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Permit R . A '' CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00466 DEVELOPMENT SERVICES DATE ISSUED: 9/28/2006 `" '�I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 135BC -00600 SITE ADDRESS: 10777 SW CASCADE AVE ZONING: I -P SUBDIVISION: LOT: JURISDICTION: TIG Project Description: STATE OF OREGON: T.I. 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: 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 16,400.00 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 OSWEGO, OR 97035 Phone: Contact #: PRI 503 - 526 -1088 FEES Reg #: LIC 63403 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/28/2006 $206.50 [TAX] 8% State Surcha 9/28/2006 $16.52 [BUPPLN] Pln Rv 9/28/2006 $134.23 [FLS] FLS Pln Rv 9/28/2006 $82.60 Total $439.85 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 rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. ir Issued By: ` 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. P Buildine Permit Application FOR'OFFIC U SE ONLY ' City Of Tigard � Eiew Permit ii ©Q � • • 9722 E C 1 Cf E LV / V \ / _ i Phone: 503.639.4171 Fax: 503.598.1960 OHdtaudl�Vii'iidia\ Date/B : Other Permit: Ins ection Line: 503.639.4175 C r P 8 S Date Read /B a See Attached Checklist for p J C 8 �00 � �� Notified/Method: Su Internet: www.ci.tigard.or.us pplemental Information CITY OF TIGARD � :,r x . X a " t Y : :sIi ,--, `` 1 " 1'-.. 0 , - " .s ' . a �" "i.." ; c W., x t ' _ • i ., 1 YI a W .. 4 ' sue. .: ;REQUIRED DATA: 1 ANDi3=FAly1ILY'DW;ELL`ING. : w��' ^ti. �- :-''�t�.fa'.us,,,� n�a .;....x,:.z�tx€.. ua�*�r�A�- � =adr�r,�''�i �:r- d,'a'?��`s�vu... .,- � <.s- _�'�,�� .Lt<�+y �^� ..�. ....- .s .�..• . �a3-:3;.,� < ° °r.:x:,; v °-'_ ❑ 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 yOther: Ti equipment, materials, labor, overhead, and the profit for the t,` - '`3 -' > - " ;`: work indicated on this application. I E S W CATite3 3I CONSTRU y - i t w` pp : . 4414m1, � .. a .. - • � .. ,. . ,..: _ r im •.,. ; '�r , � . .. . > .F Valuation: $ ❑ 1 - and 2- family dwelling % Commercial/industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ;� ... , �.,a' - - 'a; zd' „§ts : .�'. • r .�. "':��'�.r�t.:r- ,'.si= ;;�T?� =�,' A '� ° = ?w �� i � y ,,,c,,. : � s?q .,. °.� =•.�i::�_a� „-w + ^ ” " `�:i ' . J OB I TE INIaORMATION 'AIY I I " �,^ Total number of floors: .t >�,. , ' ' ; tea ;; , :•:4,* _ `4 :: : :, ,„4,`14 • :.A?�', § > : a. .,yzA .' s,n z .. .:.: .x, Job site address: 46-7-75— (S'-l/() 14. New dwelling area: square feet - City/State /ZIP: /!� la- . �j Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 57� ” ✓ /. y Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 4 ;a a . s It Bt.kf ,,CQMiVI Tell ti I75E1 ties UI§f Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all sz. _ .T;s< , ,N ; r , ,. m., .N,'.,.:> ry:.:a :xp „rm„ ,..n., ;: >,. k. a and the profit for the equipment, materials, labor, overhe d a e r o1 „ , �SC'RIP OF L W3 RIC� , t W ° f .. , � '`I work indicated on this application. x =x t .r`< E, ra a, _. . ea<;t,_ ..a? ; .. i . .,.. „; k ,s1, 0 i x .x _ . ,"S . a3 .... ri- 7i a� 0-014- A d'' one, l { . Valuation: $ f / e; d p all - 24-07- </1/ a'� Existing building area: square feet 3 - riz)/ New building area: square feet ' l - ^ ,'. ,N .fi ,<fe, "k Y'- :,' � f �^;. z ..,,- 0 'r , ..' : e " . 5 ` µ y " ; '.,,,, ., : s" :' -,[ a ?;:. i ;;xr�.. -- u_,.m.,�,� -,. y. , ' yjt) f : P O EIt 4 ,- - s , t.•T / J ' T�.>�” Number of stories - '�.,,�,aa,' -'�iia 6,�....�- � „ �v�.,... ,. , e&�;,,i- 7�. .. -r.. �..,zt k . 'r» .,... _ "s� € ,.,.w,. / Name: Tr��� „ p > rzto - / Type of construction: �6 Address: L q 9 �/ 4C/4/ .4 (41>i AM-e..., Oc groups: B City/State /ZIP: r / /v O Existing: Phone: ( t/%� g (.100 Fax: ( ) 2'0 �' s 0� J3 New: d � ;:.' - '?�?; s^° -v.? =' �.�.� � .713° �:��,', +Y °' ° �`; °:. � =� ,�', Vi a.. : �.�:.�;sx:.'a"� d# �sk..a�"s;��, •: � - s - ' AP P 1 ` G O NTAC . P• 1 ICA :FRS N :.. #4 - ��:�.'n =;.;: ; � >x,�• � .....;..�F.� t�:3f �,., ..,,� .�,�;.ms�� - ���.....:b,�,f,�.s.�x �;:� ;�;^:�.".�� <,''�.