Permit CI TI A • BUILDING PERMIT
, l DEVELOPMENT SERVICES PERMIT #: BUP2006 00234
DATE ISSUED: 5/31/2006
, �• I/ % >.. 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171
PARCEL: 2S101AD - 00803
SITE ADDRESS: 12600 SW 68TH AVE ZONING:
SUBDIVISION: PORTLAND HEIGHTS LOT: JURISDICTION: TIG
Project Description: T.I. new walls.
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: 5N sf N: S: E: W:
OCCUPANCY GRP: g TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
1 STOR: HT: ft
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:
I VALUE: $ 20,000.00
Owner: Contractor:
1 EQUITY GROUP FUND 1, LLC JHC COMMERCIAL LLC
BY KURT DALBEY 11125 SW BARBUR BLVD
7125 SW HAMPTON PORTLAND, OR 97219
:PORTLAND, OR 97223
Phone: Contact #: PRI 503 663 - 9531
1
FAX 503 - 684 -5295
Reg #: LIC 158061
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/31/2006 $235.30
[TAX] 8% State Surcha 5/31/2006 $18.82
[BUPPLN] Pin Rv 5/31/2006 $152.95
[FLS] FLS Pin Rv 5/31/2006 $94.12
Total $501.19
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: �., /C f_ .. 2'& ;:;,;,, __ Permittee Signature: _______.
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.
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Tigard � DateB ° e Permit o.: 6 (c1/4 13125 SW Hall'Blvd 'Tigard, OR 9722 - Plan Review
a a
Phone: 503.639.4171 Fax: 503.598.1960 I) DateB Other Permit:
Inspection Line: 503.639.4175 MA 3 1 2 0 ,.� %H�ry i �: Date Ready/By: Pee Attache' Checklist for
Internet: www.ci.tigard.or.us Notified Method: Su lemental Information
WOi F 'oiu f i\ y ' " AN D j 2 TiAMILY�DWELLAVG
❑ New construction B
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rJ 1 E. .t ❑' Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/re lacement Other t
P Tpin(ily 1 yyYJ11 O�/ equipment, materials, labor, overhead, and the profit for the
�z r , work indicated on this applic
CATEGORY OF CONSTRUCTION '; i .
❑ 1- and 2- family dwelling , ' Commercial/industria] Valuation: $ 0 1 opt)
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
r a �ti JOB S1'T1 INFORMA LOCATION o N Total number of floors:
Job site address: rikoolo 3 W p 1 ),(1 New dwelling area: square feet
City/State /ZIP: T) G),/ d OT )1 1Z3 Garage /carport area: square feet
Suite/bldg. /apt. no.: ')5 , Project name: uS )t e ?Vi u(±) )W Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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REQU1RED•DATA COMMERCIAL USE
.,., wit s;. :.. .,,2.r,
Subdivision: Lot no.: Perrnit.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
,ia ,, SCRIPTION OFWORK / / ,,a work indicated on this application.
r v viq i1 S Ally N --1-e f, -v) C OV/ }a V �A G Valuation: $
W1 V1dv11S Existing building area: square feet
New building area: square feet
: : %Ej �RP
OERTY OWNER a s ^ E 0 . TENANT Number of stories: .
Name: ()VI( e , y vt c -t•S )' j ) Type of construction:
Address: l \ )75.3 ]5.3 - bW ls 31 v Occupancy groups:
• City /State /ZIP: r »i'V G O 91 Z ` 9 , Existing:
Phone: (god) 511 -14) ) Fax (5 % S 4\o - k—)) q l New:
y�� 13 t `hdt r � a ��4 'ia'�c ar
A r CONTACT PERSON cg
1 ,, n „m � „, � �• y ��
Business name: ,
.4 '` P\/ y i - y''.9 rC j GQ / t L Q, All contractors and subcontractors are required to be
Contact name: —DCAv e ) -\an 1 a'n j e VW 1 S V(� ( licensed with the Oregon Construction Contractors Board
® ✓� Y) under ORS 701 and may be,required to,be licensed in the
Address: 11)Z SW jJs, ” L. l v jurisdiction in which work is being performed. If the
City /State /ZIP: y�Y a irld f cj�Z I applicant is exempt from licensing, the following reasons
apply:
Phone: ( 5O?b ` ---'�) O� Fax: : (5Y k %I-56)S
E -mail:
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CONTRACTOR
Business name: C (w 'W c. . i s u.� w r ,-
` - \ , i yy BUILD FEES *
Address: 11 12 5 .\A.) v fv� II U ., .
