Permit I'
1
, BUILDING PERMIT
C ITY OF TIGARD PERMIT #: BUP2004 -00207
l^: DEVELOPMENT SERVICES DATE ISSUED: 5/6/2004
.- -s ..� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 500 PARCEL: 1S126BC -01506
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 3,500 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: 3,500 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 35 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: $ 39,500.00
Remarks: T.I.
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES PACIFIC CREST STRUCTURES INC
BY TC PORTLAND, INC 7233 SW KABLE LN STE 900
8930 SW GEMINI DR PORTLAND, OR 97224
BEAVE TON, OR 97008
Phone: 503 - 968 -8949
Reg #: LIC 66915
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 5/6/2004 $395.80 Electrical Permit Required
Sprinkler Permit Required
[TAX] 8% State Surchari 5/6/2004 $31.66 Plumbing Permit Required
[BUPPLN] Pln Rv 5/6/2004 $257.27 Framing Insp
[FLS] FLS PIn Rv 5/6/2004 $158.32 Gyp Board Insp
Susp Ceilng Insp
Total
$843.05 Final Inspection
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: `
Permittee ��
Signature: 1_ �1 ��
Call 639 /5 by 7 p.m. for an inspection the next business day
Buildint Permit Application FOR OFFICE USE ONLY
City of Tigard Received permit No
Date/B rG pzao _(2 207
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone 503.639 4171 Fax. 503 598.1960 ' DateB ' ( 4 'r J f Other Permit
Inspection Line 503.639 4175 IL h Date Ready/By lures Ei See Attached Checklist for
Internet www ci.tigard.or.us Notified/Method 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- family dwelling Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors
Job site address: c \020 syq W A it '1011 S Q. 1Zt,,. New dwelling area: square feet
City /State/ZIP: 1 lc Rp/ O C.l 12 Garage/carport area: square feet
Suite/bldg. /apt. no.: 50O Project name:
— 1p1/4L7CI X 'T.\ . Covered porch area: square feet
Cross street/directions to job site: 2_11 TO SC1toLLS 'F Deck area: square feet
IOM TURD RV_a H T C 14, V\I,L\Ski t$ Cx To t-4 Other structure area: square feet
S Q U A.R. S VE,T7 L N Ex T To Et- 11:06S4 1 5 REQUIRED 'DATA: COMM RCIAL- USE'CHECKdST
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
s - - 4 l.DESCRIP1ION OF WORK work indicated on this application.
A ' o)'� 3 SOD L I �.1 . I SwA\7 . 5c 0 Valuation: $ ? � 5O0
Existing building area: q 120 p square feet
New building area: 0‘ t 2q 0 square feet
P ROPERTY OWNER 1 ' `❑ TENANT Number of stories: 5
Name: wySe N VEST f- tE.tJT Saw \(as, c_7 Type of construction: F
Address: \ t 1 l vy 51-4k A JE - It D O Occupancy groups:
City /State/ZIP: 1 i p O i 2r04 Existing: 15
Phone: ('AZ) ZQt-f . 04 00 Fax: (5Q3) 227 , 2S01 New:
0 APPLICANT CONTACT PERSON
s '4 - NOTICE ,i
Business name: ( o U,p M A Gk, C t-4 E All contractors and subcontractors are required to be
Contact name: K��t M �C,�At� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: lb 'as 6 go / O(o o 5,. '6P44 GR4oT S - r jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
1'olz.TL alto, 0 R ' 11 Z3q - 00 39 apply:
Phone: ( ) 2.2a .q51,pq Fax: : ( 5,33) ZZ$ s I2e1G.
E - mail: fie. N ORCx P-1.1 @ Cl-1Z.P H P.[,(L. C0 f..4
Y CONTRACTOR
Business name: 'pAGv C>�{Eg I S'TRt.1t,TLAIZES BUILDING PERMIT FEES*
Address: - 1233 k pc8t_s LiSg4S. 0 1 00
Please refer to fee schedule.
City / State/ZIP:_ Po S'T Lp% N t 0 i.. II 122 q
C Fees due upon application
Q
Phone: ( 933) 1 i e . bct Li 9 Fax ( b3 ) 5'1' . (o(o sz
Amount received
CCB lic.: b t q 1 5
Date received:
Authorized signature: !b W This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: p.,IJ a W 07-0 t PK Date: t ti Py zocs1 * Fee methodology set by Tn- County Building Industry
Service Board
i. \Building\Permits \BUP- PermitApp doc 12/03 440- 4613T(1 I /02/COM/WEB)
tiP,Rooq -Oo 07
Building Division
it Accessibility: Barrier Removal Improvement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities
unless such alterations are disproportionate to the overall alterations in terms of cost and
scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 1 500
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1 t b15 .
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $ i g O b
(c) An accessible route to the altered area: $ 2 54' O
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $ (6
(f) Accessible drinking fountains: and, $ 96
(g) When possible, additional accessible elements such as storage and pp,
alarms: $ U D o
TOTAL (shall equal line [2] of Valuation Computation): $ 2-40
S X t ST t yI GT gu► Lt i r- & is IN FULL C4 LE. .
COSTS 1141714 T - .1E-FE-P- To Nev[ /P.L. aTZ�AS,
\Building \Forms\AccesslmprvPlan doc 11/25/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION' DIVISION Business Line: (503) 639 -4171 MST
Received Date Requ ed ' `6 D mi l' PM BUP
Location i Suite c W G MEC
Contact Person �� � i • ( ) DS 7 V. IF PLM
Contrac Ph ( ) SWR
`� T/ C V
ILDI Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: C ye4(. 1 E Z �(1 5 4 , 6 0 0/ SIT
Post & Beam
Ext Shear ea Anchors
/ -Q &C -114/f r&uoek: Nov
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation . s '
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
OI -• 1 � i
4 111 - ART FAIL - - � /I' f�
= NG
Post & Beam
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 \ I , .�'
Rough -In /IL � � / _
UG /Slab or '� \Iir ' Low Voltage ' ;.
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other ;\
Final DO NOT REMOVE this inspection 'record from the job site.
PASS PART FAIL