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Permit . , ,:. `_. CI TY OF TIGARD SITE WORK PERMIT •r' DEVELOPMENT SERVICES PERMIT # : SIT2004 -00020 "`y" r.' - DATE ISSUED : 9/24/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 7 PARCEL : 2S101AB -02201 SITE ADDRESS: _ // W BEVELAND RD SUBDIVISION: BEVELAND ZONING : MUE BLOCK: LOT: 2 -3 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: 87,701.00 EXCV VOLUME: 952 cy LANDSCAPING ?: FILL VOLUME: cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: 4,824 sf Remarks: Site work for new office building. Owner: FEES ZIMMLER DEVELOPMENT LLC Description Date Amount 7165 SWFIR LP SUITE 100 PO BOX 230698 [BUPPLN] Pin Ck - Valu 6/22/2004 $441.13 TIGARD, OR 97223 [FLS] FLS Pin RAT 6/22/2004 $271.46 Phone: 503 - 598 -3440 [BUILD] Prmt Fee - Valu 9/24/2004 $678.66 [TAX] Valu 8% State Sw 9/24/2004 $54.29 Contractor: [ERPRMT] Erosion Cntl 9/24/2004 $80.00 S I GRACE LLC [ERPLN] ErsnPlck - CWE 9/24/2004 $26.00 PO BOX 230698 [EROSN] Ersn Plck - COT 9/24/2004 $26.00 PORTLAND, OR 97281 -0698 Total $1,577.54 Phone: 503 - 598 -3440 • Reg #: LIC 156355 Required Inspections Ersn Cntrl 681 -4444 Paving lnsp Final Inspection • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 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 copies of these rules or direct questions to OUNC by calling (503) 246 -6699. Issued By: — ` ✓� d -P Permittee Signature: .! 't'L r Call (503) 63 -4175 by 7:00 .M. for an inspection needed the next business day l l c, 5 r.,A el e:-0,:t.414 0 , , Site Work Building Permit Application FOR OFFICE USE ONLY City of Tigard �� DateB /� �/ � Permit No.: ,,��, n 13125 SW Hall Blvd., Tigard, OR 97223 � ctz et o � Phone: 503.639.4171 Fax: 503.598.1960 J 1 r �. 2 20 r dHa��tidi lry•�io�l�t DatePlan B R ev i ew : ZZ� s t Other Permit: Inspection Line: 503.639.4175 l Date Ready/By: E1 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: E —� / � Supplemental Information RI III min 1111 /1SI(?I�I ���c off O 2 = - s 3 f ,�.;� ',. .- O fi : :<g: bk illlt U ':: z .z -vim �::4ar <s,. - '" T ^ , s / ; ; F F ::0 , d m w*m g, Da41,A:No= t, a,.._, »S . , , � .. »:_��� ~ �• .�_�� > �. ::.• q�=��. , � �AND2- ,F.A.MIEY� �,� �� _ " . . . � . -e - _ ... ':�;?k�as . , ,ar ,,.. .�:�.,� �ca€€a>r ,, �W� =, : ® 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 f- * °; 3 A < 's 1 — r fi :'n .�;aY =se 'td4 z • xn f t w ai ,M rs`r>!S * ' :r,Ta ,:::N at r ,.. '?=;,c`. of R _, ^ , ��� ... �'* . '"� ' GA'PEG'O &YO �S'TRl,:I � ���; - t,. ».,, . �-� _ ., �. work indicated on this application. ❑ 1- and 2-family dwelling ® m Comercial/industrial Valuation: $ 1:3 Accessory building 1:1 Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ',zh ,i ;£. ,i' '1 ARSY fizg`•,'.u,T:: '>ors`rr _iv, . „: °�s9'.' vAv f s ; �•..,i, li I4. a ,1:: . �' B ,I1Vi IOl AND; fJG 'tV,t: ' .- s;"'�'-_ ' , Total number of floors: Job site add Beveland 7/L7 New dwelling area: • square feet City /State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: 9455 Beveland Buildings Covered porch area: square feet Cross street/directions to job site: Just east along Beveland of the intersection of Beveland Deck area square feet and 72nd Ave. Other structure area: square feet , . "��p7$� .17,10: =�.F E "" `iA�",F,�,.��w'F>.(�� '��.& {fia' ;... -4v.$. `:.E;� Subdivision: I 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.: 25101AB, lot 2100 and 2201 equipment, materials, labor, overhead, and the profit for the ,, - R , .,, `OF D• , 7 r -saw work indicated on this application. :��, ,.'� -. i, a .x v;:., .._ .,'_ Z, 4, -.., ,. '' ' e 1 Valuation: 4 208;gTl.OIr gZ / > 6/ Construct site improvements and building including all civil, landscape, architectural, , and structural. Mechanical, plumbing, and electrical by spearate permit. Existing building area: square felt New building area: 14,544 square feet ; 1 0 « okifi . � y Number of stories: 2 . ` , a s; t ,K1'. Type of construction: VN Name: Ziminler Development, L.L.C. Occupancy groups: Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Existing: City /State/ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698 Phone: (503)598 -3440 . Fax: (5003)598 -3450 New: B, S3 N�� a, g ”- Y� -� : .'.-- .&`� =.m . t�� xsax::- T t. . :�i^ ri�.F.,�- � � x x ` *��x� � �' raagxa,5 w�� ..�12SON�r a . :110 ,.Y�a '.b" t 4e'=.'i� i zoe �.�. k S ,,s •' . � t " k", r 4; - All contractors and subcontractors are required to be Business name: Mildren Design Group, P.C. licensed with the Oregon Construction Contractors Board Contact name: Jack Kriz under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed. If the • Address: 7650 S.W. Beveland, Suite 120 applicant is exempt from licensing, the following reasons City/State/ZIP: Tigard, Oregon 97223 apply: Phone: (503) 244 -0552 I Fax: : (503) 244 -0417 E -mail: jack @mdgpc.com , _5^,., „4. ak . iv �9`� tom' = 'u&G.