Permit i CITY OF TIGARD BUILDING PERMIT
ff i PERMIT #: BUP2008 -00080
� 7 ' . ,�: - COMMUNITY DEVELOPMENT DATE ISSUED: 3/17/2008
T A RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110DC - 02300
SITE ADDRESS: 11535 SW DURHAM RD C -1 ZONING: C -
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT: JURISDICTION: TIG
PROJECT: WILLOW BROOK BUSINESS CENTER
Project Description: Interior demolition of non - bearing partitions and ceiling. Combining suites C -1 and C - 2.
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: UNK sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 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:
Owner: Contractor:
HIP WILLOWBROOK LLC PACIFIC CREST STRUCTURES INC
PO BOX 2708 17750 UPPER BOONES FERRY RD
PORTLAND, OR 97208 DURHAM, OR 97224
Phone: Contact #: PRI 503 - 968 -8949
FAX 503 - 598 -6658
Reg #: LIC 66915
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/17/2008 $62.50
[IAX 112% State Surch 3/17/2008 $7.50
Total $70
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 503.246.6699 or 1.800.332.2344.
Issued By S� Permittee Signature: / -e'/7
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
Commercial FOR OFFICE USE ONLY
•
III q City of Tigard
CENED Receid iffIN IMPIIIIII MN Permit No.: 147 3 , , 4 _. •
13125 SW Hall Blvd., Tigard, OR Plan Review
Phone: 503.639.4171 Fax: 503. 8.1960 Date/B : Other Permit:
T I G A R D Inspection Line: 503.639.4175 MAR AR 1 1 2p1O8 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard or.gov ' Notified/Method: Supplemental lnformation
OF TIGARD
TYPE OF ' , NG DIVIS1 REQUIRED DATA: 1- AND 2- FAMILY DWELLING
I l l ik
❑ New construction Iemolition 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.
❑ 1- and 2- Family dwelling XCommercial/industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: \ k f rj 5 S t,.) .usc•-%a1 ■ V.. a New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: C 1, 4 G Z Project name: Li ,\\ _, - c . w ;t. -,ay' s G r�Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
�•-e IL \D4" .t. Z / \y `•-•' . ' C''‘ v1/4) Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
,- 1 Q-4. -- n (s, �R. � � �, :., c:.;. 1 `. ) " . Iis.+� -� Valuation: $ 6 8%75 -* Ave' r j C- 2.. , J Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: N'c A- v� y i.V , Type of construction:
Address: \VZ cJ - ',A\,t„`d ,.) Occupancy groups:
City/State /ZIP: .. " - ‘ ? b :r . 0 c� -.) - (, Existing:
Phone: (S4. a,...,,-Z, - a Q 6.0 Fax: ( ) New:
VI APPLICANT ❑ CONTACT PERSON NOTICE
Business name: p ( 1, - . 7:. c C.,,.. '� J L „, 5 All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax: : ( ) Ga
E-mail:
CONTRACTOR fi�
: �
70' C /
Business name
� �� .. C. C.,` ¢. �► J `CC mac, . v'R•� BUILDIN PERMIT FEES*
Address: -� _ (Please refer to fee schedule)
��7 60 ScJ V \ t, �J�o��,. sz �J \' J Structural plan review fee (or deposit):
City /State /ZIP: �c�`c�1'l� O`Z, J
FLS plan review fee (if applicable):
Phone: (_,Se.).) '�� 4.&=-. Fax: ('sv's) J'i.0 -- � v
G ss`
U
Total fees due upon application: CJ,
CCB lic.: (off ■ S
�\ Amount received: 70_ `�`--
Authorized signature: J\ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J�\ 4 .) \).:z. Date: 'S _ \:-.) „ �S * Fee methodology set by Tri -County Building Industry
Service Board.
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~°~°,~~~°,,°~� ~°,°,~°,=,,~ PERMIT #: BUP20080080 -`~~
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/17/2008
Phone: (503) 639-4171
Inspection Reque�o(24Hmj:(6O3) G3Q'4175 � ��+���
INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7:OOAM PAGE: — ) 47
SITE ADDRESS: } CLASS OF WORK:
SUBDIVISION: WILLOWBROOK BU0WFSSPARN LOT #: TYPE OF USE:
PROJECT NAME: WILLOW BROOK BUSINESS CENTER
DESCRIPTION: Interior demolition mf non-bearing partitions and ceiling. Combining suit& (>1 and C-2.
OWNER: HIP VNLL0WBR00K PHONE #:
CONTRACTOR: PACIFIC CREST STRUC1URES INC PHONE #: 505'968-8949
Inspection Request Scheduled For: Date: 0/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 071170~01 503'807'7867 N
•neodona/Cu,nn)ente/|notructione:
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___
)0 PAS 'PARTIAL APPROVAL
0 CANCEL || NO ACCESS
FA|L SPET|ON | | ADDITIONAL ES ASSESSED ` _ �=� y� 2 ��.