Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 - 00225
vi DEVELOPMENT SERVICES DATE ISSUED: 5/24/2006 .
4II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DD -00101
SITE ADDRESS: 06975 SW SANDBURG ST 170 ZONING: C -P
SUBDIVISION: TIME SQUARE LOT: JURISDICTION: TIG
Project Description: 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: . sf N: S: E: W:
OCCUPANCY GRP: 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: $ 1,500.00
Owner: Contractor:
WESTON HOLDING CO LLC OWNER
2154 NE BROADWAY
PORTLAND, OR 97232
Phone: Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/24/2006 $62.50
[TAX] 8% State Surcha 5/24/2006 $5.00
[BUPPLN] Pin Rv 5/24/2006 $40.63
[FLS] FLS Pln Rv 5/24/2006 $25.00
Total $133.13
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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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Issued By: 1f�(� P ermittee Signature: tt\i , is
A I L
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Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business d. .
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.
Il
Commercial Tenant Impro z F .
Building Permit Annlicatio-i �_ I Uk OFFICE USI. ()N LY
City of Tigard Received _ y �, Permit N... s A - , _ , 1
° 13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 1006 Plan Review
` . Phone: 503.639.4171 Fax: 503.598 t l Date/B . / V ,f Other Permit:
. , G it i , Inspection Line: 503.639.4175 Ito 0" . _ Date Ready/By ® See Page 2 for .
Internet: www.tigard -or.gov 131//n DIN
1N". a'' Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition n ' • iA 1 1 Pe fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement fa Other: / i.�caiiicti;i M D J• ! equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION J work indicated on this application.
El 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: ( 6 COl - ( � D-- New dwelling area: square feet
���.Q
City /State/ZIP: 90a p / 0 04-- Garage /carport area: square feet
Suite/bldg. /apt. no.: _ Project name: it alb f , i, II rim 3 Covered porch area: square feet
Cross street/directions to job site: P 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.
- 'l + n' \fik Valuation: $ /,5D0
�� �1 i 9 Existing building area: ,'. ( r square feet
New building area: 1( ( square feet
5 KPROPERTY OWNER I ❑ TENANT Number of stories: 3
Name: Liv_ 7 • Type of construction: c 1.19 1 , C •
Address: Qi b (\ ('N , 1 4 a 0 h Occupancy grouper J
City /State/ZIP: 1i►� 7 �I^ , 6 !, e „I ( ' f _ : ^� Existing: •
Phone: (5q2.)) oX 1 �'
) 3 Fax: 3 ) _ Lab / New:
❑ APPLICANT pit CONTACT PERSON NOTICE _
Business name: . 'e le ^ A A n pr to er / All contractors and subcontractors are required to be .
-.. licensed with the Oregon Construction Contractors Board
Contact name:
1 11 vt �C�1 cr
f L� 1t i \ under ORS 701 and may be required to be licensed in the
Address:. s”( M i - jurisdiction in which work is being performed. If the
' `` applicant is exempt from licensing, the following reasons
City /State/ZIP: c ) _ apply:
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Phone: ( g , ) -P^ kP P I Fax.. ( D-cc t-( `(O (AO D
• E-mail: , -
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State/ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ). I Fax: ( )
CCB lic.: Total fees due upon application:
`��l l7"� Amount i
received: i3
Authorized signature: *' ` (�
U \ This permit application expires if a permit is not obtained
within 180 days after it has been accepted ss complete.
. I Print name: , „ ,(�\67, \ " �� 'l
I Date: '� `t� • Fee methodology set by Tri -County Building Industry f i
` ' J ` , ` Service Board.
I:\ Building \Permits\BUP- TI- PermitApp.doc 03/23/06 440 -4613T(11 /02 /COM/WEB)
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Building Division
Plan Submittal Requirement Matrix
T I G n 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 **
. Mechanical . 2 • •
Plumbing (building fixtures) 2
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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:\ Buildin \Permits \BUP- n- PermitApp.doc 03/23/06
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200&.00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
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INSPECTION WORKSHEET FOR DATE: 605/2006 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 06975 SW SANDBURG ST 170 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI
OWNER: WESTON HOLDING CO LI.C, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Flaming 03138401 503-969 -2703 Y
M tic 2./e--
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' CALL *Ft INSPECTION ❑ ADDITI u NAL FEES ASSESSED
Inspector: IT Date: • i G' � � Phone #: (503) 718- °4-7-1.-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 0022/)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2006
Phone: (503) 639-4171
A./4
Inspection Requests (24 Hrs.): (503) 639 -4175 L
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 06975 SW SANDBURO ST 170 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI
OWNER: WESTON HOLDING CO LLC. PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message RA 295 Drywall nailing 031481 -02 503.969-2703 Y
Corrections /Comments /Instructions:
aorr
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
,
Inspector: /'� Date: t (?/ vK7 Phone #: (503) 718 - Z3
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200G -00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/24/2006
Phone: (503) 639 -4171
A ow/4
Inspection Requests (24 Hrs.): (503) 639 -4175 ,. -,� °`:_
INSPECTION WORKSHEET FOR DATE: 6/1612006 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 06975 SW SANDBURG ST 170 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI
OWNER: WESTON HOLDING CO LLC, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 031837 -01 503-969-2703 N
Corrections /Comments /Instructions:
ARAI
JOYA1
,____________-_
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p ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r CALL FOR I SPECTION ❑ ADDITI AL F S ASSESSED
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� lam, 6Phone , � Inspector.: S Date.: • C �c./ #: (503) 718 - Z.ZZ