Permit ■
7 �� CITY OF TIGARD BUILDING PERMIT
PERMIT #: B
COMMUNITY DEVELOPMENT DATE ISSUED: 5/1/2007 UP2007 - 00240
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 208 ZONING: C -G
SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: TI - new walls and relocate restrooms.
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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 367 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 35,000.00 .
Owner: • Contractor:
TIGARD PROPERTIES INC HEMMINGSON CONSTRUCTION INC
2106 SE OCHOCO ST 14285 NW SCIENCE PARK DR
MILWAUKIE, OR 97222 PORTLAND, OR 97229
Contact #: PRI 503 - 646 -1585
Phone: FAX 503 - 646 - 0129
Reg #: LIC 110660
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/1/2007 $358.30
[TAX] 8% State Surcha 5/1/2007 $28.66 •
[BUPPLN] Pln Rv 5/1/2007 $232.90
[FLS] FLS Pin Rv 5/1/2007 $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 -00 -01 0. You may obtain a copy
of these • - • :' -ct que '- s to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed By: I / Permittee Signature:
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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
r) '
% ., Cofame cial FeCEW E® FOR OFFICE USE ONLY
• Received A.- ' City of Tigard " DaDate/By: ( 0 7 Permit No.: ' ' 7- z' VQ
° 13125 SW Hall Blvd., Tigard, OR 97 "" 1 2p0 1 ' Plan Review
Phone: 503.639.4171 Fax: 503.59 ►fa DaDate/By: Other Permit:
T I G n It D Inspection Line: 503.639 �/ pF 1iGA R Date Ready/By: 1 IS See Page 2 for
Internet: www.tigard- or.gov
OM C* SON Notified/Method: / (� Supplemental Information
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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: 1 R L4 5 6 W 'p itGI f t (, „✓ 1, 64 , Z� ' New dwelling area: square feet
City /State /ZIP: -It ita� Of- 61-7141'3 Garage/carport area: square feet
I
Suite/bldg. /apt. no.: Project name: T grit ?1.Ptt. y� Covered porch area: square feet
Cross street/directionsto job site: Deck area: square feet
Std ALA.- -7 j Other structure area: square feet
• REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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
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DESCRIPTION OF WORK work indicated on application.
M ir t/ � f (L - 6 L frrE - bEmtp Valuation: $ o o U
E xisting building area: I L DbOs feet
-yustt M���.. D ��� h r I
¶'a_ ( e. . New building area: square feet
VI._Jt'ROPERTY OWNER I ❑ TENANT Number of stories:
Name: I ( pre„.0 ?A- ( L,6,, Type of construction:
Address: V;70 l'-k— w'i 1 Occupancy groups: M
City/State /ZIP: a V fr N to a 1/4-1V-- A- 1 I ',!j L4 6 Existing: r ut
Phone: ((p9) 5(4, — S 1 pL Fax: ( ) 5411, - P31 New: Ok.
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: tb itAt t oi t t , 6 to W41 A 1 1 . 1/4 , t All contractors and subcontractors are required to be
Contact name: ,, 1 licensed with the Oregon Construction Contractors Board
dvlt+L aLr M (1 50 N under ORS 701 and may be required to be licensed in the
Address: 1 1{(40 5 i j () LJL t �,A✓L� ���1� )1Z jurisdiction in which work is being performed. If the
/� /� applicant is exempt from licensing, the following reasons
City /State /ZIP:
[0 • t • 01Z- ' 17 2.24 apply:
Phone: (503) '0 `1L — 15 ,t Fax:: (93) ( o it4 — b 12 q
E -mail: tAktt2 . e 4 1,0A- m. t Ai iP A . ( '. bi N`
CONTHACTOR
Glt "
Business name: . t 4 „ c, N, i - 1 I, . BUILDING PERMIT FEES*
Address: 14'3 < N L,/ . 14_ ? � 1,. `
(Please refer w fee schedule)
City /State /ZIP: �� N7 � � 'l1 2
Structural plan review fee (or deposit):
1 4 6 — 15 / Fax: ( / 01 7.44\ FLS plan review fee (if applicable):
Phone: ( 0 ) 10 7j � ) r
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CCB lie.: 1 (o 6 Q Total fees due upon application: 4/
Amount received:
Authorized signal
This permit application expires if a permit is not obtained
within 180 da after it has been accepted as complete.
