Permit o , ." , ry CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00095
COMMUNITY DEVELOPMENT DATE ISSUED: 2/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BC
SITE ADDRESS: 10795 SW CASCADE AVE ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: PORTLAND VINEYARD CHURCH
Project Description: Structural work per engineering. This work to be done to get CO.
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: 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: $ 2,880.00
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
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 526 - 1088
FEES Reg #: LIC 63403
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 2/15/2007 $46.87
Total $46.87
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.
AO
Issued By: 9 • it x Permittee Signature: y u j
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.
• Building Permit Application
Commercial Tenant Impro " m n G FOR OFFICE USE ONLY
U E .Reed ��f p
' City of Tigard Date B ceiv e ®t ` 1 Permit No.. i ��t/ I 000 <J
II
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie , /
Phone: 503.639.4171 Fax: 503.598.1960 FEB 1 5 2001 Date1B # Oth er P erm i t:
TIGARD Inspection Line: 503.639.4175 Date Ready /By kris' iii See Page 2 for
Internet: www.tigard- or.gov
city p Notified Method: Supplemental Information
TYPE O I I `t mu( rinn -q'Tf' 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 CONSTR TION work indicated on this application.
❑ 1- and 2- family dwelling ommercial /industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 0 7 4 f S(a ( AcSC1faii ! s . L New dwelling area: square feet
City /State /ZIP: 0 rt.. Garage /carport area: square feet
Suite/bldg./apt. no.: ' 77 Project name: pt,..rt lA.,,``�� ,(� v tr^4 �eAitid1 ��,� L 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 nearest dollar) of all
equipment, materials,1labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1 Valuation: , $
.§„,c,, ^, 6 \ (Ai. Ac r ....- if Lw 9 , 91,10 lt Pee ICe e
S ` - _ l � 1 S I f t vv Existing building area: square feet
New building area: \, square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
E' APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Q, C , C. )._ i ,. 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 /Z1P: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: (A v— Cob,...eilrile_Ati K1 BUILDING PERMIT FEES*
Address: Yq 1 4 S� vet 04p S tot (Ptease;rejertojeeschedute)
Structural plan review fee (or deposit):
City /State /ZIP: 2.46 6 p r r 1 0 K
�b3) S — ac . O v-� ( ) b e l 7 q O q FLS plan review fee (if applicable):
Phone: ( F ax:
CCB lic.: tp 3k{ 0 �// S ozo f Total fees due upon application:
Amount received: 4611
Authorized signature: ( /,(
This permit application expires if a permit is not obtained
� �� �. �� � � I% j within 180 days after it has been accepted as complete.
Print name: Date: .2/01 0 ) * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -TI- PermitApp.doc 12/27/06 440 4613T(I1/02 /COM/WEB)
Building Division
Plan Submittal Requirement Matrix
TIGARD'° Commercial & Multi- Family - New, Additions or Alterations
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 2 ** •
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: \Buil din \Permits \BUP TI- PcrmitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
2 — 33
I I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: Z–Z J 6 I TIME: PAGE:
SITE ADDRESS: A it y1r-7n.-- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: V
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
(i l Qom
Corrections /Comments /Instructions:
•
j
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Inspector: Ai Vk Date: 2" hone #: (503) 718 - �