Permit CITY TIGARD BUILDING PERMIT
PERMIT #:
° COMMUNITY DEVELOPMENT DATE ISSUED: 77/27 2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: HEMCON
Project Description: Rack storage.
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: Al 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: $ 7,000.00
Owner: Contractor:
HEMCON MEDICAL TECHNOLOGIES EVERGREEN ENGINEERING
10575 SW CASCADE 7431 NW EVERGREEN PKWY
TIGARD, OR 97223 SUITE 210
HILLSBORO, OR 97124
Phone: 503 - 245 -0459 Contact #: PRI 503 - 439 -8777
FAX 503 - 439 -8767
Reg #: LIC 151480
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/27/2007 $98.25
[TAX] 8% State Surcha 7/27/2007 $7.86
[BUPPLN] Pln Rv 7/27/2007 $63.86
[FLS] FLS Pln Rv 7/27/2007 $39.30
Total $209.27
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.
/ l I —
Issued By: , _ l //� ,1/1 Permittee Signature: �O / -
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.
1
Building Permit Apphc ate ^r
.1 Commercial . , r L„,1‘ a - : : FOR OFFICE USE O NLY -
City of Tigard Received 7 i i 3
J � Date/B aT 0
• ../ Ji 1 e 3
7
13125 SW Hall-Blvd , Tigard, OR 972 U 2007 Plan Review
C Phone 503.639 4171 Fax• 503 98 1960 Date/By Other Permit
Inspection Line 503 639 4175 6 if qq flfl " c Date Ready /By tuns ® See Page 2 for
T I G A R D g F J g ;: (A RD Notifie Su lemental Information
Internet www.tigazd - or gov � PP
L 1�1�! , "-TM( 'a T j�1 .,
TYPE OF WOR 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: i Atie„ 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
❑ 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: /05-?-5 ,
i - 5 s' •-) casc A dz. fi1ie. Su / l !3C New dwelling area: square feet
City /State /ZIP: T64N o 0141 Garage /carport area: square feet
Suite/bldg. /apt. no.: ( Project name: (-6"1MCOhJ3 / 7 r' ��PAA / �5 0. Covered porch area: square feet
Cross street/directions to job site: GL- / 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.
/N5 OW n l ew tc s / 2oc> alriN6
Valuation: $ .•••• 7, l v--0
Existing building area: 1(44 W feet
New building area: AVAGC e feet
0 PROPERTY OWNER 124 TENANT Number of stories:
Name: (- 644, (te r Type of construction: /Ns. ry/,w jis
Address: (0 5")5- Set.%i C ,4i4S Occupancy groups:
City /State /ZIP: 7Z 6tM-i , otte -6-o-P✓ Existing:
Phone: ( ) Fax: ( ) New:
,t APPLICANT ❑ CONTACT PERSON NOTICE
Business name: V L& ail C7V G,N 2jN6 All contractors and subcontractors are required to be
Contact name: i ,u LM•t G apc - io✓ / Sava C _ r-r licensed with the Oregon Construction Contractors Board
`, under ORS 701 and may be required to be licensed in the
Address: 74-3/ N W £ erto kt /NAT AT jurisdiction in which work is being performed. If the
City /State /ZIP: e,h L� / VO , OK q 112-4-
/ applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 439, 81 X ZS/ Fax: : (9) 3) 4-3 57497
E -mail: 6/(1u14 //h 6 a..pi . Cev„, (sG ituf'!-p , ail d e.s--'
- CONTRACTOR
Business name: e/ lL4- ex/ /,J 7LfN6 BUILDING PERMIT FEES*
Address: 1 43 / N kJ &-i/02 6�e13 4 .1 AV (Pleaser'ejertojeesehedu[e '
City /State /ZIP: f /m 40,4, 7/ Structural plan review fee (or deposit):
tiK ( r�3) �/. / (rbj ) t� Q /p7 FLS plan review fee (if applicable):
Phone: 87 Fax e
CCB lie.: /5/ 80 �X /9. 5//l//08 Total fees due upon application: O�
Amount received: L • "?--1
Authorized signature: This permit application expires if a permit is not obtained
/:47 within 180 days after it has been accepted as complete.
Print name: nfo S, L 6 bind Date: 07 p 7 * Fee ethodology set by Tri- County Building Industry
/ / Service Board
1 \Building \Permits \BUP -COM PermitApp doc 2/23/07 440- 4613T(I1/02 /COM/WEB)
a 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: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I. \ Budding \Permits \ BUP-COM PermitApp doc 02/23/07
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: DJP2007-00393
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 707/2007
007
Phone: (503) 639 -4171 / 40 ; 1
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 413012008 TIME: 7:06AM PAGE: 17
SITE ADDRESS: '1 u:' , 75 OW CASCADE AVi: 130 CLASS OF WORK:
SUBDIVISION: CASCA(,;;. RUMNESS CENTE R LOT #: " TYPE OF USE:
PROJECT NAME: F -W
DESCRIPTION: frr4,.:,'s 51.oraT.
OWNER: FiEM4;Ot't ta1ED1CAL TECHNOLOGIES, PHONE #: 60.3-:M&04%
CONTRACTOR: LVERGREFN ENC1h.1L PHONE #: S03-439-8717
Inspection Request Scheduled For: Date: 4130/20.03 Pour Time:
Code # Inspection Description Confirm # Contact # •. Messa e
299 Fin;41 11 pe::tioce 0(308!"3 -0 i E.:03-623-88412
Corrections /Comments /Instructions:
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•
•
•
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►'� PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AI ❑ CALL FOR INSPECTION ' ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: go. egg Phone #: (503) 718-
CITY OF TIGARD
- BUILDING DIVISION PERMIT #: BUP2007- 00393
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 1J
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON
DESCRIPTION: Rack storage.
OWNER: HEMCON MEDICAL TECHNOLOGIES, PHONE #: 503-2450459
CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M-
299 Final inspection 053293 -01 503-523 -8802
Corrections /Comments /Instructions:
o■) C—i /4�C_ M M tom_ c tt? i
❑ PASS I/i (PAFPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL PECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 7 Phone #: (503) 718 - Z
•
Carlson Testing, Inc. � `
8430 SiP/ 40607l�dxw 3, NE 6301508 MIeyRd9(1
Tigvd OR 9777 SdmL OR 97301 Bard OR 97707
Thane /3 03) ESI -316p Pkwy (503) SR9 -/152 Phone - (541)330-9115
Construction Materials Testing & Inspection F CO31684-0954 F 5031 589 .1309 F I5411 330-9163
Special Inspection
FINAL SUMMARY LETTER
March 5, 2008 RAC -.C-D
T0704441 4/14
� R 07 2048
City of Tigard
SW Hall Blvd N 'iv,,,.
13125
Tigard, OR 97223 -8199
Attn: Building Department
Re: Hemcon Medical Technologies Inc — Exterior Addition
10575 SW Cascade Avenue — Tigard, OR
Permit# BUP2007 -00191 / �� CZov7 — OO 3 '
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
— Installation of Proprietary Anchors
Structural Welding- Shop & Field
High Strength Bolts
Structural Wood •
All inspections and tests were performed and reported according to the requirements of Project Documents and, to the
best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office.
If there . e any further questions regarding this matter, please do not hesitate to contact this office.
Resp- Hy submitted,
CA' '0N TESTING IC.
Ja 'es F. Hietpas
P . ject Manager
Ja
Evergreen Engineering LLC — Jonathan Knapp
Evergreen Engineering LLC — Steve Cruft