Permit �� CITY OF TIGARD BUILDING PERMIT
1 111 PERMIT #: BUP2007 -00186
COMMUNITY DEVELOPMENT DATE ISSUED: 4/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126DB-02800
SITE ADDRESS: 09370 SW GREENBURG RD 423 ZONING: C -P
SUBDIVISION: PP1991 -018 LOT: 001 JURISDICTION: TIG
PROJECT: DR. CAROL GUNN
Project Description: TI - add two offices.
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: 9 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 16,000.00
Owner: Contractor:
FRANKLIN COMMONS ASSOCIATES ROBERT TODD CONSTRUCTION INC
BY NORRIS + STEVENS 4080 SE INTERNATIONAL WAY #D -1
520 SW 6TH STE 400 MILWAUKIE, OR 97222
PORTLAND, OR 97204
Contact #: PRI 503 - 653 - 5704
Phone: FAX 503 - 653 -5729
Reg #: LIC 98517
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/2/2007 $196.90
[TAX] 8% State Surcha 4/2/2007 $15.75
[BUPPLN] Pln Rv 4/2/2007 $127.99
[FLS] FLS Pin Rv 4/2/2007 $78.76
Total $419.40
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 Utili ■ •tification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy
of t , . - rules or dire. questiaps to OUNC by calling 503.246.6699 or 1.800.332.2344,
Is ued By: t _ y !' �1 6/ Permittee Signat re: it �f ,' k� /(! -
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.
f
Building Permit Applicatio • FOR OFFICE USE ONLY •
' fE # J R eceived � / 4
City of Tigard Date /B : .a., Permi[ No
N u
13125 SW Hall Blvd., Tigard, OR 9722 P Plan Revie . �'��
Phone: 503.639.4171 Fax: 503.598.10 — 2007 Date /B : 1.1WAt • aji t M 4 Other Permit:
•
TIGARD Inspection Line: 503 g� T ®� Date Ready y: Juris: EI See Attached Checklist for
Internet: www.tigard - or.gov RI '�� Re 1 �9i� Notified/Method: Supplemental Information
BUILINlifialON
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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
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111 1- and 2-family dwelling Valuation: $
y g ®Commercial /industrial
['Accessory building ❑ Multi- family Number of bedrooms: •
❑ Master builder ❑ Other: Number of bathrooms:
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:'`- " '•' _ Total number of floors
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Job site address: 9370 SW Greenburg Road New dwelling area: square feet
City /State /ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg. /apt. no.: 423 Project name: Dr Carol Gunn Covered porch area: square feet
Cross street/directions to job site: SW 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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Convert open area to two offices, add two sinks Valuation: $$16,000.00
Existing building area: square feet
New building area: square feet
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r "� ®�'ROPERTY� :�E.
Name: do Norris & Stevens Type of construction:
Address: 621 SW Morrison Suite 800 Occupancy groups:
City /State /ZIP: Portland, OR 97205 Existing:
Phone: (503)223 -3171 Fax: (503)228 -2136 New:
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_ : .3_ CONTACT:: °P:E RSQ . 3 E,,,-„i,
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Business name: Oregon Business Architecture All contractors and subcontractors are required to be
Contact name: Daniel Young licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 80301 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97280 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 228 -9747 Fax: : (503) 228 -5721
E -mail: •
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Business name: RobertTodd Consstruction , >:/ 1:11 ; '"a:BITILDING PERiVI1TEES *,'•`:', "`''£ Al =!';
_ . ;z4:-'(P[ease7eferadfeesehedule ) 6r >
Address: 4080 SE International Way Suite B -113
• Structural plan review fee (or deposit):
City/State /ZIP: Portland, OR 97222
FLS plan review fee (if applicable):
Phone: (503) 653 -5704 Fax: (503) 653 -5729
Total fees due upon application:
E CCB lie.: 98517 Ate
IT Amount received:
uthorized signatur . , ; This permit application expires if a permit is not obtained
'1 within 180 days after it has been accepted as complete.
Prin ame: Daneil Young Date: 2 April 2007 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building Werminl\BUP- Permi1App.doe 03/21/06 ' 440- 4613T( I 1/02/COM/WEB)
' l
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41212007
Phone: (503) 639- 4171� iig18f�1�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' _ �
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 00370 SW GREEN[3URG RD 423 CLASS OF WORK:
SUBDIVISION: PP1991 - 01B LOT #: 001 TYPE OF USE:
PROJECT NAME: DR. CAROL GUNN
DESCRIPTION: TI - add two offices,
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 503 - 653 -5704
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me =
299 Final inspection 047591 -01 503- 301 -5101
Corrections /Comments /Instructions:
0 PASS PARTIAL APPROVAL n CANCEL NO ACCESS
II FAIL • • o FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspect= r: _ — Date: • Phone #: (503) 718- 2c/
•
CITY OF TIGARD . 4. ;.
BUILDING DIVISION PERMIT #: BUP2007-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 !2 r'I_I..
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 53
SITE TE ADDRESS: 09370 SW GREENBURG RD 423 CLASS OF WORK:
SUBDIVISION: PP1881 -018 LOT #: 001 TYPE OF USE:
PROJECT NAME: DR. CAROL GUNN
DESCRIPTION: TI - add two offices.
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 503-653 -5704
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
275 Framing 046683-01 503-381 -5101
Corrections /Comments/ Instructions:
FJC11—Hfliql_ C)<,____,
0 PASS ' P TIAL APPROVAL n CANCEL n NO ACCESS
n AIL /10 0C' 'OR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector _ -- Date: /6 6 Phone #: (503) 71: