Permit ..
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00101
i +►. DEVELOPMENT SERVICES DATE ISSUED: 3/1/2006
II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135BB -00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Drop ceiling.
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: 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: $ 2,700.00
Owner: Contractor:
AMB PROPERTY L P EVERGREEN ENGINEERING
BY TRAMELL CROW NW INC 20827 NW CORNELL RD.
8930 SW GEMINI DR HILLSBORO, OR 97124
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 439 - 8777
FAX 503 - 439 -8767
Reg #: LIC 151480
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 2/17/2006 $46.87
[BUILD] Permit Fee 3/31/2006 $72.10
[TAX] 8% State Surcha 3/31/2006 $5.77
Total $124.74
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:-, .Z r � , Permittee Signature: .e Pi\caf
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.
10575 SUve-ad4- b¢v{ /30
Building Permit App ' • 1 ' P FOR OFFICE USE ONLY
• , ir •
Re ceived
Ci of Tigard - 7 / Permit No.' � •
tY g Date/B . _ � CO l n J
13125 SW Hall Blvd., Tigard, OR 97223 rro 1 c 006 Plan Revie AP
Phone: 503.639.4171 Fax: 503.598.1960r / " * -'fi : '1 Date/B - Other Permit
1 a /_�i ,
Ions
" i � See Attached Checldist for
Inspection Line: 503.639.4175 Date
Internet: www.tigard-or.gov CIT OF TIGP►R • -- ! Supplemental ® Attach
Attach Information
gUILDlNG DIVISION
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.
El 1- and 2- family dwelling Commercial /industrial Valuation: $ 2:4 Q
El Accessory building ❑ Multi - family Number of bedrooms l
❑ Master builder ❑ Other Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: \b, /- SCE Ce-,SCs, �CA S kQ, `30 New dwelling area: square feet
City /State/ZIP: SsI c a R. '.31zz3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: P-.■c e N. .lam} c J .r V ti \ Covered porch area: square feet
Cross street /directions to job site: `' Deck area: square feet
C \ee \p t� 13 a C` Vic_ ..k.) C Other structure area: square feet
R EQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: \ Permit fees* are based on the value of the work performed.
Tax map /parcel no.: \ c \ 2c — I jS \
Indicate the value (rounded labor, to the ead, and dollar) o f f
o
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
4c &5 '0 Q G� /■. - S2_1C A y � / C�6` Valuation: $
�/ Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER A TENANT Number of stories:
Name: Ose-A Lon _1--/% ` Type of construction:
Address: 1 K="5 c ct) Ca,. s, cc c.Q._ , 1 \--, Occupancy groups:
,C
'gt Q
City /State /ZIP: \ J d�- Zvi Existin g:
Phone: ( )) Fax: ( ) New:
dd APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ��� - n 4-� ���- ` All contractors and subcontractors are required to be
Contact name: �t, Cz�
\ 'T J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2b r ) C ,..4\ .-,.,r 20 0 jurisdiction in which work is being performed. If the
City /State /ZIP: -- N \, t , \ a (3c- � V, ,k applicant is exempt from licensing, the following reasons
1 ` _ \ _ apply:
Phone: (�3) C.-` O ` \� S- \� Fax:: (SO 'S ) ��4 .- 4b
E -mail: 5 cc k- eC (7Q _P )._ . C o t"1.
CON RACTOR
Business name: - -..,-A- e S e j Lc-.�•■ BUILDING PERMIT FEES*
Address: e
Please refer to fee schedule.
City /State /ZIP: / K �f 1�
Fees due upon application
Phone: ( ) I Fax: ( )
c Not Amount received
CCB lic.:
Date received:
Authorized signature: 1
J 1 / This permit application expires if a permit is not obtained
L ^� within 180 days after it has been accepted as complete.
Print name: � ,� I Date: Z f C c, • Fee methodology set by Tri -County Building Industry
Service Board.
1 \Buddmg\Permits\BUP- T1- PermuApp doc 12!30/05 440 -4613T(I I /02ICOM/WEB)
•
•
Building Division
it°
O)4`11 � j` • Plan Submittal Requirement Matrix
P _ Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal = ' It 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 2 **
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 UBwldmg\Pemits\BUP- TI- PemilApp doc 12/30/05 440 -46I3T(I I /02JCOM/WEB)
CITY' OF TIGARD 6-cAla
BUILDING DIVISION =` PERMIT / C /
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 tea.',,, ,,
Inspection Requests (24 Hrs.): (503) 639 -4175 I L
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: )a 5 7s .''CL -ISS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -- g-O Pour Time:
• Code # Inspection description Confirm # Contact # Message
7- L 7 55
Corrections/Comments/Instructions:
A L,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Or JAI � ��-
Inspector: Date: Phone #: (503) 718-
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CITY-Q. F TIGARD 6
BUILDING DIVISION _ "a PERMIT #: 21X — 0"D
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
I
irt
nspection Requests (24 Hrs.): (503) 639 - 4175 '1
INSPECTION WORKSHEET FOR DATE: 7 / 2 " 6 TIME: PAGE:
SITE ADDRESS: /06 �`�'�' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 — 2.. — b Pour Time:
Code # Inspection Description Confirm # Contact # "Message
- F7 a 9 q @ U , ilo ? -
Cprrections/C me s /Instructions: �i�
1 C1- ‘ 1.2.....
' 4111,
r -- 24 alk
•
p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•,NA FEES ASSESSED
Inspector: Date: 0 Phone #: (503) 718 - A23
•