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Permit } ^` ,• CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005-00344 'Al - 13125 SW DEVEL IICES -639 -4171 DATE ISSUED: 7/21/2005 PARCEL: 1S136AD-04000 SITE ADDRESS: 11525 SW PACIFIC HWY ZONING: C -G SUBDIVISION: VILLA RIDGE LOT: 007 JURISDICTION: TIG Project Description: TI ceiling and walls. 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: 17 BASEMENT: sf AREA SEP. RATED: STOR: 1 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: $ 98;960@0 1 g3o0- Owner: Contractor: SMITH, EDITA M PACIFIC CREST STRUCTURES INC 833 NW 170TH DR 7233 SW KABLE LN STE 900 BEAVERTON, OR 97006 PORTLAND, OR 97224 Phone: Phone: 503 - 968 -8949 FEES Reg #: LIC 66915 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/21/2005 $733.36 [TAX] 8% State Surchari 7/21/2005 $58.67 [BUPPLN] Pin Rv 7/21/2005 $476.68 [FLS] FLS Pin Rv 7/21/2005 $293.34 Total $ 5$Z%J(, . 7/ 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 • •99 or 1-800 -332 -2 , 4. Issued By: �` / -,' A. , , 1 Permittee Signature: i 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 Rtnee.rYED A i of 01 1:1( I l Sl 0 \I.1 City of Tigard 0MilrAl Permit No.: ; , . . _ 0 03Y1 13125 SW Hall Blvd., Tigard, OR 9MQ Plan Revie trr... ^ ( Phone: 503.639.4171 Fax: 503.598�l960 21 2005 4 '' i 1 Date/By: gA O' Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD � "' Date �ethod: '1°' Su p Attached f rm trot Internet: www.ci.tigard.or.as BUILDING DIVISION TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Addition/alteration/replacement ❑Other Indicate the value (rounded to the nearest dollar) of all 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: $ ❑ 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: 0 SZS St,J P+a-�t r. / L 4,4) (f New dwelling area: square feet City/ State/ZIP: --r U 0 ,4e 4 , , de. 9 - . Z 3 Garage /carport area: square feet Suite/bldgJapt. no.: Project name: f,,..5• 5frl�nls Covered porch area: square feet Cross street/directions to job site: Deck area: square feet S .C A . 7/ &r ,1 Q p o -1 l NA) Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. e-64.441,6 > -� ZePt -dte.S lnn 9-u&22 I.,A4-4. -5 Valuation: $ g� 00 lit kyDrzg. 5Kl ¶Tl N L7 c -6i L! 0 tI C. ia-t D Existing building area: / c square feet New building area: i 69 square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: I Name: Type of construction: ILE - 8 Address: Occupancy groups: City/State/ZIP: Existing: B Phone: ( ) Fax: ( ) New: La APPLICANT //�� ❑ CONTACT PERSON NOTICE Business name: ?AG I Y/ c...., l.�lt l✓S'T � T � L I-f.4 zttc. All contractors and subcontractors are required to be Contact name: & LE ► S E licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 7 3 5W ,rC,4. L,4.tuc F 9 00 jurisdiction in which work is being performed. If the City/State/ZIP: ply�T'L4 N CA. q 7 Z Z Y applicant is exempt from licensing, the following reasons apply: _ Phone: ( 3) q ( - g g 4/9 Fax: : ( 5th) 57 F3 - (: (a'" E -mail: CONTRACTOR Business name: ia„e�t /L C3r S- .rt2-- icxe..4 Ee's vv .. -- BUILDING PERMIT FEES* Address: 7Z 33 S w 4 .4 - is[�t , 1.9 -- E 0-'00 Please refer to fee schedule City/State/ZIP: pd Q,-rL,o. s ©R- q 7 Z Z L Phone: (' Cj5) C i G7 — 979 � I Fax: (6(23 ) S ' &CO j Fees due upon application CCB lic.: (D CO ri/ 5 Amount received /J Date received: C Authorized signature: —/` R This permit application expires if a permit is not obtained le--t5& Date: within 180 days after it has been accepted as complete. Print name: � Le./41 A I `7 /e (,, • Fee methodology set by Tri- County Building Industry CITE OF TIGARD BUILDINt DIVISION PERMIT #: BUP200S -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2005 Phone: (503) 639 -4171 �d Inspection Requests (24 Hrs.): (503) 639 -4175 .�' `__.. INSPECTION WORKSHEET FOR DATE: 9/8/2005 TIME: 7 :09AM PAGE: 7 SITE ADDRESS: 11525 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: PACIFIC TERRACE LOT #: 007 TYPE OF USE: PROJECT NAME: FAST SIGNS DESCRIPTION: TI ceiling and walls. OWNER: SMITH, EDITA M, PHONE #: CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 -968 -8949 Inspection Request Scheduled For: Date: 9/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 015193 -01 503-706-3211 N Corrections /Comments/ Instructions: all Awtr .MMVITMIll■ v• ,, ..„, ....m.---- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONAL FEES ASSESSED , . 7 Inspector: , 1 111 Date: 8 Phone #: (503) 718-