Permit + CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00076
'4rorreh, DEVELOPMENT SERVICES DATE ISSUED: 3/1/2005
,- I I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 250 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 36 BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: $ 42,000.00
Remarks: TI: Walls
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LN
PORTLAND, OR 97224 PORTLAND, OR 97225
Phone: Phone: 503 - 892 -0066
FEES Reg #: LIC 66070
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/1/2005 $410.80
[TAX] 8% State Surchari 3/1/2005 $32.86
[BUPPLN] Pin Rv 3/1/2005 $267.02
[FLS] FLS Pln Rv 3/1/2005 $164.32
Total $875.00
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 -01 ! - • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 03) 246 -6699 , r 1-:5-33 - 344.
-
Issue. By: /�����
Permittee -
Signature: ` ■ /
Call 639 -4175 by 7:00 p.m. for an inspection the next 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 Application EC E FOR OFFICE USE ONLY
City of Tigard n ceived , 05'. Permit No.: 20 • ., • • cod
13125 SW Hall Blvd., Tigard, OR 97223 MAR 0 01 � Plan Revie a
Phone: 503.639.4171 Fax: 503 .598.1960 °n "% "ti dy;; ',iii'' �N DateB : , O Permit
Inspection Line: 503.639.4175 C ITY ,- ;- Date Ready/By: lads: ® see Attached Checklist for
Internet www.ci.tigard.or.us O � ' II ti< Notified/Method: Tj( Supplemental information
BUILDING DIVISION'
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:
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E] New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
„E Addition/alteration/replacement ❑ Other: . equipment, materials, labor, overhead, and the profit for the
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r�s n�,e .� ,, ar,r1 :' "',� r a• p;: I work indicated on this application.
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❑ 1- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
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Job site address: 6 &5o 51.J �,i?wpp (, he 4 gso New dwelling area: square feet
City/State/ZIP: Ap4"--j OA 77 2, 2 y Garage/carport area: square feet
square (4°159 I Project name: �O J,se(4.df� fltuvlcC (,od' Covered p orch area: uare feet
q
Cross street/directions to job site: �
e: e �„� S> / '`' ,, r .- yt,e X. Deck area: square feet
tb /
0
-5 Other structure area: square feet
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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
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, work indicated on this application.
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/QrfltraHr c z / Valuation: $ la
Cf 0a • � (/ai ✓ 4 17 1eL (4401 r- wo1k_
l l Existing building area: 3 , / square feet
f
(/ - a(/ S •-■2 New building area: 2 � / / � � square feet
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,.L . 1 . 'gn: 7 w: m,ma .., * h is le „. ,tRi r, Number of stories:
Name: PacTrust Type of construction: . I f A- ( I ( - I ho ,)
Address: /5350 groups:
.15350 SW Sequoia Pkwy., Suite 300
City/State/UP: Portland, OR 97224 Existing: j
Phone: (503 )624 -6300 Fax' ( 503 ) 624— New: S tdis rr✓
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Business name: PacTrust All contractors and subcontractors are required to be
• Contact name. licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: 15350 SW Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
/State/ZIP applicant is exempt from licensing, the following reasons
ty Portland, OR 97224 apply:
Phone: (503) 624 -6300 I Fax: : (503) 624 -7755
E -mail: '
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Business name µ v �' sJ d K!r �.rn�s A 'c4:..
Matthew Olson Construction ” •' / gif1 t �D �` ] 3p ) PEE$*' •
Address: 5320 SW Dover Lane Please refer to fee schedule
City/State/ZIP: Portland, OR 97225
Fees due upon application
Phone: ( 503 892 -0066 Fax: ( 503 892 -0067 Amount received
CCB lie.: 66070 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: /1/4, a ✓f ,,, 1 i - I Date: Y //lo S • Fee methodology set by Tri -County Building industry
Service Board.
c \ BuildinalPermitABUP- PermitApp.doc 17/03 . 440.4613T(I I/02/COM/WEB)
CITY - OF TIGARD
BUILDING DIVISION PERMIT #: BUP200G -00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1 /2005
Phone: (503) 639 -4171 i�
Inspection Requests (24 Hrs.): (503) 639 -4175 �! IL
INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 50
SITE ADDRESS: 06650 SW REDWOOD LN 250 CLASS OF WORK:
SUBDIVISION: PP1996 -048 LOT #: 002 TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: TI: Walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503- 892 -0066
Inspection Request Scheduled For: Date: 4/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 005174 -01 503-307 -2105 N
Corrections/Comments/Instructions:
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IV �r
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❑ P ASS ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITION . L FEE ASSESSED
Inspector: allpV r Date: Phone #: (503) 718-