Permit �'
y '4* CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00108
COMMUNITY DEVELOPMENT DATE ISSUED: 2/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA-01800
SITE ADDRESS: 10160 SW NIMBUS AVE F4 ZONING: I -
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
PROJECT: DND HEALTH CARE
Project Description: TI suspended ceiling
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: 7 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: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,850.00
- Owner: Contractor:
ROBINSON, CONSTANCE A + GUILD CONSTRUCTION
ROBINSON, LYNN + BELL, KAY ET PO BOX_ 674
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008
BEAVERTON, OR 97008
Contact #: PRI 503- 788 -7778
Phone: FAX 503 - 291 -1532
Reg #: LIC 109116
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/27/2007 $62.50
[TAX] 8% State Surcha 2/27/2007 $5.00
[BUPPLN] Pln Rv 2/27/2007 $40.63
[FLS] FLS Pin Rv 2/27/2007 $25.00
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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: 01......y.-1/1..c d
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.
V
. Commercial Tenant Improvement
- 4
Buildin`e Permit Application Fcllz c.>FFlrl.: cst: ()Nix
City of Tigard r \ y 0 nee � — (Al p 7 i Permit No. i • _� -0v ' ''
;� . ° 13125 SW Hall Blvd, Tigard, OR 97223 L w Plan Revie Other Permit:
503.639.4171 Fax: 503.598.196 D - C / Date/B
TIGARD n It D Inspection Line: 503.639.4175 .. Date Ready/By. tom* ® See Page 2 for
• Internet: www.tigard- or.gov �I 1 u 1 "'�� Notified/Method: Supplemental information
III 111 ' 111 11 , !' n't
TYPE OF 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
N Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
•
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2 -family dwelling f ] Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi -family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND ( LOCATION Total number of floors:
/
Job site address: /,� 1 b n u 10 l i N,1 b u S New dwelling area: square feet
City /State/ZIP: f / ) Jt ° ` /,� on- "7 7Z-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: J 1/ Project name:NO k f Ca G,. 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: I 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
DESCRIPTION OF WORK work indicated on this application.
Nett) C u, s " Pi p/ et/ Ceiba-1j 11 f V ca t' Q V C 6C Va luation: $ 1 �5D . O n
(37 „ Existing building area: /1?bH D square feet
New building area: i bli 0 square feet
)PROPERTY OWNER I ❑ TENANT x Number of stories: J
Name: gob) ,1 s V t1 � ti6 C _ rT /U) X t J -t oc5J 1446![* Type of construction:
Address: MOZ 1' D 1 , Id Al 'till (,/mot 5 to'!_ L-3 Occupancy groups:
City/State/ZIP: Pox -IQ i d OL q 7 o7 - D 6 7 1,4 Existing:
Phone: ( 603 l / / ,5-.V Fax: ft:Z ) Z ` /6 2-, New:
Or APPLICANT ❑ CONTACT PERSON NOTICE
• Business name: 6 ( I d , J I </ All contractors and subcontractors are required to be
Contact name: y I LL KOS•e licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ! Dx C, 71/ jurisdiction in which work is being performed. If the
� v 6 ( A D q 2 v , 7 r / applicant is exempt from licensing, the following reasons
City / State/ZIP: KO 7ly '�O(/ � �" ap
Phone: ( 6 0 g.(7 - // Fax:: (03) Zc/ /-/5"3 Z--
E -mail:
CONTRACTOR
Business name: p it J
1 id BUILDING PERMIT FEES*
Address: pp. 0 y / 7 (Please refer w fee schedule)
City /State/ZIP: ,4 a' K d1 9'7)75" -067V Structural plan review fee (or deposit):
Phone: ( 66 03) q s7 - I I (/ I Fax: 173 ) , j' i — /S Z� FLS plan review fee (if applicable): -
CCB lic.: /�� Total fees due upon application:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
I Print name: kev)1 K0 .j e 1/ I D � i7 — D7 0 within methodology 180 l og y after by has been Building as Industry
complete.
_ Fee methodology set by Tri -County Building industry
Service Board.
I:1 Building \Permits\BUP- TI- PermitApp.doc 03/23/06 440 -4613T(11 /02 /COM/WEB)
Building Division
Plan Submittal Requirement Matrix
T l G A R D 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 -T1- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007.00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2001
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3!2/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 10160 SW NIMBUS AVE F4 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: DND HEALTH CARE
DESCRIPTION: TI suspended ceiling
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION PHONE #: 503 - 7770
Inspection Request Scheduled For: Date: 3/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 • Final inspection 044221 -03 503-957 -1180 Y
Corrections /Comments /Instructions:
I
G r
/I I12 PASS . •, APPROVAL ❑ CANCEL ❑ NO ACCESS
� F' IL II ' ALL FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED
Inspector: Dater O Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00108
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2007
Phone: (503) 639 -4171 :w� '1I1
Inspection Requests (24 Hrs.): (503) 639 -4175 �_
INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 10.160 SW NIMBUS AVE F4 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: DND HEALTH CARE
DESCRIPTION: TI suspended ceiling
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION PHONE #: 503 - 788-7778
Inspection Request Scheduled For: Date: 3f1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me e 6,01--C.-
dip 287 Suspended ceiling 044143-0/ 503-380-8229 'PKco I(
Corrections /Comments /Instructions:
X PASS IS PATTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . • ► FOR INSPECTION ❑ ADDITIO . L FEES ASSESSED
Inspector: - _ " . " 1111111111111 ' Date / G Phone #: (503) 718- _ (V7