Permit k ► 6 _
114 a CITY OF TIGARD BUILDING PERMIT
i 11
COMMUNITY DEVELOPMENT DATE ISSU 1 23 2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA-02100
SITE ADDRESS: 10340 SW NIMBUS AVE NC ZONING: I - P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Cochran Inc - TI '
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 12,250.00
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
Phone: Contact #: PRI 503- 788 -7778
FAX 503 - 291 -1532
FEES Reg #: LIC 109116
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/23/2007 $168.10
[TAX] 8% State Surcha 1/23/2007 $13.45
[BUPPLN] Pln Rv 1/23/2007 $109.27
[FLS] FLS Pin Rv 1/23/2007 $67.24
Total $358.06
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: v _ _
•
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 Improvement
Building Permit Avnlication EIVE® I OR Olt ICE USE ()NIA
Clty of Tigard f 1� / 70 7 0 1A, Permit No.: ". „„„,7. „„,7. p. ”
• ° 13125 SW Hall Blvd., Tigard, OR 97223 N 2 3 20 °1 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960) r` Date/B . Other Permit:
r G A It D Inspection Line: 503 .63 G . IL t o D 0� Date fied/Meth
Internet: d S pp f In or formation
t: www.ti d -0r. ov gu'L p1 � (�
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
IgAddition/alterationheplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ,2*ommercial /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 3 qv J f 1 New dwelling area: square feet
City /State/ZIP: 0 �/ #,..7t) J a q 7 3 2.Z 7 Garage /carport area: square feet
�+
. Suite/bldg /apt. no.: / Y 6_, I Project name: <�_ JG va kI JN v Covered porch area: square feet
Cross street/directions to job site: Sr j 0 ) 1 S i.5 ) i4eAs a►'LirA, Deck area: square feet
N . LIA 4j A ti e' 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
DESCRIPTION OF WORK L work indicated on this application.
�x. Vi iv ll i TT
Wt' `S 1 � 1- (,` 144,1 Valuation: $ f 7 ? s i)
Existing building area 61 V square feet
New building area: V square feet
2KPROPERTY OWNER ❑ TENANT Number of stories: ' 3 7/S S Av...
Name: / , i - k , / iv iViLei ■ ' ■ . Type of construction: 5,3 '
Address: 1 O Zy 8 1 uS 5a 1 , - Occupancy groups: 2
City / State/ZIP: 'P TI Js -td iv (SO) q 7zZ3 Existing: --6 Phone: (6-03) J � K� / ! 75 t/ `) Fax: 0 r ! /r Z � New: 15
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 6, 14 TA (, All contractors and subcontractors are required to be
I' l 1 / {� licensed with the Oregon Construction Contractors Board
Contact name: / !'`
under ORS 701 and may be required to be licensed in the
. Address: p 6, 6 7t/ jurisdiction in which work is being performed. If the
City / State/ZIP: �,e„U �0 D_ t�7()Q ( applicant is exempt from licensing, the following reasons
'� ` s" � V j / Z apply:
Phone: (50`) q5'7 -- ) ) I Fax: : (3) 7i! 1- /SJ��
E -mail:
CONTRACTOR
Business name: k Ul I .../146.../146.„.. 14� BUILDING PERMIT FEES*
Address: D 6,71/ (Please refer to fee schedule)
X Structural plan review fee (or deposit):
City /State /ZIP: d ,0{4,11".1 �� 70q
Phone: (5x3) (S ) - 11 � ax: ( Z! ) -1 5 37/ FLS plan review fee (if applicable):
. CCB lic.: 1 �1 11 b Total fees due upon application:
y Amount received:
Authorized signature:
This p ermit app lication expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: K j H SY.v' I Date: 1 — 1 Z 07 ' Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits\BUP -TI- PermitApp.doc 03/23/06 440- 4613T(11/02 /COM/WEB)
pp o
J. R
3 -
Building Division
Plan Submittal Requirement Matrix
T I G A K 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.
1: \Building \Permits \BUP -TI- PermitApp.doc 03/23/06
•
CITY OF TIGARD
BUILDING PERMIT #: BUP2007 -00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!!+� 1 �..
INSPECTION WORKSHEET FOR DATE: 1/30/2007 TIME: 7:03AM PAGE: 24
SITE ADDRESS: 10340 SW NIMBUS AVE NC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: COCHRAN INC
DESCRIPTION: Cochran Inc - Ti
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION PHONE #: 503-788-7778
Inspection Request Scheduled For: Date: 1/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2/5 Framing 042682 -01 503-380-8229 N
Corrections /Comments /Instructions:
Al
Iiierf r,i 1. - weti
. ___ t
...___...._
% ir- ,r LIMO 'f
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ] CALL FOR INSPECTION ❑ ADDITI• AL FE: S ASSESSED
Inspector: Date: I. 0 Phone #: (503) 718 -v
CITY- OFTIGARD
BUILDING DIVISION PERMIT #: BU1 00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/21007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 P__..
INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7 :00AM PAGE: 35
SITE ADDRESS: 10340 SW NIMBUS AVE NC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: COCHRAN INC
DESCRIPTION: Cochran Inc - TI
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION PHONE #: 503.768.7776
Inspection Request Scheduled For: Date: 2121/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 043648 -01 503 - 380 - 8229 Y
Corrections /Comments /Instructions:
Aar „I„,„„
wry
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CAL FOR IN •PECTION ❑ ADDITI +NA FEES ASSESSED
Inspector: I Date: ■ Phone #: (503) 718-
\111/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUr2007 -00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1123/7007
Phone: (503) 639 -4171 t A
Inspection Requests (24 Hrs.): (503) 639 -4175 1 I -.
INSPECTION WORKSHEET FOR DATE: 2f21/2007 TIME: 7 :00AM PAGE: 26
SITE ADDRESS: 10340 SW NIMBUS AVE NC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: COCHRAN INC
DESCRIPTION: Cochran Inc - TI
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION PHONE #: 503.7BB -7778
Inspection Request Scheduled For: Date: 2121/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 043659 -01 503-380.8229 Y
•
Corrections /Comments /Instructions:
•
' ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY O Of TIGARD (30P
BUILDING DIVISION PERMIT #:`°" 7 - G2`e
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' 1
INSPECTION WORKSHEET FOR DATE: 212 Y7 TIME: PAGE:
SITE ADDRESS: (03A 0 . 5(1.5 0 IIi/O3US CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: Cc (IOC-
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
�) i
�_ l' ��
I �,� — WW; Cr
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL - CALL FOR INSPECTION ❑ ADDITI AL F ES ASSESSED .2 II
Inspector: 0141r Date: l Phone #: (503) 718- 2Z'/
i