Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00571
,.,�I DEVELOPMENT SERVICES DATE ISSUED; 10/26/2005
F=- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BA-02800
SITE ADDRESS: 10380 SW CASCADE AVE ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Installation of freestanding sign.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: NONE : sf N: S: E: W:
OCCUPANCY GRP: NONE TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE ,9, o( �
Owner: Contractor:
LANPHERE ENTERPRISES INC ROBERT TODD CONSTRUCTION INC
12530 SW CANYON RD 4080 SE INTERNATIONAL WAY #D -1
BEAVERTON, OR 97005 MILWAUKIE, OR 97222
Phone: Phone: 503 - 653 -5704
FEES Reg #: LIC 98517
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/26/200E $62.50 Special inspection (see pla
[TAX] 8% State Surchari 10/26/200E $5.00
[BUPPLN] Pin Rv 10/26/200E $40.63
Total $108.13
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
req • - ,.. • • ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
• '2- 001 -0010 throu. h OA' 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 - 246 -6699 0 't- 32 -2344. C ' Y
sued By: 0. 2 8 / /" Permittee Signature: _ /W ` /..
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.
it • it
Building Permit Application FOR OFFICE USE ONLY :
City of Tigard Date/B A o Permit No.: It l.il _ I/ l 7/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 � Atj, u ' 01i ,.. Date/B . V S / ✓ /0-2k Other Permit
Inspection Line: 503.639.4175 -IL Date Ready/By: EN See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Suppl emental Information
TYPE OF WORK d 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.
❑ 1- and 2- family dwelling 12 Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
W`bjsrit4ddress - 10300 sW c (Am r 1j w3 . New dwelling area: square feet
,cGtty- / /ZIP I T/ 6/41 / 0 R • E f A) 9 "7 Z Z 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: j a D %fecro,i > 0A4m 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: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the earest dollar) of all
equipment, materials, labor, overh d, and the profit for the
1 ).11. 1 0: 11 ` Qrl _o o W..o :41 -`, work indicated : on this application.
P O V aluation: ° d t4 � 00 _
C:11..Lr _417D I pa, �t !, Existing building area: square feet
New building area: square feet
/B R _ ttiT+Y,I<OkU Ert ❑ TENANT Number of stories:
cg t-r 1—, Ff E€ )J'r pT1s-F5 Type of construction:
4WAvdtkesS:7 Occupancy groups: '
ty /StatelZlIP: Existing:
P - ope• Mow ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
• 0' : t'6610 •
aB name. V abo- -' 7 o) 4 �+Uc -I Oh BUILDING PERMIT FEES *'
ddress) 1080 SE 1 n - lei -nal me �a 5014C6115 a � r 1 Please refer to fee schedule.
9;01414V : M11 wG �� O ... J :�/ 1112. /
1 1 ! Fees due upon application
zI : G,51.. 57 ` Fax: (fig �?) - ,5^7Zq
4
-@l3 t G -:,: 9 g -' Amount received /D $. / 5
I Date received:
uthvri tgtrature: This permit application expires if a permit is not obtained
_ within 180 days after it has been accepted as complete.
Prim acne �7 r u Q � 7 . (met' to- �' * Fee methodology set by Tri -County Building Industry
E2 Service Board.
1:\ Building \Permits\BUP- TI- PermitApp doc 12/03 4404613T(t 1 /02/COM/WEB)
Building Division
•
/A 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 \Pennits\BUP- TI- PermitApp.doc 12/03 4404613T(1 I /02/COM/WEB)
t —
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: 0032005.00571
1 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2006
Phone: (503) 639-4171 . /No l iti l e i
Inspection Requests (24 Hrs.): (503) 639-4175 —.......W II. 1
■
DATE: 1/5/2006
INSPECTION WORKSHEET FOR TIME: 1:00Alvi PAGE: 63
SITE ADDRESS: 10380 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BEAVERTON HONDA YAMAHA
DESCRIPTION: Installation of freestanding sign.
OWNER: LAMPHERE ENTERPRISES INC, PHONE #:
CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 503-653570e1
Inspection Request Scheduled For: Date: 115/2006 Pour Time:
Code # Inspection Description / Confirm # Contact # Message
299 Final inspection 024396.01 971-246-3429 Y (a 14,87
6A, 1 21 - 10)42
Corrections/Comments/Instructions:
hil iitia Arti WV — Off
a...64-1
P '717 _,e pe-mi Ali' ,Act4(
0 PASS Li PARTIAL APPROVAL E CANCEL E NO ACCESS
I I FAIL fl CAL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
-
1 .
Inspector: Ja
Date: 1 C ae Phone #: (503) 718 V Y °
.. . _
CITY OF IIGARD
t
BUILDING DIVISION PERMIT #: BUP200 &006671
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10126/2005
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Ja iNgil l �..
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7 :06AIVI PAGE: 69
SITE ADDRESS: 10380 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BEAVERTON HONDA YAMAHA
DESCRIPTION: Installation of freestanding sign.
OWNER: LANPHERE ENTERPRISES INC, PHONE #:
CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 503.653.5704
Inspection Request Scheduled For: Date: 11/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 020179-01 971 -246 -3429 N
Corrections /Comments /Instructions:
•
iv SS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIO AL FEE AS SESSED
-
Inspector: Date: Phone #: (503) 718 -
k