Permit C ITY OF TIGARD , a BUILDING PERMIT
PERMIT #: BUP2009 -00026
COMMUNITY DEVELOPMENT DATE ISSUED: 2/17/2009
TIGARD . 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126DB-02800
SITE ADDRESS; = 0,9.370 = S.W GREENBU ZONING: C -
SUBDIVISION: PP1991 - 018 LOT: 001 JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: TI - demo interior and new ceiling.
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 19 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 18,500.00
Owner: Contractor:
FRANKLIN COMMONS ASSOCIATES ROBERT TODD CONSTRUCTION INC
BY NORRIS + STEVENS 4080 SE INTERNATIONAL WAY
520 SW 6TH STE 400 B113
PORTLAND, OR 97204 MILWAUKIE, OR 97222
Phone: Contact #: PRI 503 - 653 - 5704
FAX 503 - 653 - 5729
Reg #: LIC 98517
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/17/2009 $184.05
[TAX] 12% State Surch 2/17/2009 $22.09
[BUPPLN] Pln Rv 2/17/2009 $119.63
[FLS] FLS Pln Rv 2/17/2009 $73.62
Total $399.39
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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 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 • -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344
Issu-• By: : 1 / ((./j Permiftee Signature: LI
Call 503.639.4175 by 7:00 a.m. for an inspection that business • n y.
This permit card shall be kept in a conspicuous place on the job site until comp , of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial j ��� FOR OFFICE USE ONLY
City of Tigard 7>�' �oOC, Receive /8 a_ O` o � d n 17 d� perniitNo �
a
M
" 13125 SW Hall Blvd., Tigard,OR 97223 cc ` A. 1 Plan Review
Phone: 503.639.4171 Fax: 503.598. 19 L-.`" A (ZQ Date /B : ® D Other Permit.
TIGARD Inspection Line: 503.639.4175 OX° \A Date Ready/By: Jun s• El See Page 2 for
Internet: www.tigard- or.gov CL`C CA \I la Notitied/Method: Supplemental Information
• <..; _ TYPE OF
RK 1 ,
Yr,
• . . _,. . � � " REQUIRED DATA :- F°ANI) FAMILY,DW
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
°' ., " , a . work indicated on this application.
0: `«'. 'z, t , CATEGCTY .0FP.COnSTRUCTION
❑ 1- and 2- family-dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
a-, ", :.::.:. ' E' I Total number of ; "JOB_ SIT NFORMATION gANI) LOCATION . � ota mtm er o floors:
Job site address: 9 7 U e.A % c � 8l re./ Q New dwelling area: square feet
City /State /ZIP: �F. --FD �� 09— t `� Garage /carport area: square feet
Suite/bldg. /apt. no.: ��''ll I Project name: Lv ii-1--Z ` n „.5.143e Yi t � Covered porch area: square feet
Cross street/directions to job site: vl! I Deck area: square feet
Other structure area: square feet
REQU ":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 (roinded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF"WORK work indicated on this application.
� I S''�Ai V/ r i rE. , 1.11S1-1- �.. Valuation: S rg i 't
17 \ (As \,l . 9 S1411-- iKIci_o � r r P Existing building area square feet
�Lt&I( ;, � New building area: square feet
�.J PP "pW■ER' `, ❑ TENANT. Number of stories:
Name: % 4 S 4sTENIE=m5 Type. of construction:
Address: b2 _ d i OY7l- i ` C , I '-. 51x Occupancy groups:
City /State /ZIP: rQ ( t 112
Y`� Existing:
Phone: Fax: q
�' � ° �1 i ZZ 2 -I 3:. New:
.°APPLICA ;,® C ONTACT, PERSON, _ N
Business name: (*) 1=
R i•LliS 412614 U11�1lE. All contractors and subcontractors are required to be
Contact name: �i�V oV licensed with the Oregon Construction Contractors Board
rI \i under ORS 701 and may be required to be ftensed in the
Address: 47 (J, 8 »( )8 »( '50S 0 i 1 jurisdiction in which work is being performed. If the
City /State /ZIP: TT �o�� 0 � applicant is exempt from licensing, the following reasons
P t apply:
_
Phone: e31 Z2.s,9�L -.t7 Fax:: (50 22.„ . - Zi
E -mail:
Business n ame: ,± .r (i1 _ BUILDI
Address: " ' Lislm � '► .1 , '(P(ease Pefer;to fee 'schedule)'
.4
,ZZ.Z B113 Structural plan review fee (or deposit):
City /State /ZIP:
YUl i i.t,�?A>,J 1� 0�–
1 �j FLS plan review fee (if applicable):
Phone: ( 65 3 5�e�
Fax: ( (pj ) 45-3. 57 2 1
Total fees due upon application:
CCB lie.: g l
Amount received:
Authorized signature: .. ,rt i ll t7/
guj
This permit application expires if a permit is not obtained
� F `r �� L I within 180 days after it has been accepted as complete.
