Permit CITY OF TIGARD BUILDING PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: BUP2015-00111
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2015
Parcel: 2S112DA01000
Jurisdiction: Tigard
Site address: 6610 SW CARDINAL LN
Project: Umpqua Bank Subdivision: 1995-098 PARTITION PLAT Lot: 1
Project Description: 1st Floor-Add(1)bathroom,renovate existing office into a new breakroom.
Contractor: EMERICK CONSTRUCTION CO Owner: PACIFIC REALTY ASSOCIATES
8850 SE OTTY ROAD ATTN: N PIVEN
HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-777-5531 PHONE: 503-624-6300
FAX: 503-771-2933
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/28/2015 $438.74
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 04/28/2015 $52.65
Dwelling Units: 0 Plan Review 04/14/2015 $285.18
Stories: 3 Height: 0 ft Plan Review-Fire Life Safety 04/14/2015 $175.50
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 04/28/2015 $2.00
Value: $23,487 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $954.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler Parapet:
Fire Alarm: Protected Corridors:
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. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
`
Issued By: Permittee Signature:
view
Call ' .639.4175 by 7:00 a.m.for the next available inspection da e.
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.
I f
Building Permit Application
RECEIVED
Commercial FOR OFFICE USE ONLY
Received ,,®�� Permit No.: P ll�
City of Tigard DateB 5�
Er
te 13125 SW Hall Blvd.,Tigard,OR 972iPR 14 2015 Plan Revi t► ,
Phone: 503.718.2439 Fax: 503.598.1960 Date/B �r'� �� Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF 7-1G/4 Date Remy turf% ® See Page 2 for
Internet: www.tigard-or.gov BUILDING TIGARD Notified/Method: ; 6lf1M Supplemental Information
• TYPE OF WORK DIVISION fw. 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 III Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: (0(0 ID SW l i'etllllitl! 1,(.(11t New dwelling area: square feet
City/State/ZIP: I on € 7 221/ £ Paijir //-2,4- (r--, Garage/carport area: square feet
Suite/bldg./apt.no.: J Project name: nu C/P Fm./FAKtktovi Covered porch area: square feet
Cross street/directions to job site: SW 60.4A1,441 Idmi 4, 94 Wit4A' . Deck area: square feet
'"" Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
i
f[ek"de..-- DESCRIPTION OF WORK work indicated on this application.
AM 6) '
h1217r+ At k -Naoi l pk►a/te C0 0 1141 tp Valuation: $ 23,47
IX reW t_r.l_1- Y Existing building area: 3,430 square feet
�/► W New building area: / square feet
(X PROPERTY OWNER I 0 TENANT Number of stories: 3
Name: Ji t�7.00E6 r� ' ytk — '; Tole yip Type of construction: 1 -A
Address: � N to 1-044.0 .ixt Uive Occupancy groups:
City/State/ZIP: Eh(is laneD` p(2._ 4111241 Existin g: 13
Phone:( ) 26g_ ( 63 Fax:( ) g
New:
IA APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
^ (Please refer to fee schedule)
M
Business name: E. .v1Cae.- �th ol Ne. f&K Structural plan review fee(or deposit):
Contact name: mate ? lturii
FLS plan review fee(if applicable):
Address:
City/State/ZIP: ` Qn gio Total fees due upon application:
1� Amount received: ,6g
Phone:( j) —7f Fax::(5D3) -?7 i .....z173
111
E-mail: ( PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*A� {' � -GLtiLt Commercial and residential prescriptive installation of
CONTRACTOR roof-to. : • ed Photo Voltaic Solar Panel System.
Business name: Submit two(2)se . .of plan with connectio- details• ' Al.) -v, and fire department access,. ,.:with the 21 : I regon
Address: 126 6411 et1A41 Solar Installation Specialty Code - st. _
City/State/ZIP: r' Permit fee(includes . eview $180.00
V ( �- and a• istrative fees):
Phone:( w3) "7`n- "I.' , ( Fax:(t ) -n(.- 2433 State s • arge(12%of permit fee): $21.60
CCB lic.: t072-3 Total fee due upon application: $201.60
Authorized signature: �j ei/.—..�' This permit application expires if a permit is not obtained
dl�W/ within 180 days after it has been accepted as complete.
Print name: 4iiit hei 66 pate: Lib* * Fee methodology set by Tri-County Building Industry
--�I'v'�)J ,` Service Board.
1:\Building\Permits\BUP-COM PcrmitApp.doc 02/24/2011 440-46I3T(1 l/02/COM/WEB)
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7/
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A u I) Building Permit Review — Commercial - No Land Use
Building Permit #: L P o l S-GO l 1 ,1
Site Address: (Pt/v ,S)k) e L� n Suite/Bldg#:
Project Name: 6,1/)//01° 2 U. Ael r . Caller
(Name elf Atimercial business occupying the space. If acant,enter Spec Space.)
Planning Review j J 4/c Proposal: !�, �/) nu 771 67+ - On / 'S4- icr /`lel*ifit71e
Existing Business Activity:
gi/W
Proposed Business Activity: Ce
Verify site address/suite#exists and active in permit systt .
0 .ver Terrace Plan District ❑ Yes If No
1 oning: /—7)
VT� rmitted Use: i/Yes 111 No 1=1 Spec Space
L!i' onfirm no land use required.
lJ Business License:
Exists: V Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: �� ,'� Date: 1/4171-4—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /
7` I! /5-
Site Plans: # -�'
Building Plans: # '7
Building Permit#: 1 1.--Enter building permit#above.
Workflow Routing: a-Planning 1ermit Coordinator -2-Building
Workflow Sign-off: 2"-Sign-off for Planning(include notes from planning review)
Route Application Documents: JB-uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: k I .6, J� Date: /r.
-
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_03I015.docx
4
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
sgid3K to Issue Permit
Approved by Permit Coordinator: 0Date:
4/� �S
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_031015.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6610 SW CARDINAL LN, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
FAIL
BUP2015-00111
George Heimos
Provide the final approvals of the following permits prior to calling for a Building Final
inspection:
Plumbing: PLM2015-00231/
Mechanical: MEC2015-00230/
building demo: BUP2015-00110 and
low voltage: ELR2015-00097
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6610 SW CARDINAL LN, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00111
George Heimos
NOTE: stamped plans on jobsite.
Violation Summary:
Inspector Contractor