Permit a -'- -ACITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00559
COMMUNITY DEVELOPMENT DATE ISSUED: 10/24/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AB - 04800
SITE ADDRESS: 12454 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
- PROJECT: COMMAND CENTER .
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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 30 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: $ 3,500.00
Owner: Contractor:
CAPISTRANO, NICOLAS N + CHRISTIN STUMPTOWN CRAFTSMEN, INC.
6646 SW 35TH AVE 10669 SW 36TH AVE.
PORTLAND, OR 97221 MILWAUKIE, OR 97222
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Contact #: PRI 503' -349 -5912
Phone: ,
Reg #: LIC 178592
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/24/2007 $76.80
[TAX] 8% State Surcha 10/24/2007 $6.14
[BUPPLN] Pln Rv 10/24/2007 $49.92
[FLS] FLS Pln Rv 10/24/2007 $30.72
Total $163.58 •
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 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. j j ,; �i. ; /. Permittee Signatu : , / / 1,
Call 503.639.4175 by 7:00 a.m. for an inspection t at 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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Building Permit Appl t i � rott orric 1 (LSE ONLY
City of _ Tigard Received i Permit No. /J G
g 1CT 2 4 Date/B (� I ♦ i / 1 / .1.... 41
a 13125 SW Hall Blvd., Tigard, OR 972 2007 Plan Review
C Phone: 503.639.4171 Fax
1960 Date/B : I a - B ; Other Permit:
- 1 - 1 G A; R t 0 Inspection Line: 503.639.4 Y 'Jr 11 u s i � 2 Date Ready c y: 63 See Attached Checklist for
Internet: www.tigard -or. Notified/Method: liMI Supplemental Information
SrONT
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY 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
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CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ,K CommercialIindustrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
L PNO.PG 4+ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: - -- ,S 11./L) , Ifn a o N New dwelling area: square feet
City/State/ZIP: 17 3 01/4( d 09-. 9`'1"2-7:5 Garage/carport area: square feet
1 a
Suite/bldg. /apt. no.: I Projecfname:, ynarve. Cers refL, Covered porch area: square feet
Cross street/directions to job site: m Al N 4 3 uf Nhat y✓\ Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
- -: Subdivision: I 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.
meet` C{llo\ -er Oki u1laAk 3 OF-�i(ta Valuation: $ 3� S00t oU
,�08m J 1 Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER A TENANT Number of stories:
Name: ('Ow►w■ Cem4eri. ,c1 .QfyV J Type of construction:
Address: 3 `7 7- v1/41 ` 5-ft, ptv-2__ Occupancy groups:
City/State/ZIP: " ?05\ -- ' a\ t € taS 9 Existing:
Phone: (480) G O 1 250 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: ( ) I Fax:: ( )
E -mail:
CONTRACTOR .
Business name: S l'h row N r mt \) ' r ', J BUILDING PERMIT FEES*
a
Address: 10 66CA S 1E t ? J grk. u� (Please refer to fee schedule)
Address: Structural plan review fee (or deposit):
YY\`Iw Oa 9 '12 2 2
Phone: (50) 3 L{ cl 5a 1 2 I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 1� $ 5 q 2 Total fees due upon application:
Amount received: // f
Au, . erized signature- This permit application expires if a permit is not obtained
�' / within 180 days after it has been accepted as complete.
Prin �� ��� `� � f Date: - 2 +0 * Fee methodology set by Tri-County Building Industry,
Service Board.
I:\Building\Permits\BUP I'ermitApp.doc 03/21/06 440-4613T(I 1/02/COM/WEB)
CITY OF TIGARD N9sobi -00661
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
R....,
Inspection Requests (24 Hrs.): (503) 639- 4175 1 ,1���
o_ki,,t5-1
INSPECTION WORKSHEET FOR DATE: ' ' / / 4/ O TIME: PAGE:
SITE ADDRESS: 1 SL4 V \ 1- G CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: ... PHONE #: 3 44
e M( S03 - S 0 - 7
Inspection Request Scheduled For: Date: Pour Time: spy
Code # Inspectio Description Confirm # Contact # Message
IA S • ) (t/
Corrections /Comments/ Instructions:
- (so cf sc ∎'. / z7 to-)
e
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: : OA _ ��
p Date. Phone #: (503) 718
it , 5 F
TRANSMISSION VERIFICATION REPORT
TIME : 12/03/2007 14:58
NAME : TIGARD BUILDING DEPT
FAX : 5036243681
TEL .
SER.# : BROD4J479592
DATE,TIME 12/03 14:58
FAX NO. /NAME 5039245076
DURATION 00:00:16
PAGE(S) 01
RESULT OK
MODE STANDARD
ECM
CITY OF TIGARD cR
BUILDING DIVISION kibol -o 066
13125 SW Hall Blvd., Tigard, OR 97223 eskeova PE RMIT #:
Phone: (503) 639 -4171 TE ISSUED:
Inspection Requests (24 Hrs_): (503) 639- 4175
INSPECTION WORKSHEET FOR DATE: 1 7/$/ 07 TIME: �C S
PAGE:
SITE ADDRESS: \ 7.„,N4 S 4
SUBDIVISION: ��"� CLASS OF WORK:
�
LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: 3 44
Inspection Request Scheduled For: P3 - {P
Date: Pour Time:
• - ropy
Code # lnspectio Description Confirm # Contact # Message
IA 6 1 S • Ar
Corrections/Comments/Instructions:
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CITY OF TIGARD . 4
BUILDING DIVISION � � / PERMIT #: BUP2007 00659
13125 SW Hall Blvd., Tigard, OR 97223 // N V DATE ISSUED: 1(1024/20;17
Phone: (503) 639 -4171 �iili Lh
Inspection Requests (24 Hrs.): (503) 639 -4175 AA F. .. VV
INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7 :01AM PAGE: 41
SITE ADDRESS: 12454 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMAND CENTER STAFFING
DESCRIPTION: Tenant Improvement
OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #:
CONTRACTOR: STUMPTOWN CRAFTSMEN, INC. PHONE #: 503-M9-5912
Inspection Request Scheduled For: Date: 11/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 060292 -01 503- 3495912 N
Corre tions Comments /Instructions: � Qe_6L di- s / j -o �t' -
I I- 2ri�7 - oc) 7 `f co-- G . 6 . )
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I . ( Z . 24 0 - 06 4 SS C
L-- - -J) sv ,w \ (No i A-Dk)
1
❑ PASS _ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V(;(it Date: I ' (27 0 ? Phone #: (503) 718 - 2
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CITY OF TIGARD 1. -
BUILDING DIVISION • - PERMIT #: BUP2007 -00559
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2007
Phone: (503) 639 -4171 /apv-?
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 12454 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMAND CENTER STAFFING
DESCRIPTION: Tenant Improvement
OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #:
litiL
CONTRACTOR: STUMPTOWN CRAFTSMEN, INC. _ PHONE #: 503-34%5912
C 912
Inspection Request Scheduled For: Date: 11/7/2007 ps Pour Time:
Code # Inspection Description Confirm # Contact # Me- - age
275 Framing 059176.01 503-349-5912 Y
Correc ions/ omm /Instructions:
li ✓Vx % $QQ
00 il_
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0 Khl c IAA! LIP (tQ
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❑ PASS
NDARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i I
Inspector: VZ;(1 V Date: t V b 7 Phone #: (503) 718 -Vay
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BIJP2007.•00559
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2007
Phone: (503) 639 -4171 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 p 'J _..
INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7 :01AM PAGE: 30
SITE ADDRESS: 12454 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMMAND CENTER STAFFING
DESCRIPTION: Tenant Improvement
OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #:
CONTRACTOR: STl1MPTOWN CRAFTSMEN, INC. PHONE #: 503.349 - 5912
Inspection Request Scheduled For: Date: 11/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 0513985.01 503-349-5912 N
Corrections /Comments /Instructions:
&it j%41■ c V
p
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
J FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
VZ t/ ( 1/2 1 t C Z Inspector: Date: / Phone #: (503) 71 S- 2- `/
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