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Permit CITY TIGARD BUILDING PERMIT , PERMIT #: BUP2006 -00444 DEVELOPMENT SERVICES DATE ISSUED: 9/19/2006 All 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126DB-02800 SITE ADDRESS: 09370 SW GREENBURG RD 412 ZONING: C -P SUBDIVISION: PP1991 -018 LOT: 001 JURISDICTION: TIG Project Description: TI - wall (1,392 sq ft) 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: 14 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: - Z4,, p © p, 0 Owner: Contractor: NORRIS & STEVENS ROBERT TODD CONSTRUCTION INC 621 SW MORRISON SUITE 800 4080 SE INTERNATIONAL WAY #D -1 PORTLAND, OR 97205 MILWAUKIE, OR 97222 Phone: 503 - 223 - 3171 Contact #: PRI 503 - 653 -5704 FAX 503 - 653 -5729 Reg #: LIC 98517 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcha 9/19/2006 $23.26 [BUPPLN] Pln Rv 9/19/2006 $189.02 [FLS] FLS Pln Rv 9/19/2006 $116.32 [BUILD] Permit Fee 9/19/2006 $290.80 Total $619.40 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 Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of thes direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -23 ii ,\ , A Issu By: k, , a--‘ Permittee Signature: _ i it 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 completio +, of the project. Approved plans are required on the job site at the time of each inspecti • . ik''' Commercial Tenant Improvement Building Permit Application 7 ; FOR OFFICE use ONLY `� �•1�y1' Received City of Tigard �� 9 8 ,54., t / Permit Na: I /0G �j –CV Date/B . n 13125 SW Hall Blvd., 1 Tigard, 7223 0 3 4 J Plan Review M ®.; • 1 Other Permit: Phone: 503.639.4171 Fax: 503.598,1960 � � Date/g , �� /,,, T G A It D Inspection Line: 503.639 Date Ready :y: �— Ja Tee Page 2 for Internet: www.tigard- or.gov G1jY p F S0 Notified/Metho,: Supplemental Information ,ttn1NG O • , - , TYPE Oi WORK 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 V Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the „ ; . ° CATEGORY, OF'CONSTRUCT,ION ' ° , ; . work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling Commercial /industrial El Accessory building ❑ Multi- family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: • . a J,O &.SITE INFORMATION AND LOCATION , • o Total number of floors: Job site address: 0137e, -t/ e 1�� New dwelling area: square feet City /State /ZIP: '1 1 p p Garage /carport area: square feet 4442.. cfaft.04 Suite/bldg. /apt. no.: Project name: asq PEE) (C / 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, labor, overhead, and the profit for the DESCRIPTION OF " WORK work indicated on this application. AA p Valuation: $ 41 'skirl, in . ` o 1.0(1 � � le i ,��' ( shw Existing building area: square feet v N ^/ J New building area: square feet . 0 P ROPERTY OWNER, , . ❑ TENANT Number of stories: Name: 12, 764) e-v-livtivinkls GA, No 4 a Type of construction: Address: &'Z t 5iii 4M i ..501.1..e . ) Occupancy groups: City /State /ZIP: 7 Ili y°� iJ 172,6 Existing: Phone: 2 2,7„; . 317 i Fax:(5:3) -Z j.. S'Yy New: *APPLICANT ❑CONTACT PERSON NOTICE Business name:4 rgj , 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: 4(J 4 , I J �l Aga. jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: �rL. 1 �� apply: Phone: (r03) 2,-Z F3 - ej . 4 7 Fax: : (5L� ZZi 572,1 E -mail: . , , " , CONTRACTOR ° , . Business name: 719 ” `o4 n - c BUILDING.PERMIT FEES* . ' "` " 1 f' + 1 �f;� review fee fee schedule) Address: 4 City /State /ZIP: (�iiiia9, Jt€�.. 1�a.l - I� Structural plan review fee (or deposit): ( FLS plan review fee (if applicable): Phone: ( 01) i 570,1i, Fax: (5::S) CCT" s72 . CCB lic.: Total fees due upon application: Amount received: Authorized signatur This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name;; 1,44' .N....*�7,. Date: 1Lj( * Fee methodology set by Tri- County Building Industry ~\ 0 Service Board. I:\ Building \Permits\BUP- TI- PermitApp.doe 03/23/06 440- 4613T(l1/02 /COM/WEB) f _ Building Division Plan Submittal Requirement Matrix TI GARD 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: \Building \Permits \BUP - TI- PermitApp.doc 03/23/06 CITY OF TIGARD • BUILDING DIVISION . P A PERMIT #: BUP2006-00444 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/20W Phone: (503) 639-4171 144441,illil, Inspection Requests (24 Hrs.): (503) 639-4175 ,p_..,- 11. INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 09370 SW GREENBURG RD 412 CLASS OF WORK: SUBDIVISION: PP1991-018 LOT #: 001 TYPE OF USE: PROJECT NAME: BOSTON MEDICAL DESCRIPTION: TI - wall (1,392 sq ft) OWNER: NORRIS & STEVENS, PHONE #: 503•223-3171 CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 503-553-5704 Inspection Request Scheduled For: Date: 11/1712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 039971-01 503-381-5101 Y Corrections /Comments/ Instructions: *- spk_g_ FR17ur ein Dc' k1 iktEET et - -Eatitt - n5 to dike _ le . - VI :.-- e:.-. v PARTIAL APPROVAL n CANCEL NO ACCESS [ I F CALL FOR INSPECTION fl ADDIT NAL EES ASSESSED I i Inspector: \ 1 f , 1 4 f Date: ' v Phone #: (503) 718- CITY OF TIGARD . ... BUILDING DIVISION PERMIT #: BUP2006-00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006 Phone: (503) 639-4171 ,...... Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 64 SITE ADDRESS: 09370 SW GREENBURG RD 412 CLASS OF WORK: SUBDIVISION: pp1991-0113 LOT #: 001 TYPE OF USE: PROJECT NAME: BOSTON MEDICAL • DESCRIPTION: TI - wall (1,392 sq ft) OWNER: NORRIS & STEVENS, PHONE #: 503-223-3171 CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 503-653-5704 Inspection Request Scheduled For: Date: 10/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 038398-01 503-381-5101 N Corrections /Comments/ Instructions: • .■0 da . *kW t . v • WI/ -----'----------- PASS n PARTIAL APPROVAL n CANCEL fl NO ACCESS I FAIL CALL FOR INSPECTION 1 ADD IT ONA FEES ASSESSED Inspector: D k Date: t../ Phone #: (503) 718-