Permit CITY OF TI GARD BUILDING PERMIT
P ERMIT #: BUP2005 -00409
�''II DEVELOPMENT SERVICES DATE ISSUED: 8/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110DC -02300
SITE ADDRESS: 11545 SW DURHAM RD B -6 ZONING: C -G
SUBDIVISION: WILLOWBROOK BUSINESS PARK LOT: JURISDICTION: TIG
Project Description: TI, 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 23 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 8,125.00
Owner: Contractor:
HARSCH INVESTMENTS PACIFIC CREST STRUCTURES INC
1121 SW SALMON ST 7233 SW KABLE LN STE 900
PORTLAND, OR 97205 PORTLAND, OR 97224
Phone: Phone: 503 - 968 -8949
FEES Reg #: LIC 66915
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/18/2005 $129.70
[TAX] 8% State Surcharl 8/18/2005 $10.38
[BUPPLN] Pln Rv 8/18/2005 $84.30
[FLS] FLS Pln Rv 8/18/2005 $51.88
•
Total $276.26
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 fo-foll w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throe, h OARS' ^P- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 - 246 -669' or 1 -80 0- • - .44.
I ssued By , !m. i i Permittee Signature:y' 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 ._ ', FOi2,QFFlc;I .t sf ()NIA
City of Tigard c R eceived T� /� � �/ ° G� .
n Date/By. 11 t ( Q Permit No.1 /(/(t /J W (/ /
13125 SW Hall Blvd., Tigard, OR 97223 / Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �> �" I " Date/By: Other Permit:
Line: 503.639.4175 ��� f 8 l. ' I I , Date Ready/By: iu 0 See Attached Checklist for
Internet: www.ci.tigard.or.us G , / to ol Notified/Method: a Supplemental Info
@U // r� OF 1-i., eJ
TYPOi REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 01Yemolition 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: ,,, CQ \ t . 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: k \ & t, > "a,R� Qa s • , % 3(c. >Of New dwelling area: square feet
City /State/ZIP: .,_ta,,..z.„ v Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
' N . > c>¢--+ cA rs. ON 9 \r‘• t..rr '� . i. Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: V) �� o■Jbe .ao.\< 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 profit for the
DESCRIPTION OF WORK work indicated on this application.
\ Valuation: $ C
�Qrn dv 2., u c� A .QQ- tvt+C• .._q `! 0 �. .o.)C. 1 � Z
Z r Ca 'N.\ S.....> ��.a. Existing building area: 2;ZZ� square feet
New building area: square feet
g.PROPERTY OWNER 0. TENANT Number of stories:
Name: ' T J 0,� M�, Type of construction: v N
Address: \ \Z � S0,`r.d,3 S : Occupancy groups: '
City /State/ZIP: – Pc„,04c\ Ch...io Uri.. •=k7 Zc._, 5 Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: -s C . (4.,' " - . `u All contractors and subcontractors are required to be
Contact name: . ,\N 1 v licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name 711,4 ,-N,.., , G2rzo ---z:c-L v G `` % - `,'' BUILDING PERMIT FEES*
Address: 72 54> Icr,\, 42. ` J 'ia Q. C7C> Please refer to fee schedule
city /State/ZIP: R&c \ It1 v 1. G ce V ,D'22 y
Fees due upon application
Phone: ( 563) (,,,$,,„ 8gt,\:c4„ Fax:(Sri3) Z C.C. $
S \ s Amount received
CCB lie.:
Date received:
Authorized signature: This is permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: M A tJ N 6., r1r. Date: 43 \S. t>s * Fee methodology set by Tri -County Building Industry
I,,, (-:. ` • r, ' ,
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00409
13125 SW Hall Blvd., Tigard, OR 97223 _.---- DATE ISSUED: 8/18/2005
Phone: (503) 639-4171 , :t
Inspection Requests (24 Hrs.): (503) 639-4175 . • -.—
INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7:09AM PAGE: 81
SITE ADDRESS: 11645 SW DURHAM RD B-6 CLASS OF WORK:
SUBDIVISION: W1LLOWBROOK BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI, wa
OWNER: HARSCH INVESTMENTS, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503
Inspection Request Scheduled For: Date: 902006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 0150N-01 503-807-7867 N
CArrections/Comments/Instructions:
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X PASS pi PARTIAL APPROVAL E] CANCEL El NO ACCESS
0 FAIL i I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED •
Inspector: 4) 4..,------ Date: 94/ S
,-
6 ----
Phone #: (503) 718-