Permit : BUILDING PERMIT
CITY T I GARD PERMIT #: BUP2004 -00043
,,,,,411A Ii DEVEL Tigard, SERVICES 639 -4171 DATE ISSUED: 2/10/04
- 13125 SW
SITE ADDRESS: 10220 SW GREENBURG RD 111 PARCEL: 1S135AB 01002
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 15 BASEMENT: sf AREA SEP. RATED:
STOR: 6 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: 7500. OD
Remarks: TI new walls in existing tenant space.
Owner: Contractor:
•
SPIEKER PROPERTIES L.P. C SCHIEWE + ASSOCIATES
10260 SW GREENBURG RD 1024 NE DAVIS
SUITE 100 PORTLAND, OR 97232
PORTLAND, OR 97223
Phone: •
Phone: 234 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 2/10/04 $120.10 Electrical Permit Required
[TAX] 8% State Surchart 2/10/04 $9.61 Framing dsp
Gyp Board Insp
[BUPPLN] Pln Rv 2/10/04 $78.07 Final Inspection
[FLS] FLS Pln Rv 2/10/04 $48.04
Total $255.82
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: AP „6 _ e 0, _,%
Pe rm ittee �� .,, ��tt
Signature: n - / "{'`"--
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application .- FOR OFFICE USE ONLY- " .
Received Building rag • . �0004'j
Date/By: Permit No.:
City of Tigard Planning Approval • Other
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By:/,. '�/0' 0 �/a Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 /i i�1 f� Post - Review Land Use
Internet: www.ci.tigard.or.us '7... Date/By: Case No.
Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name /Method: I Supplemental Information
,-.T1 ..: > : , :tip 1ci , 1 7 C1 ,g Y-:' %tiz'e ? inia ""s." s"$°' ; "�:Y " +; ='.: - : :7 M ...
:. F - . ..,..:- �a�TYPEiQF.�W..ORK_ 1 �
" _..__ ..e�c� �E:i +xS .��.*'.0 ^:.�i..0 -: '3:r�� :.'L::." "_�Y: R'M:3: �ry'�..x,t:,g
�w
; , . , REQUI =D
~ y ~�
❑ New construction
❑ Demolition :' r 1 & 2'TAIVIILY ELLING; Yi4 3 fi
Addition /alteration/replacement [11 Other: ° "
J:.'`. =CAT OF ".CONSTRUCTION` ?_, . „; ' :a's "` ti;r Note: Permit fees* are based on the total value of the work performed" Indicate
❑ 1 & 2- Family dwelling gCommercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
El Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
. _,_ .. :1-. JOB; SITE;INFOR.IVIATIONaan firOCATION T '4;'t ?;3 `` ;; No of bedrooms: No of baths:
Job site address: 10 220 SW Greenbur (ion Total number of floors
+ 9 New dwelling area (sq. ft.)
Suite #: 711 Bldg. /Apt. #: 3 L)nCdh " Garage /carport area (sq. ft.)
Project Name: l issmeri cavl eXPlreSS Covered porch area (sq. ft.)
Cross street/Directions to job site: ' ' Deck area (sq. ft.)
Other structure area (sq. ft.)
:.5s?x tip' -p ,� � `ai�^�d _t;r >� _ _ - �:� • -� - -
' :; ..-74' : :& ,.°:.'.'zu3a ` ;.: � i .��r .:mss'- n' • .*SS
'la- 4.,, ¢ <Y; 11: Q.UIREDDATA ,1 s« ` ,• " #,.,
iv #'S .: :4' fRS:::e" #-zn ;�'r,y. k .
-, CfOM = US ,t" =:_ :•
Subdivision: Lot #: . , . r � :..... .
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
',:','":;.2::',.... _: rte. „ s
-; ri„.DESCRIPTION OF;W m „ "" ° b "'"L"t'- ` ::"' the value (rounded to the nearest dollar) ORIC �. " .�- n,. ,;..,, :;., „,.G� ( o ) of all equipment, materials, labor,
TeK2nt Improver,evtt overhead and profit for the work indicated on this application.
1 Valuation $ ,QQ
' Existing building area (sq. ft.) o U
New building area (sq. ft.)
Number of stories a SAX
-PROPERTY OWNER:: li `r'°' `" ""'= r' °' Type of construction It"- FF
::ta,��t1 `��* ®kTENANT; 2ft =H'�;t.r�[e: ;;
Name: EGWITY oFFlc-E PRoPe1 TIES Occupancy group(s): Existing:
Address: Orie SW. Colvm'bi a ; Sui 300'':• - • ' _ -
New: [aj
City /State /Zip: Fort( OF 97258
Phone: GO$ 412-4800 Fax: NOTICE: All contractors and subcontractors are required to be
�APPIICAL�ITz ; ,, CONTAC k licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: GI317 Architects, Inc.. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: 1 F.. Glut from licensing, the following reason applies:
Address: 1120 N W Covell .St ,S14 300
City /State /Zip: fort' 3 Ka 1 01L,
Phone: 5o3 2.14.-96,& I Fax:
""zee ' iir si v t ,� q ".t : au ?€'S� sank; � xf s . s °
° ° r B t ^D ' ,; I YII TiFEES * a # :;
E -mail: r . !, = -1 * z , k$ ` , ,>
a ",� le e. e f er _to fe e-schedui
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.., �;_ ,� C. � --ter ��, � ., �.� � , ��?��
Business Name: t1. S 1e 0 foss o c . In C Fees due upon application $
Address: 6(0(5 sW i1 r ti Ave u'
City /State /Zip: peavev-1Dh t op-. '7008 Amount received $
• Phone5o3 M.G. 661 Fax:
Date received:
CCB Lic. #: 5 705
Authorized
Signature: - , n Date: 6 •10 'Off Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
f`` R . GIu r
*Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i ADsts\Permit Forms \BldgPermitApp_doc 01/03
•
. ,, , 4\trev 5<rv6s-r
31-- 211 2.10-01-
•
A � � . ; ft Accessibility:
{ , , ��11 Barrier Removal Improvement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $
o
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 1,875.
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) - Parking Cairn/20,r s; lewor) , ve coo -r u ri i, $ 1 875 0 0
ck; ve..r s'e dew a f c..r , va 4 b1di e17 va►, ce✓'.
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
•
(f) Accessible drinking fountains: and $
•
(g) When possible, additional accessible
. elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ - .1.� 8 0 0
i:\dsts \forms\Accessibility.doc 06/07/02
CITY Q TIGARD 24 -Hour
B ' LDiiiG Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 - 4171
7f BUP 4Bo��
Received ( Date Requ��t AM PM BUP
it/
Location 0 a - -- • ..` _ ,�� ite // MEC
Contact Person Ph ) 344F-49,5 PLM
Contractor Ph ( ) SWR
ILDI■ Tenant/Owner � —'__� ' — —_—__ an: - - ELC
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam ^�C�C— / irik., ,04Y1
Shear Anchors (/
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
PART FAIL
PLUMBING
Post & Beam
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
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In .a► f l _ ri�7
UG /Slab ���/`•/ �1.1'11►!��.-4,
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