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Permit (164) ' q . CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00470 COMMUNITY DEVELOPMENT DATE ISSUED: 10/12/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 115 BA - 00100 SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS ZONING: C - G SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG PROJECT: ALBERTSONS Project Description: TI 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 1,338 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: Y REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:U DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,001,114.00 Owner: Contractor: IBJ SCHRODER BANK + TRUST CO CURT FAUS CORP. BY ALBERTSONS INC #565 5775 JEAN RD. #105 ATTN: CORPORATE ACCTG DEPT LAKE OSWEGO, OF 97035 BOISE, ID 83726 Phone: 208 - 395 711 Contact #: PR! 503- 699 -1103 Reg #: LIC 149775 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 9/4/2007 $3,625.41 [FLS] FLS Pin Rv 9/4/2007 $2,231:02 [TAX] 8% State Surcha 10/12/2007 $446.20 [METCET] Metro Const 10/12/2007 $2,401.34 (additional fees not listed here) • Total $14,281.51 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 O c by calling 503.246.6699 or 1.800.332.2344. Issued = d �11 / ` ' .l / Permittee Signature: (� 371/,‘442.a.,--7 C°cC . p 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 Application ' B FOR OFFICI USE ONLY �J g 11 4 CI of Ti and RECEiVE*:; ved : t- j � fI � �tiL� f►/ � • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie t �, II u f u� Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 S E p 20 Da te/B : 111 gi TI G A R D Inspection Line: 503.639.4175 Date Ready /By: HI See Attached Checklist for Internet: www.tigard or.gov crryoF Remo Notified/Method: irM Supplemental Information BUILMMEMITIVON 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 El Addition/alteration/replacement $Other: Tevarl+i v 1 YDVCY{%CViI equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION f work indicated on this application. Valuation: $ t p ` i1e r El I - and 2- family dwelling CommerciaUindustrial 13 Accessory building ❑ Multi- family Number of bedrooms: V ❑ Master builder 0 Other: Number of bathrooms: , JOB SITE INFORMATION AND LOCATION Total number of floors:� Job site address: v G• t4 • 1: c. , t / New dwelling ar square feet City / State/ZIP: Ti9arcl t 0 t - " Q I1�iZT Garage/carpor�ai�i: square feet Suite/bldg. /apt. no.: — Project name: /ibbyNtyli S 565 item ode I Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 1 7V►rliahn 'IAA . i S.W. 1?90i f,Q `3W Li . Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLI `i Subdivision: I Lot no.: -- Permit fees* are based on the value of the work perform- Indicate the value (rounded to the nearest dollar) of al . j Tax map /parcel no.: — equipment, materials, labor, overhead, pro t o - _� DESCRIPTION OF WORK work indicated on this application. 