Permit . v t0 1�Y F TIGARD BUILDING PERMIT
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PERMIT #: BUP2008 -00208
°'. COMMUNITY DEVELOPMENT DATE ISSUED: 6/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-04100
SITE ADDRESS: 11850 SW 67TH AVE 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
PROJECT: SPEC SPACE
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 46 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 36,000.00
Owner: Contractor:
PACIFIC NORTHWEST PROPERTIES PACIFIC CREST STRUCTURES INC
6600 SW 105TH AVE 17750 SW UPPER BOONES FRY #190
BEAVERTON, OR 97005 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 6/24/2008 $288.44
[TAX] 12% State Surch 6/24/2008 $34.61
[BUPPLN] Pin Rv 6/24/2008 $187.49
[FLS] FLS Pln Rv 6/24/2008 $115.38
Total $625.92
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 r : e • irect qu- tions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue. By: • 1 / 4 / i _ /l : 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.
•
Building Permit Application
Commercial i� r� 1 •, f ,;
ECEIVED # : y _ t ,, I OR C) I I Cf Gti < \' 1 ? ::::,,,„,
City of Tigard Received / / n , , %�
g DateB (J � es, Permit No.. O � �
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revue 7t
0 .; Phone: 503.639.4171 Fax: 503.598.1960 N 2 4 20.1 Date/g : I 1 V Other Permit:
; I " ; n is n Inspection Line: 503.639.4175 Date Ready : y: Juris 0 See Page 2 for
Internet: www.tigard- or.gov CITY o TIGARD Notified/Method: Supplemental Information
TYPE OF ING DIVISIOW 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
f "Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION. work indicated on this application.
I- and 2-family dwelling Valuation: $
❑ y g ❑ Commercial/industrial
❑ 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: // g 43 4 1, 1 4 k j New dwelling area: square feet
City /State /ZIP: .T7/) j aer 97143 Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: .)i iE /0 O 77...r, Covered porch area: square feet
Cross street/directions to job site: G;gr'4 C� �.v „ ss3N Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 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
D E S C R I P T I O N OF WORK .. - , . work indicated on this application.
IVr2� t_iott.r s 1 �c)a.S 1 f� t.41 (A, Valuation: $ I�, / � 5,
r E STI /li�)
f Existing building area: etg r 7 square feet
O � SpRL€ b..tGLJ 6.,. Al cell-- w/ St
J New building area: ,f square feet
PROPERTY OWNER l . ❑ TENANT Number of stories: Z
Name: 'act Fi L I o -TIi Jt r I eS Type of construction: 72r _ 8
Address: 6600 c,.3 / OSTl A Uf Occupancy groups:
City / State/ZIP: -s / DIZ- uti 770oS Existing: $ A
Phone: ( ) Fax: ( )
New: B
APPLICANT . , � . -
❑ • CONTACT PERS .
NOTICE
Business name: ilk L.pt 1,cbiA n3 50..7vr All contractors and subcontractors are required to be
Contact name: jZ—
licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7680 . i.J Revue - uszo 1 S t / jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: T. ,r A-YLA / ,6✓,c .41 o 9 7123 apply:
Phone: ( 503) 2.44 - e, SS 2 Fax: : (-�'Z'3) z 44 — o4/ 7
E- mail: A4 p + PG , .-o VV%
C O NTRA CTOR . . • .
',......iii, Business name: Q , , BUILDING PERMIT FEES*
Address: (Phase trier cofee schedule)
City /State /ZIP:
Structural plan review fee (or deposit):
Phone: ( ) Fax:( )
FLS plan review fee (if applicable):
Ce / <- Total fees due upon application:
CCB lic.: t
Amount 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: m-s Date: 6/ / • Fee methodology set by Tri -County Building Industry
Service Board. A
I :\Building\Petmits\BUP -COM PertnitApp.doc 2/23/07 440- 4613T(I1 /02 /COM/WEB)
Building Division
Accessibility: Barrier. Removal Improvement Plan
;TI G A RD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
• (e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
�� \ 1: \Building \ Permits \BUP -COM PermitApp.doc 02 /23/07
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: 6UP2008- 002013
13125 SW Hall Blvd., Tigard, OR 97223 (' DATE ISSUED: t ,f2.4/2006
Phone: (503) 639 -4171 * **ell
Inspection Requests (24 Hrs.): (503) 639 -4175 IIIbI
INSPECTION WORKSHEET FOR DATE: 9/121 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 006 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI
OWNER: PACIFIC NORTHWEST PROPERTIES, • PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 968 -6949
Inspection Request Scheduled For: Date: 9/1212000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 075437 -01 503- 312 - 3878 N
Corrections /Comments /Instructions:
14 vl - 6- t s 7 c r !l R-c: Goo T1 '_4 ,
- tv C .ic —
• PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL %] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / 7 Z'g Phone #: (503) 718- ace-/-7-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: I3UP2006.00208
13125 SW Hall Blvd., Tigard, OR 97223 .-- .. - .. DATE ISSUED: 6n4/2000
Phone: (503) 639 -4171 ,i�bl�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 817/2000 TIME 7:01AM PAGE 44
SITE ADDRESS: CLASS OF WORK:
111350 SW 67TH AVE 100
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT # 008 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503- 96frf949
Inspection Request Scheduled For: Date: 8/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 073832 -01 503 312 -3876 N
Corrections /Comments/ Instructions:
•
(e P; PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS •
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED '----K;'
Inspector: VA Date: 8 /O g • Phone #: (503) 718 -X�— E7