�:.� ,: ,��NOT ��.; �: , ' , Business name: T / oe pi- All contractors and subcontractors are required to be Contact name: L (i‹.— '�J E ����� licensed with the Oregon Construction Contractors Board 7 - 1 under ORS 701 and may be required to be licensed in the Address: D k 6' jurisdiction in which work is being performed. If the City/State /ZIP: v i'2---------- I ? applicant is exempt from licensing, the following reasons apply: h c� Phone: ( // ) 57v1.0, ? Z �/' - F ax:: ( ) 57 -1 20 E-mail: v 5 /7-7//-27.,, Ci CYfi� zei--) - ro i_e /'l.. . � ".� ,.a” _ ,� .# .xr � od «L :fie- a��. Y °�A e,A.g: " s -. .;� 21 , . Business name: 6 7 �/ i? —,_- t � �, l a - .,...� ,�r. :.. - _..,. �i�/!/L�Z ( /f ew .mil m ; ; e. ,:,:. ; . c :' ;..? . .. .. NGMPERIVTIT 'FEES* . . Address: 1 9 �n/ /2 (& c- tat z .. r f f ee schedule. Please refer to City/State /ZIP: \ ,� Q ` .9 6 7T Fees due upon app ( ) 6 �� ` /7 ' Fax: ( ) CCB lic.: ig Amount received ; c .3 `. Date received: Authorized signature. d /` ' L This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: / i // ( e v� Date: - 2j 3 , Q` * Fee methodology set by Tti -County Building Industry / i r17/7/27 Service Board. i:\ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB) Building Division . 4111 °� "'��l��IMi(���� Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard r ig Ype o# # of Plans (includes new, add and al iReq 414:1 Z: : w , . 1 fat • ' , :gi . 1:� . _ . ,� .s ` ' ...- .' S u b "mi tt a l 5 _ e..l Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\Building \Forms \COM- PlanSubReq.doc 12/24/03 C_ TIGARD BUI DIVISION PERMIT #: BUP2005.00466 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/28/2006 Phone: (503) 639 -4171 � ' INlli , iili Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11128/2006 TIME: 7 :03AM PAGE: 46 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: STATE OF OREGON: T.I. walls, (11000sq ft), (project area 1968sq ft). . OWNER: AMB PROPERTY L P, PHONE #: CONTRACTOR: RAVEN CONSTRUCTION PHONE #: 503 -526 -1089 Inspection Request Scheduled For: Date: 11/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 040288 -01 503 -849 -4435 Y Or Corrections /Comments /Instructions:( _ T- ‘ ' WA _.■-■■ • AI I 1 � 1f �- Nor 1 ' C f PASS _ PARTIAL APPROVAL n CANCEL n NO ACCESS I FAte A L FOR I SPECTION ❑ ADDIT ONAL EES ASSESSED tri fA Inspector: , ` Date: ( 6 Phone #: (503) 718 -042---- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-00466 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2006 Phone: (503) 639-4171 aoyedivioiA Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:02AM PAGE: 68 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: STATE OF OREGON: Ti, walls, (11000sq ft), (project area 1968sq ft). OWNER: MB PROPERTY L P, PHONE #: CONTRACTOR: RAVEN CONSTRUCTION PHONE #: 503-626-1088 Inspection Request Scheduled For: Date: 11/9/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 039494-01 503-816-2304 Corrections/Comments/Instructions: 5A r Wir — PASS PARTIAL APPROVAL n CANCEL NO ACCESS FAIL /11 CALL FOR I SPECTION I J ADDITI•NAL EES ASSESSED St% A Inspector: /Weak Date: ( IP • Phone #: (503) 7182AZ3 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-O0466 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2006 Phone: (503) 639 -4171 ' ��p�Ql)filr Inspection Requests (24 Hrs.): (503) 639 -4175 ...' J INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7 :02AM PAGE: 58 SITE ADDRESS: 10777 SW CASCADE AVE CLASS OF WORK: 'SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE OF OREGON DESCRIPTION: STATE OF OREGON: T.I. walls, (11000sq ft), (project area 1968sq ft). OWNER: AMI3 PROPERTY L P, PHONE #: CONTRACTOR: RAVEN CONSTRUCTION PHONE #: 503 - 5261088 Inspection Request Scheduled For: Date: 11/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 039516-01 503-8494435 N Corrections /Comments / Instructions: SAM ._ — Ma yfir .1 , 1 , ii .- PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL _ M CALL FOR INSPECTION I I ADDITIO AL FEES ASSESSED Inspector: AMIMPIA, Date: v 4► Phone #: (503) 718 fkZ- INII 1 ''