Permit „,, . ,..
4,, CITY OF TIGARD I
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT BUP2006 -00475
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` ' "l I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/4/2006
PARCEL: 25101 DD - 00101
SITE ADDRESS: 06975 SW SANDBURG ST 290 ZONING: C -
SUBDIVISION: TIME SQUARE LOT: JURISDICTION: TIG
Project Description: TI TIMES SQUARE
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: 25 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: $ 8,500.00
Owner: Contractor:
” AMERICAN PROPERTY MGT. OWNER
2510 NE MULTNOMAH
PORTLAND, OR 97232
Phone: 503 - 284 - 6133 Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/4/2006 $129.70
[TAX] 8% State Surcha 10/4/2006 $10.38
[BUPPLN] Pln Rv 10/4/2006 $84.31
[FLS] FLS Pln Rv 10/4/2006 $51.88
Total $276.27
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: _ I/0 CA- WU
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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' ' Comper, ial Tenant Improvement .
(! Building Permit Applicat'I ,E VE®
....Tic, USE ONi.1
City of Tigard Received Permit No
h' g �rT ®3 2006 Date/B . / 3 � • „ Fa •wo b . 1 90itV .
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I C Phone: 503.639.4171 Fax: 503.59811t9¢OOF TIGARD Date/B . Other Permit:
TIGARD Inspection Line: 503.639 BUILDING DIVISION Date Ready/13y. ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method IIM Supplemental Information
TYPE OF WORK REQUIRED DATA: I 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
El Addition /alteration/replacement [� Other: W ef l Q j - equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION lr 'J work indicated on this application.
CI I- and 2 -family dwelling Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi -family Number of bedrooms:
El Master builder . ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
� I
Job site address: ' —1 ` So u -. R 01 New dwelling area: square feet
City /State/ZIP: pot-AAA ! U 1(� cf. - ) � - Garage /carport area: square feet
YYj 0 Project Suite/bldg. /apt. no.: -f ct name: Ti M D c �' . 0.i0 Covered porch area: square feet
Cross street/directions to job site: t I U -, Deck area: square feet
J
.W ) / 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
r e A \ - aim - (n I& .0 d of n,� Valuation: $ U.S
{/ Existing building area: 4 2 (/5) square feet
New building area: 4,, C. 53 square feet • • %
W PROPERTY OWNER ❑ TENANT Number of stories: S? \ � 01
rill
Name: l ' v\ �� s' ' I ��� fi Type of construction: Ft .tt.L // r
E prl �l 'e Ji
Address: Y �, 1 1 1 t � Occu g rou p s: Q �
,?,S1 D I l 1, (( !
�! LL
City /State/ZIP: I V� 47 Existing: .
)
Phone: ( 5 �� �e� "I — (Q�'53 Fax: (5) ) a L( ! t° 0 -7 New:
❑ APPLICANT Cr CONTACT PERSON NOTICE
Business name: i l it r ,` ' i g 4 � Ir k.. Ill Lil t �� ' ti All contractors and subcontractors are required to be
S v licensed with the Oregon Construction Contractors Board
n,`
Contact name: . I A under ORS 701 and may be required to be licensed in the
Addresses n , •l . �2 '' • `` 4,Q� o � - 0-- jurisdiction in which work is being performed. If the
' 'f l applicant is exempt from licensing, the following reasons
City/State/ZIP:
it) g - a Yom ^ 1 - ' 7 Z 3 7 2.. / , apply:
Phone: (5'bS) I Fax: Zd `f - ( (,(l/
E -mail: �l
(\P
CONTRACTOR
,�
Business name: .f r i ( 1/ � , pit pe f � i BUILDING PERMIT FEES*
Address: S � ` C� "V I (J l /] n �` I ' 0 (Please referto feeschedule)
/ l} Structural plan review fee (or deposit):
City /State/ZIP: pp�( 7/3 2
Phone: ([j�Q.,) l —y �j - (' - Fax: c5-0) ?_, .8.- -- g 7 FLS plan review fee (if applicable):
CCB lic.: (�' Total fees due upon application: .
Ka a VV � job Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Date: �'7� 0� LJ' * within 180 days after it has been accepted as complete. .
Print name:
t) R1 Ck Fee methodology set by Tri-Coun Building Indusjry
,!1 D . C Service Board. i I: �B B *
uilding�Permits�I1P- 77- PemnApp.doc 03/23/06 440�611T'(II /OLCOM/WFB)
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Building Division
Plan Submittal Requirement Matrix
T 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 **
• e'er
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.
I:\ Building \Permits \BUP- 11- PermitApp.doc 03/23/06
CITY OF- TIGARD
I BUILDING DIVISION PERMIT #: BUP2006 -00475 T
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2006
Phone: (503) 639 -4171 4
Inspection Requests (24 Hrs.): (503) 639 -4175 .'... l
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7 :07AM PAGE: 10
SITE ADDRESS: 06976 SW SANDBURG ST 290 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI TIMES SQUARE
OWNER: AMERICAN PROPERTY MGT., PHONE #: 503 - 2046133
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039815-01 503969-2703 Y
Corrections /Comments /Instructions: PH' -r ---
1
acr
J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL OR INSPECTION ❑ ADDITIO AL FE ASSESSED
Inspector: 4 il& ■ , Date: (.. Phone #: (503) 718 7
'
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: fUF 2006 -0(175 , A i_
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2006
Phone: (503) 639 -4171 dr' ll In
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/1312006 TIME: 7:04AM PAGE: 95
SITE ADDRESS: 06975 SW SANDE3URG ST CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION:mkp TIMES SQUARE
OWNER: AMERICAN PROPERTY MGT., PHONE #: 503 - 2846133
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: . Date: 11/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 299 Final inspection 039596-01 503 - 969-2703 N
Corrections /Comments /Instructions:
1,
( ‘..1 e-.1 (2/1_2_ 1 ) .
‘ A
0
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 V ti 4 (
Date: L V ' US/ g Phone #: (503) 718 - --2--? Z7
CITY IGARD .. -
BUILDING DIVISION PERMIT #: BUP2006.08475
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011/2006 •
Phone: (503) 639 -4171 tea. ' i
Inspection Requests (24 Hrs.): (503) 639 -4175 AL •
INSPECTION WORKSHEET FOR DATE: 10/17/2006 TIME: 7 :04AM PAGE: 36
SITE ADDRESS: 06975 SW SANDBURG ST 290 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI TIMES SQUARE
OWNER: AMERICAN PROPERTY MGT., PHONE #: 503-204 -6133
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 03827 360-574-9143 N
Corrections /Comments /Instructions:
IIII_
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
01 1i t Inspector: 1 Date: I � Phone #: (503) 718 -
CITY", OF TIGARD ' ' -
BUILDING DIVISION PERMIT #: BUP200G -00475
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2006
Phone: (503) 639 -4171 ��' i'
Inspection Requests (24 Hrs.): (503) 639 -4175 - P'I ..
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 06975 SW SANDBURG ST 290 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI TIMES SQUARE
OWNER: AMERICAN PROPERTY MGT., PHONE #: 503 -284 -6133
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 038109 -01 503-969-2703 N
Corrections /Comments /Instructions:
IT kL ..., ‘■
IR A . i
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL -. CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
--,, dill 1
Inspector: �' Date: C V l � Phone #: (503) 718- V\-0-3