Permit o CITY OF TIGARD BUILDING PERMIT
II I : COMMUNITY DEVELOPMENT Permit #: BUP2009 -00179
Date Issued: 09/29/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DD01400
Jurisdiction: Tigard
Site address: 15686 SW SEQUOIA PKWY
Subdivision: Lot: 0
Project: Courtyard By Marriott
Project Description: TI of lobby and food service area.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
PO BOX 58990 Permit Fee - COM 09/29/2009 $1,292.14
SEATTLE, WA 98138 12% State Surcharge - Building 09/29/2009 $155.06
PHONE: Metro Const. Excise Tax - Commercial 09/29/2009 $386.04
Use
Plan Review 09/29/2009 $839.89
Contractor: Plan Review - Fire Life Safety 09/29/2009 $516.86
THOMAS C. CLARKE CONSTRUCTION
7357 SW BEVELAND ST.
TIGARD, OR 97223
PHONE: 503 - 597 -7017
FAX: 503- 597 -7018
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
• Stories: 4 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $321,702
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,189.99
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ,n C J_ Permittee Signature: / I
l Call 503.639.4175 by 7:00 a.m. for an inspection that busines day.
This permit card shall be kept in a conspicuous place on the job site until completio of the project
Approved plans are required on the job site at the time of each ins ect n.
4. f„. .
6(07
Buildin g Permit Application OFFICE USE ONLY
City Hillsboro - 1 -
T
of Hillsro I `
� e 1 p � 150 E. Main Street, 4 Floor, Hillsboro OR 97123 Date received: Permit no.: a e206/' oo S'
t111b IE Phone: (503) 681 -6144, Inspections: (503) 681 -6244 Sewer Permit no: Mech Permit no.:
Fax: (503) 681 -6469
Internet Address: www.ci.hillsboro.or.us Plumb Permit no: On -Site Permit no:
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
1 . Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation
❑ 1- and 2- family dwelling Commercial /industrial Number. of bedrooms:
❑ Accessory building ❑ Multi - family
❑ Master builder Number of bathrooms:
❑ Other:
Total number of floors:
JOB SITE INFORMATION AND LOCATION
Job site address: i 5 (08 6 SAN Sceq V Q 1 d t tv l New dwelling area: square feet
City/State/ZIP: " r'I{� 0 D 547 "...1-24* Garage /carport area: square feet
f Covered porch area: square feet
Suite/bldg. /apt. no.: I Project name:(,,CiVR NU)
Deck area: square feet
Cross street/directions to job site: igy /MA/z Q �—
/` Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Permit fees* are based on the value of the work performed.
Subdivision: Lot no.: Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
work indict on this application.
,{1 , DESCRIPTION OF WORK Valuation - 702 - 702., O
riersiso 1/ v� _ 3 IF Existing building area.' square feet
Q� 7 1(.0 �Q. . New building area: square feet
Number of stories:
PLAN NO.: REISSUE: ❑ Type of construction:
PROPERTY OWNER ❑ T ENANT Occupancy groups:
Name: �[, ��.. • A L t' f . �,,. �. Existing:
Address: 15 ( ' 4 sir Lk7I A g LAN New
City/State /ZIP: 11 Q-) , 01-4., 72_2..4- NOTICE
Phone: ( ) Fax: ( ) All contractors and subcontractors are required to be
igt APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Business name: z g,,,, ✓6 ti � x � ,__,....<_. jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
Contact name: &;/L t eL. e— 4 S apply:
Address: P.O. `o7c SS ell g
City/State /ZIP: j NvA. 1 138
Phone4Z5 1 7 5 2-3Z I Fax: : (4-2,S 2.5 • 612_ 1 BUILDING PERMIT FEES'
E -mail: r • I n S P th r1Ve ant %A-_5 - C.5 � Please refer to fee schedule
CONTRACTOR Fees due upon application
Business namelltotA4 S G a.. .A.2, r 4"/1e., L1.( Amount received
Address: 73 S7 .. BE S.. St 110 Date received:
City/ State/ZIP: 1705Al20 I Da. ei7 27.3
This permit application expires
Phone: ( SO 7 5 ' 7 • 70 I Fax: ( ) if a permit is not obtained within 180 days
CCB lic.: i ' / /SA/
after it has been accepted as complete
Authorized
signature: �� • Fee methodology set by Tri-County Building
-Q---G Print name: C � 1 I Date: MCP/ Industry Service Board
440 - 4613T (04 /05 /COM/WEB)
31q -99
i
Tk/IW COUIZTY4217
pueuc 6PACL IZENoV,,TioN 2009
bUILDINc PERMIT C0.5T6
J -IATCU Pu{ZCl-IA51Nc INC.
'All new flooring and wall coverings 56,067.54
CONCEPT SERVICE .5
'Supply and Install All new kitchen Equipment FOR "5" BAR / updated quote 7/6/09 32,597.00
SEOUOIA \VOODS DEVELOPMENT
'Demolition of existing cabinets & flooring & wall cover, install FF &E, paint, & plumbing 158,000.00 I
JARMER ELECTRIC
New Panel, remove old wiring, install & furnish new lighting and wiring 30,820.00
SPECTRUM \VOOD \VORIGNc
Cabinets and misc. item not done by Marriott suppliers 44,217.46 I
TOTAL AMOUNT $ 321, 702.00
City of Tigard permit fee = $1,292.00
' r
This lunn is recognized b). most Building Departments in the Tri- County area for transmitting irdbrmation
Please complete this form when submitting inlc'rmation for plan review responses and rct isiun`.
This lifrm and the Inlimnation it pro% ides helps the review process and response to your project
11 11111 BUILDING DIVISION
■
TIG.1iW TRANSMITTAL LETTER
TO: 1 N !� a_ 1p eelbvit c 1
DEPT: BUILDING DIbIS ION !
OCT 212009
CITY OF TIGARD
FROM:
_ILIIT 1.ALI/WIRViAlze4Mr. BUILDING DIVISION
COMPANY: _
PHONE: '6' — 766 - ,0,690 I4
RE: I 56 ,06' J w quafc- - t( - fi, ` 20 b - 0 , 1 i n I'1k _lddretal
rr Main: l g r uio i.un:..r�. a nurnhei" � r t—
a'ITACi1LD ARE TILE FOLLOWING ITEMS:
Copies: Tlescription: I Copies: I Description: I
Additional sets i of plans. CS) ✓ Ito isions: # l
C> ‘Z____ Cross seetinn(s) and details Wall bracing and'or lateral analysis.
Flonrlroof framing. _ Fiasemcnt and retaining walls
Beam calculations Engineer's calculations
Oilier (explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician. Date: - - ! Initials:
Fees Due. (i Yes C No Fee Description: - _ Amount Due.
E S
�--- j $
Sp1
Social I
I ctions: -
nstru - -
Reprint Permit (per PEI: U Yes I cj No llnne
• Applicant Notified: , Date: I Initials:
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