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Permit tF � & BUILDING PERMIT CITY TIGARD PERMIT #: BUP2005 -00420 ihri. - - 'I I DEVELOPMENT SERVICES DATE ISSUED: 8/24/2005 " 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 101 AD -00400 SITE ADDRESS: 06655 SW HAMPTON ST 120 ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 034 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: 17 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: $ 27,356.00 Owner: Contractor: NORRIS BEGGS & SIMPSON COMMERCIAL CONTRACTORS INC 121 SW MORRISON SUITE 200 1265 SOUTH 35TH PLACE PORTLAND, OR 97204 RIDGEFIELD, WA 98642 Phone: 503 - 273 -0320 Phone: 503 - 227 -4440 FEES Reg #: LIC 123729 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/24/2005 $305.80 [TAX] 8% State Surchari 8/24/2005 $24.46 [BUPPLN] Pin Rv 8/24/2005 $198.77 [FLS] FLS Pin Rv 8/24/2005 $122.32 Total $651.35 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00 s h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questiais to OUNC by calling 3- 246 -6699 0 4 00 2 - 2344. . By: L_. — _ /� /I,►_ ' Permittee Sign. ure: ,� ,, ,1!' �� ` Issu d B i � /� / � / Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Budding Permit Ap lic_ation F OR OFFICE USE ONLY City of Tigard Ht L O VE ��) Received . © �� per mit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Da : v� Plant Review Phone: 503.639.4171 Fax: 503.598.19 `J A /a'' L' ' ' Other Permit: Inspection Line: 503.639.4175 . 2005 - ,`711 Date/ By: 'z Date Ready /By: 1 • !w7 See Attached Checklist ft Internet: www.ci.tigard.or.us Notified/Method: lc Supplemental Information CITY OF TIGAFID ` ". ���n`:,. ^..., �-.>.2�.` , >.... \......y.;t: %�.., ^ 2 ,. -. �.�: -`°� .� .d, r�i q,$ as:, i3i;� - '4 ,n.�.� , � � ` _ � �� _ � :,R� r� IR� n b ��Mr ..' .� °� as p. - .,�- -�. >.�'r�'� .�m��. rz� " ��dr� ,-'<; _�� >r��..� : „ F` ��, �„ �''.; �. ���:>-'£ �3`- � - k' A � � �i I 2 == F', v:-. a :"�"'.. =�;,+Fyrss;:"+�s+.,.; °C�` ❑ 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 tht ,' » ` .:i:9•,£;': _' 5'- ».',:r- ..'''' ' :k 9-' -' ...x,',m,, d :.4 z s ., 1= : =4 ,,,, <�z . i --: Cr TE' 4 ,_ _ - ,,, �M p'.. ;., , ^;.; � :_ ; work indicated on i M ,'a , : ' ,. GORY S Ri C 'FTQN `r :-- 3 .; ., this application. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: < ik ;� .J `OBj Ir' �.:i3. - z. -: P .°.•'y.�" , >h ." , '°. 3 - : _ "x, ':S E`r'IIVI~,ORMAT,,TQN'` number ,,,,..�` � �;_ <, A1�17°'I:;oGATION..� � <' � Total nu of floors: •- ;<ah:a. ..,.._mss: -, .'r, �;°an °�N �:,. :�„ .. x��"`c,.',- '„z'�''%�.� - � - � Job site address: 6655 SW Hampton ST New dwelling area: square feet City/State/ZIP: Tigard OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no./ AD Project name: Marshall Family Chiropractic, P.C. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet , /, , ,. ., .DAT . .,V. A :..; : _ . F °. ,.- - ;: g r:, -< te Subdivision: h_ .1:10 , 93„ , , , AK.9N11Y141N143 ;) K I'IST 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 s r 1r „,_..,;:. „' >> „ <,,; ;,, equipment, materials, labor, overhead, profit for the x" .z RIPTON..OF W:x' V a. =F - - a and the pr w :DESE 1 ORIi, , 1 `.r, "T'. � : x �Q .,:.. >.E«,�. -. �'�;,: , °....nom >�..�r�..- �,,, °...... ,,.. �� H., � x. � *s,�''� work indicated on this ,;� � , °� , x � �� �> application. Interior office remodel ' Valuation: sC ��3J 6 Existing building area: square feet New building area: 1663 square feet ��:y .- ' ,�� . ��; -tom _ �, ;x,�� ®r • ;ROPER�`X OVtF1YER. ���3 � �� "ry�� - > K`' .° � �, .;. >o -'; r ,_ ; x <ENA \,1 fir'. ^r, 3.1 :::. <: �� .� ._ ,�,.b.- ��,'� �� �,.�,�e °,: °� �'��'�:.���' -�� = r� � ���..�;� , °�:,� > >�N�: Number of stories: 2 Name: Norris Begges & Simpson Type of construction: II -FR Non - Sprinklered Address: 121 SW Morrison, Suite 200 Occupancy groups: City/State /ZIP: Portland OR Existing: B Phone: (503)273 -0320 Fax: ( ) ac ^.� %:� ° j$ ���;�., :�%�ac,e '.u:; m;�: e. � a;'s;�a�y� �;.:.. >-� New: B W . .:'7;t`,:,.:.:€ e-- z%'4sray,mMAksn. rs, <n. 4*=n", - ' s Business name: Commercial Contractors Inc. All contractors and subcontractors are required to be Contact name: Bryan Monroe licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1265 South 35 Place jurisdiction in which work is being performed. If the City/State /ZIP: Ridgefield WA 98642 applicant is exempt from licensing, the following reasons apply: Phone: (503) 227 -4440 Fax: : (503) 227 -6644 E -mail: • > a {, z "^'s °t,�,a� �. i= ;;<,,;�, '. "� .: in7ti "�g.� s> .s.<r ,xs " •',.`,a".: ..'x. .', CON'T.R'A 4 C A1 , : :- < , ^.., ^af :,: �„ n . . : Business name: Commercial Contractors Inc. x;;r� e_fia Address: 1265 South 35 Place ',' ,,`N' • * • City/State /ZIP: Ridgefield WA,98642 • • Please refer to fee schedule. Fees due upon application Phone: (503) 227 -4440 Fax: (503) 227 -6644 CCB lic.: 123729' Amount received Date received: . Authorized signature: This permit application expires if a permit is not obtained / ` / .���... c.ar ` � within 180 days after it has been accepted as complete. Print name: Bryan iMonr" • Date: 8/11/05 * Fee methodology set by Tri- County Building Industry Service Board. is\ Building \ Permits \BUP- PermitApp.doc 12/03 440- 4613T(1l /02/COM/WEB) • CITY O.F TIGARD BUILDING DIVISION PERMIT #: 611021 f/ 21200 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4 414011 hl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 66,s G CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: 3 7 - 6 3 CONTRACTOR: f PHONE #: Inspection Request Scheduled For: Date: /Q / Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: d ri • p PASS I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CALL F•R INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: D Phone #: (503) 718 - 111,W