Permit CITY OF TIGARD BUILDING PERMIT
s.; COMMUNITY DEVELOPMENT Permit #: BUP2010 -00066
Date Issued: 05/07/2010
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
4 Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 500
Subdivision: TRIANGLE CORPORATE PARK Lot: 2
Project: University of Phoenix
Project Description: TI
Owner: FEES
GK TRIANGLE CORPORATE PARK III L Description Date Amount
BB# 73- 1771- GK1130, CBRE, PO BOX 2096 Permit Fee - Additions, Alterations, 05/07/2010 $955.35
WARREN, MI 48090 Demolition
PHONE: 12% State Surcharge - Building 05/07/2010 $114.64
Plan Review 04/02/2010 $620.98
Plan Review - Fire Life Safety 04/02/2010 $382.14
Contractor:
R & H CONSTRUCTION CO
1530 SW TAYLOR ST
PORTLAND, OR 97205 -1819
PHONE: 503 - 228 -7177
FAX: 503- 224 -3638
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $80,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,073.11
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: No Manual Pull Stations: No
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cods and -II 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 +rk\is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T 'se ru : s are set forth in OAR
952- 001 -0010 through O.'. • -001-010•'. You - opy of the nil= or direct questions to OUNC by calli ■ 503. •.•699 or 1.800.332.2344.
Issued By e / / ` Permittee Signature: � •
•=• 3.639.4175 by 7:00 a.m. for an inspection that business d
This permit card shall be kept in a conspicuous place on the job site until complet • n of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial ',, .`-'y i
- ,, U FOR OFFICE USE ONLY
City of Tigard ' .- ,- Received Permit No.: .
a g ��P� 4J i 7, '• Date/t3v: 4f / �Q On 4,„,pA, 4, _.,,.0 .
13125 SW Hall Blvd., Tigard, OR 97223 �i
g Plan Review
' 1 Phone: 503.639.4171 Fax: 503.598. 1960.: I1 ' 0 Other Permit:
-/ �' r Date /Bv
Inspection Line: 503.639.4175 k- c - vl - AUI-AY" Date Read /B J uris: ® See Page 2 for
TIGARD p 9' r_o_ tf''' �'N Notified/Method: / Supplemental www.tigard-or.gov ��Q ,. ;,,, ..,2 �Il � „,a l,l�+ PP lementalInformation
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
X Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling • X Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 0 \ SW c 0 `?,,,,y New dwelling area: square feet
City /State /ZIP:17 el Ae - t V� Q0-Da1 Garage /carport area: square feet
Suit ldg. /apt. no.: 500 Project name: U ec I ttObtii r.. �RtJ1JT MIc.h Covered porch area: square feet
Cross street/directions to job site: (_ Deck area: square feet
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.
G /, •/� /■ .�•v\ ??UU\fEMi;tiZ dF 5'VRo7c3. MAW- 1. Valuation: $ (� OO 'U, ' � ■
OC c Y -1 i kir 4= - cf.3 - ( 04V CL f>L �"pZ Existing building area: 1 I C ) � square feet
Nt i �a( ( F� G �� JJ~ New building area: t!) square feet *—
❑ PROPERTY OWNER X TENANT Number of stories: 1
Name: A4CLLQ ‘---DFJF t rR MP/UT Chet) z3cti Type of construction: 7 NIf r D-
Address: 40 ott Ttti ��... \ff ,�� c 4 - - �� j Occupancy groups:
City/State/ZIP: K �, JK A,� .Z50.40 Existing: - I 1
Phone: 40 ) 5 7O3g Fax: ( t Ca) $5 1101
New: O
❑ APPLICANT 54 CONTACT PERSON NOTICE
Business name`.. - `.-k S1 CC. u�.:13 0 0 All contractors and subcontractors are required to be
Contact name: v � 5�7 licensed with the Oregon Construction Contractors Board
�� under ORS 701 and may be required to be licensed in the
Address: i SW `TAN Lr c J(. jurisdiction in which work is being performed. If the
-Pev- LAk) ) 00\--e__ \I-D-0 applicant is exempt from licensing, the following reasons
City /State /ZIP: `,
apply:
Phone: (.-0.)) _.123 - J�.S 0a 1 Fax: : (3 3) 3.94 - �6 - 53J
E -mailj 5 )p &r \\i✓o�S I . &of
CONTRACTOR
Business name:C fr K C- ,,_,k T 01Q, Co , BUILDING PERMIT FEES*
Address: ` 1O �W r A. L DZ (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:'
6,.... 4, Is . C
Phone: ( 03) 4 c3 - . 1. Fax: � D3) � 4 -. 36,3 FLS plan review fee (if applicable):
e �� . J__� Total fees due upon application:
CCB lie.: r
/s� Amount received : 4 ( 3
Authorized signal ifW This permit application expires if a permitlis not obtained
� . • � � within 180 days after it has been accepted as complete.
Print na me Date • - t - I r * Fee methodology set by Tri- County Building Industry
1 Service Board.
I: \Building \Permits \BUP -CO PermitAppdo. 0/01/09 440- 4613T(11/02/COM /WEB)