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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00379 ; DEVELOPMENT SERVICES DATE ISSUED: 9/18/03 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101AD -0800 SITE ADDRESS: 12665 SW 69TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 031 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 3,422 sf N: NR S: 1HR E: NR W: NR TYPE OF USE: COM SECOND: 2,935 sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: N S: Y E: N W: N OCCUPANCY GRP: B TOTAL AREA: 6,357 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 60 BASEMENT: 0 sf AREA SEP. RATED: STOR: 2 HT: 30 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: Y 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 432,911.00 Remarks: Construction of new 6,357 sq ft, 2 -story office building. Owner: Contractor: CEDAR ENTERPRISES JOSEPH HUGHES CONSTRUCTION, INC MARTY GOLDSMITH & RON ENYEART 7035 SW HAMPTON ST 4004 KRUSE PLACE TIGARD, OR 97223 LAKE OSWEGO, OR 97035 Phone: Phone: 503 - 624 -7100 Reg #: LIC 45645 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846 -8. Shear Wall Insp [BUPPLN] Pln Rv 6/20/03 $1,464.65 Mechanical Permit Require Firewall Insp FLS Pln Rv 6/20/03 $901.32 Electrical Permit Required Gyp Board Insp [FLS] Plumbing Permit Required Susp Ceilng Insp [TIF -O] TIF - Office 9/18/03 $20,938.00 Foot/Found Insp Bolts in concrete final repot [TIF -MT] TIF Mass Tr 9/18/03 $1,872.00 Foot/Found Insp Structural welding final rep! (additional fees not listed here) Footing Drain Engineered grading final re Slab Insp Final Inspection Total $29,868.05 Framing Insp Insulation Insp 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: l / ,!I_ - i /d 4171/4 3 Cik Pemiittee ' Signature: ifii i Call 639 p.m. for an inspection the next business day A . - - C ITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2003 -00379 i A; i DEVELOPMENT SERVICES DATE ISSUED: 9/18/03 4 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101AD -02800 SITE ADDRESS: 12665 SW 69TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 031 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 3,422 sf N: NR S: 1HR E: NR W: NR TYPE OF USE: COM SECOND: 2,935 sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: N S: Y E: N W: N OCCUPANCY GRP: B TOTAL AREA: 6,357 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 60 BASEMENT: 441 sf AREA SEP. RATED: STOR: 2 HT: 30 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: Y 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 490,000.00 Remarks: Construction of new 6,340 sq ft, 2 -story office building. Owner: Contractor: CEDAR ENTERPRISES JOSEPH HUGHES CONSTRUCTION,INC MARTY GOLDSMITH & RON ENYEART 7035 SW HAMPTON 4004 KRUSE PLACE TIGARD, OR 97223 LAKE OSWEGO, OR 97035 Phone: Phone: 624 -7100 Reg #: LIC 45645 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846 -8• Shear Wall Insp [BUPPLN] PIn Rv 6/20/03 $1,464.65 Mechanical Permit Require Firewall Insp [FLS] FLS Pln Rv 6/20/03 $901.32 Electrical Permit Required Gyp Board Insp Plumbing Permit Required Susp Ceilng Insp [TIF -O] TIF - Office 9/18/03 $20,938.00 Foot/Found Insp Bolts in concrete final repot [TIF -MT] TIF Mass Tr 9/18/03 $1,872.00 Foot/Found Insp Structural welding final reps (additional fees not listed here) Footing Drain Engineered grading final re Slab Insp Final Inspection Total $30,067.93 Framing Insp Insulation Insp 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: /L.4 �, �4Z€ v Permittee Signature: 1� / y/ _\ Call 639 -4175 by 7 p.m. for an inspection the next business day 2X665 $W 6'7 TM Bu ilding Permit Application FOR OFFICE USE ONLY Received � Building a,, Date/By: y: ( 1 y 010,5 l Permit No.: Pocg - 06 379 City of Tigard , - s ,s Planning Approval Date Ot Date/By: Permit No.: 13125 SW Hall Blvd. Plan Revi w 4 Other - Tigard, Oregon 97223 N" Date/By:ff -24 -0.! 