8875 SW CENTER STREET ADDRESS:
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is\records\r-,licmfim\targets\building.doc
IS, ON
City of Tigard Building r�epartsmt
13125 6K Ball Blvd. Tigard, Oregor. 97223 ��
Inspection Line (Rec-o-Phone)t 639-4175 Business Phone: 639-4171
Inspect ions_ �.—
Footing Plbg Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line �lINAL:
Post/Beam Atrur_t. S.:n. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb
Plhg. Underfloor water Line Gyp. ed. �Mech
C
Date Req:sested: / j (/ 'rimet ,_AM PM
Addrese: /,;_--_��' ���,f U7 Fermit
Builder:
TBN FOIJXMING CORRECTIONS ARE REQUIRED: --
Inspectors— �—___---- __�_--------- Date:_
_APPROVED _ DISAPPROVED _ i APPROVED SUII.IECT ASOVR
Call For Reinnp.
CITY OF TIGARD CERTI:7 -OCCUPAN1CATI.COF
Y
COMMUNITY DEVELOPMENT DEPARt T PERMIT N. . . . . . . v RUP'32-01 ?6
13125 SW Hall Blvd Tlgard,Orogon 972.23#31 �0�;?3 M I CTAT E: iSLUE Ox 06/06/94
PARCEL: I'll.-35DD-04500
I-'.-IITF ADDRESS— ? OL4875 6W (WEN VER ST
SUBDIVISION. — t ZONINVjtC--P
I.ALOCK. . .. . . . . . . . s LOT. . . . . . . . . .
CLASS OF WORK, sAL.T
TYPE OF USE. . . :COP1
OCCUPANCY GRP- OBV,
OCCUPONCY LOAD 818
TI.-NAN v NAME. . . 3 AROW-1RAGE JFF I r,E
RemArPsc Tenant Impr. canotri..tct r)-4r,titions, add door% for offire
Owner
GLENN E k ITUDY A HIBbS
1W51 SW CRE T014TONW.10D PLACV
PORTLAND OR 47PI9
UWNr R
Phone Ms
pru #. . 1 00000
()CC,1.ApMnL:y of the above refereiiced building is hereby given, alld certirle"i
the With the State Of Oregon Specialty Codes for the group,
occitpancy. and U50 under which the referenced perwif wars issk.ipd.
,
FIRE DEPARTMENT N
4
BUILDINS nF'FI NNI
POST IN COWWPICUOUS PLACE
11MM(MMI Jw"3cs
City of Tigard HLildLrg Department
13125 BN Hall Blvd. --yard, Oregar 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phones (
Lnspections-__—_ _---_ - — --
Footing Plbq. Underslab Mach. Rough- in Appr/Sdwlk
Found. Plbg. Tap Out Gam• Llno FINAL:
Post/Beam Structs. Son. Bower. Framing 1l1AQ:
Post/Beam Mach. Rams prair. Insulation -Plumb.
1
Plbg. Underfloor -(p� Tans Gyp. Bd. -NeCh.
Date Requestods 1 �- / Tie/ess 11M pN
Address:
Builder:_—!7/( /I/7
THE FO'LLONIK.I CORRRCTIO148 ARE REQUIRED!
I
Ole
f
i
6
Inspectors
�A('pJIP�VLD - r)TrAPPROVED APPROVED SUBJECT TO ABOVE��"77��--
__ Call For Rsinsp.
CITY OF TIFA RD IV MELHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
o,13125 SW H@N SW P.O.Box 23W,Tigaid,OmW 97 (503)8*417S C--7 PERMIT l#. . . . . . . : MEC93-0003
639-4171 DATE ISSUED: 01/07./93
SITE ADDRESS. . . t 06675 SW CENTER S-1 PARCEL: 16135DD,-04500
SUBDIVISION. . . . s ZONING: C--P
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ALT FLOOR TURN. . . . : F_=VHF' COOLERS:
'TYPE OF USE. . . . :Cool UNIT' HEATERS. . .- VENT FANS. . . :
OCCUPANCY GRP. . :B2 VENTS W/O APPLs VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . ..
