Permit CITY OF TIGARD
SITE WORK PERMIT
l DEVELOPMENT SERVICES PERMIT #: SIT2004 -00019
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 9/24/2004
7157 PARCEL : 2S101AB -02100
SITE ADDRESS: 47-1-55 SW BEVELAND ST
SUBDIVISION: BEVELAND ZONING : MUE
BLOCK: LOT: 003 JURISDICTION : TIG
CLASS OF WORK: NEW PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 121,111.00
EXCV VOLUME: 282 cy LANDSCAPING ?:
FILL VOLUME: 89 cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: 11,443 sf
Remarks: Site work for new office building.
Owner:
FEES
ZIMMLER DEVELOPMENT LLC
7165 SW FIR LOOP SUITE 100 Description Date Amount
PO BOX 230698 [BUPPLN] Pln Ck -Valu 6/22/2004 $539.57
TIGARD, OR 97223 [FLS] FLS P1nRv 6/22/2004 $332.04
Phone: 503 [BUILD] Prmt Fee -Valu 9/24/2004 $830.10
[TAX] Valu 8% State Stu 9/24/2004 $66.41
Contractor: [ERPRMT] Erosion Cntl 9/24/2004 $80.00
S I GRACE LLC [ERPLN] Ersn Plck 9/24/2004 $26.00
PO BOX 230698 [EROSN] Ersn Plck - COT 9/24/2004 $26.00
PORTLAND, OR 97281 - 0698 Total $1,900.12
Phone: 503 - 598 - 3440
Reg #: LIC 156355
Required Inspections
Ersn Cntrl 681 -4444
Paving Insp
Final Inspection
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.
Issued By: _2 _
Permittee Signature: I U�12 ) LV
Call (503) 6375 by 7:00 P1/1. for an inspection needed the next business day
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lit 1ding Permit Application ' t ; FOR OFFICE USE ONLY _' ' -'
City of Tigard p U l o IL-, �� Received , 1�
D eiv / Permit No.: � ,�/� Q
/ �� / / i /O rie/C /l /
13125 SW Hall Blvd., Tigard, OR 97223 11 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960i! !\,k 4 4, t • n 1 ,A1 ! i- Date : / f Other Permit:
Inspection Line: 503.639.4175 ' `/ ' '' �,_! j e!I I B Date Ready/By: 11/ ®See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGA Notified/Method: Supplemental Information
r,t 1 t0 nIQl1:G O %\
: :. <. =�RE iIIRED DATA:I= AN 2 F
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Z 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
'm "w work indicated on this is
t, &°�; ° " k application.
:. ;,,,_; =:,<WCA GURYOF GONSTRU =I3 a
:��. = �� .:�=�x ��.,,. -. G1' O : max,,:. <��T.:
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
Master builder Number of bathrooms:
❑ ❑ Other:
u " : - :;,.�_r =' 70B ITE INFQRMATIO ,AND k; a a t a t t s ; = fiaa `h ' ` : Total number of floors:
Job site address:-7.1'SS`Beveland 7/S 7 New dwelling area: square feet
City /State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: 7155 Beveland Buildings Covered porch area: square feet
Cross street/directions to job site: Just east along Beveland of the intersection of Beveland Deck area: square feet
and 72nd Ave.
Other structure area: square feet
REQUIRED "DATA §COMMERCIAL�USE CIIECKL S`f
Permit fees* are based on the value of the work performed.
Subdivision: Lot no.: Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 2S101AB, lot 2100 and .245r equipment, materials, labor, overhead, and the profit for the
, .- °- -=°- - .= <.w <:� 3 ; work indicated on this application.
. �"�° : , : �:F:=, 3 °;a ���i< `�i -
ES � ON'OF W, ° <`_ =�°�; ��;;n$ � `�u� p
`- ..:,�... •.v:., .s _ .� -c ..... ..�...,..� .„�'�;r�;�`�: :�-, s > �wi- "a:3�3 a-.,:.,: �. . u� .. °:�a,`mss�.e1�
Valuation: / /
Construct site improvements and building including all civil, landscape, architectural, � �/ ��,(
and structural. Mechanical, plumbing, and electrical by spearate permit. Existing building area: square feet
New building area: 14,544 square feet
.., Y...M <.,. 0 ;:.ti 3__a_ #; •.,., . _.. Number of stories: 2
PROPER- -: �.� -��:-
Type of construction: VN
Name: Ziminler Development, L.L.C. •
Occupancy groups:
Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698
Existing:
City /State/ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698
Phone: (503)598-3440 Fax: (5003)598-3450
New: B, S3
w . .» _° - ��°- o NOTI
" API'LTCANT x
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- :,, ..» ,�.- Y.< =.,.. ���. � �� _ = �kivRSU�t' � � f . l --'3y` -� -� .�,. --
All contractors and subcontractors are required to be
Business name: Mildren Design Group, P.C. licensed with the Oregon Construction Contractors Board
Contact name: Jack Kriz under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
Address: 7650 S.W. Beveland, Suite 120 applicant is exempt from licensing, the following reasons
City /State/ZIP: Tigard, Oregon 97223 apply
Phone: (503) 244 -0552 I Fax: : (503) 244 -0417
E -mail: jack @mdgpc.com
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f
Business name: SI Grace L.L.0 • `W ' =: ti BU '°F. ',,,,^ A'T"" S*
_
Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Please refer to fee schedule.
City /State /ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698 Fees due upon application 99
Phone: (503) 598 -3440 Fax: (503) 598 -3450 Amount received
CCB lie.: 14-7449 Date received:
This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Print name: /.„ I Date: G. 2z . Service Board.
is \Building \Permits \SIT- PermitApp. c 03 440- 4613T(11 /02/COM/wlbn)
.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: SIT2004 00019
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2004
Phone: (503) 639 -4171 znr,����1��,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 84
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Site work for new office building.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 - 598.3440
CONTRACTOR: S I -GRACE-LLC — PHONE #: - 503 -598 -3440
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Mess ge
499 Final inspection 018058-01 503. 209 -5425 Y "
Corrections /Comments / Instructions:
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7.41, WOW
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ASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL S ASSESSED
il■ NA
Inspector: ‘0 i O [ ( / one Date: #: (503) 718
. .