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Permit
w , N C ITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00499 ZIP DEVELOPMENT SERVICES DATE ISSUED: 10/18/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AA -01800 SITE ADDRESS: 10110 SW NIMBUS AVE '012,. ZONING: I -P SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG Project Description: TI REISSUE: 'r FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ( 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: $ 7,500.00 Owner: Contractor: ROBINSON, CONSTANCE A + BRANDON EDWARD BLAKE ROBINSON, LYNN + BELL, KAY ET 7210 SE 113TH BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97266 BEAVERTON, OR 97008 Phone: Contact #: PRI 503 - 506 - 5077 Reg #: LIC 165809 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 101181200E $120.10 [TAX] 8% State Surcha 10/18/200E $9.61 [BUPPLN] Pln Rv 10/18/200E $78.07 [FLS] FLS Pin Rv 10/18/200E $48.04 Total $255.82 . 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. Q 6,1- Permittee Signature: ^� Issued By: c.._., 9 X ��.�CQ/Yl 161.4a----- 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. B • -- uilding Permit Application FOR OFFICE USE•ONLY • ) �Q City of Tigard Received �( T 1 8 2006 Date /l3y: /)I /fib 17 Permit No.:. ao�b_ . q 13125 SW Hall Blvd., Tigard, OR 972 1 1 8 u Plan Review ID Phone: 503.639.4171 Fax: 503..598.. I96U D ate By: / A 0 Other Permit: TIGARD Inspection Line: 503.639.4175 ■vi or i iLDI I Date Ready Juries B See Attached Checklist for Internet: www.tigard ocgov. *� �liTTCl 11 Notitied ✓ Supplemental Information, fir nmi h T 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building 12 Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10110 SW NIMBUS AVE New dwelling area: square feet City /State /ZIP: PORTLAND OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: B2 Project name: CHAPMAN INSURANCE GROUP Covered porch area: square feet Cross street /directions to job site: SCHOLLS FERRY & NIMBUS 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. INTERIOR OFFICE WALLS /NON - WEIGHT BEARING, PAINT, NEW CARPET Valuation: $$7,500.00 NEW DROP CEILING Existing building area: 1066 square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: 1 Name: Type of construction: :Address: Occupancy groups: City /State!ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ® CONTACT PERSON NOTICE Business name: CHAPMAN INSURANCE GROUP All contractors and subcontractors are required to be Contact name: WENDY LEE VAUGHN licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 7160 SW HAZELFERN #800 jurisdiction in which work is being performed. If the City /State/ZIP: TIGARD OR 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 352 -0600 Fax: : (503) 352 -0733 E -mail: STAFF .HCHAPMANI @FARMERSAGENCY.COM CONTRACTOR Business name: BRANDON E BLAKE BUILDING PERMIT FEES* Address: 7210 SE 113TH (Please refer to fee schedule) Structural plan review fee (or deposit): City/State/ZIP: PORTLAND OR 97266 Phone: (971) 506 -5077 I Fax: ( ) FLS plan review fee (if applicable): CCB lie.: 165809 Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: BRANDON E BLAKE Date: 10 -16 -2006 • Fee methodology set by Tri- County Building Industry Service Board. 1: \Permits BUP- Pcrmit 03'21 410- 4613T(11 :02.COM' OCT -13 -2006 FRI 10:01 AM FAX NO, N. 2 • / �•, r SCHOLLS BUSINESS CENTER 10110 SW Nimbus Avenue, Suite B -2 Portland, Oregon 97223 • Office 483 SF • I IINIIIIIII IIIt I • 1101111111111111111011 Warehouse 1 582 SF I Illimill. 111111111111111111 I .ter . �/ 4, ?,.� . - • • • WAR NIPIIN SUITE H -2 `Key Plan S ite Plan Approximately 1,065 SF N N rs Scale: 1/8 " =1' -0" Verified: 06/01/05 / J^ Vrincipar Over I. �INKROt%.„ MO ISAN • MANAGf MINT *w ••• Mkwom000r AYCw,11CtUR1 .iA ., ��wlwc M ANS fax Q Q ��710,S oi44 .lI Il iu7• �y,.'1M0 W�Iq 1 fax 5U3.598.9982 tel 503.598.9980 wvAv.kginvestment.com • • t ___,-. _il \ ) y ... . ..... 1 .. . ... _ . . . . j . . L j . cr7 _ . .. . . . . . . _ . . . . o ... I.. hole al (s�lc • .. • L l i j —\. i • '. . • • • d 15' E4 X14' 3E )11-1=3" 6 WALL 1OFFICE ' 6• . u °, • UNIT B2 s -0' !OPENING Dip.