Permit !C`
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00538
/. ilik DEVEL PMENT r So RV IICES 639 -4171 DATE ISSUED: 11/15/2004 (503) -- 13125 SW [F • SITE ADDRESS: 10775 SW CASCADE AVE PARCEL: 1S135BC -00600
SUBDIVISION: ZONING: I -P
BLOCK: LOT: 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: 98 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: $ 79,357.00
Remarks: T.I. walls & restroom.
Owner: Contractor:
AMB PROPERTY L P RAVEN CONSTRUCTION
BY TRAMELL CROW NW INC 4949 SW MEADOWS #175
8930 SW GEMINI DR LAKE OSWEGO, OR 97035
BEAVE TON, OR 97008
Phone: 503 -526 -1088
Reg #: LIC 63403
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 11/15/2004 $634.90 Electrical Permit Required
[TAX] 8% State Surchari 11/15/2004 $50.79 P Plumbing Permit Required
[BUPPLN] Pin Rv 11/15/2004 $412.69 Framing Insp
[FLS] FLS Pln Rv 11/15/2004 $253.96 Gyp Board Insp
Susp Ceilng Insp
Total
$1,352.34 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 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:
Permittee
Signature: ,,ly4 �j2 2
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application FOR OFFICE USE ONLY
City of Tigard
A J
Received ...... ......,, : .
6/ 7 ii - IF i
Permit No.: ' (A ,7, O i
igi --- .---- `Ip
4
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ,,,..-- A / cs?
Phone: 503.639.4171 Fax: 503.598.1960 /42v4 01411ii Date/B : / _ /5 ' V st ,s/ Jv Other Permit:
Inspection Line: 503.639.4175 C ___ r .j...p. Date Ready/By: fn. El See Attached Checklist for
.
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
34,1*,.:.'„,V,riVilM:C...li.RiP,:iSMVirdigraiiiige45001WAMiESTRIM,T 7:4 WaIREnitliVigifAi■ifa ' siiWitiiN ' ' .
I=1 New construction 0 Demolition Pe : fees* are based on the value of the work perf• ed.
Indicate e. value (rounded to the nearest dollar) t all
X Addition/alteration/replacement El Other: equipment, 'saterials, labor, overhead, and th- .rofit for the
4 ' :7- 4 Y - - ta*, , r gli-MitiEMETRVatb"AffitardOti.'45ROSR,.:,psnaii work indicates s this application.
k its..4943.Paik... ',..4%-e;nrAie, , ;:asxvizos&se... , .: , ,A1 . 4 , i, , .. , .:- , ; , ,44..a0A,ssi,i';:;stfiA
$
El 1- and 2 dwelling ..,K Commercial/industrial Valuation:
Number of bedrooms:
El Accessory building E] Multi-family
Number of bathrooms:
El Master builder 0 Other:
llitiatl"SilfeirrA01,-,':'!:04iteiiv,,-65,Fpm-tioit Total number of floo .:
Job site address: /e) 77 so e Se &l ,, , 6 / New dwelling a a: squa , feet
City/State/ZIP: .7; ard 0 ,e 9 7.2,93 Garage/ca . srt area: square f- -t
Suite/bldg./apt. no.: (. Project name:5& o f Ore,,,,, e.xpanSio;) Covers, porch area: square feet
Cross street/directions to job site: 'd D k area: square feet
g Other structure area: square feet
' Par6LIMBIlAWWiiTaw,
ar, f`X';'a,,,V;;:v1. k
Subdivision: 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.: /5/ 35 - ... 43. e _ 00 600
equipment, materials, labor, overhead, and the profit for the
gwr.vt-wrtANfttmt work indicated on this application.
-1 s.0 at,v4go:ivest..,sAig kv,ssrwei.4k. n llaVAWdAti.g.
4b9 Valuation: $ 79 357
i
A.A.a...e5L0-0-7,0 e C/-4-4,afte.ce.. dae--/-.-671 ...4.4 •&e,e-eiefz-ee--e--;c_1 Existing building area: 4 square feet
New building area: '25 square fee(oo
V _gry,1, 1 ,_,91., 4 4.(a- ,
rfwg
Catitti:Via-MMIZAWM:MieiiniagOTZOSOFWMPrgaMait:Wli Number of stories: /
.il Name: &) 0 . , .....( 62)1 ..) Type of construction: V /V
•
z ...) Address: /e 7g .5eej 44, . (/0.775) Occupancy groups:
City/State/ZIP: c f 6 -- . 0 .4... d 0 9/7.2,20 - Existing: 15
Phone: ( ) Fax: ( ) New: 08
tratoonwhil ormykv:#1 ,-,,,,,,.„,„„,,,,,„„:,.,,,„,,,,,,,,,,,,,
x:fmt...,,,,a,.•_-•,, e0;14 :g:,i,'SqbgiSno. . e
Business name:a -
. L., 6, 7zeit 4
61,6 e2., A/en Co4sirad All contractors and subcontractors are required to be
/ A
licensed with the Oregon Construction Contractors Board
Contact name:
•itc."..:44.4.... el- dle?..- >'6 z-4,2.....) under ORS. 701 and may be required to be licensed in the
Address: 4,‘ S /77 , , ', 75 - jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: 6:L 0 ./ e 9 7 2 g5 apply:
Phone: 0 j Ao. g Fax: : (,.3 ) 6 y‘7-. ./i77
Email: I ho itil kiSs (Q„, ooce.- raven. Co ryi
*Vearl'aMptMeaRaerdiSKIWNYikrli,'
Business name: ay aa 4o./.21-&e._,), a:- ',21 -`4,--M0,1••,'X."C,',,,,,,V,•,•,,,,,,Ax,,,, ,-, ' ,..., • • . : •
'skr',-
Address:
Please refer to fee schedule.
City/State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.:
Date received:
Authorized signature: ..
( This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J 7 46. t A k, Date: // * Fee methodology set by Tri Building Industry
Service Board.
i \Building \ Perrnits \13UP-PermitApp.doc 12/03 440-4613T(11/02/COM/WEB)
a
Building Division
10 19 1,f,;\ Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
all Tlp e o abilitital f a 4 > g, A
, _ � �# o Plans
(Inc udes new a 44 s
� i i � t ionstan d alt era ti ons)
Viz. ,} , 4 . . , , �; ...S v. � . , P` s > Su bilithai . .
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:\Bui lding\Forms \COM- PlanSubReq.doc 12/24/03
•
Building Division
7 Accessibility: Barrier Removal Improvement Plan
City of Tigard _
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities
unless such alterations are disproportionate to the overall alterations in terms of cost and
scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 79 357
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ % 9 S'3 7
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $ r/
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: el24
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: •$
TOTAL (shall equal line [2] of Valuation Computation): $
i:\ Building \Forms\AccessImprvPlan.doc 11/25/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST r
BUP `7 7 -C-
� }
Received �-�+� to Requested �' AM PM BUP
Location /0 77S- c 2 J Suite MEC
Contact Person 16)(../ Ph ( ) �j PLM
Contractor Ph ( ) SWR
cB 14BING Tenant/Owner G �� — Q i �`� ELC
Footing U
Foundation ELC
Ftg Drain AGCe8s{ 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:
i
Other:
PASS PART FAIL
‘,,PLUMBING
if
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL ;,..0 -
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection f -e of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call f. reinspe. ion RE: ►_, , 0 Unable to inspect — no access
r
Fire Supply Line
ADA , rl
Approach /Sidewalk Date Inspectat Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL