Permit IN I. - WY OF TIGARD BUILDING PERMIT
: : ., PERMIT #: BUP2007 -00621
COMMUNITY DEVELOPMENT DATE ISSUED: 12/6/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
. PARCEL: 1S126DB-02800
SITE ADDRESS: 09370 SW GREENBURG RD 311 ZONING: C - P
SUBDIVISION: PP1991 - 018 LOT: 001 JURISDICTION: TIG
PROJECT: DAVID BILSTROM MD
Project Description: TI
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: 2 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: N SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 40,000.00
Owner: Contractor:
FRANKLIN COMMONS ASSOCIATES ROBERT TODD CONSTRUCTION INC
BY NORRIS + STEVENS 4080 SE INTERNATIONAL WAY #D -1
520 SW 6TH STE 400 MILWAUKIE, OR 97222
PORTLAND, OR 97204
Phone: Contact #: PRI 503 653 - 5704
FAX 503 - 653 -5729
Reg #: LIC 98517
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/6/2007 $310.80
[TAX] 8% State Surcha 12/6/2007 $24.86
[BUPPLN] Pln Rv 12/6/2007 $202.02
[FLS] FLS PIn Rv 12/6/2007 $124.32
Total $662.00
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 *AR 952 - 001 -0100. You may obtain a copy
of these les -or -di ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu d By: / Permittee Signature: Y 9
Call 503.639.4175 by 7:00 a.m. for an inspection that business da
This permit card shall be kept in a conspicuous place on the job site until completi• of the project.
Approved plans are required on the job site at the time of each inspec • n.
„, -- 93/D W ni252 -v'
■
Building Permit Application R CEI VE t FOR OFFICE USE ONLY
Received 6?
City of Tigard Date/By: _ 40 0. ! Permit No . �,, � � f
't 13125 SW Hall Blvd., Tigard, OR 97223 '1001 Plan Review y j
Phone: 503.639:4171 Fax: 503.598.1960 F ' Date : i �j t� b �7 Other Permit
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Remy ¢y. Juris: ' 0 See Attached Checklist for
Internet: www.tigard- or.gov
BUILDING DIV1 1ON Notified/Method: Supplemental Information
TYPE, OF - R'ORR � ” ' ,:';` - :, 'REQUIRRDDATA':I AND =2 FANI0 DWELI;ING ,
❑ New construction 1=I Demolition Permit fees* are based on the value of the work performed.
Indicate the value (romded to the nearest dollar) of all
Addition /alteration /replacement ❑ Other: r and the profit for the
eqm mcnt, materials, s, a or, overhead, a e r
i wor m leafed on thts ap tcation
ATEGOR � F" "CQNST?RUCTION _ .
p
Ell 1- and 2- family dwelling Commercial /industrial Valuation: S
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB;: SITE; ;INFORMATION_AND'LOCATIONs - -.: Total number of floors:
• Job site address: 1'570 NAt 6, h`g0 f 7 New dwelling area: square feet
City /State /ZIP: 'I 1'_D, ®(z„ e 17z 3 Garage /carport area: square feet
410.ldg. /apt. no.: 4 Project name: Di /I Q tmU.TIZOM MP Covered porch area square feet
Cross street/directions to job site: sw ' 1A''L w1✓D Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMNIERCIAL =USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rowded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
'2.:''':`•
.. .• . .;w,;... :. " ••DESCRIPTION; OF.MORK - work indicated on this application.
eASi d - A DP IG� e I 1 o J, �1 ( f4P7A- 1 -4Nat4 Valuation: S 4 OM
I �. �miz, No ema it�1 (UtN,tssa- q.. Existing building area: square feet
IUKtel i& Vocrtlf,S New building area: square feet
PROPERTY 'OWNER' ❑. TENANT . Number of stories:
Name: % g44.5 4 ... . Type of construction:
Address: co itte f f e f i . f Occupancy groups:
City /State /ZIP: p 13p4 1 wr"� 0 cflz0S •
" 1 �y.�� Existing:
Phone: (3) 3. 3 17' Fax: (5>S Zf p•.71Z/_ New:
AP.PIICAN T `, CONTAC I'� PERSON,
NOTICE'.
