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Permit - •. C ITY O TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00227 � I�� DEVELOPMENT SERVICES DATE ISSUED: 7/7/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135DD-03301 SITE ADDRESS: 11945 SW PACIFIC HWY 250 ZONING: C -G SUBDIVISION: HOFFARBER TRACTS NO.1 LOT: 002 JURISDICTION: TIG Project Description: T.I. 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 938 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: Y SMOK DET:U DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : U HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 600,000.00 1 Owner: Contractor: TIGARD PROPERTIES INC DIAMOND SPECIALTY & MFG INC 301 NW MURRAY BLVD 22825 NW DOGWOOD ST PORTLAND, OR 97229 HILLSBORO, OR 97124 Phone: 360 - 574 -6255 Phone: 503 - 640 -4699 FEES Reg #: LIC 70339 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surchari 7/7/2005 $214.14 [BUILD] Permit Fee 7/5/2005 $1,000.00 [BUILD] Permit Fee 7/6/2005 $1,000.00 [BUILD] Permit Fee 7/7/2005 $676.80 (additional fees not listed here) Total $5,701.58 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 -24 . or 1-800-3 -2344. Issued By: ,/z _ _ .� _ , _ _ Permittee Signature ' / , •' 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. Mc I?t%c y � Building Permit A 71 ,. F OR OFFICE USE ONLY City of Tigard AY 31. 2005 Date /B ,A9A111 Permit No. .0 Du00 Oa , , 13125 SW Hall Blvd., Tigard, OR 972 Plan Review Vi,!. Phone: 503.639.4171 Fax: 503.598.1960 +� Date/B `I;J Other Permit: Line: 503.639.4175 CITY OF TIGARD ,,v,� �' II 0 See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVISION il' / Supplemental Information _ VI TYPE OF WORK ` REQUIRED DATA: I- 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. Valuation: $ ❑ 1- and 2- family dwelling E'tommerc /industri al El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder CI Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION � .T. Total number of floors: Job site address: 2,..r.„, stk�. „, e ,p r „ New dwelling area: square feet City/ State/ZIP: `nk O(Z t 7zzs Garage/carport area: square feet Suite/bldg. /apt. no.: � 6 / Project name: ( 3,© "4,3. Covered porch area: square feet Cross street/directions to job site: / / ?VS -- ?s> 1 (.. A.,' N . 4,..i N 4, Deck area: square feet '? Ind phort”' . S 3J D ) I W1Aiil 5 j ,, 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 1 DESCRIPTION OF WORK . - work indicated on this application. —� Ma PST I r/'EP∎ /E e4.1.7 Valuation: $ C��O/ 00 A Existing building area: 32 log square feet / New building area: square feet [S PROPERTY OWNER ❑ TENANT • Number of stories: I Name: 7 tr g,e9 Qvp24av C F11 u , 1 w -b Type of construction: g'. 1 I7., Address: 3 al t4g^ t tot Wei EM/P. Occupancy groups: City/State/ZIP: P(7—;.-M9 pta. Lr7ZZe1 Existing: M C, Phone: (36p0) S 74 — 6 Z5 5 Fax: ( ) New: ,_,/ L" APPLICANT , .. CONTACT PERSON NOTICE Business name: PrG51/4-pl. fist c .A All contractors and subcontractors are required to be Contact name: M �f� 7 SS licensed with the Oregon Construction Contractors Board I ` under ORS 701 and may be required to be licensed in the Address: 7575 fjt}a PP. jurisdiction in which work is being performed. If the �T City / State/ZIP: p•;41 � � f- s 4 1 - applicant is exempt from licensing, the following reasons apply: Phone: (q37) 3 IL. 885 I Fax: : or/37 7) <Rey. I 'z47 E-mail: I �ITWtss e vs-5144 Fog-tom. Golly CONTRACTOR - a , �. Business name: ( ���;`' Iy BUILDING PERMIT FEES* Address: 41 L --r- � �� 1,,# -i ��e c A l n /L ? Please ref to fee schedule. City/ State/ZIP: tr r) o ! 7/2'1 5(p7 Phone: (�) d � � � 9 Fax: Fees due upon application Amount received Z$ lO . 604 "' / ( ) CCB lie.: 70 3 Date 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: M I 14-- 1 t5s Date: t/Z hAs * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp.doc 12/03 440.4613T(11/02/COM/WEB) CITY OF- TIGARD BUILDING DIVISION PERMIT #: BUP2005.00227 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2005 Phone: (503) 639 -4171 A ill Inspection Requests (24 Hrs.): (503) 639 -4175 ... P: _-. INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 35 SITE ADDRESS: 11945 SW PACIFIC HWY 250 CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS NO.1 LOT #: 002 TYPE OF USE: PROJECT NAME: JO - ANN FABRICS DESCRIPTION: T.I. OWNER: TIGARD PROPERTIES INC, PHONE #: 360.574 -6255 CONTRACTOR: DIAMOND SPECIALTY & MFG INC PHONE #: 503 - 640-4699 Inspection Request Scheduled For: Date: 10/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 017874 -01 503 - 310 -2624 Y A m Corrections /Comments /Instructions: IC 0- ■ _.........---- o f 1 4 1 r� IT PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ ALL Ft INSPECTION ❑ ADDITI NAL F ES ASSESSED spl■ Inspector: , ! Date: �� Phone #: (503) 718-