Print name: I� � h� G � ry I Dater �� * F ee methodology set by Tri -County Building Industry
V
Service Board.
I:\Building\Perrnits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
4
° Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities 'shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to •
- the overall alteration when the cost exceeds twenty-five per -cent (25 %).
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VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
. TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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ELEMENTS: In choosing which accestilacielsments to rovide under this section, priority shall be given
to those elements that will• r ° ie testa letne t} be ,, ti
v,
v r
� �gl'I�4rT ll , . �''�;�" J ,. a
following order: f f.al `j -
(a) Parking $
(b) An accessible entrance: $
(c) An accessible -route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: • $
• (e) Accessible telephones:- $
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(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and' • .
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $ •
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I: \Building \Pcmuts \BUP. -COM PemvtApp.doc 02/23/07
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00240
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1 /2007
Phone: (503) 639 -4171 *d a
Inspection Requests (24 Hrs.): (503) 639 -4175 ..,__ "I.�
INSPECTION WORKSHEET FOR DATE: 7/12/2007 TIME: 7:04AM PAGE: 43
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI - new walls and relocate restrooms.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: HEMMINGSON CONSTRUCT N INC PHONE #: 503 -646 -1585
Inspection Request Scheduled For: Date: 7/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 051872 -01 503-997-7364 N
Corrections /Co ents/ Instructions:
i
1 ` & • .
L / PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Date: ri 1 Z / 3 7 Phone #: (503) 718 - Wc
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00240
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1 /2007
Phone: (503) 639 -4171 AO IA
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I -
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 57
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION:. TI - new walls and relocate restrooms.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: HEMMINGSON CONSTRUCTION INC PHONE #: • 503
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final inspection 051609-01 503-519-4478 N
Corrections/Comments/Instructions:
oFC 1 - -f li` 7./ - J Pi< L c.
k P' me
No z Oq
11] PASS %,, RTI • ■ APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL F A FO INSPECTION ❑ ADDITIO AL FEES ASSESSED
c. al/t(
Inspector: i : te: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00240 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639 -4171 �'•N� A 1
Inspection Requests (24 Hrs.): (503) 639 -4175 W F 'IL .
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 84
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI - new walls and relocate restrooms.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: HEMMINGSON CONSTRUCTION INC PHONE #: 503-646-1585
•
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: 1 :00
Code # Inspection Description Confirm # Contact # Message
220 Slab 051090 -01 503 -261 -3831 N
Corrections /Comments /Instructions: •
PASS / • ' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 12 PALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
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Inspector: _ ■_ Date: Ze °7Phone #: (503) 718-2-6
ID
CITY OF TIGARD , ..
y
BUILDING DIVISION PERMIT #: BUP2007- 00240
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639 -4171 :MI,
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI - new walls and relocate restrooms.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: HEMMINGSON CONSTRUCTION INC PHONE #: 503 - 646 -1585
Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: 1:00
Code # Inspection Description Confirm # Contact # Me q
205 Footing 050910 -01 503-261-3831
C ) jeli&
Corrections /Comments /Instructions:
I �� tr:- k
Pk_ 7 1 -- e - 0 'D (-)1 •
❑ PASS :ti h ‘ RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL Vi • LL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED
Inspector: �r� Date: ■ ,. 6 Phone #: (503) 718 - t—/-1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00240
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007
Phone: (503) 639-4171 F 1il s
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/30/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI - new walls and relocate restrooms.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: HEMMINGSON CONSTRUCTION INC PHONE #: 503- 646 -1585
Inspection Request Scheduled For: Date: 5/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
273 Framing 049219-01 503 -261 -3831 N
Corrections /Comments/ Instructions:
2 tom_ ,�_-& ./ :L��11
P bull
eo1< Te-) c V' 7
I s c � YP-
aPi\i-
0 PASS P PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ FAIL W' 'ALL FOR INSPECTION ❑ ADDITION' FEES ASSESSED
Inspector: Date: �° 6 Phone #: (503) 718- 7