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Permit At. - -- CITY OF TIGARD. . BUILDING PERMIT PERMIT #: BUP2004 -00389 x,111. DEVELOPMENT SERVICES DATE ISSUED: 8/10/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126DC 03300 SITE ADDRESS: 09900 SW GREENBURG RD 220 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P BLOCK: LOT: 005 JURISDICTION: TIG 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: 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: $ 29,000.00 Remarks: TI Walls for new offices. Owner: Contractor: ATHERTON REALTY PARTNERSHIP INTERWORKS LLC MARTHA ATHERTON PO BOX 14764 2100 S WOLF Lu- ggoopp ��gg PORTLAND, OR 97293 D Pnone INES 847 -298 8ti00 Phone: 503 - 233 -3500 Reg #: LIC 98655 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 8/10/2004 $313.30 Electrical Permit Required [TAX] 8% State Surchan 8/10/2004 $25.06 Sprinkler Permit Required BUPPLN Pin Rv 8 /10/2004 $203.65 Framing dsp [BUPPLN] Gyp Board lnsp [FLS] FLS Pln Rv 8/10/2004 $125.32 Final Inspection Total $667.33 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. i Issued By: •,_,_/ _ J_i _'_ ( L Permittee c Signature: A Call 639 -4175 by 7 p.m. for an inspection the next business day fe Building P ermit E �® FOR OFFICE USE ONLY Received Q r l City of Tigard (( �� U 2004 Date/By. A - / L P e r m i t No.: LIP J 3 I 13125 SW Hall Blvd., Tigard, OR 9 :G Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 � ksil h I e �(�OIG'if } Date/B : i . 10 '0 �s Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD c J . Date Ready/By: Juris El See Attached Checklist for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplemental Information + „ A ;• -' RR ..?` .•'+4^ `.�.T_�r „�.�.+?•- _ , t, 9j ' ','A��S?ti.. '= &i:N9•:.�'"°<:� - ;•9[x:r s�v.?.kx"""",.t °.q;'^�': `: -'�:” i!Cr,::S': `, :'=.e..:. •. ° . : fi Y ,.� :,s ' c., t t ' 41: „; 'AVE.* - r R r, . ? i�` ?'„ Pv. ` g _ •. . s', :� 4 . r4 , 1 P.E-vOT ARK .,, , , -;' `. $: e � b R1 D DANA 1 AND 2 F Y D WELLING. „� : � »,:� .. � ri, _ � , .,.., . ., � N� � �:y a .�R.a, :, �r , ��,��NA xx ;�,� , .� .., o-�'i10 s .. ❑ 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 er ,. i ��a :� ,, s tio ^�r;.. � ,�a ” -,K -,,I1. r., . PAR4 work indicated on this application" . , o , i C�ACEGORY O F C © Z.., x:,. A. A �E- 4 t * Valuation: ❑ 1- and 2- family dwelling [l Commercial /industrial f ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder 0 Number of bathrooms: f`' ti " „ ` J t i- t1 0 T:TO l i3 k0,. A TtI ON � , Total number of floors: Job site address: fob / '' ✓ ' `per $ .^,�? New dwelling area: square feet T 4 City/State /ZIP: A _.2 J Garage/carport area: square feet Suite/bldg. /apt. no.: ? d e) Project name: Cob v,,i I \ W l5 ,,eSS Ca + er"';'3 Covered porch area: square feet Cross street/directions to job site: e �3 "� � Rd ° Sir Deck area: square feet . 1 (/ P '( die tv Other structure area: square feet ItEQIIIRFID' I ATP.• COlVL1VtERCIAL .USE CFiECKL ST g Subdivision: t _ [7 A _,,,,,, / ,, - . -r y L= Lot no.: ) a 5 Permit fees* are based on the value of the work.performed. Tax map /parcel no.: 5 Of-;40 nearest dollar) J / equipment, p materials, (rounded labor, d t overhead, and the profit for the P t Ib 3 ` -t > ` L SC` RIP•TT i∎00 �'S 6011 g work indicated on this application. Valuation: $ Q Q d (, Existing building "area: �� square feet New building area: ,P d square feet „ , ' '`: i> PRO R'1 -Y GR > r .. i ± ' `4i rr a . ..0 .. ,. ,, t , {. OM : > ,> ,. 1 NANT, t -i , , ' ` Number of stories: Name: prif G/27N ar (2z4^y ! 6 p Type of construction: s'f c.e._( A/ Address: a f £ , l j 4, Occupancy groups: g City/ State/ZIP: D s ) New: P/ F,1 y __ /� 0 C) f P Existing: ' Phone: ( gin �9 6 o C Fax: ( ; � -Y;�"s.. . �.' ry � ; a,?h::_ . ' "'`^',w�«,+i ;:s'�.;•�;.^: 'p - � _ - �°,� - '•; � 3 :; .:: ;3k,�, r r; *✓"� k ��: � r fir' � '� � r � s t� � �� , • i a.Y , .., ..A �;� .•;T . `j- „ ` g ' #a : n °s+. SXU'h,�.?;,:S :a. ..;.., � 5 Business name: i j ei2 Lj0 7,. /C f All contractors and subcontractors are required to be Contact name: kJ J �� ,..-7 ( , j licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1” D 13 ®5 / t(°7 6 al jurisdiction in which work is being performed. If the City/State/ZIP: PORT -- /WVa D/? - 77 �- -� applicant is exempt from licensing, the following reasons (SO 3) l 3-3 7 0 apply: Phone: ,�" � el Fax: � � �� . E -mail: �( ect'n.r✓ 6 tel l' WC: a f6 , C CJ/v1 '2 � i rk ' , " � coN>.w pro�t Business name: 7— Cl Th(C > S' _: ; r. ..: I -. .., % �. .'. • �.' ' qtr,. �� �.�. n d > ��;.� NG�:_ERIVT =TT °.:FEES *` Address: p ® /3 JA /g17 / P7 Please refer to fee schedule. City/State /ZIP: �_T b 6 R '� (7 cZ T �y Fees due upon application Phone: ( S�jZ ) 33 " 33 — zs - ,0 Fax: (4;33) ? 7 3 /• 3 ip 3 Amount received CCB lic.: w A're t'j'd� 1i 1 ? j ,, ( �� Date received: Authorized signatur id /e'S r1 This permit application expires if a permit is not obtained � ` within 180 days after it has been accepted as complete. Print name. , OW Il eh a it e V d CK Date: 8 , , II 'y * Fee methodology set by Tri- County Building Industry Service Board. i:\Building \Permits \BUP- PerrnitApp.doc 12/03 40 -4613 (I1 /02 /COM/WEB) „4„, 4 6, Building Division �y �%� "'�rzp Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard Tay e'of Su idali g m&u , adiii alt><ons equtr ..' .. ... ry ; Submittal t . 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 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISIOf Business Line: (503) 639 -4171 MST q‘---7g BUP vYJ ( Received Date Requested AM ✓ PM BUP Location 06 41 %/ LM ..4 i. Suite 2 b MEC 6 - 6C (ao 6 Contact Person Ph ( ) la 3 t7 (3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner t9/'W ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm j Susp'd Ceiling -- 111- - Roof Othe 'ASS PART FAIL �' firAt1' _ PLUM: G • • : Beam ►��1'�� /� f r� Under Slab • Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL _ MECHANICAL Post & Beam Rough -In Gas Line Sm• - tampers PART FAIL - - RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL