Permit � _ BUILDING PERMIT
CITY OF �I���D PERMIT #: BUP2005 -00604
. �I�� DEVELOPMENT H BMEN9 Tigard, -639 -4171 DATE ISSUED: 12/1/2005
PARCEL: 2S112AB -02300
SITE ADDRESS: 14150 SW MILTON CT ZONING: I -L
SUBDIVISION: BONITA INDUSTRIAL PARK LOT: 005 JURISDICTION: TIG
Project Description: T.I.
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: A4 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:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: ' BATHS: IMP SURFACE: PRO CORR: U PARKING:
VALUE: $ 2,000.00
Owner: Contractor:
SHEININ- MENDENHALL LLC I SD DEACON CORPORATION (134328)
BY PARROTT PARTNERHIP PO BOX 25392
12725 SW 66TH AVE #202 PORTLAND, OR 97298
PORT ND, OR 97223
Phone: 503 - 297 -8791
FEES Reg #: LIC 134328
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 11/15/200: $40.63
[FLS] FLS PIn Rv 11/15/200; $25.00
[BUILD] Permit Fee 12/1/2005 $62.50
[TAX] 8% State Surcharl 12/1/2005 $5.00
Total $133.13
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 dire • - .tions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 - 2344.
Issued By: 23x06 p� Permittee Signature:
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.
" Sd sw ii , , tic,,N. s 10.1
I Building Permit Application rc)R OrrICL t SL:O.NL.1
City of Tigard '
� . I'' ∎. (r-,,,----,',/,
11' _,> 1. J Permit No..
13125 SW Hall Blvd., Tigard, OR 972 Plan Review I/r►F'
3 ����) �, , �/ � � a 6D I
V _
< , Other Permit: Phone: 503.639.4171 Fax: 503.598.1960. j ...4.14- III ` Date/BY / ,2�f S
Inspection Line: 503.639.4175 639.4175 2 SJ � ; 4 Date Ready . _ rods: El See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method // 57 Q1 , por Supplemental Information
17, Y 7l = TiriA is S ? 6\'<°2, W
- TYPE OP 'WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING
❑ New construction ❑ olition Permit fees* are based on the value of the work performed.
�� � 7, � C � r [ to the vaee (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement Other: 7 ui men materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
13 1- and 2- family dwelling Commercial /industrial
Valuation: $
13 Accessory building ❑ Multi -family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
t
Job site address: /695 / 44/ /1rro •s New dwelling area: square feet
City /State/ZIP: r p' " -" DR Q - 7 _ Garage /carport area: square feet
Suite/bldg./apt. no.: Project name: / Vw 4 G7il/!'hl5 , Covered porch area: square feet
Y
Cross street/directions to job site: /eet L l� Deck area: square feet
!! Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
' ' 1 �f �, Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 7., 1.302) //V 7 Y) P2-./ e _ equipment, materials, labor, overhead, and the profit for the
1 DESCRIPTION OF WORK work indicated on this application. , S'r''t'`d'f
Nom/) 17712//wi '7 /n7 (/Y,A
A ∎E,'�'`A Valuation: $ ?D1DD, Ri �/
Existing building area: 6/04, sq � a f ull
New building area: to i , o square feet
I J
[PROPERTY OWNER II ❑ TENANT Number of stories: Z
Name: /4 rf 7144eb7' dfleS 7� Type of construction: 1/-7v
3 a
Address: Pt/ .529 so/ 41// Occupancy groups: / N /1, ,(cV , 4i1t j7
City /State/ZIP: '� ,. ey e 97 - 72-1 1— Existing: 86...2/ Phone: (5D)) b �� �.,�,I jeep Fax: ( ) New: ,r ,;(4.
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: /,afOl. ,� 7 . All contractors and subcontractors are required to be
Contact name: �! f � ��� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /94O Y crt'S. jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: 14 e0 ! /i W / 6/ p q apply:
Phone:() 919�d0 'rd 3 I
Fax: : (14,0) 6 � —O g
E -mail:
CONTRACTOR •
Business name: S, 3Q , aBv1 BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City / State/ZIP: Fees due upon application 6 (3
Phone: ( ) J Fax: ( )
CCB lic.: Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: 17/ / /dry 4/for) J Date: 44' I • Fee methodology set by Tri -County Building Industry
C Service Board.
i:\Buil ding \Permits\BUP- T1- PermitApp.doc 12/03 440.4613T(11 /02/COM/WEB)
Building Division
Alit■
..-'Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and sq e
footage of all buildings to be demolished)
• e Work 2
(m .. t include location of all acres: ble parking)
Plumbing ite utilities) 2
•
Building 1*
Fire Protecti• System 3 **
•
Mec 'cal -2 •
•
•
Plumbing (building fixtures)
•
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•T4Per nitApp.doc 11/03 4404613T(I1 /01/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: BUP200&00604
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1/200
Phone: (503) 639 -4171 �wr4p1, 1
Inspection Requests (24 Hrs.): (503) 639 -4175 �' 11.
INSPECTION WORKSHEET FOR DATE: 9/7 /2006 TIME: 7 :02AM PAGE: 2
SITE ADDRESS: 14160 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: NW MEDICAL TEAMS
DESCRIPTION: T.I. 8/24/2006 Permit reinstated for purpose of final inspection (30) day period.
OWNER: SHEININ - MENDENHALL LLC I, PHONE #:
CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503.297 -8791
Inspection Request Scheduled For: Date: 9/7/2006 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
299 Final inspection 036172 -01 603 - 718 -2423 N
Corrections /Comments /Instructions:
C.--1 Y
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL MI CALL FOR INSPECTION ❑ ADDITIONA EES ASSESSED
Inspector:
evel Da te: 6 �$7 P hone #: 503 718 - � 7 (503)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2t)05.00604
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/1/2005
Phone: (503) 639 -4171 mitt ' j
Inspection Requests (24 Hrs.): (503) 639 -4175 4 'I I..
INSPECTION WORKSHEET FOR DATE: 8/29/2006 TIME: 7:01AM PAGE: 45
SITE ADDRESS: 14160 SW MILTON CT CLASS OF WORK:
SUBDIVISION: L3ONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: NW MEDICAL TEAMS
DESCRIPTION: Ti. 8/24/2006 Permit reinstated for purpose of final inspection (30) day period.
OWNER: SHEININ- MENDENHALL LLC I, PHONE #:
CONTRACTOR: SD DEACON CORPORATION (134328) PHONE #: 503-297-8191
Inspection Request Scheduled For: Date: 8/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 035691 -01 503-6241202 N
Corrections/Comments/Instructions:
{T) - t I KYOkit r Ce_c_7py r p
■ .,,,, . .
L._ II ' 'di Ow -de
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL I/ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��/�, I∎ Date: J � , C l Phone #: (503) 718 - 2 4 -2.-