Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00375
.may- c'�
DEVELOPMENT H PMENg Tigard, -639 -4171 DATE ISSUED: 8/4/2005
PARCEL: 1S126DC-03300
SITE ADDRESS: 09900 SW GREENBURG RD.Zreg7D ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 005 JURISDICTION: TIG
Project Description: T.I.: Combine suites 220 & 270 to make (1) suite #220. Walls.
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: 29 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: #( 0O, 06
Owner: Contractor:
ATHERTON REALTY PARTNERSHIP P + C CONSTRUCTION CO.
MARTHA ATHERTON PO BOX 410
22 S WOLF
S L- 6nn GRESHAM, OR 97030
PLione/AlN I Z98 Ba
Phone: 503 - 665 -8165
FEES Reg #: LIC 00038619
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/4/2005 $563.79
[TAX] 8% State Surchari 8/4/2005 $45.10
[BUPPLN] Pln Rv 8/4/2005 $366.46
[FLS] FLS Pln Rv 8/4/2005 $225.52
Total $1,200.87
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. Thos:, rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rule ect quest'to •UNC by
calling 503 - 246 -6699 1- 800 - 332 -2344. ,1
Issued By: J r Permittee Signature: C /// ��� I
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.
I t^ '
Building Permit Application, Fol OFFICE USE ONLY
U
u ��C �VED Received
C
• lty of Tigard D�e/B Permit No.: •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie // .0
Phone: • 503.639.4 171 Fax: 503.598.19601 4 2005 "', -t''' a' 8 I '� Date/By. � U7 Other Permit:
Inspection Line: 503.639.4175 ?'IL, Date Ready/By: luris' El See Attached Checklist for
Internet: www.ci.tigard.or.us CITY Notified/Method: Supplemental Information
OF TIGARD
RI In Ismlr nee•.. -..e.„
TYPE OF 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
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: .
El 1- and 2- family dwelling Commercial /industrial .4-1
12 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: (MOO DO e $ w C burg New dwelling area: square feet
City /State /ZIP: —) A 121) g2 6 1 77- 2S Garage /carport area: square feet
Suite/bldg. /apt. o.: 220 70 Project name: tthr 6 pa (--3 0 Covered porch area: square.feet
Cross street /directions to job site: Deck area: square feet
O N 6 64ell leholan d rorcd 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.
� n `/_ /,(47ri 1"e �z L 7i b� Valuation: $ 7 00
• / 'vr Existing building area: 2.1 000 square feet
New building area: -- square feet
❑ PROPERTY OWNER. • TENANT Number of stories: 2 •
Name: , kiln', 6i l t l ._ Gt.),P // v -D Type of construction: S (t Z 641.
•
Address: /5 5 c,J 4 'Pk /44'4 i Occupancy groups: 29 o
City/State/ZIP: (A 14, 4 1. 9 yZ Existing: . 62
Phone: (S Cp 3703 Fax: 1500) (98' 4 g /o New:
APPLICANT 0 CONTACT PERSON NOTICE
Business name: / n 6 - - W( All contractors and subcontractors are required to be
• Contact name: Steve, I CJ Inn la/IV licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PQ g 0 x 4 /0 jurisdiction in which work is being performed. If the
City /State /ZIP: ( v ,itom 0)2- t7703O applicant is exempt from licensing, the following reasons
j �± r� ( J apply:
Phone:(�/'S) 64c (:)/6, 5— Fax: I2('7 2.5 5
E -mail: 5'p, - U I ct "'1 / e 3 tA. 1 I4 81 Per n °I C, coo,.
/ CONTRACTO
Business name: /
a v"^e a- 6w-C/ BUILDING PERMIT •FEES* ` . .
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
• Phone:( ) Fax:( )
Amount received
CCB lic.:
Date received:
Authorized signature: 44 / y This permit application expires if a permit is not obtained
(j within 180 days after it has been accepted as complete.
Print name: /� /0 /VI A AP ( Date: b Lr /0 * Fee methodology set by Tri- County Building Industry
• Service Board.
i:\ Building \Permits\BUP- T1- PennitApp.doc 12/03 440- 4613T(I I /02/COM/WEB)
Building Division
•
L NPif�j " Plan Submittal Requirement Matrix
• - Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type. of ;Submittal' ;# 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 \Pennits\BUP- TI- PermitApp.doc 12/03 440-4613T(11 /02/COM/WEB)
CITY TIGARD ,. ;. }.
BUILDING DIVISION PERMIT #: BUP200S -00375
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005
Phone: (503) 639 -4171 .. @ry�ii��ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 80
SITE ADDRESS: 09900 SW GREENBURG RD 270 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 005 TYPE OF USE:
PROJECT NAME: WELLS FARGO
DESCRIPTION: T.I.: Combine suites 220 & 270 to make (1) suite #270. Walls.
OWNER: ATHERTON REALTY PARTNERSHIP, PHONE #: 847 -298 -8600
CONTRACTOR: P + C CONSTRUCTION CO. PHONE #: 503 - 665-0165
Inspection Request Scheduled For: Date: 10/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 017146 -01 503 -572 -0266 Y
Corrections /Comments /Instructions:
NANA
Em weer
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4_ Date: l I Phone #: (503) 718-