Please refer to fee schedule
City/State /ZIP: 1 i-)G �� v •, 19
'^ 11 Q ,� Fees due upon application
Phone: 50- WZ _ ) Q Fax: ( f Vt 1 4 —
Amount received
CCB lic.: j 58(0
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; Q l ) al tAt I Do ,` Date: f �--. / 1 l7 * Fe methodology set by Tri-County Building Industry
/ j Service Board.
i:\ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(1I /02/COM/WEB)
OF TIGARD 410 &A4
BUILDING . DIVISION PERMIT #. "60 a3 . q
13125 SW H
a!! Blvd., Tigard, OR 97223 � . � 'DATE ISSUED:
- ection Requests , (24 Hrs. �niiy! �iilti�l�
Ins Phone: (503)' 639 41.71
Inspection ): (5Q3) '639-4175
' ,INSPECTION'WORKSHEET,FOR DATE: w TIMES PAGE: •
SITE ADDRESS: / oZ Cp. b O . CLASS OF WORK;.
SUBDIVISION: LOT #: TYPE OF USE :: ,
PROJECT NAME;
DESCRIPTION:. •
OWNER: PHONE #:
;CONTRACTOR: PHONE #:
•
Inspection Request Scheduled', For : Date: Pour Time
Code, # Inspection Description: Confirm # Contact .# Message
• q • . - 3 7/
Corrections/Comments/Instructions: - .
•
•
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wimp— •
•
PASS ® PARTIAL APPROVAL' � ❑ CANCEL NO ACCESS
n. FAIL CALL FOR:.INSPECTION ADDITI NAL FEES ASSESSED -
•
Inspector 11 17# Date:- Phone #:- (503) 718
'CITY FTI A .
.BUILDING DIVISION PERMIT #; RUP2006 -002 G1
13125 SW Hall Blvd., Tigard, OR :9,7223 DATE ISSUED: 5/31/2006
Phone: (503) 639 -4171 /.1 „ y0ili�
Inspection Requests' (24 Hrs.): (503)' 6394175,
. 'INSPECTION WORKSHEET FOR DATE: 6/912006 TIME: 7 :02AM PAGE: 36
SITE ADDRESS: 12600 SW 66TH AVE CLASS OF WORK:
;;SUBDIVISION: PORTLAND HEIGHTS LOT #: `TYPE OF USE:
PROJECT NAME: OFFI NW " .
•
DESCRIPTION: ' C.•I n eeRt v�ralls. •
OWNER: EQUITY GROUP FUND PHONE #:
CONTRACTOR JHC COMMERCIAL LLC .•, • PHONE #: 603-66.3-9631
Inspection. Request Scheduled, For: Date: 61912006` Pour Time
Code # Inspection Description Confirm # Contact # Message
276 Framing '031470411 503- '593 -7175 Y .
Corrections /Comments /Instructions:,. -
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ASS. PARTIAL. APPROVAL, ❑ CANCEL - • ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ A DDIT ®NAL FEES ASSESSED
® 1 / ” •
Inspector '. ®f®WI Date: �:� Phone #: (503) 7187•
- CITY OF TIGARD
B'UILDING DIVISION - PERMIT #: BUP2006MO234
13125 SW Hall Blvd. , g i ard, OR 97223 i/ pll' p DATE ISSUED:. � ' '
( ) 4 bli gl II i
Inspection Requests (24 Hrs.): (503) 639-4175 ' . I,
6 02006r '
INSPECTION WORKSHEET FOR DATE: TIME: 7:02AM. � PA 34 '
'' SITE ADDRESS: 12600 SW 68TH AVE • CLASS OF WORK:
SUBDIVISION: PORTLAND HEIGHTS LOT #: TYPE OF USE:
. PROJECT NAME: OFFICE-PRODUCTS NW d
DESCRIPTION: TI• new walls a
OWNER: EQUITY GROUP FUND 1', LLC, PHONE #: '
' CONTRACTOR: JHQCOMMERCIAL LLC . PHONE # 503 - 663 - 9531..,
Inspection Request Scheduled For: Date: . 519/2005 Pour Time:
ru
Inspection Confirm
Code # -� - p p - # ‘ Contact. #' Message
287 Suspended ceiling 031470 -02 503-593-7175 . N
Corrections /Comments!'Instructions _ "
/ V
,I. PASS- , ❑ PARTIAL - APPROVAL n CANCEL 0 NO ACCESS . ,
` n FAIL CALL FOR INSPECTION . n ADDITI NAL EES ASSESSED
a /'��
Inspector: _ Date. ' vtiC_ Phone #: (503) 718
CITY,OFTIGARD ! i &4-f
BUILDING DIVISION PERMIT #:a 006 -b0 D-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: A6CLASS OF WORK:
SUBDIVISION: LOT TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: PHONE
Inspection Request Scheduled For: Date: r a 7- 0(,=, Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 7/75
Corrections/Comments/ Instructions:
(2-0 V-0.rl
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL *CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Ins ector: Date: Phone* 503 718-
