Permit ' w
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00291
l DEVELOPMENT SERVICES DATE ISSUED: 7/13/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10763 SW GREENBURG RD 110 PARCEL: 1S135BC 00201
SUBDIVISION: ZONING: C -G
BLOCK: LOT: 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: 27 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 45,000.00
Remarks: TI
Owner: Contractor:
BUSINESS PROPERTY DEVELOPMENT HOWARD BINGHAM CONST
22020 - 17TH AVE SE SUITE 200 4160 SW 109TH AVE
BOTHELL, WA 98021 BEAVERTON, OR 97005
Phone: 425 - 483 -3442
Phone: 643 -5511
Reg #: LIC 4 33
FEES MET REQUIRED6fN1� SPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 7/13/2004 $433.30 Electrical Permit Required
[TAX] 8% State Surchari 7/13/2004 $34.66 Framing dsp
Gyp Board Insp
[BUPPLN] Pln Rv 7/13/2004 $281.65 Final Inspection
[FLS] FLS Pln Rv 7/13/2004 $173.32
(additional fees not listed here)
Total $985.43
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 3) 246 -6. °! or 1- 800 - 332 -2344.
Issue By: ` /L Z' �✓IL _
Permittee ��� / � Signature: . _ ATri /j/ A ,
Cali 639 -4175 by 7 p.m. for an inspection the next business day
n
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Building Permit Appli_catioln� \J Ell . ..._ ...
.. -' - -- ' kW OFFICE USE ONLY.
City of Tigard Received / g 0 ce , /�/
Tigard, OR 97223
13125 SW Hall Blvd., Ti
Date/By: , / Permit No.: P Y",�
g 2OO� Plan Review`
IKI Phone: 503.639.4171 Fax: 503.598.1960 Iti - 1 / 1 � I ti� Date/By: YP � as� Other Permit: Rat) V.. �d' 44
Inspection Line: 503.639.4175 � - ! ' 1� Date ReReady/By: t Jur H See A Checklist for
Internet: www.ci.tigard.or.us ,�ryTY Or ,. T IGP+ Notified/Metho6.- , _ , . _ / /a' Supplemental Information
R994�
�D DIVISION PL,s „lee /— a 5
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= TT P O a W.ORKM . k ., - l UIRED 71 A - - AND` n. w V II LY D
- S =.: y .. �`` �� �a s ^. ,.�.� a, _:;.,�: s?.6 "�;a; » ;ip -'' �: r.4���"� rz`a:` .RE Q Y�. � ..sa, - ....
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
� , a � work indicated on this application.
?`' '' A TEGORY' ,CONSTRUCT ;
�.;J ?. �,. xn,�:1 � _ .H � ,_ « �' ��: >� .. e +t, ,: <; ::a:��'' - ,e.�'� . � �;�`.x.:nN
ED 1- and 2- family dwelling V Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
3- ' i _ A SITE ,I N�OI2MATION A ND ' I,0CATIMN ` '`' ° t " ; =' " � Total number of floors:
Job site address: / 77-614,3 c 3 � y by/ �' � �„e ' 1 V0 New dwelling area: square feet
City/State /ZIP: 1 V q 3 5.9/'7 Garage /carport area: square feet
Idg. /apt. no.: / /4 Project name cr L 7 f ,() Covered porch area: square feet
— oss street/directions to ob site:
J Deck area: square feet
� t' qaealthy 4 e 5 iv. Ce £ 1 square feet
u
s
structure area: t
tru
Other scurea: qa
N opth -tile ' h ' ' Will/ s. , , t€ 0 a , dr . ..., . :; „, „; : _ , ..... : ..L...,-.....
v EQU,. Al -USE CHECICTsIT'; ��.�, = z= 3;; =,Y..s�:�.',��F'. §e;a:• *.a zxr•.:=.; a':: ��;�ix���::t'�...,t,<,�.:._: , t Subdivision: )/� 4� 1 /frp- . c. it', /Wig!! • Permit fees* are based on the value of the work performed.
Tax ma / arcel no.: / r ' (� Jr , Indicate the value (rounded to the nearest dollar) of all
P P i ,, • = r +uipment, materials, labor, overhead, and the profit for the
� 4;#43SO4-0719' , # / ' 4fl - f k 1. = i S r OF �� 4 ,�` �, "Al work indicated on this application.
