Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT BUP2006 -00428
DEVELOPMENT SERVICES DATE ISSUED: 9/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135BD-00100
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SITE ADDRESS: 09600 SW OAK ST 565 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
Project Description: T.I. - walls
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 28 BASEMENT: sf AREA SEP. RATED:
STOR: 5 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: $ 35,000.00
Owner: Contractor:
PLAZA WEST LLC LEASE CRUTCHER LEWIS
C/O NORRIS BEGGS & SIMPSON 921 SW WASHINGTON #150
121 SW MORRISON # 200 PORTLAND, OR 97205
PORTLAND, OR 97204
Phone: 503 - 223 -7181 Contact #: PRI 503 - 223 -0500
FAX 503 - 223 -2874
FEES Reg #: LIC 92919
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee • 9/5/2006 $358.30
[TAX] 8% State Surcha 9/5/2006 $28.66
[BUPPLN] Pln Rv 9/5/2006 $232.90
[FLS] FLS Pln Rv 9/5/2006 $143.32
Total $763.18
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. •
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Iss d By: r •_ I � I 4 % _ ` 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.
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Building Permit Application FOR OFFICE li I: oNI.\
City of Tigard Received Permit No.:
Y DateB : 13 up-2oo6 -0o .t2g
13125 SW Hall Blvd., Tigard, OR 97223 # ' • Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ii�'i DaPlan Rev teB r,� ,
Inspection Line: 503.639.4175 t_ Date Ready/By: Jurts: la See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® 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: 9600 SW Oak Street New dwelling area: square feet
City /State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 565 I Project name: Oregon Human Development Corp. Covered porch area: square feet
Cross street/directions to job site: SW Oak and Greenburg Raod at 217 Hwy 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
DESCRIPTION OF WORK work indicated on this application.
Tenant improvement build -out. No additional plumbing fixtures added at this time. Valuation: $$35,000.00
Existing building area: 2,766 square feet
New building area: N/A square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: (5) five
Name: Plaza West LLC Type of construction: H B
Address: do NorrisBeggs &Simpson / 121 SW Morrison, Suite 200 Occupancy groups:
City / State/ZIP: Portland, Oregon 97204 Existing: B
Phone: (503)223 -7181 Fax: (503)273 -0256 New: B .
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: GBD Architects Incorporated All contractors and subcontractors are required to be
Contact name: Ray R. Glur licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1120 NW Couch Street, Suite 300 jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, Oregon 97209 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9656 I Fax: : (503) 299-6273
E -mail: ray @gbdarchitects.com
CONTRACTOR
Business name: Lease Crutcher Lewis
BUILDING PERMIT FEES*
Address: 921 SW Washington Street, Suite150
Please refer to fee schedule.
City / State/ZIP: Portland, Oregon 97205
Fees due upon application
Phone: (503 ) 223 -0500 I Fax: (503) 223 -2874
Amount received
CCB lic.: 92919 -
Date received:
Authorized signature: �ti.�G..€�ti This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: Ray R. Glu r, I Date: Sept 5, 2006 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(II /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00428
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2006
Phone: (503) 639 -4171 6 0: ih��� +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7 :04AM PAGE: 79
SITE ADDRESS: 49600 SW OAK ST 565 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEV. CORP
DESCRIPTION: T.I. - walls
OWNER: PLAZA WEST LLC, PHONE #: 503 - 223.7181
CONTRACTOR: LEASE CRUTCHER LEWIS PHONE #: 503 - 223.0500
Inspection Request Scheduled For: Date: 10/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 038297 -01 503-209-2701 Y
Corrections /Comments /Instructions: MI K4=
CPL. --
. es
h
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL III 'CALL FOR INSPECTION • „❑ ADDIT •NAL FEES ASSESSED
Inspector:. di Date: 0 17 PIA Phone #: (503) 718 -
CITY OFTIGARD ,
BUILDING DIVISION PERMIT #: BUP2006-00428
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2006
Phone: (503) 639 -4171 / a44q ,, t
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 9/14/2006 TIME: 7 :00AM PAGE: 38
SITE ADDRESS: 09600 SW OAK ST 665 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEV. CORP
DESCRIPTION: T.I. - walls
OWNER: PLAZA WEST LLC, PHONE #: 503- 223 -7181
CONTRACTOR: LEASE CRUTCHER LEWES PHONE #: 543.22:.0500
Inspection Request Scheduled For: Date: 9/14!2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 036524 -01 503 - 209.2701 N
Corrections /Comments /Instructions:
,
AI i
A , I AV
i --- -.r . ! 'w - 1
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C , LL FOR NSPECTION ❑ ADDITIONAL FEES ASSESSED
itik ' 4
Inspector: I Date: ?/ hone #: (503) 718 - 2403
CITY -.OF TIGARD
BUILDING DIVISION , PERMIT #:
BUP2006-00428
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/512006
Phone: (503) 639 -4171w
Inspection Requests (24 Hrs.): (503) 639 -4175 .W 1 —
INSPECTION WORKSHEET FOR DATE: 9114/2006 TIME: 7 :00AM PAGE: 37
SITE ADDRESS: 09600 SW OAK ST 565 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: OREGON HUMAN DEV. CORP
DESCRIPTION: T.I. - walls
OWNER: PLAZA WEST LLC, PHONE #: 503- 223 -7181
CONTRACTOR: LEASE CRUTCHER LEWIS PHONE #: 503- 223.0500
Inspection Request Scheduled For: Date: 9/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 036524 -02 503-209-2701 N
Corrections /Comments /Instructions:
1V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ` le CALL FIR INSPECTION ❑ ADDITIONAL l F ES ASSESSED
Inspector: A C . #�, Date: U Phone #: (503) 718
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