Permit A, CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00084
DEVELOPMENT SERVICES DATE ISSUED: 3/4/04
`�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12256 SW GARDEN PL BLD.1 PARCEL: 2S101 BB 01500
SUBDIVISION: CROW PARK 217 ZONING: C -G
BLOCK: LOT: 003 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: 101 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: $ 46,000.00
Remarks: Tenant Improvement - Mechanical, Plumbing & Electrical permits required
a • 63-14? ,
Owner: Contractor:
SPIEKER PROPERTIES LP D L. WILSON CONSTRUCTION CO
4380 SW MACADAM AVE STE 100 3007 NE 181ST
PORTLAND, OR 97201 PORTLAND, OR 97230
Phone:
Phone: 666 -3600
Reg #: LIC 110530
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 3/4/04 $440.80 Electrical Permit Required
[BUPPLN] Pln Rv 3/4/04 $286.52 Plumbing Permit Required
Framing ming Insp
[TAX] 8% State Surcharl 3/4/04 $35.26 Gyp Board Insp
[FLS] FLS Pln Rv 3/4/04 $176.32 Final Inspection
Total $938.90
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: ,�
Pe rm ittee
Signature: �� /141,.. -
Call 639 -4175 by 7 p.m. for an inspection the next business day
r'
a
Building Perm
'rm.it Application - FOR OFFICEUSE ONLY r `_ .,
, A
Received` P ermit N.6
City of Tigard DateB : o11 464/4. ; "srn� • •0 00 8
13125 SW Hall Blvd., Tigard, OR 97 Plan Review
Phone: 503,639.4171 Fax: 503.598.1960 MJ �JJ I Date/B ^ 1 O 5 ` Other Permit.
Inspection Line: 503.639.4175 'P!!. � '• Date Ready/By. Jurts ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
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❑ 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
it
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❑ 1- and 2- family dwelling Valuation: $
® Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
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liJpb site address: 12256 SW Garden Place New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: ABC Office Remodel Covered porch area: square feet
Cross street/directions to job site: Hall Blvd. Deck area: square feet
Other structure area: square feet
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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.:
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4r 4 i "- 1 , , DESCRIPTION: QF rWORI� V' I .; ,' 1, . work indicated on this application.
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Demo. some interior walls, Add interior walls with associated floor coverings, painting , Valuation: $46,000.00
electrical and HVAC
Existing building area: 4000 square feet
New building area: 6000 square feet
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, i ®14146 ERTY',OWNERa, " ts- :.". < ° ,: ` t =>yf-, _ TENANT. - # r't:�.,., Number of stories: 1
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Name: Associated Builders and Contractors, Inc. Type of construction: V/„„
Address: 12256 SW Garden Place Occupancy groups:
City /State/ZIP: Tigard, OR 97223 Existing: B
Phone: (503)598 -0522 Fax: (503)598 -0391 New: B
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Business name: Associated Builders and Contractors, Inc. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Tammy Hawkes under ORS 701 and may be required to be licensed in the
Address: Same As Above jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: apply:
PP : Y
Phone: ( ) Fax:: ( )
E -mail:
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2 r ?",. gr , rWM -n .,; ._ .CONTRACTOR -.- ' °r ^ i'.vi o `ry'.. •. ;i:7 , ,#�* k ,.>
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Business name: D.L. Wilson Construction Company : a s F,- F °' = "r " ' " " `” "`Q' :` wx{�' °s,241,:'' it:
r .r., mi:4 :+B[III DINC PERMIT ;FEES* O " ; .,, ti
Address: 3007 NE 181 Ave ��� ,
Please refer to fee schedule.
City /State /ZIP: Portland, OR 97230 Fees due upon application 733-", ? v
Phone: (503) 666 -3600 Fax: (503) 661 -0468
Amount received
CCB lic.: IOW i J( 1 10p('05 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: Date: * Fee methodology set by Tri- County Building Industry
I Service Board.
rlButlding \Permns\BUP- PermitApp doc 12/03 / f 440- 4613T(t 1 /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING 1' Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
-7b.c) BUP
Received Date Requested Request6-4-,V")644--J MEC d AM PM BUP
Location I a'�Slo �i� �
o
Contact Person '/ Ph ( ) I 4 PLM
Contractor Ph ( SWR
BUBO DIJ Tenant/Owner 45 �/ C 9 . ( A, cl rELC
irid ELC
Foundation Access:
Ftg Drain 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 ,■j.
Susp'd Ceiling
�.".�
iii
• SS 'ART FAIL
• LU JB'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
MECHANICAL -
Post & Beam
Rough -In •
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service / r /♦■
Rough -In a■TNYA
Low Voltage
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL