Permit ,.:._ .
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CITY OF TIGARD SITE WORK PERMIT
° COMMUNITY DEVELOPMENT PERMIT # : SIT2008 -00021
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 10/10/2008
PARCEL: 1S135BA -01802
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD ZONING : C -G
SUBDIVISION: WASHINGTON SQUARE TOO LOT: 025 JURISDICTION : TIG
PROJECT: BANK OF AMERICA
Project Description: ADA improvements.
CLASS OF WORK: OTR PAVING ?: Y RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: 36,000.00
EXCV VOLUME: 41 cy LANDSCAPING ?:
FILL VOLUME: 75 cy SITE PREP ?: Y
ENG FILL ?: N STORM DRAINS ?:
SOILS RPT READ ?: N IMPERV SURFACE: sf
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
101 N TRYON ST [BUPPLN] Pln Rv -CuYd 10/2/2008 $191.12
CHARLOTTE, NC 28255 [FLS] FLS Pln Rv 10/2/2008 $117.61
[BUILD] Prmt Fee -Valu 10/7/2008 $5.86
Phone: [BUPPLN] Pln Rv -Valu 10/7/2008 $187.49
[TAX] Valu 12% State Surcha 10/10/2008 $34.61
[FLS] FLS Pln Rv 10/7/2008 $115.38
Contractor: [ERPLN] Erosn Pln Rv CWS 10/10/2008 $26.00
BNK CONSTRUCTION INC [ERPRMT] Erosion Control 10/10/2008 $80.00
10730 SE HWY 212 [EROSN] Erosn Pln Rv COT 10/10/2008 $26.00
PO BOX 66 Refund - [ BUPPLN] Pln Rv -Cu 10/7/2008 - $191.12
CLACKAMAS, OR 97015
(additional fees not listed here)
Contact #: FAX 503 - 557 -1085 Total $475.34
PRI 503 - 557 -0866 REQUIRED ITEMS AND REPORTS
Reg #: LIC 107555
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 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 copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
c
Issued B 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.
TYOK O F D- 10 (01 ,i k - t'
Building Permit Application
Site Work FOR OFFICE USE O NLY'
City of Tigard jt eCE‘1\ Received f u ��
13125 SW Hall Blvd., Tigard, OR 9'' %. p Plan Re m -
'� a Phone: 503.639.4171 Fax: 503.598.1960 C ®& �oo� DateB , ;ATM p O f: Other Permit:
TI i� D Inspection Line: 503.639.4175 ( 3 \-' Date Rear y ® See Page 2 for
GA
Internet: www.tigard - or.gov .4,•111 OW Notified/Method: �/ , Supplemental Information Sr
(10zy t tl 4 91 TYPE OF W! ,c 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.
A __ El I- and 2- family dwelling ® CommerciaUindustrial Valuation: $
a_ ❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10101 SW Washington Square Road New dwelling area: square feet
4 City /State /ZIP: Tigard, OR 97223
eaw cf- Amer.-cep,
Garage/carport area: square feet
–n( Suite/bldg. /apt. no.: Project name: Voluntary AD�rttprovement Covered porch area: square feet
(/�,l Cross street/directions to job site: Washington Square Rd / SW Greenburg Rd Deck area: square feet
[-Z Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Oakburg, Lot Pts 25-27 Lot no.: 25-27 Permit fees' are based on the value of the work performed.
S. Tax map /parcel no.: IS135BA01802 Indicate the value (rounded to the nearest dollar) of all
0 equipment, materials, labor, overhead, and the profit for the
,DESCRIPTION OF WORK work indicated on this application.
Voluntary ADA Improvements to including sidewalk replacement, repaving of ADA Valuation $ 3 L r 000
parking stalls, installation of curp ramp, installation of ADA signage, patching Existing building area: square feet
of cracks in sidewalks all completed in compliance with ADA standards. New building area: square feet
® PROPERTY OWNER I ❑TENANT Number of stories:
Name: Heidi Goodgion (Owners Rep), Jones Lang LaSalle Type of construction:
Address: 500 5 Avenue, 13 Floor Occupancy groups:
City /State /ZIP: Seattle, WA 98154 Existing:
Phone: (206)358 -1045 Fax: ( ) New:
❑ APPLICANT El CONTACT PERSON NOTICE
Business name: LDC, Inc. All contractors and subcontractors are required to be
Contact name: Adam Benton licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 14201 NE 200 Street, Suite 100 jurisdiction in which work is being performed. If the
City /State /ZIP: Woodinville, WA 98072 applicant is exempt from licensing, the following reasons
apply:
Phone: ((425) 806 -1869 Fa x:: (425) 482 -2893
E -mail: abenton@ldccorp.com
CONTRACTO
Business name: BnK Construction, Inc. 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):
FLS plan review fee (if applicable): / /g 4 (0L
Phone: ((503) 557-0866 I Fax: (503) 557 -1085 ` ( 7 G(
Total fees due upon application: 30 . 73
CCB tic.: 73
Amount received: Authorized si gn re: , This permit application expires if a perm)
is not obtained
- :��PI' 7 -17,(� within 180 days after it has been accepted as complete.
Print name: �� Date: • Fee methodology set by Tri -County Building Industry
-,_.51.
Service Board.
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CITY OF TIGARD . , ..,- ,4
BUILDING DIVISION PERMIT #: SIT200R -00021
13125 SW Hall Blvd., Tigard, OR 97223 ,• /E ISSUED: 10/1012008
Phone: (503) 639 -4171 � id> y lll l h 4 ' j
Inspection Requests (24 Hrs.): (503) 639 -4175 . " —..
INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7 :00AM PAGE: 28
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE:
PROJECT NAME: BANK OF AMERICA
DESCRIPTION: ADA improvements.
OWNER: PPR SQUARE TOO LLC, PHONE #:
CONTRACTOR: E5NK CONSTRUCTION INC PHONE #: 5Q3- 557 -0866
Inspection Request Scheduled For: Date: 12/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes- - • a Dd
499 Final inspection 078752 -02 503 -888 -7454
Corrections/Comments/Instructions:
.iti ;5
P PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L
Inspector: V Date: L , C' Phone #: (503) 718 - — L