
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