Permit CITY OF TZAR BUILDING PERMIT
PERMIT #: BUP2005 -00625
sal , DEVELOPMENT SERVICES DATE ISSUED: 12/6/2005
13125 SW Hall Blvd., T igard, OR 97223 503 - 639 -4171 PARCEL: 1S136DD -00200
SITE ADDRESS: 11560 SW 67TH AVE 100 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 004 JURISDICTION: TIG
Project Description: TI, walls. - / DD ci_ a D 0
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 101 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: $ 45,000.00
Owner: Contractor:
JOE GREEN INVESTMENT CO JOE GREEN INVESTMENT INC
POBOX1 POBOX1
DONALD, OR 97020 DONALD, OR 97020
Phone: 503 - 970 -2927 Contact #: PRI 503 - 970 -2927
FAX 503 - 678 -6266
FEES • Reg #: LIC 57652
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/6/2005 $433.30
[TAX] 8% State Surchar) 12/6/2005 $34.66
[BUPPLN] Pln Rv 12/6/2005 $281.65
[FLS] FLS Pln Rv 12/6/2005 $173.32
Total $922.93
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 thes- - •r direct questions to OUNC by
callins " - -= - .699 • 1- 800 - 332 -2344.
Issu d By / _ / . / /l ,��, _. . Permittee Signature -g-y
Cali 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 I:OR (lI I ICI uSl O:vl \ %_ ,
City of Tigard
3 E C E i i/ E ® Received
. ,....-A° � - py OS Permit No.: : , .... .... -,
13125 SW Hall Blvd., Tigard, OR 972 P lan Revi
Phone: 503.639.4171 Fax: 503.598.1960 , / .? 1 Date/B : O Other Permit
Inspection Line: 503.639.4175 DEC 0 0 200 ..__......w. c'_ J Date Ready-Ty: WI See Attached ChecWist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY CAF TICIARI')
BIMEDQ{ $11€10N REQUIRED DATA: 1- AND 2- FAMILY DWELLING . .
dew construction ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1 - and 2- family dwelling geommercial /industrial Te44,4 /A, 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: /f 57,0 5 t / 6 7 A 4y 6" New dwelling area: square feet
City/State/ZIP: T / L/ pA 4 749-2-.3 Garage /carport area: square feet
Suite/bldg. /apt. no.: / Q Q Y - d o p I Project name: 4, fe ,,._ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
4"1 RIO- 6 r p 1 (.0✓t- 4 � , 6 Rom 7 A if 0 pp 6 i ,f ✓E) 1 Other structure area: square feet
,U 0 A &/ 77' // ' �m kryLet - / r^4r3 /W tgi %f/) REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Valuation: $ a v 4�
A/ v AID/A O �� Alii/ / /db t/ 1eM�C. CM" . c1ft` '�"'r � square feet
rnf
T�t/viMg 151,17V ` 147 GvZ
New building area: square feet
15 PROPERTY OWNER . ' - ❑ TENANT Number of stories: 3
Name: j-De9. 67/ - yt/ - l'�/ Ai Go Type of construction: //--6
Address: /20 Q aA / Occupancy A. /o J T/'f 1 C 2
City /State/ZIP: ,a/V.4-272 44_ 9f 702.-,i Existing: Q
Phone: (54.3) 9 7 (Z 9 Z7 Fax: (57)3 Cp 3 ) g 0246 New: Q
-p APPLICANT ❑ CONTACT PERSON. NOTICE
Business name: {7ve AfI f G l/ - %Z%/ All contractors and subcontractors are required to be
Contact name: 6 /f At c, d j 474— licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to be licensed in the
•'• Address: J 2 /. 2 /1 - 6d / jurisdiction in which work is being performed. If the
City/State/ZIP: N,�y� c, applicant is exempt fro licensi the folwing reas s
Y ' i " / ' O /t _/ a ZJ apply: 5{xt It A �,(�ICtX AEI lo
Phone: (4,--0J 9 eei �9 Fax: : (7 3 E -mail: /Nj7 /��� /���?/,//� �4),,,,,B�^/v/
CO
\O6
CONTRACTOR-
Business name: �9r�c / l i /!/I 72y &"T —, BUILDING PERMIT FEES*
Address: PO 6"K /
/ " Please refer to fee schedule.
City /State /ZIP: 0.0"/14-1, p a2 97 ei-0
Fees due upon application
Phone: (57)i) q7 2.97, Fax:(S )3 678 62.6K'
� / Amount received
CCB lic.: 4
Date received:
Authorized signature: op _
/ This perm application expires if a permit is not obtained
J within 1 80 days after it has been accepted as complete.
