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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2013 -00025 .TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/14/2013 Parcel: 1 S136DA00100 Jurisdiction: Tigard Site address: 11308 SW 68TH PKWY Project: Comcast tech Ops West Subdivision: PFAFFLE PLAZA CONDO Lot: 2 Project Description: Interior demo work prior to tenant improvement Contractor: LEASE CRUTCHER LEWIS Owner: BENENSON 68TH PARKWAY KEY LLC, T 550 SW 12TH AVENUE BY PROVIDENCE HEALTH SYSTEM PORTLAND, OR 97205 ATTN: PROPERTY MANAGEMENT 1235 NE 47TH STE 160 • PORTLAND, OR 97213 • PHONE: 503 - 223 -0500 PHONE: FAX: 503 - 223 -2874 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 02/14/2013 $1,105.95 Demolition Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 02/14/2013 $132.71 Dwelling Units: 0 Plan Review 01/31/2013 $718.87 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $100,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,957.53 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: , Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 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 the 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 ' • 2 •87 • :01. '3 Issued By: Permittee Signature: 1 Call 503.639.4175 by 7 :00 a.m. for the next available Inspection : te. This permit card shall be kept In a conspicuous place on the job site until co • lotion of the project Approved plans are required on the job site at the time of each Inspection. Building Permit Application Com. FOR OFFICE USG ON LI City of Tigard yy�/�� D r /s/ 911, . Pe�tNo.:1( ;6" 13125 SW Hall Blvd, Tigard, OR 92'dJv l 3 1 2013 Plan Review ! ii o� 3 �� � / I _ . Phone: 503.718.2439 Fax: 501598.1960 Date/B . Other Permit: 2.L. T I G A RD Inspection Line: 503.639 CITY a TIGARD Date Ready/By: El See Page 2 for Internet www.tigard -or.gov BUILDING DIVISION Notifi ethod: / Supplemental Information 4r irON T / 11 - V- ..__....,._ °- --- -' - - . . . .:. , -.. _ .�_..,�....- .. W .�_,., — — - - � �Q if7 IIt D�D � �' ii E� =:: A1VD; 2�F� 1 ❑ New construction ❑Demolition Permit fees* are based on the value of the work performed. ■ -..- , Indicate the value (rounded to the nearest dollar) of all ® Additio�alteration/4placement ❑ Other: equipment, materials, labor, overhead, and the profit for the .{ I __ - _ - _ - - _ — — _ _ _ : — work indicated on this application. V —.-- — _-- - _ _ -_ - -— _! S Ist"AB3�_a��-019S� :_ -= € €_''-� _ - °� -' � —�'. 10 1- and 2- family dwelling a Commercial/mdustrial Valuation $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: W .,-.::_� _:.._;..., _- = =- - -- • Total number of floors -_ =— - - -_ - - - -_ - _._ 3- OB: SL' i' E-- IlVF+ UR11' lA' TI< QPl`- ANIy T. QCA� '107V` - `s- :';_`:' - i;: - -;i ;: _T1-,: Job site address: 11308 SW 68 Parkway New dwelling area: square feet g. City/ State/ZIP: Tigatrd, OR 97223 Garage /carport area: square feet Suite/bldgJapt. no.: Project name.`Comcast Tech Ops West Covered porch area square feet Cross street/directions to job site: SW Pacific Highway Deck area: square feet Other structure area square feet `' -RFQU 1R D DA •A: NCO tiS .IST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax m no.: Indicate the value (rounded to the nearest dollar) of all :_--__ _•:,_:;, map/parcel r se;.:- -ss:r -c.= ..,._,__;.:.._ ;::_: -;;- .- _• : -.- : -::.- equipment, materials, labor, overhead, and the profit for the .... - ._ _.._ -._....._, _ _ _ - __ . _ -" _ work indicated on this application. - -s -_ - - = == , -- �:r:: - : •:DP�RI>P`1'C ©N..�F..:�DRi� ° - - -= - - - _- aPP Interior Demolition Only Valuation: $ 100,000.00 Y Existing building area: 86982 square feet • New building area square feet _...--- ...._.. = - _-= ° - - __�:• Number fst = _ -- - - PROPERTY -- ;1 l ,= -- - - =�_ �LEN� um er o oriel: 2 Name: Comcast of Tualatin Valley, Inc. Type of construction: JIB , Address: Occupancy groups: t City/ State/ZIP: 9605 SW Nimbus Ave, Beaverton, OR 97008 Existing. B \ %. Phone: (503)605 -6060 Fax: (503)605 -6239 New: B /S-1 _. - _ � _ .........__ __= - - - -_ - :? - - - _ _ _ -- - _ _ -- - 0\. Business name: Lease Crutcher Lewis, LLC `:; lieieja:cn;�ce* ffofrt.); _:•'- Structural plan review fee (or deposit): rr . ) � Contact name: Paul Riso V` FLS plan review fee (if applicable): i Address: 550 SW 12 Avenue C\ City/State/ZIP: Portland OR 97205 Total fees due upon application: Phone: (503) 223 -0500 Fax: : (503) 223 -2874 Amount received Elil'i' O iii6iiCiidLAl 1 ANE SYSTEM FEES ;!_ E -mail: paul.riso@lewisbuilds.com ,;:.•___;_- - :: _ : _.. ..,...... - . Corn • - rcial and residential prescriptive installation - - -- _` . � _ _ , . =_ _ = � - -__- -- _ _ -- - -- - � _ - _ _ _ roof -top .. : 1 d Photovoltaic Solar Panel S 4. ..• Business name: Lease Crutcher Lewis, LLC Submit two (2 of roof plan with co - • on details and fire department a.= - s, alon: ' ti the 2010 Oregon 4 Address: 550 SW 12th Avenue Solar Installation Specialty . : ' checklist. City/ State/ZIP: Portland, OR 97205 Permit fee (inc ...es plan re $180.00 a .: dministrative fees): Phone: (503) 223 -0500 Fax: (503) 223 -2874 State charge (12% of permit fee): $21.60 CCB lic.: 92919 /c+ /� j/ Total fee due upon application: $21 .60 A � 4 � .Authorized signature: ; /• ,,� / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ! CT`" -t- f 4( j) �RSTn N Date: 1 /31 /2013 • Fee methodology set by Tn-County Building industry l Service Board_ I:\Building\Perrnits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(] 1 /02/COM/WEB) • Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11308 SW 68TH PKWY, TIGARD, OR, 97223 Commercial - Building 275 Framing 05/28/2013 00:00 BUP2013-00025 PART Second floor Grid lines F thru M Grid lines 1 thru 8 Okay to cover with electrical and plumbing approvals Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11308 SW 68TH PKWY, TIGARD, OR, 97223 Commercial - Building 275 Framing 06/13/2013 00:00 BUP2013-00025 PART Tech room 123 only (1st floor) Violation Summary: Inspector Contractor