Permit CITY OF TIGARD BUILDING PERMIT
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° ' COMMUNITY DEVELOPMENT Permit #: BUP2009 -00193
.TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 639.4171
Date Issued: 10/22/2009
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9595 SW WASHINGTON SQUARE DR B12
Subdivision: Lot: 0
Project: Spec Space
Project Description: Demo existing partition walls, ceiling, and build (1) new demising wall.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
2235 FARADAY AVE STE #0 Permit Fee - Additions, Alterations, 10/22/2009 $210.59
CARLSBAD, CA 92008 Demolition
PHONE 12% State Surcharge - Building 10/22/2009 $25.27
Plan Review 10/22/2009 $136 88
Plan Review - Fire Life Safety 10/22/2009 $84.24
Contractor:
BNK CONSTRUCTION INC
45 82ND DR SUITE 53B
GLADSTONE, OR 97027
PHONE: 503- 557 -0866
FAX 503 - 557 -1085
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $9,000
Floor Areas:
Total Area 0
Accessory Struct 0
Basement. 0
Carport 0
Covered Porch 0
Deck: 0
Garage. 0
Mezzanine 0
Total $456.98
Req u i red: Required Items and Reports (Conditions)
Fire Sprinkler' Yes Parapet.
Fire Alarm Yes Protected Corridors No
Smoke Detectors: Manual Pull Stations
Accessible Parking 0
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 the 180
days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center - • se rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by ailing •03 246 6699 • 800 .2 234
Issued By: n, llI g 1 0,510 Permittee Signature: _
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.
Building Permit Application ;, ,.
Commercial ,...4, ECE \IEI , .
IOR 01:1 IJtil: OM:1'
City of Tigard OCT Received Pt .00 q 3
2 2 2QQ9 Reeive Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review pi, i r t� - i.
C Phone: 503 639.4171 Fax: 503.598.1960 s� l
Date/B : IC) 2Z C) Othe Permit.
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 1 ®See Page 2 for
Internet: www tigard-or.gov B UILDING DIVISION r.gov Notified/Method" Supplemental Informa
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:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address7 Washington Square Rd q 5 95 New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Shell Space 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.
Demo exisiting, non - structural, partitional walls, plumbing fixtures and ceiling Valuation: $' c l , 000 , p p
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE ,,
Business name: NW Precision Design All contractors and subcontractors are required to be
Contact name: DArin Bouska licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 22605 SW Pinehurst Ct. jurisdiction in which work is being performed. If the
City/State/ZIP: Sherwood, OR 97140 applicant is exempt from licensing, the following reasons
aPPly:
Phone: (503) 680 -6444 I Fax: : (509) 695 -6444
E -mail: Dario @NW- Precision.com
CONTRACTOR
Business name: BNK Construction BUILDING PERMIT FEES* ,
Address: 45 82 Drive, Suite 53b (Please refer to fee schedule)
City/State /ZIP: Gladstone OR 97027 Structural plan review fee (or deposit):
Phone: (503) 557 -0866 Fax: (503) 557 -1085 FLS plan review fee (if applicable):
CCB tic.: 0107555 fees due upon application:
Amount received: 1.45(,. 9 9
Authorized signs This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: OA & l I3 0 v S K A Date: (p (2 0 0 • Fee methodology set by Tri-County Building Industry
Service Board.