Permit I .` � i CIT`� TIGARD BUILDING
BUP2005 -00324
I DEVELOPMENT SERVICES DATE ISSUED: 7/8/2005
- - I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: F2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 72 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: $ 4,300.00
Owner: Contractor:
AMB PROPERTY L P EVERGREEN ENGINEERING
BY TRAMELL CROW NW INC 20827 NW CORNELL RD.
8930 SW GEMINI DR HILLSBORO, OR 97124
B AVERTON, OR 97008 •
one: Phone: 503 - 439 -8777
FEES Reg #: LIC 151480
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/8/2005 $91.30 Special inspection (see plah)
[TAX] 8% State Surcharl 7/8/2005 $7.30
[BUPPLN] Pln Rv 7/8/2005 $59.35
[FLS] FLS Pln Rv 7/8/2005 $36.52
Total $194.47
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-II ! cosh OAR 952 - 001 -0100. You may obtain a copy of these rules br direct questions to OUNC by
calli n. 03- 246 -6699 r 1- 800 - 332 -2344. /
lssu - . by: ,A,._ 4K441' Permittee Signature: i
r
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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Building Permit Application FOR OFFICE USE ONLI , .
City of Tigard pffi ed fie Permit No.: 0 -o, A
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639 4171 Fax: 503.598.1960 /i, r : ( ). Date/B Other Permit:
Inspection Line: 503.639.4175 • J _ , " Date Ready/By ® See Attached Checklist for
Internet: www.ci.tigard.or.us , Nohfied/Method: Iffil Supplemental Information
(64paC0 GC3 (JO 0 -
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.
Valuation: $ 1 1 'It2D0
ID m
1- and 2- family dwelling Comercial /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: \ d *Sn S t� (c ScS N- y ti-> at New dwelling area: square feet
City /State/ZIP: '---c4 3\ 6k �� Z1- Garage /carport area: square feet
Suite/bldg. /apt. no.: \ ` p Project name: \ r ea 4. Covered porch area: square feet
Cross street /directions to job site: 0,►-g_12_t`_ C Deck area: square feet
J 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.
S� \J ti V C L\- �
\ A q .,\\ „ - s Valuation: $
�� - t � \ tx c.- ck \�� , Existing building area square feet
New building area: square feet
PROPERTY P WNER TENANT Number of stories:
Name: �, Pt 2 i 7 LP Type of construction:
Address: Occupancy groups:
City/State/ZIP. Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: C- • ran- E— A ( r All contractors and subcontractors are required to be
Contact name: 5 J F
\ licensed with the Oregon Construction Contractors Board
C under ORS 701 and may be required to be licensed in the
Address: 2C)Qa:k t C.,..‘ ✓ -RA _, ■ jurisdiction in which work is being performed. If the
City /State/ZIP: c . o I 0 �� 0- ply: is exempt from licensing, the following reasons
Phone: ( (p -\ \ �� -74-- Fax: : ( cod ) CV\ cici- C1/4-
E -mail:
CONTRACTOR ,
Business name:
SC S c . \ - `\ J� BUILDING PERMIT FEES*
Address: -
Please refer to fee schedule.
City /State /ZIP: Fees due upon application
Phone: ( ) Fax•( )
Amount received
CCB lic :
C Date received:
Authorized signature: et This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: S D n \ T \- I Date: '�\ M SS • Fee methodology set by Tri -County Building Industry
Service Board.
i \ Building \Pennits\BUP- TI- PermitApp doe 12/03 440-46 13T(1 I /O2/COM/WEB)
Building Division
i i ';� 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
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- TI- PennitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00324
°3125•SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2005
Phone: (503) 639 -4171 //�n „,qr 1 I�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.14
. & . ,
INSPECTION WORKSHEET -FOR DATE: 7/19/2005 TIME: 7 :08AM _PAGE: 72
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: - HEMCON EXPANSION MFG. •
DESCRIPTION: Rack storage.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503 - 43943777
Inspection Request Scheduled For: Date: 7/19/2005 Pour Time:
Code # Inspection Description Confirm # - - Contact # Message
299 Final inspection 011689 -01 503- 407 -4755 . N
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El 'FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector: Date: \ V #: (503) 718-