Permit T
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00486
li1 DEVELOPMENT SERVICES DATE ISSUED: 10/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S136DD-03400
SITE ADDRESS: 11740 SW 68TH PKWY 250 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
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: 68 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 160,000.00
Owner: Contractor:
PNWP LLC P + C CONSTRUCTION CO.
6600 SW 105TH AVE. STE.175 PO BOX 410
BEAVERTON, OR 97005 GRESHAM, OR 97030
Phone: Contact #: FAX 503 - 667 - 2565
PRI 503- 665 -0165
FEES Reg #: LIC 38619
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/10/200E $978.30
[TAX] 8% State Surcha 10/10/200E $78.26
[BUPPLN] Pin Rv 10/10/200E $635.90
[FLS] FLS Pin Rv 10/10/200E $391.32
(additional fees not listed here)
Total $2,275.78
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 ByZatide Permittee Signature: /AEI (� e
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 FoR OFFICE USE ONLY
city of Tigard Received i
Dateai , /0 ' 1:=5:20 _ it), 0
6 7
'3125 SW Hall Blvd., Tigard, OR 97223 0C1 I. 200v . Plan Review
/0 o& 6
lone: 503.639.4171 Fax: 503.598.1960 ; \
....1.•rnAlliv Datra . oele*Permit:
mspection Line: 503.639A175 Date Raady/By: 6 81 See Attached Checklist for
Internet www.ci.tigard.or.us — .. .. Notified/Method: Ni Supplemental Information
.. . — - • 6 ,
• .67,..• • • ' .' 1.6 7iiier47,11•64-. '4. „, ; .6, - -,Ve.—m-a14-..,..ffal0''" - a ' "'"^ , MAI' Tillti.. '15.4);%. '6:1 . 41Z , Li ' :, '.. 41 1.4, ,t1 z it: J!pr,,,,,7246 17: ;:z:::,%47.d.4.,i...,A.4 y , , 1.1 4,:,
['New construction 0 Demolition Permit fees* are based on the value of the work performed.
hidicate•the value (rounded to the nearest dollar) of all
Y!. Addition/alteration/replacement 12 Other: equipment, materials, labor, overhead, and the profit for the
_ ::: "'"",- r.:.4.* _ . ..`. .work in n this dicated o lication.
I , .r., -f•-. .' , 1 7, ; 1- 3 -7 .:roey7.j177,1,f-Pc.`r- - ..*-3 7 1 , -- .7 - 7,,,_. , r e• .4 !'• all 'i.", I ■''' ',:r -i.voraw;te - °PP ---
. , ,-,.-- , , ,.4 - % 1 /.' ." 7 -_ die • . _ , al 1 ,. . 41 . , A
0 1- and 2 dwelling R C.ommacialin:uiustrial Valuation: ..
1:1 Accessory building 0 Mufti-family Number of bedrooms:
0 Master buader 0 Other Number of bathrooms:
Te.t.t !fr:,:' T,;?•, ;-.: ;11•;;;...:.r u, ., :.!•..)-.,,,,.•,.-. .....,!,..:• -, t;y. l ' - ',f..15,177- 7 1. _ , . Total number of floors:
-Ai ,;.k.,.....;• ,..., 0 ,..., 1. 4 , ' , , .:. % , ...2 1 ,2„ , I, t_ .. F t ...... ..,62,) _,,...........,,.,, ,,,,,, . , _ :#4
Job site address: 1114 .4,A.) (4 esx1....:...E._ New dwelling arca: square feet
City/State/ZIP: r i .....iy 1 c;,(2.. ei - 7 2-1,3 Garage/carport area: square feet
Suite/bldgJapt. no.: '240 1 Project name: 0 14 CA Covered porch area: square fcct
Cross street/directions to job site: C ey1.1„, 1 D 0 4.is,D04.1,... Deck area: square feet
Other structure arca: square fcct
NieR,' l'Ygctielf,;:" 0
,„,„..i.,s,-. ....,(i.i1._.4L:iii& ..."-, : ' . -... , . .' •
Subdivision: I 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 pro6t for the
• :• 4 kr work indicated on this wlication.