21 Oh � I w- V aluation: $ 2 a0i 1 d+• o SNlerior i ia iriipraiemedl� of an eiytin3 . vvxer'I I I DY'Pr (N (,1G et�,lAlrle ' �) NI iS�1C5 Existing building area: q2 401 square feet ` New building area: 2, 401 square feet j[ PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: Albert - 6ms CS g Ub;) Type of construction: - type, ii l - 14 Address: '2 O 1ar1F•GeVI r p51 vll . Occupancy groups: M City/State/ZIP: 1 970« 1 1,0 $/1 WO Existing: Phone: (ZOO) % 1 *' 1 1i 101 I Fax. (ZOS) 3i'' 4* 30 New: la APPLICANT ❑ CONTACT PERSON NOTICE Business name: Tai A 4 Ar.,soG\a e 1 tM c. • All contractors and subcontractors are required to be Contact name: Raw oa IA 5 pAu,s 'NOD licensed with the Oregon Construction Contractors Board f^ under ORS 701 and may be required to be licensed in the Address: 14Lj 130b WI/% l et # O jurisdiction in which work is being performed. If the City/State/ZIP: ?XI ise I `O g3••i o i o applicant is exempt from licensing, the following reasons apply: Phone: (2,0S) IA ... Z 4 ii I Fax: : (j) 3+ - 31 51 E -mail: Y Phu a1� .S & 14• • calm 1 CONTRACTOR Business name: CA4, e / S BUILDING PERMIT FEES* Address: ti �' (Please roler ro les aeheduIe A / y� Structural plan review fee (or deposit): City/State/Mr '2 �C di ( . /O 4.0 �` Phone ), 1 �� 91 7 F es; ( ) / FLS plan review fee (if applicable): /t) Total fees due upon application: IMita 1i'4, it*as oG • T,NL • Amount received: Authorized signature: ; , ' ' f` A GVKV lti4eA ►�C' y �4 f ecart This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. Print name: Zaw4•1 1 9 Date: 5?, ( `I3 01 * Fee methodology set by Tri-County Building Industry ( Service Board. I:\ Building 1Permits\BUP- PcmitApp.doc 03/21/06 440.46!3T(I I /02 /COM/WEB) CITY OF TIGARD . ~ "' BUILDING DIVISION PERMIT #: BUP2007 -00470 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2007 Phone: (503) 639 -4171 inall'ilt Inspection Requests (24 Hrs.): (503) 639 -4175 / INSPECTION WORKSHEET FOR DATE: 3/28/2008 TIME: 7:01AM PAGE: 2 ' 1 SITE ADDRESS: 16200 SW PACIFIC 1 Z. - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALI3ERTSONS DESCRIPTION: TI OWNER: IL3J SCHRODER BAND. i TRUST CO, PHONE #: 208-395-4711 CONTRACTOR: CURT FAt.)S CORP. PHONE #: 503.693 -1103 ' Inspection Requ est Scheduled For: Date: 3/28/2008 Pour Time: Code # on Description Confirm # Contact # Mes ag 299 Final inspection 067515-01 5503710 -2713 Y bILUL I Corrections /Comments /Instructions: _ _1— • b :---------; c : 1----) 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1; ( Date: 3/ . / d Phone #: (503) 718 - �� P ( ) CITY OF TIGARD ' BUILDING DIVISION PERMIT #: (3UP2007.00470 13125 SW Hall Blvd., Tigard, OR 97223 il DATE ISSUED: 10/12/2007 Phone: (503) 639 - 4171 o ' i # 1 Inspection Requests (24 Hrs.): (503) 639 -4175 1L INSPECTION WORKSHEET FOR DATE: 3118/2008 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALBERTSONS DESCRIPTION: 11 OWNER: IF;.I SCHRODER BANK + TRUST CO, PHONE #: 208- 395-4711 CONTRACTOR: CURT FADS CORP. PHONE #: 503-699-1103 Inspection Request Scheduled For: Date: 3/18/2008 S Pour Time: 5* Code # Inspection Description Confirm # Contact # Mes !ge 29 9 Final inspection 066894 -01 503.710 -2713 Y l ( !� � Corre tions /Comm is /Instructions: 3 /z, s ( ) Ai -u'a -)- 665.1g ( a) 3/7-1/ W Q 1 q ) '2A5 61 - 6 ti t A -kc ) )12410 W501 z1 op zi, 3 1 C \Re .A ) 3/ #/0 g (600, 2 '7u D`1- 06 t 3 (e-8o 2)2cL57 von 1 z s A I ' / l ❑ PASS ❑ PARTIAL APPROVAL ANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES AS SSED Inspector: Date: �‘, 0 Phone #: (503) 718- 21 CITY OF TIGARD , , BUILDING DIVISION PERMIT #: BUP2007 -00470 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ } ?12007 Phone: (503) 639 -4171 /oemu. ,i�� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 F INSPECTION WORKSHEET FOR DATE: 3/11/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALBERTSONS DESCRIPTION: TI OWNER: IF3J SCHRODER BANK + TRUST CO, PHONE #: 208395-4711 CONTRACTOR: CURT FAIJS CORP. PHONE #: 503 - 699-1103 0) 1 Inspection Request Scheduled For: Date: 3/1112008 Pour Time: i ' Q / Code # Inspection Description Confirm # Contact ; Me - ge ‘ (6 _ 299 Final inspection 066499.01 503 - 710 2713 Y Corrections /Comme is /Ins uctions• ki 0-472: t, , - 9, , *Ls. 7Ae 6 5z (314 (vz - ro64 � f o G -A • o ff- 66 (51 we A 6 r, tl,(Z 76 a - 7- 0 6 ( 43% (5e.ft66 Ire - • 1 ) O 0,12 2(3 a? - o 64'33 (Wfs fr x " . S 61) A daa- ;1-Q A-We_vv\) 1■1 4 ,a,c6t5L. t L2 `' b'7 - 66 2 K TT_ ) --- ()),(4-1-411 U.4 L- Vt/Li C.) , Ni‘--ot_ L:VNi r , s � I Its v rv,,t, J,L. _ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS )� / FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1i' (/ Date:/ Phone #: (503) 718- � ( ) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00470 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/120007 Phone: (503) 639 -4171 -� I I Inspection Requests (24 Hrs.): (503) 639 -4175 ' — INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7 :02AM PAGE: 55 SITE ADDRESS: 16100 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALBERTSONS DESCRIPTION: TI OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208 - 396 -4711 CONTRACTOR: CURT FAUS CORP. .� PHONE #: 503 - 699.110 06 Inspection Request Scheduled For: 4 - !/ Date: 1f24/2008 Pour Time: ■' I Code # Inspection Description Confirm # Contact # Me a 295 Min. inspection 1 7 063821 -01 503.710 -2713 Y Corrections Comments/ In uctions: ( qq) 01,,c. 2 67 - 0 © S - 6 e- -- -, L 1 G�' M \ 1 / _ 1 ' V12 45 (Y ) -064 62 ) ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS J&-AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 Z&I Date: I / 2-`0 Phone #: (503) 718- 2--"( 214 CITY OF TIGARD . . BUILDING DIVISION PERMIT #: BUP2007- 00470 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011712001 Phone: (503) 639- 4171p �i�rl Inspection Requests (24 Hrs.): (503) 639 -4175 AA INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 32 SITE ADDRESS: 16200 SW PACIFIC HWY Z - AL.BERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALI3ERTSONS DESCRIPTION: 11 OWNER: If3J SCHRODER BANK + TRUST CO, PHONE #: 208-394 -4711 CONTRACTOR: CURT FAUS CORP. PHONE #: 503 -693 -1103 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mes ge 1 b 0 295 Misc. inspection 06342401 503. 710.2713 Y Corrections/Comments/Instructions: /-"-. &e.ai->' -F ,A Thlik . ' 5 'ow-- ...._ _. 74° 11 .._... ❑ PASS J ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Zi U v A '``'`1 Inspector: Date: �( l �� J J� &A Phone #: (503) 718 - Z l CITY OF TIGARD ... 1 BUILDING DIVISION PERMIT #: BUP2007 -00470 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/12/2007 Phone: (503) 639-4171 IC Inspection Requests (24 Hrs.): (503) 639 -4175 F -_.. INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALBERTSONS DESCRIPTION: TI OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208 CONTRACTOR: CURT FAUS CORP. . PHONE #: 503. 