FUEL W--3 HP. . . . -. DOMES. INCIN:
:/GAS/ 3-15 HP. . . . . 1 COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE D AMPE RS 30-50 HF-,. . . . : WOODSTOVES. . -
GAS PRESSURE. . . 50+ HP. . . . .- CLO DRYERS. . :
NO. OF AIH HANDLING UNITS OTHER UNITS. :
TURN ( 100K BTUs <= loe00 cfm: GAS OUTLE'rS. : 1
TURN ) =1Q10K BlU.- I > 10-VIOO effil.-
Remarks : Tenant 11opt'. construct partitions, add doors for office spares.
Owner- FEES
BLE�.'N HIBBS type amount by date reept
10851 SW CREIGHTON1400D PLACE PRMT $ 30. 50 JH 01/07/93 -
15PC-1 $ 1. 53 JH 01/07/93 -
PORTLAND Or. 9'7219
Phone #1 .245-5166
Cont react or ! ----------------
CUNSET FUEl- CO
PO BOX 42;--'87
PORTLAND OR 97242
Phone #: 234-0611 $ 32. 03 TOTAL
Reg #- - -- 02374
------- RFOUIRED INSPECTIONS
This permit is issued subject to Vie regulations contained in the P—ts Line I n s p
Tigard Municipal Code, State of Die, Specialty Codes and all other Flial Inspection
applicable lrAs. All w(,-k will be done in accordance w',th
approved pli#4t. This porwit will expire if k-rk is not started
within 180 Ays of issuance, or if work is suspended for more
than 180 ('ays.
P*rmittee Signature r):::L
Issued Bys
Call for inspection 639-4175
CITY W- TIGARD RECE107 OF OOYMCWT PECEIPT NO. A 93--,i35380
CHECK i7AMOLINT 32. 03
SUNSET FUEL CASH AMOUNT 0. 00
AXEm. i PAYMENT DATE z 01/07/�'2
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT CMOUNT PAID
I F11- P1. 53
3�. 50 ST. BUILD PER
8875 SW CENTER
TOTAL. AMOUNT PA 11) 3 2, 0 7-
INSPECTION NOTICE_
C1tp of Tigard Building Departmmmt �
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inrpoction:
Footing Flbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gay Line FINAL:
Post/Beam Struct San. Sewer "Framing ''n rn -Bldg.
Post/team Hoch. Rain Drain Insulation ) -Plumb.
Plbg. Underfloor slater Line Cy�i, Bd. r2 hh.
Date Roquesteds_ 2z z/Z L 22; - __—_Time: AN PH
Addrosss_ - 'Permit o7/
Builders -_ 2�
THE FOLLOWING CORRECTIONS ARE REQUIRED: r>! ��) ���S�•�yJ
177
Inepecto s
Dates
APPROVED DISAPPROVED APPROVED SUBJEC-r TO ABOVE
Call For neinap.
CITY (IF TH-3ARD — RECFIPT OF PAYMENT RECEIPT NO. :92-22883,0
CHECK AMOUNT 34. 13
NAME Ci T FUTURES GROUD INC, CPSH AMOUNT 0. 00
ADDRESS s 71165 GW FIR L-0133P 1:,AYML*N*I' LSA TF s 06/P4/92
Q
SUBD i V I S J(IN
TIGARD, OR 9 722-3—
PURr.',O9E OF PAYMENT A14OLINT PAID PUPPOSE OF PAYMENT AMOUNT PA I D
BUILDING PERM 3 5 0- ST. BUILD PER
8675 ;A4 CF14TER c.3'r
TO*TVjL AMOUNT PAID
CIT- Y OF TIFA RD CHY 4, MRD
COMMUNnY DEVELOPMENT DEPARTMENT 011141m
13126 SW He#66d P.O.Bm 23M.T4pA.0m9on 97M(500)636-4175
BUILDIM-, PERM1T
i0iit . r1jpv)r'- 01. ,
639-417t DATE ISSUED. 06/19/9E
SITE ADDRFGS. 887) SW CENTER 'Ir PARTE!_: 1SI351)P-04'3)00
SURD I V I SI ON. . . . : ZONING: :–P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . ..
