Permit 7 a ,. -- CITY OF TIGARD BUILDING PERMIT
PERMIT #:
° COMMUNITY DEVELOPMENT DATE ISSUED: 3 20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102CB -02300
SITE ADDRESS: 13240 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 008 JURISDICTION: TIG
PROJECT: WEST SIDE SURGERY
Project Description: TI - remove and replace 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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 65,600.00
Owner: Contractor:
PACIFIC PROPERTIES PACIFIC CREST STRUCTURES INC
BY MARTIN JOHNSON 7233 SW KABLE LN STE 900
13200 SW PACIFIC HWY PORTLAND, OR 97224
TIGARD, OR 97223
Contact #: PRI 503 - 968 - 8949
Phone: FAX 503 - 598 -6658
Reg #: LIC 66915
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/20/2007 $558.32
[TAX] 8% State Surcha 3/20/2007 $44.67
[BUPPLN] Pin Rv 3/20/2007 $362.91
[FLS] FLS Pin Rv 3/20/2007 $223.33
Total $1,189.23
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 U ' • ' cation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of thes rules or, dire t question • OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu d By: i , je ,, r.l 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.
i , Building Permit Application
Commercial ® FOR OFFICE USE ONLY
City of Tigard ®�� Date
B , e o D 7 TTY Permit No., :� /A ., 0 , /+
14
° 1 3125 SW Hall Blvd., Tigard, O' Y{t, � . Plan Re 'iTl ��
Phone: 503.639.4171 Fax: 503.7;_ t" 1 Other Permit:
Inspection Line: 503.639.4175 ® � Date Ready t . ( ` Juri ® See Page 2 for
T I G A K D
Internet: www.tigard- or.gov %1'k
`t` ` A p O F ` N 0. Supplemental Information
\ ` A Notified/Method: /
TYPE OF W \� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction u 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: $
m
❑ 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•.:. Zy n . Q,,,LG L7 : 1� cJ (1 New dwelling area: square feet
City /State /ZIP: s.-- 1 ca-e_ Cj Z Z -z.:3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 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.
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.
/ Valuation: $ (O c.)0 r G k u )1-0 /.c.A -Lc-S r e- a �N.a,� B Co c
/ A.[-? Li£�� Existing building area: s-6- square feet
New building area: is- �- 7 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Y..4-c, 1 F L YP-0Pept -TP E/ <CoA D Htti7JCA't r /L Type of construction: V —
Address: 1S J Q. e. t. FA L ✓1/41s Occupancy groups:
City /State /ZIP: ( 1 t�- 7,641.-KAI Cioir...... 9 -7- zZ 3 Existing: F
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: Q,,p -C. Fi < C — BUILDING PERMIT FEES*
Address: --7z... 3 <) 144.Q,, I . � k yg *--,(70 (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: i) 0.1) / d-(_ ci y.1-ZG.�
Phone: (g.A) .76,Q, -. Q 9 49 Fax: ( ) ` FLS plan review fee (if applicable):
CCB lic.: 60 62 i Total fees due upon application:
Authorized signature:
/ Amount received:
t ��
• T his permit application expires if a permit is not obtained
/2.....j< within 180 days after it has been accepted as complete.
A
Print name: t,� Cs: /�.� �. ic._ Date: 3/ • Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11 /02 /COM/WEB)
•
• i
•
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 %).
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] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
•
(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: $
(I) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Pemvts \BUP -COM PermitApp.doc 02/23/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00168
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2007
Phone: (503) 639 -4171 ill l I
Inspection Requests (24 Hrs.): (503) 639 -4175 .J..%- n'f -.
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 88
SITE ADDRESS: 13240 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 008 TYPE OF USE:
PROJECT NAME: PACIFIC MEDICAL
DESCRIPTION: TI - remove and replace walls.
OWNER: PACIFIC PROPERTIES. PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-968-8949
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 051078 -01 971- 678.5099 N
Corrections /Comments / Instructions:
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NI -ASS 2 rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
ri FAIL //, LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■- - Date: C Z8 b Phone #: (503) 718 -
N
CITY OF TIGARD
4611,
BUILDING DIVISION • PERMIT #: BUP2007 -00168
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2007
Phone: (503) 639- 4171��I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..�.. — `:_..
INSPECTION WORKSHEET FOR DATE: 6127/2007, TIME: 7:00AM PAGE: 59
SITE ADDRESS: 13240 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 008 TYPE OF USE:
PROJECT NAME: PACIFIC MEDICAL
DESCRIPTION: TI - remove and replace walls.
OWNER: PACIFIC PROPERTIES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503- 968 -8949
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes /0 tut if.)
299 Final inspection 051004 -01 971- 678 -5099 c
Corrections /Comments /Instructions:
CPcJ P ,/ t`c c -2=" P R to
P2 — T - i �c 1 a-2 ► C
❑ PASS E P' - TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V IZIL % • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: C z7 Phone #: (503) 718 - 7 hy
ih
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00168
13125 SW Hall Blvd., Tigard, OR 97223 _,.. D ISSUED: 3/2012007
Phone: (503) 639 -4171 1iii
/ Inspection Requests (24 Hrs.): (503) 639 -4175 -��!�i
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 13240 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FREW1NGS ORCHARD TRACTS LOT #: 008 TYPE OF USE:
PROJECT NAME: PACIFIC MEDICAL
DESCRIPTION: TI - remove and replace walls.
OWNER: PACIFIC PROPERTIES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 50396118949
•
Inspection Request Scheduled For: Date: 5/11/2007 3rZ Pour Time: Ps/
Code # inspection Description Confirm # Contact # essage
275 - Framing 048149 -01 503 - 706-3211 . Y
Corrections /Comments /Instructions: ( e I GL
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Phone #: (503) 718 - 2 (f 2 y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: SUP2007 -001G8
13125 SW Hall Blvd., Tigard, OR 97223 n DATE ISSUED: 3/200007
Phone: (503) 639 -4171 �'�I (.l ///
Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 49
SITE ADDRESS: 13240 SW PACIFIC HWY CLASS OF WORK: ,
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 008 TYPE OF USE:
PROJECT NAME: PACIFIC MEDICAL
DESCRIPTION: TI - remove and replace walls.
OWNER: PACIFIC PROPERTIES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 -9&8 -849
Inspection Request Scheduled For: Date: 5110/2007 V Q Pour Time:
Code # Inspection Description Confirm # Contact # - ssage V V v
275 Framing 048012 -01 503 - 706-3211 Y I
Corrections /C ments nstructions: `'" 1 C
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FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: 7 Phone #: (503) 7187 1