Print name: � ' ��'� Date: i tit fj l 07 4 Fee methodology set by Tri -County Building Industry
Service Board.
is\BuildingTennitslBUP- TI- PennitApp.doc 12/03 440-4613T(11/02/COM/WEB) `
1„
Building Division
4 'G� Ilj, Plan Submittal Requirement Matrix
`" ` ---� Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Include new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work .. 2
(must include location of all accessible parking)
Plumbing (site. utilities)_, . . 2 ,
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing (building fixtures) . 2
•
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire &. Rescue)
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians:
is \ Building \Pemots\BUP- TI- PerrndApp.doc 17/03 440- 4613T(II /02/COM/WEB)
CITV OF TIGARD
BUILDING DIVISION PERMIT #: DUP2005 -00525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2/612005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7 :06Am PAGE: 62
SITE ADDRESS: 11560 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: REMTECH
DESCRIPTION: TI, walls. Same tenant, scope of work in suites 100 & 200.
OWNER: JOE GREEN INVESTMENT CO, PHONE #: 503-97(12927
CONTRACTOR: JOE GREEN INVESTMENT INC PHONE #: 503- 970.2927
• Inspection Request Scheduled For: Date: •10/18/1005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 038401 -02 503 - 8063004 N
Corrections /Comments /Instructions:
•
C
•
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDIT NAL EES ASSESSED
a
Inspector: I Date: (O( Q� Phone #: (503) 718-
��
CI1 B-OFTK ARD 111 6-6i9
BUILDING DIVISION J PERMIT #: a 005 _ 6d 6o2j-
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: `f S 6 7 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 /6 ' 1` Pour Time:
Code # Inspection Description Confirm # Contact # Message
306 -3° o
Corrections /Comments/ Instructions:
4rommovvirsio-
y,„. . I
•
n PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDI ON FEES ASSESSED
Inspector: / Date: A Phone #: (503) 718-
CITY=f5F TIGAR® •
II .8
BUILDING DIVISION PERMIT # Q 06 2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 '-__
INSPECTION WORKSHEET FOR DATE: 3/tis f oc, TIME: PAGE:
'ATE ADDRESS f (rj . lti ( `r) CLASS OF WORK:
a : i IVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: Tl_
OWNER: PHONE #:
CONTRACTOR: �� PHONE #:
Inspection Request Scheduled For: Date: 3-1 L i— d (9 Pour Time:
Code # Inspection Description Confirm # Contact # Message
`z 83 ' - 1 1 -- F0 6,3 6c) i
( .
Corrections /Commen s /Instructions:
6 i 4
- *Ai 7w
t - 1'
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY O TIGARD
BUILDING DIVISION PERMIT #: BUP200& -00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1216/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 41
SITE ADDRESS: 11560 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: REMTECH
DESCRIPTION: TI, walls.
OWNER: JOE GREEN INVESTMENT CO, PHONE #: 503 - 970 -2927
CONTRACTOR: JOE GREEN INVESTMENT INC PHONE #: 503 - 970.2927
Inspection Request Scheduled For: Date: 12/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
230 Insulation 023741 -03 603- 9832992 Y
Corrections /Comments /Instructions:
E?croR (e5P- to.A(,(_
et/
n PASS l PARTIAL APPROVAL CANCEL ❑ NO ACCESS
n FAIL A CALL FOR INSPECTION ❑ ADDITI•NAL EES ASSESSED
+�`� Date: ` Phone #: 503
Inspector: � ( ) 718 -
1
CITY'.G_F TIGARD •
BUILDING DIVISION PERMIT #: BUP2005- 00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2005
Phone: (503) 639 -4171 r ill
Inspection Requests (24 Hrs.): (503) 639 -4175 __�
•
INSPECTION WORKSHEET FOR DATE: 12/2(1/2005 TIME: 7:30AM PAGE: 40
SITE ADDRESS: 11560 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: R_EMTECI
DESCRIPTION: Z I, walls,
OWNER: JOE GREEN INVESTMENT CO, PHONE #: 503-970 -2927
CONTRACTOR: JOE GREEN INVESTMENT INC PHONE #: 503-970.2927
Inspection Request Scheduled For: Date: 12/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 023741 -04 503 -989 -2992 Y
Corrections /Comments/ Instructions:
' A -- V f
'✓PARTIAL APPROVAL CANCEL
❑ PASS ❑ ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
Inspector: M 1� ` Date: Phone #: (503) .718-
CITY QF TIGARD
BUILDING DIVISION PERMIT #: �U�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:v e506,75
Phone: (503) 639 -4171 � 11
Inspection Requests (24 Hrs.): (503) 639 -4175 �i -..
INSPECTION WORKSHEET FOR DATE: (0/Z7 O �O TIME: PAGE:
SITE ADDRESS: 14 ii , 4 6,7 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: T �q PHONE #:
CONTRACTOR: ` C (OV zeln PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # ' Message
Corrections /Comments/ Instructions:
-- 0 1 /1 LE J C< c ol-op
II- 1 IL F ( DJ
a 0 Tr--(--00' ( S L
•
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITI ? NAL FEES ASSESSED
Inspector: Date: C�tp Phone #: 503 2fiv.a3
p � ) 718-