- a FT I OFFICE 1 ' OFRCE 3 15' -4' X 8'-9' 12'- 6'X10 -6' if) ' I 1 m • lb) 1 i .tim.— Li nt i- 11 : . r CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-00499 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 Phone: (503) 639 -4171 °'�. I C I Inspection Requests (24 Hrs.): (503) 639 -4175 _� INSPECTION WORKSHEET FOR DATE: 211/2007 TIME: 7 :01AM PAGE: 83 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP DESCRIPTION: TI OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: BRANDON EDWARD BLAKE PHONE #: 971 - 506-5077 Inspection Request Scheduled For: Date: 21112007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 042791 -01 503 - 957 -1180 N Corrections/Comments/Instructions: e f . �i l \ 4 IrdWAta _ I LS, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAI ❑ ALL FIR INSPECTION ❑ ADDITIO AL EES ASSESSED Jib i d _Ti i 107 Inspector: I f / Date: Phone #: (503) 718- '2j '7/3 CIT'-49F TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 Phone: (503) 639- 4171�'��;������� Inspection Requests (24 Hrs.): (503) 639 -4175 c> ?erz-et INSPECTION WORKSHEET FOR DATE: 1216/2006 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCI BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP DESCRIPTION: Add 4 vents to main duct work. $500.00 OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: BRANDAN EDWARD BLAKE PHONE #: 971 -506 -5077 Inspection Request Scheduled For: Date: /2/02008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 040740 -01 971 - 506 -2873 N al Corre /Co I nstructii o nns s. . toe, .. , I' 4 ., , ., _ ,a1 I • .I'r' ‘-lW_' PLAM'S ).-L)-0 COW Vele-A bti t4A-P cr,____- i 6 of 4 .),E___ G PAS El APPROVAL El CANCEL El ACCESS 7ffet t FAIL IN CALL FOR I SPECTION ❑ ADDITI AL EES ASSESSED 15- Inspector: .. M�/ — Date: 0 Phone #: (503) 718- ATZ CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUP2006 -00499 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1812006 Phone: (503) 639 -4171 Azi;,� I Inspection Requests (24 Hrs.): (503) 639 -4175 ! '__.. INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7:03AM PAGE: 32 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP DESCRIPTION: TI OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: BRANDON EDWARD BLAKE PHONE #: 971-506-5077 Inspection Request Scheduled For: Date: 11/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 040313-01 971 - 506 -2873 N Corrections /Comments /Instructions: k r _ . l . IL ! Al 1. I'1 . (6t•-) CF _ 06_436 — -t 405ricu___ Coc..-1k.)6-- 77c-E., UPT/e-- LOA.) PLek5E, t c— t w3- TILE, Th c©t_ - d ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL Ft R INSPECTION ❑ ADDITI AL F ES ASSESSED Inspector: , r Date: 66 Phone #: (503) 718 A2/' CITY-OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-00499 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7:05AM PAGE: 18 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP DESCRIPTION: TI OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: BRANDON EDWARD BLAKE PHONE #: 971 - 506 -5077 Inspection Request Scheduled For: Date: 10/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 039008 -01 503071 -2873 N Corrections /Comments /Instructions: � ► 144 lam. � - �, _• ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL \ CALL FOR INSPECTION ❑ ADDITI• AL FE: ASSESSED • Inspector: � ,� Date: .. .11 Phone #: (503) 718. 2 4 7 • 0 CITY -OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00499 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 • Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 :alit — I WORKSHEET FOR DATE: 10/24/2006 TIME: 7:02AM PAGE: 58 SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: CHAPMAN INSURANCE GROUP ' DESCRIPTION: TI OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: BRANDON EDWARD BLAKE PHONE #: 971 -506 -5077 Inspection Request Scheduled For: Date: 10/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 038729-01 503 -971 -2873 Y Corrections /Comments /Instructions: 032)P--(M, AI_ IIIMON/1". ........_ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i _ ` i Phone #: (503) 718-21k ___aick___L___