REISSUE': FI.00R CXTERIOR WALL CONSTRUCTION
L'LASq OF WORK. sALT FIRST. . . . sIBE3 s N- S: E: W:
1 YPL OF uGE. . . :COM SECOND. . , - Sf PROTECT OPEN
IYPL OF CONST'. s5N THIRD— . - Sf Ns E. El W:
OCLUPANCY GPP. :r,2 TO 182-7 S f ROOF CONST:C: PIRE RET?KN
OCCUPANCY LOAD-. 18 BASEMENT. : 5f AREA SEP. RATED:
STC'jR. * I HT. : I i2l ft GAPAUC.. . . - Sf OCCU SEP. RATE--"D-.
SSMT?:N MEZZ :N REOD SE'rBACKS--- ------
F LOOR LOAD. . .. ., :50 psf LEFTt ft RGHT: ft FIR GPKL :N SMOK DET. N
DWLL.LING UN1T8: FRNTs ft REAR: ft FIR PL.RM:N HNDICP ACC:N
SEDRMG: PATH a- IMP S1jR1:-ACE- PRO C'GRR.-N PORK INC-7,i
VALUE,, $t 2000
Remarks : Tennant Imfr. coinstr�.tct partitions, add doors for, office spaces.
Owner- FEEI.;
GLENN E & JUDY A H11313S type amaltnt by date rpCpt
10851 SW CREIGHTONWOOD PLACE PRMT $ 32. 50 JLH 06/19/92
PLCK $ 21- 13 JLH -'?16/05/92 228072
PORTLAND Or? 97219 FIRE $ 1 '3- 00 JLH 06/05/92- '!-'28072
Phone #: 241i-5166 !SV,rT 4 1 1 h--, JLF' Of./I It/9;
Cont ract')r- :
68. 26 TOTAL
Req C 00000
REQUIRED INSPECTIONS -------
This pertit is issued subject to the -evulations contained in the Framing Ins f)
Tigard Municipal Code, State of Ore. Specialty Codes and all other In-,,-tlatian Insp
applicable laws. PH work will be done in accordance with Gyp Board Insp
approved plans. This pervit will expire if work is not started SLisp Ceilnq Insp
within 180 days of ivmvce, or if "or4 is suspended for our@ Final Inspection
th4r 180 days.
permittee Sign
a t I't r fTliw
i5%v.io*d Pyi
7
r n 11 -F 417`_
Permit No:
Address:
r
Issued by: ' J Date:
_-FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued.This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS '701.010(7), need not submit this statement. This statement wi!I be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313:
I own, reside in, or will reside in the completed structure.
2. C 7 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A. My general contractor is._
Contractor registration number_-
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR
3. B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor , io is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above Information Is correct and that 1 have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
Al,
Signature rmit Applicant e
9
CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
INFORMATION NOTICE TO PROPERTY OWNERS '
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE This Information Notice to Property Owners About Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS 701.055(5),
passed by the 1989 Oregon Legislature.
If you are act;ng as your own contractor to construct a new home or make a substantial improvement to an
existing structure, you can prevent many problems by being aware of the following responsibilities ano areas
of concern.
EMPLOYER RESPONSIBILITIES:
If YOU hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an
''employer'' and the people you hire will be ''employees". As the employer, you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at
the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the
tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390.
Unemployment Insurance Tax: As an employer you are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224.
Workers'_Compensation Insurance_ As an employer, you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all clairn costs it one of your
employees is injured on the job. For more information, call the Workers' Compensation Division CIF at 373-7434.
U.S. Interna! Revenue_ Service: As an employer, you must withhold federal income tax from empiovees'wages
You will be liable for the tax payment even if you didn't actual!y withhold the tax. For more information, call
the Internal Revenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance: As the permit holder for this project, you are responsible for resol,ting any failure to meet
code requirements that may be brought to your attention through inspections.
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint overspray. water damage from pipe pinc-
tures, fire, or work that must be re-done.
Time_to Supervise Employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work
of rough-in and finish trades, and to notify building officials at the appropriate Mmes so they can perform
the required inspections.
If you have additional questions, write to: Construction Contractors Board
700 Summer St. NE, Suite 300
Saleri, OR 97310-0151
Phone 503-378-4621
0244J 10/24/89
CITY OF TIGARD
OREGON
June 16, 1992
aleaua X. Hibbs
10GS1 SW Creighton-od Puce
turf:?.and, On 97219
Trojw-t: Office Remodel, HQP 92-0176
8875 SW Center Street
Dear ltc. Hibbs:
The plans for this project were reviewed for conformity with applicable
oodes, and are conditionally approved, due to the lark of detail on the
submitted plans. Plans for changes to th•a mechanical or plumbtnq systems
not shown on the submitted plans will require additional zvview.
You may obtain the building permit for the pLroject at your convenience. A
list of required inspections in printed on the permit, an Lei the telephone
number to call for inspections. ?: you have questions, or if we may be of
assistance, plobact% contact its.
Sincerely,
;xa4n1nror
ilia JsPlans
TAI (S03)684-7297
13125 SW Hall Blvd.P.O.Boot 23397,Tigard Oregon 97223 (503)639-4171 ---�
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CITY
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MNfUNITY DP:VELOI MENT DEPARTMEN'CwN,uDwa. PLNCK/RCCT #OF TI GARD " Chrgon73397
PERM I, N 6Qf .�� --QL—L6
(503)63"171 DATE ISSUED
JOB ADDRESS: gf75- Sud _ t!CNV E k'_ 'TAX MAP/LOT
SUB: _ LOT: '��6� (��yy��- LAND USE:
a
VALUATION: T Z?
_ SPECIAL NOTES
NAME: �� �c_i�v A4t'it�1S REISSUE OF:
ADDRESS: ,(� J_, _ i6 f04 LAST REISSUE:
� t-&,ul- _t'9, 177Z of _ — FLOOD PLAIN/
PHONE: _�.2 �'�!!e(o SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: ,K)A)C i . _ PLANNING: KIK- *Vel--
ADDRESS-. r ENGINEERING,:
FIRE DEPT:
PHONE: _ OTHER: _A&_ L4rf=
CONTR. BOARD #: EXP DATE:
TTEEMS REOUIREO
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: _ r BUS TAX:
ARCM/ENGIN_ EER CALCULATIONS:
NAME: ._"A,(,(,%� TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE: -
CI�
COMMENTS: 1� xcyT Y,2 i a S�'/aC'ES 7TH ilj4tS G'R
_ 4&Ib S � T��.r�SDic) _ /e23 41' 0/- /8, AC, Sin, 12 _
"APPLICANT SIGNATURE
Received By: _ _..- Date Received: _"'y �_
PERMIT # ACCI # DESCRIPTION AMOUNT AMOUNT n4. BAL: DUE
10 -432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10.230 01 State Building Tax (5z) �-
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building _
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
2.5-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic Fees
25-448--05 Mass Transit TIF Fees _
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
2.4-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee i,a lieu of)
TO'.AL
nm/3587P.WPf
4 .Y t � N �yl r , F � + lI
C 17 Y OF T I GAR11 (IF PAYMENT RECEIPT NO.
("HECK AMOUNT 34. 13
NAME a PAUGOM RE.AI_..TY CASH AMOUNT a 0. Q)0
ADDRESS a FSO BOX 25098 PAYMENT DATE a 06/0S/92'
SUBDIVIGION a
PORTLAND, OR 9-7225—
PURPOSE OF PAYMEN'( AMOUNT PAID PURPOSE OF PA-IMF NT AMOUNT VIA I D
FLAN CHECK FE
21. 13 TUAL_AT I N V AL.I� _..__13. 00
8875 9W CENTF=R
T i)i'F1L AMOUNT 9441[) — — — > 34. 13