/ 5 Valuation: $
Exist] .... ern• are.:2 / square feet
• New building area: square feet
'x "::F's. k': ?s". ;"s•;; .��_.; w ,�° ,t », �a'-sx�. .. " HI, : i
!,, ; =P QwNER w - a ; TE T '1 -, v Number of stories: /
Name: 0�10s ,� `v6 _ . "a / Type of construction: `/A( ,�
Address: b2,b.�� ?Ate/ C. lie 2Q Occupancy groups: ti t
6:: y
City/State /ZIP:' %4 7 Tel Existing: ifg
Phone �j) tf3 ^ e _ 2 F / ax: / f/ New:
,. tr �. L'�' .LIItr }. S n : "' ... 0. .(1d xw�'P ..N'^ -rv' 3; ? w.v ''Z • r `t a eCONT 'CT PE ON r ,, ”" i , ``, r
d �:r ” .3 � =; fr?- . •t , tt.. _ ;� " a� a ,;, g w eas M- ' . i,. N O TI CE,y
�
- Business name: ' ' /,- ! t� �9h5'1 ,' P 61/ All contractors and subcontractors are required to be
Contact name: 8�'� —�� licensed with the Oregon Construction Contractors Board
1 under ORS 701 and may be required to be licensed in the
Address: 6 O , Hr. � C/ jurisdiction in which work is being performed. If the
City/State/ZIP: k Ll /) applicant is exempt from licensing, the following reasons
�s-0g / �7� apply: /
Phone: 'J �� O ( Fax: 15459) - - �35 (e %I ( O `f 1 ...44/b--y4 < A a..w mac..
E -mail: � p2 e_., caw `G /4S-r. yy &r _ ((( / e - /�
e .'"' '''n 4 u`r.': 4; : itiN '':: "d!��4::' _?, f'�; iitl :MS e ;,.. •. iMr �.,�:4'c *l:.#A�..,�»r ... - O -YJ �A� ��- f/� -�e f.
�'� � � �"� '��s�'� � .� ;� fr, . CbNTr . �. aCTOR �� � Y 1 � '�A. � ' :AA �. -.'
; .A 'ax M -c...,4.4. f : - .m °3: r•� t .;`°41 � :tntko .. G' .. i6tg" Dr 0-- /V/ � �� .
Business nam- . 4 r).t. A 40 f .�/ //. � / L � / /I , nt f � ,,,z� a : ,,•> � r - * , . •
y/� : ;' ,�' s;, , .: � BUILDIN . G PEgMIT FEES
Address: / 4p v / ,' Ire :...- ....
Please refer to fee schedule.
City/State/ZIP: i+O / / of%K.
Fees due upon application
Phone: 0 AO° ir - -- S/ Fax: r / 1 - J S —
CCB lie.: (�� !� _ Amount received
i�f�r, /� ,i �/ � Date received:
Authorized signature: / This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as complete.
Print name: � i +j` � j Dat- e��
�� �_� ` J . �/ Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB)
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Building Division
.1p � 1� i . • P la n Submittal Requirement Matrix
4 ---� Commercial & Multi- Family - New, Additions or Alterations
• ' " City of Tigard
3 g T of S hint tal �� 0-0,00. lans
" �� �� �� ' �i9 - �: 'gym% -., a a §'$
;i i des €ne dd;<tto s lte ons_) t > R at i
witi ',. ti
a a R..� Fr 1,L VR 3 .� if a..,. u bmi tt a l
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 •
•
ti- •
rt,i; a
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 i
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Building Division
ll Accessibility: Barrier Removal Improvement Plan
A e-
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: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 1 /7 -
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ � 2 Se'. 64 '
ELEMENTS: 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 $
(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 Valuation Computation): $
i:\ Building \Forms\AccessImprvPlan.doc 11/25/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 S ST
'70U
Received i Date Requested Zvi AM PM BUP
Location / d 7 ! Suite // D MEC
Contact Person 4/ Ph ( ) 3 f L PLM
Contractor Pfy(�) d SWR
IL I . Tenant/Owner 1 ` I 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
DrywarNailift
Firewall
Fire Sprinkler
Fire Alarm a
Susp'd Ceiling
Roof
Other:
,112/n n //
'ASS PART FAIL � ING /
=
•ost & Beam // //
Under Slab
Rough -In /l // // (1'1 /j
Water Service
Sanitary Sewer q/n f/ //
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: CJ
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
•
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
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: 111 Unable to inspect — no access
Fire ADASupply Line 94 6' V CJ\
D Y Ins ector Ext
Approach /Sidewalk P
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL