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Permit I,' CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00005 �,� DEVELOPMENT SERVICES DATE ISSUED: 1/15/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101AA -09100 SITE ADDRESS: 12447 SW 69TH AVE - SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE BLOCK: LOT: OOC 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: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 215 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 74,000.00 Remarks: TI: New hard wall offices. Owner: Contractor: HOULSEHOLD CREDIT SERVICE BAUGH - SKANSKA CONST 12447 SW 69TH AVE. 2555 SW 153RD TIGARD, OR 97223 BEAVERTON, OR 97006 Phone: 503 - 686 -2048 Phone: 503 - 686 -2048 Reg #: 503- 641 - 2588980 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 1/15/04 $602.08 Electrical Permit Required TAX 8% State Surchar 1 /15/04 $48.17 Framing dsp [TAX] 1 Gyp Board Insp [BUPPLN] Pln Rv 1/15/04 $391.35 Final Inspection [FLS] FLS Pln Rv 1/15/04 $240.83 Total $1,282.43 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: Pemtittee c )0 , ,....., Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day Byname Permit Application FOR OFFICE USE ONLY City of Tigard Received r Permit No. `J g DateB : ��5 ®3 j3 s i f' -eo a' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /d j� +�� Date/B ; Other Permit: Inspection Line: 503.639.4175 ! Date Ready/By: Juris: ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: 1 / 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. Valuation: $ ❑ 1- and 2- family dwelling C9 Commercial /industrial 1:1 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: 1 t_ ti 1 5 t+.: EA fl, Rye- New dwelling area: square feet City/State/ZIP: r ; , 1 c . e 1 pg. Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: G 7 Re-IAA O CI e- ( _ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 0/ kA -OCl 1 c79 L 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: $ 7Y 00 Existing building area: square feet New building area: p . cyRt)ri;Ysquare feet ❑ PROPERTY OWNER pi, TENANT Number of stories: 2.. Name: 1-6i ) li di & /. i G - tV Type of construction: VA-) Address: a t �, V -lrk' `3. , (9'k e)-4`.i Occupancy groups: City/State/ZIP: S" (c r-. <Z ,` `� °N j Existing: Phone: (Gt$� C - O2 Fax: $ - 2:6 5 ' New: � % APPLICANT ❑ CONTACT PERSON NOTICE Business name: }sc---1 - 4-'t IC C.,'I��s t � ‘( \Z$ All contractors and subcontractors are required to be Contact name: C f 6z -� \.- licensed with the Oregon Construction Contractors Board j under ORS 701 and may be required to be licensed in the Address: A`2.- ¶ _ 3- 4 , N , jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: - c \1�h. . cD,;i4._ ZZ--7> apply: Phone: ,r Fax:: ( ) E -mail: - IDVEZ.9) Z .cTl � , C1- - CONTRACTOR Q / Business name: )ta lk 5 g4,,,, 5 jS !.J54 (l ; / i, i jn 9 BUILDING PERMIT FEES* Address: 5 of A" 5 ..A.) /S3 ,d ter I V2 Please refer to fee schedule City/State/ZIP: bete tier 'keel fi k q 7 t.,u6 Fees due upon application Phone: ( 503) 641 2.5-to Fax:(S -b -,3) 6 -Dt, `ib Amount received CCB lic.: / S?O Date received: Authorized signature: =S- This permit application expires if a permit is not obtained ° within 180 days after it has been accepted as complete. Print name:_c p� V Z'2_ Date: /dJ * Fee methodology set by Tri-County Building Industry Service Board. i:\ Building \Permits \BUP- PernitApp.doc 12/03 440- 4613T(11 /02/COM/WEB) r 4 Building Division Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans • (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 t MST INSPECTION DWISION Business Line: (503) 639 -4171 P BUP Received ° �/Z,3 3 : ( Li Date Requested �a y / AM PM BUP Location / 7 J Suite _ �OZ t Contact Person G �L _� 4 Ph ( ?7/) . ' '-3 _ PLM Contractor alP Ph ( ) SWR BUILDING Tena (Owner 11- 2e4eci C ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PA • . •T FAIL p, Ro • -In Gas Line _Dampers 1I;Z PART FAIL EL TRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm . Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire ADASupply Line / 2 tilo Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY TIGARD 24 -Hour = . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST I: 4 / — Oz9( 'Y 6 s Received 4' 3 a - <5, Date Requested 2/ 2 4t/7 ( 7 L AM PM BUP Location /ZIT ? e q._ 4e) _ Suite 6id • C.- MEC Contact Person / i - " ) 5 9 ' 2. PLM Contractor Ph ( ) e- SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation r---- Drywall Nailing Firewall Fire Sprinkler �, Fire Alarm �v, �� — 00 0 6 At , Susp'd Ceiling ' "/ `� Roof __� r i — 00 — 6 00 / a / t'. AIL 1 3 ' s ' =1NG Post & Beam Under Slab 7,, /�� ._ / �p Rough -In L G 'r�TX� -r • Z / / / 7 Water Service ri Sanitary Sewer Rain Drains Catch Basin / Manhole At- �� . (4) /G - Storm Drain Shower Pan C.A.4- C) , Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Sm Dampers Final nal Dnal PASS PART FAIL ELECTRICAL Service Rough -In \ UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line �) ADA Approach/Sidewalk Date 2/21// / Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL