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Permit l f CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00534 -•�l . .�i� DEVELOPMENT SERVICES DATE ISSUED: 10/6/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -417 PARCEL: 1S126BC-01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 480 ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: TI, walls 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: 43 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: $ 32,000.00 Owner: Contractor: WYSE INVESTMENTS BNK CONSTRUCTION INC 111 SW 5TH AVE SUITE 1100 10730 SE HWY 212 PORTLAND, OR 97204 PO BOX 66 Phone: 503 - 294 -0400 CLACKAMAS, OR 97015 Phone: 503 - 557 -0866 FEES Reg #: LIC 107555 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharl 10/6/2005 $26.86 [BUPPLN] Pln Rv 10/6/2005 $218.27 [FLS] FLS Pln Rv 10/6/2005 $134.32 [BUILD] Permit Fee 10/6/2005 $335.80 Total $715.25 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 require • • follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 -401 -0010 thr• gh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by c- ling 503 - 246 -66• • • - 332 -2344. / // i / / Is ed B By: � L _ � / �� y Permittee Signature: � /�L� � �� 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. j ..4 ' n /! ' Building Permit INE24-INED FO!: OFFICE USE ONLY Received / / City of Tigard �e/e . , 0� TZ Permit No. � , d ii . ,0s 13125 SW Hall Blvd., Tigard, OR 9 0 6 2005 Plan Review Phone: 503.639.4171 Fax: 503.59 '9 0 ,u,rtq i- r 1 ‘'�'• Date/B . Other Permit Line: 503.639.4175 TIGARD - 1.1 _ � _ � — Date Ready/By WA ® See Attached Checklist for CIT Internet: www.ci.tigard.or.us Y NIS Notified/Method: Supplemental Information BUILDING D ILL 9 - DD 7 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 jAddi tion /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: $ 12 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: 901 4' w,ffy %fr' r2,,e fa. 41' ► New dwelling area: square feet City /State/ZIP Tl'( Garage /carport area: square feet Suite/bldg. /apt. no. ygo Project name: Covered porch area. square feet Cross street /directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. -r e�v� -/rODc 0, evle - � 7 Valuation: $ 3 2 DO C) Existing building area: square feet New building area: square feet PROPERTY OWNER ' TENANT Number of stories: Name: , W E ;fry (,,Ii= g - Y f T ype of construction: Address: ff f f h / 5 4 ,e 5* f /E / /00 - Occupancy groups: City /State /ZIP: Qs/. y 1/9/V,." _1M ■ q 7 2 0 yr,- Existing: Phone: (903) 9. - O ram Fax: ( ) New: ❑ APPLICANT I -CONTACT PERSON NOTICE Business name: 1~ k C/6. f ,- All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board 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: Phone: ( ) . Fax:: ( ) E -mail: CONTRACTOR Business name: 6 A ., k CON fT , BUILDING PERMIT FEES* / Address: Q I' O x ` ■ Please refer to fee schedule. City/State/ZIP: 44/7,11 y C� Ox - 9 t r ��y 7o�/ Fees due upon application Phone: (SO � ) r S- 7 a S v/ I Fax (7 7) / / 7 / v`t7 CCB lic. • ! a CC Amount received 7 7 Date received: Authorized signature: 7 r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ads L L ` Arm w 74_ — I Date: ri9 /" • Fee methodology set by Tri- County Building Industry Service Board. i\ Building \Pemnts\BUP- TI- PermrtApp.doc 12/03 4104613T(II /02/COM/WEB) • ' Building Division Plan Submittal Requirement Matrix — ` - Commercial &- Multi-Family - -- New, Additions -or Alterations City of Tigard . 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 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 \ Permits \BUP- T1- PermitApp doc 12/03 440- 4613T(I 1 /02/COM/WEB) CITY,,.OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00534 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2005 Phone: (503) 639 -4171 ,rrai,dpl�l� Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7 :08AM PAGE: Q SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 480 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: ' PROJECT NAME: UNITED HEALTH DESCRIPTION: TI, walls • OWNER: WYSE INVESTMENTS, PHONE #: 503-2940400 CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503-557 -0866 Inspection Request Scheduled For: Date: 12/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # , Message 299 Final inspection 022744 -01 503.888 -0235 N Corrections /Comments /Instructions: • Ikri • • I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED Inspector: tr Date: L� hone #: (503) 718- - , ,• CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005.00534 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2005 Phone: (503) 639-4171 I � Inspection Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: ' 10/18/2005 TIME: 7:10AM PAGE: 66 • SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD '180 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTH DESCRIPTION: TI, walls OWNER: WYSE INVESTMENTS, PHONE #: 503 -294 -0400 CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503 -557 -0866 • Inspection Request Scheduled For: Date: 10/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 018693.01 503 - 888-0235 N Corrections /Comments /Instructions: &Tit. • AAA - o w, r . • • • • PASS El PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITI•NAL EES ASSESSED Inspector: I_ LW f Date: 4r, - Phone #: (503) 718 - CITY OF ,TIGARD BUILDING DIVISION PERMIT #: BUP200S -00534 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2005 Phone: (503) 639 -4171 0 �' �* Inspection Requests (24 Hrs.): (503) 639 -4175 ° 'I— INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 111 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 480 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: UNITED HEALTH DESCRIPTION: TI, walls OWNER: WYSE INVESTMENTS. PHONE #: 503- 2940400 CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503.557 -0866 Inspection Request Scheduled For: Date: 10/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 018318-01 503.888 -0235 Y Corrections /Comments /Instructions: • vt � I g \ I - • • i/ PASS PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: Date: I ' - hone #: (503) 718 -