Business name: Ora N)Est Ocr, t All contractors and subcontractors are required to be
Contact name: p • h. .. Jhii4 e ` er / licensed with the Oregon Construction Contractors Board
under ORS 701' and may be required to be licensed in the
Address: P 0 . pV .•30 1 jurisdiction in which work is being performed. If the
City /State /ZIP: fbizr )G4 Dg.. 9 7 �� applicant is exempt from licensing, the following reasons
apply:
Phone: 3 )A6.147 Fax: : (9,3•zZ15.57�2
°" -- —
E-mail:
Business name: gai5eigil=32_CaliSMIC____N_TIO • `_.BUILDING PERMIT FEES* '
Address: sthf)tio _ t ►J�t(0 � 11 5' (0 _
`.'( Please.refer to fee iehedule)
Structural plan review fee (or deposit):
City /State /ZIP: IKI C i be—Laq �,�
Phone: ( 's �p . 5 Fax: (r /�5�.. '572.1 FLS plan review fee (if applicable):
CCB lie.: eig51 ! _ Total fees due upon application:
���/�,�� Amount received:
Authorized signaturL�� / This permit application expires if a permit is not obtained
\ within 180 days after it has been accepted as complet
Print name: ( t�� 7 c.A % / Date: G Q� * Fee methodology set by Tri- County Building Industry
Service Board. e.
I.V3ui lding \Perm its \BUP- PermitApp doe 03 /21/06 440- 4613T(I I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BLJP2007 -00 &)1
13125 SW Hall Blvd., Tigard, OR 97223 DATE I - , . r: 121612007
Phone: (503) 639 -4171 �'�NPifi l (III ._ 0
Inspection Requests (24 Hrs.): (503) 639 -4175 L ( 0 0
INSPECTION WORKSHEET FOR DATE: 2/612008 TIME: 7:00Am °! PAGE: 47
SITE ADDRESS: 09370 SW GREENBURG RD 3 CLASS OF WORK:
SUBDIVISION: PP1891 -018 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID BILSTROM MD
DESCRIPTION: TI
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: RO8FRT TODD CONSTRUCTION INC PHONE #: 503-653-5704
Inspection Request Scheduled For: Date: 2/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final in:Fpection 064561 503. 331 - 5101 Y
Corrections /Comments /Instructions: q
r .) 6,0, k F fe . -y 1t ,- �l9 .; .Sll� R/4 ji reti- ic9 mil.
U ,n 1 Set 1 o c,kt Ad a ca. �6 r rt2-ee 4.n bp, 6 0 .514i f'
/? //e r lia J (.'R re .
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il 1,ii 7 4..........„--,
1
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PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ° %' � Date: el r-dag Phone #: (503) 718- . ?2: .
___
CITY �~����7U�������� ^
��mm n ��m mn�m���xm�� ,. ; "
BUILDING DIVISION PERMIT #: 8i))200c00631
| 13125SVV Hall Bhd, Tigard, ORQ7223 DATEISSUED: 1X6/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503 639-4175 ^�g- 112.
INSPECTION WORKSHEET FOR DATE: 1114/2008 TIME: 7:041AM PAGE: 37
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: pp1891 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID E3ILSTROM MD
DESCRIPTION: TI
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: ROBER1 TODD CONSTRUCTION INC PHONE #: 503
Inspection Request Scheduled For: Date: 1/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
28',') Drywall nailing 063102-01 603381'6101 a AM
Corrections/Comments/Instructions:
.
A
16 PASS FA PARTIAL APPROVAL n CAN[)EL [7 NO ACCESS
~ FAIL n CALL FOR INSPECTION ri AOO|T| if NALFE:SASSESSED
/
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Inspector: Date: 0 ' Phone #: (5O3) 718'2--6
iilibs
CITY OF TIGARD
BUILDiNti DIVISION PERMIT #: I UP30')7 -00621
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •12j6/2007
Phone: (50) 639 -4171 / w iiultil fi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 1:01AM PAGE: 30
SITE ADDRESS: 09370 SW GREENf3URC RD 311 CLASS OF WORK:
SUBDIVISION: N - 018 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID S11_ STROM MD
DESCRIPTION: TI
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT TODD CONSTRUCTION INC PHONE #: 503-653-5704 ,
Inspection Request Scheduled For: Date: 1/9/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062840-01 503 -301 -5101 • 1`
Correc 'ons /Comments tions:
• Cti .1fX LA Cs) :
®� ®0 ec�� C 0)
1:: .____ t- 6, 0 00 ` ; J CS S . c .
l L z o7- 06 Li -D / 1°,...59, .
® a OJT , . , I -.-4 - , • •-- -- v - _. / - - e-- - " ,
i re. 4 g 91.10 )' 04 ■12. c -,,.. 42 - z ___,
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
�� - c�
Inspector: Date: 1— Phone #: (503) 718 �-
. . - •,. .