Permit •
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00437
Alrc DEVELOP Tigard, O
SERVICES 639 -4171 DATE ISSUED: 9/10/2004
Hall
SITE ADDRESS: 09900 SW GREENBURG RD 220 PARCEL: 1S126DC -03300
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P
BLOCK: LOT: 005 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf N: S: E: W:
OCCUPANCY GRP: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,058.00
Remarks: Add (2) new pendent sprinklers & relocate (4) sprinklers.
Owner: Contractor:
ATHERTON REALTY PARTNERSHIP FIRE SYSTEMS WEST INC
MARTHA ATHERTON 600 SE MARITIME AVE #300
2100 S WOLF VANCOUVER, WA 98661
D PFione INES 8b- 998 00
Phone: 360- 693 -9906
Reg #: LIC 49732
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 9/10/2004 $62.50 Sprinkler Final
[TAX] 8% State Surcharl 9/10/2004 $5.00
Total $67.50
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 n
Signature
Call 639 -4175 by 7 p.m. for an inspection the next business day
r
Building Permit Application F OR OFFICE USE ONLY
City of Tigard Date /B : Permit No.: W� e 2 /X(,/ —/Z c./3
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 bau�di 1 � Date/B : Other Permit:
Inspection Line: 503.639.4175 ,...4. W Date Ready/By: luris: ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental information
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E L L `ING
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El 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
p �,. z�',,- - :,r4z. 'r ° k; S?:'' t'. zrs . ?,.:�;:,',:uiaxu' *.ac�w;��9,a Hu?�s�z..,:,e.:.•.:mt?;r .;�� '„ k7p: s= ['t��t,'•. °.:;i:r ^���'',"5�„' work indicated on this application.
r. rdr d' GATEGORY,.OF, CONSTRUCTION = . ' b, Z2 °'
�sv� 7��{! �r" ��iir��.. �ys�fe.. 3�rs.: e ?�x>',it>'�Y�axat�r „awaac.����r �. r�i�i���, u' �. t' i, �.,:. k .��"'s;;a � ���
Valuation: $ , '1-5--
❑ 1- and 2- family dwelling C] Commercial /industrial
ID Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ;4 Other: 9 J 2 E2 i4 o4.- 2 Number of bathrooms:
0 t i) s JO SITE NFORMATIO I,OC T 0 11 ; u t 't, t ,i Total number of floors:
Job site address: t6100 ,a,V 6Ie sENifi -1 12 New dwelling area: square feet
City/State /ZIP: ' 't[ Garage/carport area: square feet
Suite/bldg. /apt. no.: a'00 j Project name: C ., Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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REQUIRED DATAtCOMMERCIA I USE diaiiIST s<
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.: equipment, materials, labor, overhead, and the profit for the
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. 'F fICI "i :, -. f�l: tl r k4i :'4' , fi - , , . work indicated on this a
� a � `� �� s.' V: t DESCRIPTS: 4 1 OF R'ORK t i, application.
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• AC l �/ ° `` 1n eW PENDENT �1�N1�,r X D V2El c M•E Valuation: $ 1055. CO .
4 TN 5 ["l� Vii:: e 7"l`l f , NT' Existing building area: square feet
I (vi zn i n Cr E-)/ ��-i� I,C� p` (_ New building area: square feet
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: -
4 g PROPERTYOWNER w �t ' ae ®TENaiaT f; . 4 . x ` Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
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Business name: 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/ZIP: applicant is exempt from licensing, the following reasons
apply:
y:
Phone: ( ) Fax:: ( )
E -mail:
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Business name: � / `. / ' v • ,_.. •,., r � lv ,. . „,, . c . ,. ,,,..., .., .., ,„:, .
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Address:
cof O MAFIA Ti Ma ffE OU :Q:. ::;, 3;,. ,. r x ,.., . _:::..,
Please refer to fee schedule.
City/State /ZIP: Y COV wil (1
I i ee I � Fees due upon application
Phone: (34,p) i 3' - 1 q 0c Fax: (5-03 A �Iq r 2
Amount received
CCB lie.: ihq 1 0)2
Date received:
Authorized signature: fr >� This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: )A 1c) liNi,i Date: Cfl i �i + + ++ * Fee methodology set by Tri -County Building Industry
tt Service Board.
i:\Building \Permits \BUP- PermitApp.doc 12/03 440-461 3T( I I /02/COM/WEB)
Building Division
Requirement Matrix
. _,
•.,
oH�, A m „� i ���,�� Plan S
t =--� Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
-. k'•a. „� _:'€.7�;5':. -�� : Dais;: �. ���. �... �;< �a�> i;.. N. ��� �; ��: ;t;; �s ::<•- �Eyisr:�.;M.�•P.•�s =:��3 „F �; ;,,��, ��:,y��-- �F�.� °'�';'"° cam::, >.,;��.
�, �� 3p Type oft*ii tat , # Yof Plans,
S� u f ark �� � ���'"+F �x� � ''` �� y' 'sS - �F°� � i � � � � i � z >�� �- t
i (in new, additions and alterations) t u F tRequired at 6 ,
. p P. N Y f t,�,� �t 4� ` s {. '3 Y 41. 'ta I s. 5 f rrA }_�' e ass
a ,wW .:•$ z :a.tOr ;S:a` aea.V4,.0 Lc aki. A N eYO< .
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.
. i .
** "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 \Forms \COM- P1anSubReq.doc 12/24/03 .
CITY OF TIGARD 24 -Hour
BUILDING, Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (603) 639 -4171 MST
�
Received Date Requested / G — / 3 AM PM BUP
Location c '9000 � � � -�P�1 4 „ 1 / Suite 22- MEC
Contact Person h Ph ( 0) 77/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner _ 1� ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing a
Firewall
Fire Alarm
Susp'd Ceiling
Roof
V
Othe
:may 1111111
• S PART FAIL �F,
• LU NG
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
Rough -In
UG /Slab
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: El 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