Print name: �� /e Date: i� �J * Fee methodology set by Tri- County Building Industry
r Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(I I /02 /CON/WEB)
•
Building Division
Over- The - Counter (OTC) Building Permit
TtGaRD Check List
Description of Project: 1 ii tLs0� oecQ) (.E(L_(t .
GENERAL INFORMATION
Class of Work:* 14, -j-1 Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* C.0),L( First floor: N: S:
Type of Construction: 1 5 t2i Second floor: E: W:
Occupancy Group: `� Third floor: Openings Protected Y /N ?:
Occupancy Load: i r? Total sq ft.: N: S:
Stories: I Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: ) )O Handicap access:
Smoke detector: , Protected corridors: v�
Fire alarm: 100 Parking spaces ( #):
Notes:
Total Valuation: $ in ,�
I
INSPECTIONS FEES DUE
Footing /foundation Firewall $ irO ,a Permit Fee
Post /beam structural Smoke detector $ 7�Z, State Surcharge
Shear wall Misc. inspection $ 1 + I, (?, Plan Review Fee
Masonry Approach /sidewalk $ 77; ,62 FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 3c5; , . Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20O9.00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2009
Phone: (503) 639 -4171' G' r,
Inspection Requests (24 Hrs.): (503) 639 -4175 `�f_I�
INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7:01A1y1 PAGE: 29
SITE ADDRESS: 09370 S SW CREENBURC R[) 0 CLASS OF WORK:
SUBDIVISION: pp19q - i_019 LOT #: 00.1 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: ri _ demo interior and new ceiling.
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT TOLD CONSTRUCTION* INC PHONE #: 503 - 663-6704
Inspection Request Scheduled For: Date: 2/19/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 080623 -01 503. 381 - 5101$
IZ
Corrections /Comments/ Instructions:
'v c-, , p 1 PL/1 -r7
is
RTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL ri FOR INSPECTION n ADDITIONAL FEES ASSESSED
Iq q
Inspector: . _ Date: z_/ /i/o
0 Phone #: (503) 718 -2
CITY OF TIGAR®
BUILDING DIVISION PERMIT #: BUP2009.00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7-J17/2009
Phone: (503) 639 -4171 h. IE
Inspection Requests (24 Hrs.): (503) 639 -4175 �_:� °'' I..
INSPECTION WORKSHEET FOR DATE: 2//18/2009 TIME: 7 :00Am PAGE: 26 •
tv4w G -
SITE ADDRESS: ( 37(1 5\A GREENBURG RD 0 CLASS OF WORK:
. SUBDIVISION: pp1991 - 018 LOT #: 001 TYPE OF USE:
PROJECT NAME: *;PE:C SPACE
DESCRIPTION: TI - demo interior and new ceiling.
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 5O3 - G53 - 5704
Inspection Request Scheduled For: Date: 2118/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
275 Framing 080687 -01 503 -.381 -5101 1 2 9(t.
Corrections /Comments /Instructions:
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IJ PASS r PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: C Phone #: (503) 718-