CITY-Of TIGARD
BUILDING DIVISION PERMIT 135JF'"a006-002-'31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 61912005 TIME: 7:02J~It PAGE: 36
SITE ADDRESS: '12600 SW 6ST11 AVE CLASS OF WORK:
SUBDIVISION: PORI-LAND HEIGHTS LOT TYPE OF USE:
PROJECT NAME: OFFICE PRODUCTS NW
DESCRIPTION: C•I - r"eVV V431IS,
OWNER: L'OUITY GROUP FUND 1, LLC:-, PHONE
CONTRACTOR: JF'IC COMMERCIAL LLC PHONE 503 E;6a 931
Inspection Request Scheduled For: Date: 61312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 ['i-wninq 03.1475 01 5513.693-7175 Y
Corrections/Comments/Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ A NAL FEES ASSESSED
Inspector: Date: DDITT Phone (503) 718-
CITY-Of TIGARD i
BUILDING DIVISION PERMIT BUP2006,00*2-34
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/33112006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/912006 TIME: /:0 AM PAGE: "-_l
SITE ADDRESS: '12600 ISW 68TH AVE CLASS OF WORK:
SUBDIVISION: PORTLAND HEIGHTS LOT TYPE OF USE:
PROJECT NAME: OFFICE PRODUCTS 14W
DESCRIPTION: T.11, new walls.
OWNER: E'.OUITY GROUP FUND 1, LLC, PHONE
CONTRACTOR: -IFIG' f. OMMERCIAL LL C PHONE Jai-61631..:631
Inspection Request Scheduled For: Date: 619/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2137 Suspended railing 03,1470-02 503--1593-71 75 N
Corrections /Comments/ Instructions:
LYOV
PEl"PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F-] FAIL CALL FOR INSPECTION ❑ ADDIT11, NAL EES ASSESSED
Inspector: Date: v Phone (503) 718-
V V
Building Permit Application FOR OFFICE USE ONLY
City of Tigard a tl Received Date/By: Permit o.: W
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 fb Date/B : Other Permit:
Inspection Line: 503.639.4175 Jry Date Ready/By: Juris' 0 See Attached Checklist for
Internet: www.CLtigard.OruS Notified/Method: Supplemental Information
F RRK~.~r )TREQUIRED DATA: 1-AND2-FAMILY DWELLING
❑ New construction t ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement I"'Other: t 'TpNt_AY + 1 )1y) % equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I -and 2-family dwelling Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Z WQ 3\Z q\ k New dwelling area: square feet
City/State/ZIP: T G O )-)ZZ Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: '4)t o PvW uQ4:)1/lW 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.
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.
e vO \,19A I I S y ~ O )R C~Yi C oW v %A c Valuation: $
~d~vvS Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Q-" K e W~v~C S Type of construction:
Address: I _bW 10UA v Occupancy groups:
City/State/ZIP: C; ro, ),C- C) Existing:
Phone: (50 54 `0 _ tp) Fax: ( % rj4~0 - l \ New:
APPLICANT 0 CONTACT PERSON NOTICE
Business name: o V I L - _ All contractors and subcontractors are required to be
Contact name: vQ Cl 1 evv licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Z W,^ _f >-4 V llk 1 ) U(3 jurisdiction in which work is being performed. If the
City/State/ZIP: y A-) a /dj C)nZ C~ applicant is exempt from licensing, the following reasons
apply:
Phone: Fax::(54-C
~S
E-mail:
CONTRACTOR
Business name: 'C m Prc
BUILDING PERMIT FEES*
Address: I I I -a W y law) d
V J~-- 1 Please refer to fee schedule
City/State/ZIP: V
r\ ^ Fees due upon application
Phone: ~l kb L 14 -,'v 0 Fax: (~,1NIV6t4 -S Z
Amount received
CCB lic.: 8c~
Date received:
Authorized signature: L This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: t I Date: S * Fee methodology set by Tri-County Building Industry
Service Board.
is\Building\Permits\BUP-PermitApp.dm 12/03 440A613T(I 1/02/COMMEB)