Permit ,, j BUILDING PERMIT
CITY O F T I G A R D PERMIT #: B U P2006 -00262
DEVELOPMENT SERVICES DATE ISSUED: 6/30/2006
- - 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S134AA-02100
SITE ADDRESS: 10300 SW NIMBUS AVE P ZONING: I -
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Tilt -up repair.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:4s -5 gs D
•
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 •
Phone: Contact #: PRI 788 -7778
Reg #: LIC 109116
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/30/2006 • $100.90
[TAX] 8% State Surcha 6/30/2006 $8.07
[BUPPLN] Pln Rv 6/28/2006 $65.59
Total $174.56
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:- , 7 Permiftee Signature: i�IIl,`
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.
.• - Commercial Tenant Impro E\I E t U)
Building Permit Application i of (ii lcI: u51: ()iVl_l
City of Tigard JUN 2 206 Received
e/ , 0 Permit N...'" ( r t — •
. a 13125 SW Hall Blvd., Tigard, OR 97223 pi„ R . mile
' Phone: 503.639.4171 Fax: 503.598.1960(`, / g p + Date/B . , S�� Other Permit'
f I G n It a Inspection Line: 503.639 ell I. l j r 1 . ' I e• ... y y: J W 55 See Page 2 for
Internet: www.tigard- or.gov T DTVISr� T • i`otified/Method: `9 I Supplemental Information
T�1��I��11`V�CC y��G Iv ze-- ■,)) Ncy \-eL
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
❑ Addition/alteration/replacement IN Other: 2�)d U) v. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2 -family dwelling At 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 3 D 1) 3 W 1 / V l WI It 1,4_5 New dwelling area: square feet
City /State/ZIP: ) K ( Project a b 1 7 ZZ Garage /carport area: square feet
Suite bldg. /apt. no.:I name: a1�5 �'Tl I I Covered porch area: square feet
Cross street /directions to b 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
r DESCRIPTION OF WORK work indicated on this application.
�ttdut 9- f D is if L{ 1 4../1 / 1 Valuation: $ S Sf
.SY�^t %u.t f 1 ild.II re a i Existing building area:? Oquare feet
• New building area: Z„?..,g/ I J square feet
Or PROPERTY OWNER ❑ TENANT Number of stories: ' l
Name: Rob � h5 D k CD K,st`a. Li L e filCn K 1\4u c.sil•�t.e Type of construction:
Address: / 0 2140 S W 1 1 „,..4 5 43, TL - 3 Occupancy groups:
P City / State/ZIP: e v t )a t J 19 12, 1 13 Existing:
Phone: ( ) Fax: ( ) New:
roil APPLICANT ❑ CONTACT PERSON NOTICE
Business name: K i urswf-i-'1'. All contractors and subcontractors are required to be
Contact name: �� /�� L, licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /b 2 LW 6 k) A/ 14 ACS Z._ 3 jurisdiction in which work is being performed. If the
City / State/ZIP: I U D vi la k D d q 7173 applicant is exempt from licensing, the following reasons
` apply: �1 �
Phone: (9 ) SR if -"/Iv) I Fax: : 03) S�(f /� 7 'Q� ,/00,, I / 31
E-mail: 8b I
CONTRACTOR t O ed . t'I'
Business name: 1 BUILDING PERMIT FEES* A,0‘
Address: (Please refer to fee schedule) q.
Structural plan review fee (or deposit): X ) . 5-9
City /State/ZIP:
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: /a9 // Total fees due upon application:
2.011- ,,, - 4 Amount received: i 7
Authorized signature: if//
This permit application expires if a permit is not obtained
Print name: Ke{) ]/ ( { • within 180 days after it has been accepted as complete.
` [ /\ 0S�% � I Date: b — �b D (� a Fee methodology set by Tri-County Building Industry .
Service Board.
1:\ Build ing \Permits\BUP- TI- PamitApp.doc 03/23/06 4404613T(II /07JCOM/WEB)
i a
•
. Building Division
an Submittal Requirement Matrix
- r I 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 * *4:
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is `dependent upon submittal of a completed application and plans.
After play 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 -11- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200Ei 00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2006
Phone: (503) 639- 4171�. II
Inspection Requests (24 Hrs.): (503) 639 -4175 ° _ _..
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06AM PAGE: 83
SITE ADDRESS: 10300 SW NIMBUS AVE P CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: BLDG P
DESCRIPTION: Tilt -up repair.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION PHONE #: 788 -7778
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 034764 -01 503-957 -1180 Y
Corrections /Comments /Instructions: f E — J
2d k—
ri lak. clit Mikg-Y le
„..._ ,
AMA
Mir
t ..---'
-- Th
6ff
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR I NSPECTION ❑ ADDITI AL EES ASSESSED
(t /f� 3
Inspector: doll Date: C/ ` C J Phone #: (503) 718- Z
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -002G2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30 /2006
Phone: (503) 639 -4171 Av 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 92
SITE ADDRESS: 10300 SW NIMBUS AVE P CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: BLDG P
DESCRIPTION: Tilt - repair.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION PHONE #: 788 -7778
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message �'�
275 Framing 033833 -01 503 -957 -1180 Y 11.
Corrections /Comments /Instructions: te..E i10
4/ tJ• k /-':
P DT = �1uir6'EE � W ►-
6.-KE Coi
E P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ii L OR IN PECTION El ADDITI NAL F ES ASSESSED
o tti Inspector: •� Date: Z 7 zil - Phone #: 503 718
P ( ( )