Permit r~ CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00176
- 13125 uc'�4, DEVELOPMENT gr SERVICES -639 -4171 DATE ISSUED: 4/22/2005
PARCEL: 1S135BC-00600
SITE ADDRESS: 10777 SW CASCADE AVE ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Demolition of interior walls in children's play area.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM 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: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: 430 -2 3, O0
Owner: Contractor:
AMB PROPERTY L P RAVEN CONSTRUCTION
BY TRAMELL CROW NW INC 4949 SW MEADOWS #175
4949 SW MEADOWS RD #150 LAKE OSWEGO, OR 97035
LAKE OSWF O R p35
Phone: 503 - 526 -1088
FEES Reg #: LIC 63403
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/22/2005 $62.50
[TAX] 8% State Surcharl 4/22/2005 $5.00
• Total $67.50
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 -0 10 rough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 03- 246 -6:99 or i-810- 332 -2344.
Issue By: _ �i , , �. � a 1 Permittee Sig nature: .✓
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 unti completion of the project.
Approved plans are required on the job site at the time of each inspection.
05/22/2001 09:05 FAX 5036847297 City of Tigard l ] 002
. v.
Building Permit Application -
Datereceived: ,� d i.
Permit . ' .. CO 70
�=°� .,. City of Tigard Projx /appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (503) 6394171
Fax: (503) 598 -1960 Case file no.: Payment type: • Land use approval: 1&2 family: Simple Complete
- . - TYPE OF PERMIT
a 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family O New construction Demolition
la Addition/alteration/replacement O Tenant improvement 0 Fire sprinkler/alarm ❑ Other: ,
- JOB SITE INFORMATION - - . •
Job address: / O 7 7 '7 S Le_____. i J2yJ a Bldg. no.: Suite no.: t...)
Lot; Block: Subdivision: Tax map /tax lot/account no.: /S I P �00L:(2I
Project name: Al f j 40 .�, =Cb,&.—
Des � ption and location of w, o n premiscs/special conditions: ,�P �-rL� et) �� 1 LA) a-( L.---•--- i
O WNER FOR - INFORMATION, USE CHECKLIST : .
Name: / . •ef' MEI& t ( ✓aryl e. ,. 6. ( Floodplain , septic capacity, solar,etc.) •
Mailing address: 414 14 „Pi VVI ' - , - ' ,ad ' is 1 family dwelling:
City: ,i. g , , a . State :0 '''' ZIP:) 7 CaS Valuan4 • of work
Phone: p3 _ `'`/1'D ax 3 C -5' , No. of bedrooms/baths
Owner's representative: ' Total number of floors- - ,
- Phone: Fax: E-mail: New dwelling area (a' ....
_ . --- -, - _ �ge/c�rt : (sq. ft)
�- -r APELICArT - - --- - -- -. ;� _
Covered • . b area (sq. ft)
Name: c / �_ I -- L.4 .
' Mailing address:41LN e ,,Z ;, , . .. l'75 • • area (sq. ft)
5tate:0 e. ZIP:9 7 035 • Cher structure area ( ' . ft.)
C • �� - �� ° � Cummerc'raU'utdustria]lmu�It1- family:
Phone ;50.3_ _ )08: - S° `' � • C01\'TRAGTOR . . Valuation of work
7
Existing bldg. area (sq. ft.) 7
Business name: i ,t kie�_ �®-il Ll 6 ; -, New bldg, area (sq. ft.) -
Address: �} `] y `I 6vl Q aG -cam ups i ' / - Number of stories l
City: P U-St.c) -Q. .(.2 1122M ZIR:'7 0.35 T of construction V - ►■1
phoae 623 -V/o -lost LeMilinffi E- mail;) V T :, ,;e .c -one Occupancy gtoup(s): Existing tom'
CCB no.: 1.::....._i LI New: -
City /metro lie. no.: ,.) Notice: All contractors and subcontractors arc required to be -
ARCIIITECI /DESIGNER licensed with the Oregon Construction Contractors Boaid under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
• exempt from licensing, the following reason applies:
City: State: ZIP:
Contact person: Plan no.: •
Phone: Fax: E-mail: .
ENGINEER .
Name; Contact person: Fees due upon application $
. Address: ' • - Date received:
City: State: ZIP:. Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jarisdictiaas accept =wilt . please call jurirdctiaa fa mom information.
attached checklist All provisions of laws and ordinances governing this ❑Visa 0 MastnCard
work will be complied with, whether specified herein or not. Credit Cara wmba: /
P
Authorized signature:' Date_ Name at catdholdec es 'drown co credit cad $ —
Print name: Cardbotder signs= • Aim=
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4413 (6IOo'C'ots0
CITY ); TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2005
Phone: (503) 639 -4171 ,4,40,,,'
Insp Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7 :12AM PAGE: 104
SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STATE OF OREGON
DESCRIPTION: Demolition of interior walls in children's play area.
OWNER: AMB PROPERTY L P, PHONE #: 503 - 644 -9400
CONTRACTOR: RAVEN CONSTRUCTION PHONE #: 503 - 526-1088
Inspection Request Scheduled For: Date: 5/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006643 -01 503 - 849 -4435 Y
Corrections /Comments /Instructions:?
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PASS E PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
.0 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector: Date: � � `-� Phone #: (503) 718-