Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10048
DEVELOPMENT SERVICES DATE ISSUED: 6/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DC -04601
SITE ADDRESS: 07409 SW TECH CENTER DR 150 ZONING: I -P
SUBDIVISION: TECH CENTER BUSINESS PARK LOT: 002 JURISDICTION: TIG
Project Description: TI - 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 76 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 81,000.00
Owner: Contractor:
WATUMULL PROPERTIES CORP SUMMIT CONSTRUCTION
621 SW MORRISON SUITE 800 PO BOX 10345
PORTLAND, OR 97205 PORTLAND, OR 97210
Phone: 503- 223 -3171 Contact #: PRI 503 - 223 -9703
FAX 503 - 242 -3841
FEES Reg #: LIC 63249
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surchari 6/15/2006 $51.23
[BUILD] Permit Fee 6/15/2006 $640.37
[BUPPLN] Pln Rv 6/15/2006 $416.24
[FLS] FLS Pln Rv 6/15/2006 $256.15
Total $1,363.99
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 5 - 246 -669 or 1-800- 332 -2344.
—
Issue By: k Permittee Signature F., fi j
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.
Buirdin' Permit Application FOR OFFICE USE ONLY 1/,or
r City g of Tigard Recei Date/B ved : (i' i' / � 0 iAM erm
Permit No.: i P/ l I &f.... ♦ /D0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 //a A , 1/ rt' 1I;� Date/B : „ Other Permit:
Inspection Line: 503.639.4175 e--.. Date Ready :y �I See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental lnformation
. ' 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.
dwelling Valuation: $
❑ I- and 2-family g ❑ Commercial industrial
❑ 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: 3401 5w 7G 0/ t ` _ 1/ , / New dwelling area: square feet
1-1 City/State/ZIP: �Z ""'^'• Garage /carport area: square feet
_
Suite/bldg. /apt. no.: ( Sc, Project name: Me 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: 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.
irl rowtc 1tS `rO E tSfiA1( .+.1Pw1T Valuation: $ � � I p00
'SUITE. � uCLUD' Ll(Q nvA rj, pstr joo C Existing building area: GO 1 square feet
v r�V/+ ��J �"�'��. • J New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories: `
Name: vo ,- m r - e ! s 4 ` 15 Type of construction' 4
Address: 6 I ! l �y � ZIs� L tt .(D Thp Occupancy groups:
City/ State/ZIP: '� f 1 t( ( -. 'T'1Z Existing:
Phone: ($p3 •Z 317 ( Fax: (9)3 ZZ$. Zl New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE '
Business name: azefeca B t�. .1 0( All Q. All contractors and subcontractors are required to be
Contact name: 462( .5/ I,S,LL•. f �. 2cI licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1:40.4 \1001,16 jurisdiction in which work is being performed. If the
City/State/ZIP: 1)(42„n OIL, '91 Z 3? applicant is exempt from licensing, the following reasons
.' ( apply:
Phone: (5b3) Z$. q 741 I Fax: : ( ZZS . €7 2 (
E -mail:
• '- CONTRACTOR
Business name: }NA(lil(, ! - /0� •: BUILDING' PERMIT FEES* '
Address: p . 1 e 1034. j �1
P.0 Please refer to fee schedule.
City/ State/ZIP: ,19/4 -- OZ. qt
I 1 Fees due upon application
Phone: (f5t) 2,2S o3 I ' Fax: (9,•2) 242 • ?f I
CCB lic.: .� 2 q•1 Amount received
�- Date received:
Authorized signature i U '"" T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:0 16k_ Date:' 5j i � (��1F� / * Fee methodology set by 7ri -County Building Industry
Y ^'
Service Board.
is\ Building \Permits\BUP- PermitApp.doc 12/03 440.4613T(11/02/COM/WEB) •
Building Division
Plan Submittal Requirement Matrix
Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
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 3**
•
Mechanical 2 r
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 \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2.00ti -10048
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1612006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 j — ��
INSPECTION WORKSHEET FOR DATE: 9/10/200 TIME: 7 :05AM PAGE: 3
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: SAM MEDICAL
DESCRIPTION: TI - walls
OWNER: WATUMULL PROPER11ES CORP, PHONE #: 503-223-3171
CONTRACTOR: SUMMIT CONSTRUCTION PHONE #: 503 - 223-9703
Inspection Request Scheduled For: Date: 9/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Anal inspection 036810 -01 503 - 849-3406 Y
Corrections /Comments /Instructions:
lk I L IIII
\ ( i -74 1V1
i
_ widaillirOMILA
Iv
ir , ,
J
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL I ❑ NO ACCESS
❑ FAIL IN CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
Inspector: d1 !
Ins ) Date: Phone #: (503) 718 � A
V
p ( )
CITY , kOF-TIGARD
BU LDINd DIVISION PERMIT #: BUP200610048
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/15/2006
Phone: (503) 639 - 4171- fll�
Inspection Requests (24 Hrs.): (503) 639 -4175 _..' ( `- -_..
INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME: 7:06AM PAGE: 32
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: SAM MEDICAL
DESCRIPTION: 11 . walls
OWNER: WATUMULL PROPERTIES CORP, PHONE #: 503 -223 -3171
CONTRACTOR: SUMMIT CONSTRUCTION PHONE #: 503- 223 -9703
Inspection Request Scheduled For: Date: 9/152006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036607 -01 503 - 849 -3406 N
Corrections /Comments /Instructions: e ) GO
______IT
.-- ( b - 6EC___M eik Fl (OAC (405
'''' - F---0((f( WeC-(fi (CAL- a' A. i ---4-11 "fiLL____ Iiro _
Ely S III PARTIAL APPROVAL 11] CANCEL ❑ NO ACCESS
❑ IL • II CALL FO' ` INSPECTION 111 ADDITI NAL ES ASSESSED
Inspector: __ __ Date: ` Phone #: (503) 718 7—
CITY;OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.10049
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I ..
INSPECTION WORKSHEET FOR DATE: 7/20/2006 TIME: 7:04AM PAGE: 11
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: SAM MEDICAL
DESCRIPTION: TI - walls
OWNER: WATUMULL PROPERTIES CORP PHONE #: 503 -223 -3171
CONTRACTOR: SUMMIT CONSTRUCTION PHONE #: 503- 223 -9703
Inspection Request Scheduled For: Date: 7/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 033408-01 503849 -3406 Y
(< �, p ...kJ?
Corrections /Comments /Instructions:
L � , ' w ! '__2(� —
oe.- -
f
it -
1.11111 F
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI AL FEE ASSESSED
-.--- Inspector. Date: •hone #: (503) 718- 2
t