6991103 Inspection Request Scheduled For: t Date: 11/28/2007 Pour Time: 0 fik- Code # Inspection Descriptior46 Confirm # Contact # Me age ?85 Drywall nailing 060397 -01 503 - 710.2713 Y Corrections/Comments/Instructions: 1;; P. 55 M PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 2 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VI; Date: 1 \ I " ° Phone #: 503) 718- IA V I V� CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00470 13125 SW Hall Blvd., Tigard, OR 97223 ) DATE ISSUED: '10/12/2007 Phone: (603) 639 -4171 ayi Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I. INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7 :00AM PAGE: 8 SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALBERTSONS DESCRIPTION: TI OWNER: IaJ SCI-IRODER BANK + TRUST CO, PHONE #: 208-396-4711 i CONTRACTOR: CURT FAUS CORP. PHONE #: 503-699-1103 y O f , Inspection Request Scheduled For: Date: 11/26/2007 �/rKPour Time: , 1 • Code # Inspection Description Confirm # Contact # Mes : • - @ 1 275 Framing 060219-01 603.7142.713 �J Correc ions /Comments /Instructi ns: t) , \( 1 ,0,v1/4._.. ... „_ (5 ) I ((• E 5u,2o07bo ( (524A) c nu( g•c) C1 tt?C' y-4 ( • - ,;,,...) .. Q --- ?1 , /t1 . el "LS, t i . ....- VM .■....." A X :,:k‘j(at6A14/ 4. Q.AA— w- --P S ✓ s C C ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / / ` l Inspector: \j L (/ — Date: Di Phone #: (503) 718- 2L\ CITY OF TIGARD . . BUILDING DIVISION PERMIT #: BUP2007 -00470 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ I2/2007 Phone: (503) 639 -4171 /� m o�y qu y '� ?n Inspection Requests (24 Hrs.): (503) 639 -4175 "' INSPECTION WORKSHEET FOR DATE: 11/13/2007 IME: i :01AM PAGE: 46 SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD 1OW+lE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALBERTSONS DESCRIPTION: TI OWNER: IE3J SCHRODER BANK + TRUST CO, PHONE #: 208 - 395=4711 CONTRACTOR: CURT FAUS CORP. PHONE #: 503-699 -110 Inspection Request Scheduled For: l,,. 1 Date: 11/13/2007 Pour Time: 6 Code # Inspection Descriptio Confirm # Contact # Me -ag- d 285 2 . Drywall nailing 05954 01 503. 710 -2713 Y I 0 ° Corrections /Co S ' ents /Instructions: S /14....i ss-'- 1 &.0e.....,La..„,..,_,..s .„ J � . ,...,.. PASS [ /PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /ry (a Date: ( Phone #: (503) 718- `_ , CITY OF TIGARD ' BUILDING DIVISION PERMIT #: BUp;/0t ?7- 00.1/0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1W12/2007 Phone: (503) 639 -4171 moo. { i Inspection Requests (24 Hrs.): (503) 639 -4175 _ -' �' I INSPECTION WORKSHEET FOR DATE: 11/9f2 E: 7 :00AM PAGE: 2 SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: ALL3ERTSONS DESCRIPTION: Ti r OWNER: IBJ SCHRODER BANK + TRUST CO, PHONE #: 208-395-4711 CONTRACTOR: CURT FADS CORP. y II, PHONE #: 503 - 1103 Inspection Request Scheduled For: Date— 1`1 /9/2007 Pour Time: Code # Inspection Description Confirm # _ Contact # Me ge :/87 Suspended ceiling 059413-01 f 503- 7142713 Y / ' KA' dc Corrections /Co ents /Instructions: ` �� /y � 4_,e..). INL 1 et ' be_ \roim .- --- „____ .._,_,_ wi vL9_, nA,o' 4. A. I . ' _.4. 4`0- - s. ,..4,.../ 4e , 2,e. ..-0 5 /"?._• , vt ' S ' ( I) '10 - o a 5 C, W\-e,e_i Geioi„ £` & dij ado 51 1 ---- e____„e .., QA,t_c_p____ /IL& ' -------- vV\ ea...a k...4.__J-7- --‘,..t...A....e____r \.96) , ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ] 1 Inspector: Date: ��/ ` P hone #: (503) 718 - 741