Permit NI CITY OF TIGARD
BUILDING PERMIT
PER #: BUP2008 -00041
_ C OMMUNITY DEVELOPMENT DATE IS SUED: 2/20/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135CA-02600
SITE ADDRESS: 11130 SW GREENBURG RD ZONING: R - 12
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: GOOD NEIGHBOR CENTER
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 350 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF•CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 350 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 83 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 24 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: 9 FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 780,000.00
Owner: Contractor:
GOOD NEIGHBOR CENTER ROBERT EVANS
11130 SW GREENBURG RD 1200 NE 48TH AVE. STE 1250
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: 503-443-6084 Contact #: PRI 503 - 648 -7805
FAX 503 - 648 -5883
Reg #: LIC 14426
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 2/13/2008 $1,651.78
[FLS] FLS Pln Rv 2/13/2008 $1,016.48
[BUILD] Permit Fee 2/20/2008 $2,541.20
[TAX] 12% State Surch 2/20/2008 $304.94
(additional fees not listed here)
Total $6,450.40
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 these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B 4 / � �� PermitteeSignature: / , - , c � a � _. ,. , A
Call 503.639.4175 by 7:00 a.m. for an inspection that . siness 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.
•
4 Building Permit Application
't
Commercial - FOROFFICE,USE ONLY '
City of Tigard ve d 2'/ 5- 5jj PermitNo.: / a _
IIII 13125 SW Hall Blvd., Tigar
Plan Revie
Phone: 503.639.4171 Fax: 503.19 - 1360 1 LUU8 1r v Other Permit: T ." • -
T I GA R D Inspection Line: 503.639 Date Read /B •: Q w,I Juris El See Page 2 for
I Internet: www.tigard- or.gov CITY OF idG1AF r r/�/�p I® Notified 1ethod: , r d • �' . ' Supplemental Information
TYPE OF WORK ' it UIRED D - A. AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are eased on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- CATE GORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total ��/ Total number of floors:
Job site address: 111,30 .. tv �re.� k:), A6 0 €d New dwelling area: square feet
City/State /ZIP: Tt u� d , oiz 9 7 a 3 ✓ Garage /carport area: square feet •
Suite/bldg. /apt. no.: V Project name / b 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.
Valuation: $ Z24 U O U
�{ � J-� 17 Existing building area: .S pp square feet
(� New building area: '5. U square feet
NI PROPERTY OWNER ❑ TENANT . . . Number of stories: iii &.4.="
Name: C vexQd N / ���i[ J Type of construction: A"�..+ —�rE
Address: /! 43,0 g -L �) 10�,j .,, 4 '4
,Y . Occupancy groups: •
City/State /ZIP: of / CA._ q 7,2 Existing: l'f v /a.a.. ss Existin � e f" " "s:7-_,air.-
Phone: (S() 3 _4,0 82 7 (, ug Fax: (W3) 3 - 37'/S New: pv`A
RI APPLICANT ❑ CONTACT PERSON • • NOTICE
Business name t nn'' �6 All contractors and subcontractors are required to be
name: �? i �Yl L�'.i - cod:�b licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: �/A o sf, ll./.. y e Q / • jurisdiction in which work is being performed. If the
City /State /ZIP: -r—' Q// 416X.— 9 7,9,R_3 applicant is exempt from licensing, the following reasons
apply:
Phone: (x.3) , � i 3 —lD f�Seti 2Z XT. Fax.. (53)y/3 - 3 7 t-, S '"
E- mail: JG pi el�Sh er 0
49L-. C ) "Y?
CONTRACTOR .
Business name: ��G� p .--i.,11/4 BUILDING PERMIT FEES*
Address: /2ez2 "" / E 1'? ci.&e , / S� review fe lei
City /State /ZIP: anti' 1:24:24,27 oil q 7/ Structural plan review fee (or deposit):
/ FLS plan review fee (if applicable):
Phone: (6D )� 8 " 7 Fa x: (5 3 � 5 C .� ...3
CCB lie.: a. D/
Total fees due upon application:
/ /� Amount received:
Authorized signature: 4
/
•---'. This permit application expires if a permit is dot obtained
within 180 days after it has been accepted as complete.
Print name: i _ _ `� yy Date: 2- ii_ 01 * Fee methodology set by Tri- County Building Industry d Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 46I3T( I I /02/COM/WEB)
,
1
il
Building Division
Accessibility: Barrier Removal Improvement Plan
TI GARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel,to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
•
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $ .
(g) When possible, additional accessible elements such as storage and
- alarms: $ •
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Buil ding \Permits \BUP -COM PermitApp.doc 10/30/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: qi1 7/
Phone: (503) 639 -4171 Ariell
Inspection Requests (24 Hrs.): (503) 639 -4175 s .
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS:iti'3O 5h/ 4RE II5u e- R CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: a ob t erz - A G T(
DESCRIPTION:
OWNER: Gun:, r1/41 jj b4t30� PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
1T S PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
l J9//�r �
Inspector: Date: 1 ! Phone #: (503) 718- L�
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: BUP2002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2,12W200
Phone: (503) 639-4171 4*
, If il i c
Inspection Requests (24 Hrs.): (503) 639-4175 ..._,W
INSPECTION WORKSHEET FOR DATE: 411612008 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: TI
OWNER: GOOD NEIGHBOR CENTER, PHONE #: E,03-443-6084
CONTRACTOR: ROBERT EVANS PHONE #: 503-640-7805
Inspection Request Scheduled For: Date: 4/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 060424-01 503-686-Ei230 N
Corrections /Comments/ Instructions:
p e_il 7.___4zv F3 -- CPO ft-6 1.-----1 Ai 4- fs.,- P t'_..0 V 4-C-----
, ,
■0 . • • „,,, '. ;'.".". d (IIPP. i C-■ ---
El PASS VARTIAL APPROVAL 7 CANCEL 0 NO ACCESS
• a , LL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
•
_............
Inspector: Date: 1 111 7 /De Phone #: (503) 718-
IIIIP
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 33t9P20083 -00041
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2012008
Phone: (503) 639 -4171 / ,pa lii� I��
Inspection Requests (24 Hrs.): (503) 639 -4175 �&J' :_..
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: 11
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503443 - 6084
CONTRACTOR: ROBERT EVANS PHONE #: 503 - G18- -7805
Inspection Request Scheduled For: Date: 4/15/2008 Pour Time:
.Code # Inspection Description Confirm # Contact # Message
208 Final inspection 068360 -01 503 -5230 N
Corrections /Comments /Instructions:
1) P F V IPL-1Z pvt -rS , ezy `t g- La I, A-a P (4-L - —
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U PASS r PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�� -AIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
i t � -
Inspector: Date: of Phone #: (503) 718-
. ,
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: BUP200B-000.11
13125 SW Hall Blvd., Tigard, OR 97223 _.
DATE ISSUED: 200/2008
Phone: (503) 639-4171 ,r_ b:4tyli t
Inspection Requests (24 Hrs.): (503) 639-4175 i
INSPECTION WORKSHEET FOR DATE: 3/25/2008 TIME: 7:01AM PAGE: 33
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: TI
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503-44M084
CONTRACTOR: ROBERT EVANS PHONE #: 503-640-7806
Inspection Request Scheduled For: Date: 3/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
:10 Exterior sheathing 067264-02 503-686-5230 N
Corrections/Comments/Instructions:
0 414 PK ------
4111°
4 4._--- PARTIAL APPROVAL 0 CANCEL 11 NO ACCESS
I I FAIL EI CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: 1 \... 1-.._ _ ..... , .. , :c -- 4
Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: R W2008.00041
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2012006
Phone: (503) 639 -4171 11111
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' �..
INSPECTION WORKSHEET FOR DATE: 3/25/2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 11130 S1? GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: Ti
OWNER: (3000 NEIGHBOR CENTER, PHONE #: 503.M3 -6081
CONTRACTOR: ROBERT EVANS PHONE #: 503 -648 -7805
Inspection Request Scheduled For: Date: 3/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e ,�.q
276 Framing 067264 -01 503686-5230 v
Corrections /Comments /Instructions:
•
41` ' - PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: _ Date: u Phone #: (503) 718-
,
CITY OF TIGARD . ,.
BUILDING DIVISION : ,• PERMIT #: BUP2008-00041
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212092008
Phone: (503) 639-4171 h ot il ivilii,
Inspection Requests (24 Hrs.): (503) 639-4175 A. - ° -.1.
INSPECTION WORKSHEET FOR DATE: 3/24/2008 • TIME: 7:00AM PAGE: 7
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: TI
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 603-443-6084
CONTRACTOR: ROBERT EVANS PHONE #: 503-640-7805
Inspection Request Scheduled For: Date: 3/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 067218-01 503-686-5230 N
Corrections/Comments/Instructions:
kl 0 A-Fp 0
f 04 - s /1 — 14 ecr vi--la-i
. . .
‘ .
fl PASS PARTIAL APPROVAL fl CANCEL pi NO ACCESS
ag„
al CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
■11■11. •
Inspector: ,AL___ Date:LS i ', Phone #: (503) 718-
• f,-- .
. .
CITY OF TIGARD
. 1
BUILDING DIVISION - PERMIT #: BUP200300311
, i. r
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2008
Phone: (503) 639-4171 falle
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/24/2008 TIME: 7:00AM PAGE: 6
I
SITE ADDRESS: 11130 SW GREENBUIZG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER 1
1
DESCRIPTION: TI
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503443-6034
CONTRACTOR: ROBERT EVANS PHONE #: 503-648-7305
Inspection Request Scheduled For: Date: 3/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 067218-02 503686-5230 N
Corrections/Comments/Instructions:
!,..O , L 4 - 0 f - • , .., ____
■6 • A 4 .
I PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
4
i r CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 2- /) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION #: B(JP200 00041
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7J x0 /2C)0t3
Phone: (503) 639 -4171
4
� r,� ° I
Inspection Requests (24 Hrs.): (503) 639 -4175 J 1 ..
INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 47
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: TI
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503 - 443-6084
CONTRACTOR: ROBERT EVANS PHONE #: 503-€48- 7805
Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
' 205 Footing 06'6615 -01 503.686 -5230 N
Corrections /Comments /Instructions:
/ r
' ) 5/kb i- ing itrke:/4 47' .
(c9-1-1) PV Alf" 4 (1 44.&ti-aelk
hl Mr
•
I. _
F!4 'ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(l FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ickiti7 D ate: ( Phone #: (503) 718-
CITY OF TIGARD
A •
•
BUILDING DIVISION PERMIT #: BUP2008-00041
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/200
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3113/2008 TIME: 7:02AM PAGE: 46
•
SITE ADDRESS: 11130 SW GREE.NBURG RD CLASS OF WORK: •
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: TI
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503-443-6084
CONTRACTOR: ROBERT EVANS PHONE #: 6
Inspection Request Scheduled For: Date: 3/13/2008 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
220 Slab 066616-02 503-686,5230
Corrections/Comments/Instructions:
f 1 6
1-PASS El PARTIAL APPROVAL El CANCEL LII NO ACCESS
0 FAIL CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: 4-42 Date: Phone #: (503) 718-