¢ �F ' u•�'"¢Y •_. Business name: SI Grace L.L.0 , G B 1 * 's A -;' � ` $ — x, w,x : .. ° ` _ ...:r :?_='s . Q ,....,.. `'- zw. =% „ *; - :` `- � .;,,%ii' » - .. Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Please refer to fee schedule. City /State/ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698 Fees due upon application Phone: (503) 598 -3440 I Fax: (503) 598 -3450 Amount received CCB lic.:449I19 — ) ( 3S7) eye, y -0,5-- Date received: This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. // �� * Fee methodology set by Tri -County Building Industry Print name: 7A,A„ 1 I l Date: 6.2, Service Board. is\ Building \Permits\SrGPermi1App.d - c /03 440- 4613T(11 /02/COM/WEB) • CITY OF TIGARD. BUILDING DIVISION PERMIT #: I ZeICA-- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /�mm�Npuyp;p�lj Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/71 / (S' TIME: PAGE: SITE ADDRESS: 7 (( 7 -- ev F 6 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ki}0� DESCRIPTION: OWNER: PHONE #: CONTRACTOR: ( PHONE #: Inspection Request Scheduled For: Date: , Pour Time: Code # Inspection Description Confirm # Contact # Message A Corrections /Comments /Instructions: vr24_ ∎ . re p r rdali • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED ► � r Inspector: 4' 4 W Date: ) hone #: (503) 718- • ITY OF TIGARD BUILDING DIVISION i PER #: SIT004 -0000 13125 SW Hall Blvd., Tigard, OR 97223 DATE IS SUED: 9124/2004 Phone: (503) 639 -4171 �v Inspection Requests (24 Hrs.): (503) 639 -4175 illirli INSPECTION WORKSHEET FOR DATE: 5/ 5f 005 TIME: 7 :12AM PAGE: 70 SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK: SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE: PROJECT NAME: ANDRUS DESCRIPTION: Site work for new office building. OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503-598-3440 CONTRACTOR: S I GRACE LLC PHONE #: 503 -598 -3440 Inspection Request Scheduled For: Date: 6125/2005 Pour Time: Code # Inspection Description Confirm # Contact # - Message 499 Final inspection 007E42-01 503.969.2953 N Corrections/Comments/Instructions: - - cr. f ( aC ss : . : g( - - W 1 -L-- r \ ,- 4t1111 L_ inNallaffillf Ste i PAMIIIIIIIIMI-.- . itrittliffi • r - lv,„,., ❑ P S _ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FEES SSESSED 5 z5 Inspector: Date: - Ph one #: (503) 718- BUP Building Permit _ ELC - Electrical Permit 4 Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor. insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing J Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG Structure set-up MEC - Mechanical Permit Insulation Drywall nailing .4 Inspection Description Date Passed By Post /beam mechanical Suspended ceiling Gas line Engineered soils Welding Lab Final _ Mechanical rough -in Concrete Lab Final Fire damper _ B olting Lab Final Duct work Smoke detector Structural observation Mechanical final Fireproofing Lab Final • Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By _ Crawl drain Sprinkler underfloor /slab _ Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin _ Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils © Inspection Description Date Passed By Engineering acceptance MIEEMEMEM - Final inspection II Final ins • ection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts\ forms \InspRecordBUP.doc 04/17/01 410 CITY OF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT # : SIT2004 -00020 -`' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 9/24/2004 SITE ADDRESS: 'I -SW BEVELAND RD PARCEL : 2S101AB -02201 SUBDIVISION: BEVELAND ` 7 f � ZONING : MUE BLOCK: LOT: 2 -3 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: 87,701.00 EXCV VOLUME: 952 cy LANDSCAPING ?: FILL VOLUME: cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: 4,824 sf Remarks: Site work for new office building. Owner: FEES ZIMMLER DEVELOPMENT LLC 7165 SWFIR LP SUITE 100 Description Date Amount O PO BOX 230698 [BUPPLN] Pln Ck - Valu 6/22/2004 $441.13 glog TIGARD, OR 97223 [FLS] FLS Pin Rv 6/22/2004 $271.46 Phone: 503 - 598 -3440 [BUILD] Prmt Fee -Valu 9/24/2004 $678.66 [TAX] Valu 8% State Sw 9/24/2004 $54.29 Contractor: [ERPRMT] Erosion Cntl 9/24/2004 $80.00 S I GRACE LLC [ERPLN] Ersn Plck - CW5 9/24/2004 $26.00 PO BOX 230698 [EROSN] Ersn Plck -COT[ 9/24/2004 $26.00 $ PORTLAND, OR 97281 -0698 Total $1,577.54 Phone: 503 - 598 -3440 Reg #: LIC 156355 Required Inspections Ersn Cntrl 681 -4444 Paving Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 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 copies of these rules or direct questions to OUNC by calling (503) 246 -6699. Issued By: I/ I Permittee Signature: ,' 01„/K .1 Call (503) 639/4175 by 7:00 for an inspection needed the next business day