n't!i:LI.' 1 .1.'11.c2.. , .. - ,!..f..., s.%...;4:11k
iilOrCANr Valuation: $ 1 Co 0, Oen°
11A.1 4 itOlo-C
Existing building area: square feet
New building area: square feet
-
7
"r,V1T. t ,v, .5. Number of stories: -
, :,,,I1)., a, ,.■.:, ....it: .: i' ' .'..i.1-,..r.'3, ' ' • J•-'-• . ,..i
Naxna: 9 Pt cce, Type of construction: # 2-,b,
-
Address: (e q Do Pt--) t 0 C-4,-- Av-c- . .‘t 4:1-0 '2 S' Occupancy groups: ql r,07 . 01*__( d er_ --
City/State/'ZIP: rizxzure„7„..let__ C(2_- Cm 0 0 r Existing: i.
Phone: ( ) Fax ( )
New: e•
I i . •: , ::'! --- V. 1 ,;;;Iitfli i ,<:i'S'Zr% ii i ?J ', :". .. 115,l' i l ; :;: . : 4 1? ; ' ' .1,- Igi ll .': 1 ; ; ; : te:::;;7:1F2':!`■ 1 . :) 4,4v.- mixtroafiggazok ,.;;
....„„ ,,, t: , l,f, , ,,A , -.:.,..:1.2..).z.tL. .. . - , - ,,_:. -, ,.; -1 . .., ,-, , ' -,.._,..„--... ..,, ,1 ::LL, ,;.:: _ . . , .. ip, ,trt "Mit., :,'"..r.i. . ; •1. ''.'. ' .' - ' '
Business name: \A ;I x 1>c,v.4 4,.., (25,00 tie Pc. All contractors and subcontractors are required to bc
licensed with the Oregon Construction Contractors Board
Contact name: Oe4-1-1 .1,.%. epet-ca....-A. under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP:
apply:
Phone: ( ) 1 Fax : ( )
E 6..c.4 - c.e...4=n,
-Tiw.,,-,-... L !,'''I it ■ .ft1 ,. 1
... .. Q; A ; ifr i .q • ifi ,43 ? ;1 •1■Wr :',I FT 4 a75 - 0 - )f5 ' ,; ' ,.. 7- er."* 1 . -7 iZ 7- 70 7 c,i . .'.Pije• .■■ , , Lit0,4. .4,015, ■.,
Business name: ri 0 e� t pf-v e lim
AVIIMMOISSIgligillgiVigii■ - •
Address: •
Please refer rofee schedule
City/State/ZIP: '
Fees due upon application
Phone: ( ) Fa)
Amount received
03 lic.: —
-- Date received:
Authorized signature: R o e itui L shiger _ 44 , 4 _ 4( _
This permit application expires if a penult is not obtained
within 180 days after it has been accepted as complete.
LPrint name: J .e
2.e a elk I Date: f 0 ielra 06. * Fee methodology set by Tri-County Building industry
Service Board.
i UtuiltlingTennxt:\BUP-PermitAPPACK 1//03 440-4613T( 1/02/COM/WEB)
T 0 0 2) aHV9I.I. AO /LID 09 6 T86SCOS XVd CT :ZT SOOZ/L0/170
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 2 o �ry ut
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '^CCU
Phone: (503) 639 -4171 l i e j ,
Inspection Requests (24 Hrs.): (503) 639 -4175 - 1.
INSPECTION WORKSHEET FOR DATE: 343 TIME: PAGE:
SITE ADDRESS: (1 740 Sc) GS .4�� CLASS OF WORK:
SUBDIVISION: T � r ` LOT #: TYPE OF USE:
PROJECT NAME: T C7D'C�✓ l�-tT�+
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: C PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
gl
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N7 ' mr-w
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•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI IDNALI.EES ASSESSED
, 4
Inspector: Date: 0 Phone #: (503) 718Zik,