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Permit f * CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2003 -00480 I j � DEVELOPMENT SERVICES DATE ISSUED: 8/6/03 ., - I- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 220 PARCEL: 1 S126BC -01506 SUBDIVISION: ZONING: C -G 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: 2FR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 29 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: $ 16,800.00 Remarks: TI: New walls for offices. Owner: Contractor: PORTLAND OFFICE ASSOCIATES EVERGREEN PACIFIC INC BY TC PORTLAND, INC 5664 CARMAN DR 8930 SW GEMINI DR LAKE OSWEGO, OR 97035 -3358 BEAVERTON, OR 97008 Phone: Phone: 636 -5165 Reg #: LIC 41521 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 8/6/03 $206.50 Plumbing Permit Required [TAX] 8% State Tax 8/6/03 $16.52 Framing Insp Gyp Board Insp [FLS] FLS Pln Rv 8/6/03 $82.60 Final Inspection [BUPPLN] Pln Rv 8/6/03 $134.23 Total $439.85 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: A 1� Pe mt ittee / Signature: / - Call 639 -4175 by 7 p.m. for an inspection the next business day FOR OFFICE USE ONLY Building Permit Application ReceivedX.-e., f� Building Date/By: -Q j?6 Permit No. �a a - Oa V9U Planning Approval Other City of Tigard 0 ON E Date /By. Permit No.: y NOI$I�� Plan Review Other 13125 SW Hall Blvd. 071118 g Oregon t i:IVEI l d0 Date/By f B Permit No Tigard, Ore on 97223 �IJ.N Phone: 503- 639 -4171 F914 91W a ' �M�ry iiii Post- Review Land Use i- 1 Internet: www.ei.tigard.or.0 �41,-.^-4,-7. " Date/By No. Contact J ns : See Page 2 for 24 -hour Inspection Requ : 503- 639 -4175 Name/Method Supplemental Information ' 3/113 3el TYPE OF WORK REQUIRED DATA: ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING El Addition /alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION Note Permit fees* are based on the total value of the work performed Indicate ❑ 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, matenals, labor, overhead and profit for the work indicated on this application ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: Job site address: q, O'ZO -?.(sq. tooft ev6Z (?A Total number of floors New dwelling area (sq. ft ) Suite #: 224 Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: 'P/rC •. N(•`v. rriz ' l Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, Or V- F �L ( 1 � ` � overhead and profit for the work indicated on this application. p,,,� h Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) eXXD Number of stories ❑ PROPERTY OWNER 1 © TENANT Type of construction Name: 1iAL,,I^ ,(, f■ W . 'rate Occupancy group(s): Hewing: Address: 'IOW ai(AJ L *7f ' & City /State /Zip: fl 4. QD *- 91223 Phone Fax: NOTICE: All contractors and subcontractors arc required to be P P • APPLICANT F CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: C .p ,l • jurisdiction where work is being performed. If the applicant is exempt Contact Name: 674 l (— OGT 4 OR- 12--bGCr4 from licensing, the following reason applies: Address: CUA CAA-Al N D lkit City /State /Zip: {.. - O'(L.t0513 c(702ic Phone: C c((o`- Fax: (03(0 ,`kl) BUILDING PERMIT FEES* E -mail: Please refer to fee schedule. CONTRACTOR Business Name: EkJ tal 1: (NC. Fees due upon application $ Address: SG(o C i2.J'►te -.4 DRN City /State /Zip: L•0 , D (L- �7Q?i5' Amount received $ Phone: ' (077(0 S /(ax: & G S Z 40 Date received: CCB Lic. #: t{, Authorized Notice: This permit application expires if a permit is not obtained within Signature: Da e: j) 180 days after it has been accepted as complete. /,,/_ , ad!, -.5 / Ir: /I■7 *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 Plan Submittal Requirement Matrix Commercial & Multi-Family City of Tigard New, Additions or Alterations TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (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 \Forms \PlanSubMatrix.doc 04/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date • - . uestted � 2 q AM PM BUP Location / m1 CL6 A f u, i • Suite 2 2d MEC Contact Person al I Ph (3 D � ) L 7 — PLM Contractor - r rte. Ph ( ) SWR Tenant/Owner ELC Foundation ELC Ftg Drain Access: /414 t 7'n e4 L • '- Crawl Drain ee)s -t pg.g./TacL � ELR Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot�h - : V'i' • ART FAIL N Post & Beam IFP) Under Slab Rough -In Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage �. : _ .larm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. r :— 'ART FAIL SITE ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ?/? 3 Inspector 7 21)7 7 Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL •