Permit ''� "' �� t
= CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00619
COMMUNITY DEVELOPMENT DATE ISSUED: 12/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 AD -03100
SITE ADDRESS: 06950 SW HAMPTON ST 170 ZONING: MUE
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: E &D(DLk SO IIV6i N
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 12,000.00
Owner: Contractor:
AMERICAN PROPERTY MANAGEMENT OWNER
PO BOX 12127
PORTLAND, OR 97212
Phone: 503 - 284 - 6133
Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/5/2007 $134.00
[TAX] 8% State Surcha 12/5/2007 $10.72
[FLS] FLS Pln Rv 12/5/2007 $53.60
[BUPPLN] Pin Rv 12/5/2007 $87.10
Total $285.42
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.
•
,n k
Issued By: / , __ / � � � 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.
Co ', llal Tenant Improvement
Buil mit`Application
}�, i Cj {2OI F ICE .l SI O \',l l „
`' E CEIV L) R eceived 1 /
City of Tigard �� . ,; � � 7 • �� PemutN - 4 . _ , •
III
° 13125 SW Hall Blvd., Tigard, OR 97223 Date/B .
; a :• . Phone: 503.639.4171 Fax: 503.598.196bEc Dat B . ,� Y� / °� •
11,E 100 D �� � ���% � ® Other Permit:
Inspection Line: 503.639.4175 Q
T f G A h R : Date Ready/By. J uric: BI See Page 2 for
Internet: www.tigard- or.gov CITY OF No tiSec Method
1 1 i r tl A RU Supplemental Information
- r 9NG DIVlSE4�
E'
T F
O
I
"; {' '^ REQUIREDDATA : l A1V- FD2:11V1LYDVI'ELIN
At
' emo❑ Dlit ion ,:��: ,::,°_, ::,�;� °si s.� s.?' , - Indicate .:..� ;' � -. ... - _.. .•:.... � ,�:'. '
New construction fees' are based on the value of the work performed.
❑ Addition /alteration/replacement ❑ Other: the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the • = w
- C�� TE x�3;�`- work
. - , : A . G ORX'OF_CONS TRUC T I O N ,� : c 17r ' o indicated on this application.
❑ 1 - and 2- family dwelling Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. .._ JOB SITE INFORMATION AND LOCATION 4 , >.4 Total number of floors: '
Job site address:
• i 0 q F5-to � •• •, 5i - • -n• YrI New dwelling area: square feet
City /State/LIP :,'Tl a � j1Q 3 Garage /carport area: square feet
Suite/bldg. /apt. no.:"� I70 vv Pr �' ojjeect name: 1 _ -.e;w 4alarg.:lt. .... o . / ) Covered porch area: square feet
Cross street /directions to job site: \ I) D I (/f• Deck area:
v� square feet
e0 IZ.V &• y / Ni 6 Other structure area: square feet
QUIREDDATA'UMM 0*4 USE` CHECKI IST~ :
Subdivision: RE Permit fees are based on the value of the work I Lot no.: • � .. k performed.
Tax map /parcel no Indicate the value (rounded to the nearest dollar) of all
r,.. , ...; ,, , . * equipment, materials, labor, overhead, and the profit for the
Q /� . DD E °, ,,� ;� work indicated on this application-
' NA T r7a. f � 1 ' .��(A CJ _bIM j Valuation: $ Z ' 45 O
I 1
Existing building area: square feet
New building area: 13-7 to square feet
+ t" >PROPERTY''OVI'N - .,.,.,:.; ,,r.; Number of stories: .
r:
_�, :Tw�;;a?;`F,:;•,j,a' ^�. .. ries:
Name: � �;:,.. • ...
�,yy�,,pr nom, .I , y .e.. . .. :...- . �: ...: e... ':¢'�;':;-
t }I 1 It -1 r y j Rt�-I 11 � i i-- Type of construction: ,I b
Address: () AF (y � t �` j,,,, Occupancy groups: p..) City /State/ZIP: PD / r t •. -I f l j i ul ` (J y q71
�! Existing:
Phone: K�3) 7L /1 3 Fax: ( ) ZB'/ — /lam(, 7
t._v ?:.- New:
.eke:' i: .'.,jt,51 �n - :�� '. iz` �`fSit � MN,rs ri,: :�.f. -
S ,
,'APPLICA .t•,w... 0 CONTACT PERSON ,'";, ,r:�.�°
,f� 1M 1 r'� �/ a f , '.NOTI i
Business name: �`.�' J le 1 /}�( �O .t Ma ria "-- All contractors and subcontractors are required to be
Contact name: (it \ I ''U licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ?3 n 6, {m/� J 111 u /, y yl�r ` 1 jurisdiction in which work is being performed. If the
City /State/ZIP: I {J, t ' �+ tl •• t r I� / u /) , �l_�� applicant is exempt from licensing, the following reasons
1 ", t// apply
Phone: ( ?) — ) 33 I Fax:: () 3) I/ Z 0/Q 7
E -mail:—
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Business name: -: ` , .' �` ��11..//� K
- cu r. .. •�_ •k. . ,
' "" ' '�.� �� ��{ C 1�� F � iLDING;PE � � ,
Address: 0 A .- /I liitI..� _ ._ < iojeexhedale : „ �
City /State/ZIP: - 1 ca y) , / r.2 3 Structural plan review fee (or deposit):
Phone: (�3) 2,1 33 Fax: t ) 2 /_ 10 /- FLS plan review fee (if applicable):
CCB lic.: `1 / IJJLP Total fees due upon application:
Authorized signature: ` f � � � Amount received: .mil D ` no • .7
��� I (� 1 This permit application expires if a permit is not obtained
Print name: < ✓,.1 `.` (\ 1 \ rn v 1 ? 1 , ` An
within 180 days after it has accepted as com plete.
J ` 1 \ lV J Date: I • Fee methodology set by Tri -County ty Building Industry
Service Board.
I: Building \PermitslBUP- TI- PermitApp.doc 03/23/06 440-4613T( 11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20f17 -00619
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/5/2007
Phone: (503) 639 -4171 '91110Wt"� ,��
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.:':- ''� �..
INSPECTION WORKSHEET FOR DATE: 1i1 0418 TIME: 7:02A1v1 PAGE: 40
SITE ADDRESS: 06950 SW HAMPTON ST 170 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WEDDLE SURVEYING
DESCRIPTION: TI
OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 503 - 2046133
CONTRACTOR: - OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
4 . e.d.... c .._.
299 Final inspection 063221 -01 503 - 969
Corrections /Comments /Instructions: '
A m
Lj� 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /_
p -: Date: 1 `S og Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: R3UP2007 -00619
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/U2007
Phone: (503) 639 -4171 400(
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/14/2000 TIME: 7 :04AM PAGE: 22
SITE ADDRESS: 0 950 S W HAMPTON ST 170 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WEDDLE SURVEYING
DESCRIPTION: TI
OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 503-A04033
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: /14/ 2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final impaction 0631545 -01 503-9692703 4 0 m g._.
"eyi
Corrections /Comments /Instructions:
?ASS kD ! / 4 1/0.5
VI
i
`
��' � .
IRTIAL APPROVAL El CANCEL ❑ NO ACCESS
i
a:L 4 gl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: , __ Date: 1 /y Oeff Phone #: (503) 718 -Zry ,/
CITY OF TIGARD , .
w. ,
BUILDING DIVISION PERMIT #: 13tJP20()7- 0()619
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2/5/2(07
Phone: (503) 639-4171 &7,414A Ii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 58
SITE ADDRESS: 06950 SW HAMPTON ST 170 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WEDDLE SURVEYING
DESCRIPTION: TI
OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 5O3284 - 5133
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/1:/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 061333 -01 503-969-2703 N
Corrections /Comments/ Instructions:
#1s 11 ffri► g _c /(T Sze -- � �
pe_A---",/s
P- _._.___<-_- -
'1
, - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL A CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector Date: / / ' t] 7 Phone #: (503) 718- —/
4 . ,