Permit r ,-). BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2005 -00056
� i�� DEVELOPMENT SERVICES DATE ISSUED: 2/17/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10575 SW CASCADE AVE 130 PARCEL: 1S13566 -00501
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
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: 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: $ 86,000.00
Remarks: TI Mezzanine & plenum fixture ceiling for equipment placement for room use
Owner: Contractor:
AMB PROPERTY L P EVERGREEN ENGINEERING -
BY TRAMELL CROW NW INC 20827 NW CORNELL RD.
8930 SW GEMINI DR HILLSBORO, OR 97124
BEAVERTON, OR 97008
one: Phone: 503 - 439 -8777
FEES Reg #: LIC 151480
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 2/15/2005 $434.02
[FLS] FLS PIn Rv 2/15/2005 $267.09
[BUILD] Permit Fee 2/17/2005 $667.72
[TAX] 8% State Surcharp 2/17/2005 $53.42
Total $1,422.25
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.
/
Issued By: All./, ` _ i .`.
Permittee "t ( C ,�
Signature: fr
Call 639 -4 75 by 7 p.m. for an inspection the next business day
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CE IV .
Building Permit Annli&iiuu FOR Orrlcl tisE ()NIA'
� � City of Tigard FEB 15 200 v e/s�� b---'0, ,i PenmtNo.)U 4:9.00.5_00,7 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rem 4 y •
- Phone: 503.639.4171 Fax: 503 .598.1960 '--. •∎5 iii[ " p�/B /L / r � Other Permit
Inspection Line: 503.639.4175 CITY OF T' J1 . L' - I' Date Ready/13y rwis ® See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVA 9 J Notified/Method 7 7 (L Supplemental Information
" 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.
❑ 1- and 2- famr7y dwelling Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 0 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: , &...: S( ) C�c_e- �0-12._ New dwelling area: square feet
City /State/ZIP: - 1 -- , S \ Z . C\�' 7 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: V3� 3,, c) Project name: \S to (N'\' - Covered porch area: square feet
Cross street /directions to job site: C...y,EtQ �� �cc Y� Deck area: square feet
k� C t` C� j C.0 � Other structure area: square feet
• REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application. 1 hpin
Valuation: $ .
Existing building area: ` square feet
New building area: square feet
PROPERTY OWNER I 0 TENANT Number of stories: I
Name: (-1 \ o 9-1 \- / Type of construction: S / (S
Address: Occupancy groups: -V R
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
' licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP:
apply: p li,
Phone: ( ) Fax:: ( ) r
E-mail: y ✓ S . 3 ) yy o �
CONTRACTOR rLS a (p7 • O
r '735. 7 `1h /, /
Business name: `". -- �Q� `_\ � C C c \ BUILDING PERMIT. FEES*
Address: 7_(..Z r t� CGC t■R.\ \ ' J*-�` , •' �() Please refer to fee schedule.
City /State/ZIP: �V • L p 0 c Fees due upon application
Phone: ('3) L \ Q ]� R - I Fax: (CCS to n \ 1 J -�
Amount received
CCB Iic.: \ c \ LA S,C)
Date received
Authorized signature: ii/6 ! t This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �-R- f I Dater . _ p 5 • Fee methodology set by Tri-County Building Industry
Service Board.
iABwldmg \Pennits\BUP- Tt- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
. 11
Building Division
rr5
t rrE i i i Plan Submittal Requirement Matrix
- --- Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
- (Includes new, additions andsalterations.) • 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.
\Bwlamg\Permits\BUP- TI- PermitApp a« 12/03 440- 4613T(I I/02/COM/W®)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (5(43) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/30/2005 TIME: 7:06AM PAGE: 70
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION MFG.
DESCRIPTION: TI Mezzanine & plenum fixture ceiling for equipment placement for room use
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503-439-8777
Inspection Request Scheduled For: Date: 6/30/2005 Pour Time:
Code, # Inspection Description Confirm # Contact # Message
299 Final inspection 010529 -01 503 -407 -4755 Y
Corrections /Comments /Instructions: Ft err S
•
6Q
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F S ASSESSED
Inspector: � Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00056
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639-4171 ,4,
Inspection Requests (24 Hrs.): (503) 639 -4175 �' �r�e'Ip� ` ,_..
...r!
INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:28AM PAGE: 75
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION MFG.
DESCRIPTION: TI Mezzanine & plenum fixture ceiling for equipment placement for room use
OWNER: AMB PROPERTY L P, PHONE #:,
CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503 - 439-8777
Inspection Request Scheduled For: Date: 6/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 009862 -01 503 -407 -4755 N
Corrections /Comments /Instructions:
' ----- - —l t
lb ',. ur Nor I 1.../
,.___
6 ' • 'I .
El f ❑ PARTIAL APPROVAL ❑CANCEL El NO ACCESS
FAIL
111 CALL FOR INSPECTION
111 ADDITIONAL FEES ASSESSED •
Inspector: iDate: a /Phone #: (503) 718-
.
AM&
5 I
CITY, OF TIGARD '
BUILDING DIVISION PERMIT #: BUP200&-00056
' 13125 SW FIaII Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: T503) �o
Inspection Requests_(24 Hrs.): (503) 639 -4175 ' °TI _ I ..
INSPECTION WORKSHEET FOR DATE: _ 3/11/2005 TIME: 7 :27AM PAGE: 27
SITE ADDRESS: 10 575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION MFG.
DESCRIPTION: TI Mezzanine & plenum fixture ceiling for J equipment placement for room use
OWNER: C) 1 PHONE #:
CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503-439-8777
Inspection Request Scheduled For: Date: 3/11/2005 Pour Time: 2 :00
Code # Inspection Description Confirm # Contact # Message
220 Slab 001422 -01 360 - 903-7364 Y
Corrections /Comments /Instructions:
■ 4 ' . -1
V &A . � SAW / ■ _ ,_
Arai _.
-kV SL'ir:lialg- .
•
..
❑ PASS P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL F.R INSPECTION ❑ ADDITIONAL F S ASSESSED
i (( (, —QD.
\ Inspector: 4 Date: . ' - Phone #: (503) 718-