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Permit Q ,„--, 4, • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00426 411 DEVELOPMENT SERVICES DATE ISSUED: 8/26/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126DC-04400 SITE ADDRESS: 09430 SW CORAL ST 200 ZONING: C -P SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG Project Description: TI - walls for new office. 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: 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: $ 8,700.00 Owner: Contractor: MARTIN, ROBERT CLARE BNK CONSTRUCTION INC THELMA M 10730 SE HWY 212 � BY Y JO RENE M MOODHE PO BOX 66 Phone OOD, OR 97140 CLACKAMAS, OR 97015 Phone: 503 - 557 -0866 FEES Reg #: LIC 107555 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/26/2005 $129.70 [TAX] 8% State Surcharl 8/26/2005 $10.38 [BUPPLN] PM Rv 8/26/2005 $84.31 [FLS] FLS Pln Rv . 8/26/2005 $51.88 Total $276.27 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 e - e .flow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 a 1 1 -0010 througk OAR 552 001-4140. You may obtain a copy of these . - .r di uest ns to OUNC by c= ling 503- 246 -6699 .r 1 -840 2 , 4. ' l �f -sued By: • _!� \% /��,j /.� 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. '''' (4 Building Permit Applicatign ®l FOR OFFICE USE ONLY . ^ Received 1 r' l City of Tigard '' L��� Date/By , J �� Permit No.: ; QOj ) // 13125 SW Hall Blvd., Tigard, OR 97223 PP Plan Revie I - Phone: 503.639.4171 Fax: 503.598.1960 ��V " ?'i�r Via' I'dI" Date/By Other Permit: • Inspection Line: 503.639.4175 • i \G r ■ "' �.. Date Ready/By: ® See Attached Checklist for Internet: www.ci.tigard.or.us \1 q 0 � \ 0 - NotifieNMethod: Supplemental Information \l °\'- . TYPE o f WORK ' 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 ,6. Addition /alteration/replacement -r. 1 . ❑ Other: equipment, materials, labor, overhead, and the profit for the ` CATEGORY .OF; CONSTRUCTION. work indicated on this application. El I- and 2- family dwelling Ikir Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ' JOB SITE INFORMATION AND 'LOCATION Total number of floors: Job site address: Gi 43 © 5 Li CCotzAL New dwelling area: square feet City /State /ZIP: ' G A i'0 O R - 9 72;2_3 Garage /carport area: square feet Suite/bldg. /apt. no.: 2,00 Project name: - C Lp It IC Covered porch area: square feet Cross street /directions to job site: Co Deck area square feet < h-J r: 2e l /-) ? u e-� t. C 2tA L Other structure area: square feet . REQUIRED 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 (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the .. DESCRIPTION OF WORK . work indicated on this application. 4.1s ',AO D 6 - L ©f' L5 A4S7t,J c . 7 (, J 7A L O E - r 1 (...t./. Valuation: $ $ 7 Existing building area: square feet New building area: square feet f . ❑ PROPERTY 'OWNER . .' TENANT , Number of stories: Name: Dew 0 15 CL ,a.2 tC --b, - .7 S Type of construction: 5tt Address: al 4 3 S ) CDR 4 L < Occupancy groups: City /State /ZIP: 4 A /t- 9 C9 G -7-2.2_3 Existing: Phone: (50 3 ) Z4�- (I UO F ax: ( ) New: ' ' AP PLICANT . ❑ CONTACT . ,PERSON. ' _ NOTICE Business name: t,) Pa uct SI , .J S lc ,J All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: - pp, a. I t` 3 ' K under ORS 701 and may be required to be licensed in the Address: 10 a 7 N kJ 4 7 .. Av jurisdiction in which work is being performed. If the City /State /ZIP: /� applicant is exempt from licensing, the following reasons t,AA( (4 /A r ? $Cv07 apply: Phone: (50 ?) 62 % 0.- c„ q 4,4 Fax:: (3 6p ) /36 ' 06,5- 7 E -mail: ' CONTRACTOR - Business name: //�� . �^) (s. )‘T l fa C- BUILDING PERMIT FEES* Address: .fir $2 No e- v2 l Please refer to fee schedule. City /State /ZIP: L . ns b /?' 9 7 0 2 7 Fees due upon application Phtne:(Sa7 ) SS 7 - 0 86G Fax: .So3 ).S - I0 5 Amount received CCB lic.: 01 O "7 Date received: ' Authorized signature: .( L This permit application expires if a permit is not obtained `�`� within 180 days after it has been accepted as complete. Print name: ✓a 0_ ` ,j ( D (,)' KoA Date: 2 2 G p S" * Fee methodology set by Tri- County Building Industry Service Board. is \Building\Permits\BUP -TI- PermitApp.doc 12/03 440- 4613T(l t /02/COM /WEB) _4 Building Division !'1 Plan Submittal Requirement Matrix - Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal t # of Plans (Includes -new; additions and alterations.) - - Required 'at • Submittal • 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 \Permits\BUP- TI- PermilApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200S -00426 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2006 Phone: (503) 639 -4171 �u,�u „Ilii��l '1h\ Inspection Requests (24 Hrs.): (503) 639 -4175 �' INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 83 SITE. ADDRESS: 09430 SW CORAL ST 200 CLASS OF WORK: SUBDIVISION: LEHMANN ACRE TRACT LOT #: 007 TYPE OF USE: PROJECT NAME: OR. CLARK DESCRIPTION: TI -.walls for new office. . OWNER: MARTIN, ROBERT CLARE, PHONE #: CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503- 657-0866 Inspection Request Scheduled For: Date: 10/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Mes_,,_•e 299 Final inspection 01837001 503-888-0241 API Corrections /Comments /Instructions: c_c5s YI_Pl 206c-66 Lc) 1 _ N u_ -- 6 6-e, -kz__ ____ bill . --_ ri --&- cam, A-- < S - -- ` F. S Cr\ --k/---(___711i---Z-----t--1,,N, " • \ °---------'--- (. 1) p/ 7, --) • • 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS FAIL n CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED • W) /phone Inspector: /� Date: v / � #: (503) 718-