35m Permit No.: Phone: 503- 639 -4171 Fax: 503-598-1960 ""'�'�"�t A�'a Post Review Land Use 4(>� : c . ' I Date/By: Case No.. 1 2>k Internet: www.ci.tigard.or.us . :; • ■ C..�. ., , - Contact ! See Page 2 for k Hv yes 24 - hour Inspection Requeslt :.5O3 1941T*310 Name/Method: . (i Supplemental Information TYPE OF WORK REQUIRED DATA: New construction ❑ Demolition 1 & 2 FAMILY DWELLING O Addition/alteration/replacement ❑ Other: • CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling N Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building Multi- Family ❑ Master Builder ❑ Other: Valuation $ JOB SITE INFORMATION and LOCAT No. of bedrooms: No. of baths: Job site address: l'24p 6 W b - 1 Total number of floors New dwelling area (sq. ft.) Suite #: � Bdg. /4pt. #: Garage/carport area (sq. ft.) � LJ r Project Name: iCr_. Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: 1 Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, f ltDr LI , ^ evJ overhead and profit for the work indicated on this application. &I i s Valuation $_ 9v ./• kit Existing building area (sq. ft.) • New building area (sq. ft.) ,:TAM Number of stories PROPERTY OWNER 1 ❑ TENANT Type of construction Name: C ' • 6E IC. I i Occupancy group(s): Existing: _ New: R Address: irlY. 74 Cit /State /Zi.: 0_ • ,J• • . • • . '� A: b �y • �� OTICE: All contractors and subcontractors are required to be Phon z, 1 • • �::r�'1 �L 11 - l with the Oregon Construction Contractors Board under ❑ APP ICANT 0 C • NTAC PERSON Zi of ORS 701 and may be required to be licensed in the Business Name: A ' ... ti A I .& , • LO, ,1L� ► here work is being performed. If the applicant is exempt Contact Name: ,A i___ fAl� KI from licensing, the following reason applies: Address: t o LI N.m a1�] ::� Cit /State /Zi.: 0 ,k,r_I► ' 4 Mill Phon . win .: 1. -• y'� ' —� 1 '� BUILDING PERMIT FEES* E-mail: • A • - _(i.b ; r► I ! ♦ • _ / / Please refer to fee schedule. CO ' •• TOR • Business Name' '112i 1 A sl ,4Lt1 .I) a1 I • • ,e upon application $ Address: At Z5 c 1 ,4 • ' • • • Cit /State /Zi.: • 1. (., ell • ,4, Amount received $ Phon ;*-0,•J, 001.1 •oL S Date received: CCB Lic. #: • Authorized • jq 0 3 Notice: This permit application expires if a permit is not obtained within Signature: � �j� ate: b 180 days after it has been accepted as complete. r(/� n Yf , 7` lO/ t .' *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) is \Dsts\Permit Fotmms\BldgPetmitApp.doc 01/03 • Plan Submittal Requirement Matrix Commercial & Multi- Family City of Tigard New, Additions or Alterations TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (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 \PlanSubMatrix.doc 04/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / Received 4 2J P Date Requested `7 -36 --1 S AM PM BUP I Location cv a g am " Suite MEC 5. 00 7 g Contact Person .6 O j Ph ( ) 2-e) / '5 7/cP PLM Cont Ph ( ) SWR .13UIL Tenant/Owner . � ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Q Slab Inspection Notes: SIT 7 Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ` Other: "' PART FAIL ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL CIlANICAI) Posteam Rough -In Gas Line Sm a Dampers in ASO PART FAIL ELECTRICAL 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. TAps PART FAIL IT � Please call f r reinspection RE: II Unable to inspect — no access Fire Supply Line / , _r 910 Approach/Sidewalk Date C/ nspector �/ Ext Ot DO NOT REMOV this Inspection record from the job site. SS PART FAIL