Permit •
• r, a CITY OF TIGARD
BUILDING PERMIT
Irr -, PERMIT #: BU P2007
COMMUNITY DEVELOPMENT DATE ISSUED: 4/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 126BC -01500
SITE ADDRESS: 09000 SW WASHINGTON SQUARE RD HOTEL ZONING: C - G
SUBDIVISION: EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: EMBASSY SUITES
, Project Description: Install (2) antennas & (2) microwave dishes on penthouse wall - (1) equipment cabinet mounted to
i i
penthouse wall.
REISSUE: (5 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 'g" FIRST: sf N: S: E: W:
I TYPE OF USE: COM SECOND sf PROJECT OPENINGS?
TYPE OF CONST: NONE sf N: S: E: W:
OCCUPANCY GRP: NONE TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 97 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 20,000.00
Owner: Contractor:
PORTLAND HOTEL ASSOCIATES MONTI ELECTRIC
BY R E T S PO BOX 30478
100 SPEAR ST STE 1440 PORTLAND, OR 97294
SAN FRANCISCO, CA 94105
Contact #: PRI 503 491 - 4909
Phone:
Reg #: LIC 135326
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 2/23/2007 $152.95
[BUILD] Permit Fee 4/10/2007 $235.30
[TAX] 8% State Surcha 4/10/2007 $18.82
Total $407.07
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: _E _ y y/� _ � Permittee Signature: (5-).-‘ /R i 4, ( -' _
�• 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.
goo O Sw v.M 511. S[Q. R.O
ommercial Tenant Improvement
Building Permit Application _ FOR'OFF ICE: USE: ONLY -
tr .. /1 . ' ill
City of Tigard ` '.� i � Received _ �] Permi N. ZlA •� %4 Q i l
13125 SW Hall Blvd., Tigard, OR 97223 cp Plan Re 'e ► / (
0 . ' Phone: 503.639.4171 Fax: 503.598.19t�0 6� 3 2 0 0 7 Date/B • ...' Other Permit:
Inspection Line: 503.639.4175 Date Re.. :y El See Paget for
TIC It lJ Internet: www.tigard- or.gov CITY iji i , % %Af - i Nohfi . ethod. p� i / • Supplemental Information Antm TYPE OF WORK _ O t UIRED 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.
❑ I- and 2- family dwelling ommercial /industrial
Valuation $
❑ 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: goon C, Asia INcsTGN SqVtsa Pp New dwelling area: square feet
City /State /ZIP:°rC,Ap, . ®9,. Cfl 2 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: l Covered porch area. square feet
Cross street /directions to job site: Ste, d,1 re.. 0 a g r St - i' .� f Deck area: square feet
"f 0 1 Other structure area: square feet
REQUIRED DATA: COMMERCIAL CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: s)'�(p C. �� S� 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.
11JST�.t. a. o. e' wio.s Curi_ ` 2, Vert %Gr°WC:Wt.
Valuation: $ L01,4)00 d 1 a S r*, 7e ytiAnGt9$Q_ U1031 — ` >, e ` YyyQ11� Existing building area: 2Q0 square feet
Cab t • t1QT rr ous ka i-0 1p. eil'1 8Vs2. 1 1 New building area: Alft 0 square feet
❑ PROPERTY OWNER I \ Et TENANT Number of stories g
Name: C\ e t r uj trt i b�be d 1�J 1 e Type of construction:
Address: .. . ) 4ESO to Lea.ke. � S� 1tnQT ? fG. ' o N s,;,;C 30O Occupancy groups:
City /State/ZIP: t..kt c.%» ` ' q F 03 % Existing:
Phone:4 (D ' ) G oo Fax: N LSD ZJ (D '`190 Q New:
- APPLICANT IS CONTACT PERSON NOTICE
Business name: dor RI vex- e.vei O p enexi\• All contractors and subcontractors are required to be
Contact name w^�e.S p g {•' licensed with the Oregon Construction Contractors Board
� _` - under ORS 701 and may be required to be licensed in the
Address:5 2,5 (j JW 'J () ,, R1� jurisdiction in which work is being performed. If the
City /State /ZIP: Per '1CILIn , cr2, 9",22 9 applicant is exempt from licensing, the following reasons
1 apply:
Phone: (503) '3 - 3`ib5 Fax:: ( )
E -mail: Ji l.1 SAS a .5 p1r.k-o .. Ci0 . .
1 CONTRACTOR
Business namet.---7000,r AI • _I I BUILDING PERMIT: FEES* •.
- - (Please refer to fee schedule)- '
Address: J0 A 3c4 ?T( / 3 , - 1,5 Structural plan review fee (or deposit)
City /State /ZIP: ( x 9 7 .294
Phone: ( r ig . L Fax: ( ) FLS plan review fee (if applicable):
Total fees due upon application:
Amount received
Authorized signatur . ; V a LJ T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Gi • .i (,, I r. AI S Date: 2...fZq o- I * Fee methodology set by Tri- County Building Industry
Service Board.
I: \ Building \Permits\BUP- TI- PermitApp.doc 03/23/06 440 -4613T(II /02 /COM/WEB) ,
• " • . : . ' , . ' . ' i t - . . . . ' : ` -0;: '.‘",
All
7111
C Building Division
Plan Submittal Requirement Matrix
T G A R D Commercial & Multi -Family - New, Additions or Alterations
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 . • , . . 2 ** • °
Mechanical 2
Plumbing (building fixtures) ' 2 - ' ' .
•
Electrical 2
•
Plan review is dependent upon submittal of a completed ap 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.
•
•
l:\ Building \Pcmuts \BUP- TI- PermitApp.doc 03/23/06
CITY OF TIGARD .�
BUILDING DIVISION PERMIT #: BUP2007- 00104
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10!2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ''' �..
INSPECTION WORKSHEET FOR DATE: 91512007 TIME: 7:00AM PAGE: 10
S ITE ADDRESS: 03000 SW WASHINGTON SQUARE RD HOTEL CLASS OF WORK:
SUBDIVISION: EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: EMBASSY SUITES
. DESCRIPTION: Install (2) antennas & (2) microwave dishes on penthouse wall - (1) equipment cabinet mounted to
penthouse wall.
OWNER: PORTLAND HOTEL ASSOCIATES, PHONE #:
CONTRACTOR: MONTI ELECTRIC PHONE #: 503 491 - 4909
Inspection Request Scheduled For: Date: 9/92007 Pour Time:
Code # • Inspection Description Confirm # Contact # M
' 299 Final inspection 055161 -01 503-536 -5999 O -!
Corrections/Comments/Instructions:
•
PASS I„ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL )l CALL FOR INSPECTION El ADDITI NA FEES ASSESSED '
Inspector: ! Date: �� �' 617 Phone #: (503) 718- �b