Permit T
... . . . •
CITY OF T BUILDING PERMIT
PERMIT #: BUP2005 -00039
� ��;� DEVELOPMENT SERVICES DATE ISSUED: 2/3/2005
13125 SW H all Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY 200
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: C -P
BLOCK: LOT: 003 JURISDICTION: TIG
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 3 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: $ 18,500.00
Remarks: TI Walls
Owner: Contractor:
SCHNITZER INVESTMENT CORP R & H CONSTRUCTION
PO BOX 10047 1530 SW TAYLOR
PORTLAND, OR 97296 PORTLAND, OR 97219
Phone:
Phone: 503 - 228 -7177
Reg #: LIC 38304
FEES REQUIRED INSPECTIONS
Description Date Amount Framing
[BUILD] Permit Fee 2/3/2005 $225.70 Final inspection
[TAX] 8% State Surchari 2/3/2005 $18.06
[BUPPLN] Pin Rv 2/3/2005 $146.71
[FLS] FLS Pin Rv 2/3/2005 $90.28
Total $480.75
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: J
Y / _ Cfil l / '.(U
Permittee
Signature: >( !Ar
/ C. s39 -4175 by 7 p.m. for an inspection the next business day .
•
. , , Building Permit Application OR OFFICE USE ONLY
FEB 6d � Receive � . - � ? �W b55'
City of Tigard 0 2 15 Da d e — > PermitN °.J .
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF 44 i t Ilr' Date/By: Other Permit:
Inspection Line: 503.639.4175 �r nr —a I! i ^`i I Date Ready By: ® See Attached Checklist for
Internet: www.ci.tigard.or.us V1L4 • otifi Supplemental Information
TYPE OF WORK 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
® 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 ® 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: 13190 SW 68th Parkway New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 200 I Project name: SRC Software 2nd Floor T.I. Covered porch area: square feet
Cross street/directions to job site: 1-5 to Haines St. - East on Haines St. - South on 68th Pky Deck area: square feet
Other structure area: square feet
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.
Split one existing office into three, including fire sprinklers, HVAC, and electrical Valuation: $18,500.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ( ®TENANT Number of stories:
Name: SRC Software Type of construction: II -FR
Address: 13190 SW 68th Pkwy Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing: B
Phone: (503)608 -3334 Fax: (503)608 -3399 New: B
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: R &H Construction Co. All contractors and subcontractors are required to be
Contact name: J. B. Skopil licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1530 SW Taylor St. jurisdiction in which work is being performed. If the
City/ State/ZIP: Portland, OR 97205 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 248 -5502 Fax: : (503) 224 -3638
E -mail: jskopil@rhconst.com
CONTRACTOR
Business name: R &H Construction Co.
BUILDING PERMIT FEES*
Address: 1530 SW Taylor St.
Please refer to fee schedule.
City/State/ZIP: Portland, OR 97205
Fees due upon application
Phone: (503) 228 -7177 Fax: (503) 224 -3638
Amount received
CCB lic.: 38304
Date received:
Authorized signature: l O This permit application expires if a permit is not obtained
�� within 180 days after it has been accepted as complete.
Print name: J.: - 1 pil r I Date: '-- �G ^ • Fee methodology set by Tri-County Building Industry
I Service Board.
i:\ Building \Permits \BUP- PennitApp. . 12/03 440- 46I3T(11 /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP o?DOS- DULL -3
Received �
G Date Requested � ° AM PM BUP
-3
Location / / ! g/am' / ` Suite - 200 MEC
Contact Person /0- Ph ( ) a 4.7t s�dZ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner .S g 00. ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall /lib ,
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Oth
A PART FAIL
PL ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required befor =next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please II for reins ection RE: ■ �:_ 0 Unable to inspect — no access
Fire Supply Line 2( e f(0(7 /
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspectio record from the job site.
PASS PART FAIL