Permit 4 BUILDING PERMIT
C ITY O F T I GA RD PERMIT #: BU P2006 -00073
DEVELOPMENT SERVICES DATE ISSUED: 3/1/2006
.. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S134AA-01900
SITE ADDRESS: 10115 SW NIMBUS AVE 500 ZONING: C -G
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG
Project Description: T.I.
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: 32 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: $ 50,000.00
Owner: Contractor:
ROBINSON, WILLIAM R /CONSTANCE A B A & S INTERNATIONAL LLC
ROBINSON, LYNN + BELL, KAY ET 15755 SW 88TH AVE
BY ELLIOTT ASSOC TIGARD, OR 97224
PORTLAND, OR 97204
Phone: Contact #: FAX 503 - 670 -4712
PRI 503 - 968 -6559
FEES Reg #: LIC 154684
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 2/1/2006 $306.02
[FLS] FLS Pin Rv 2/1/2006 $188.32
[BUILD] Permit Fee 3/31/2006 $470.80
[TAX] 8% State Surcharl 3/31/2006 $37.66
Total $1,002.80
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 -001 • • 'ugh OAR 952- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 50 246-6 • s • • ' /00-332-2344.
Issued = y: j /////
/ Permittee Signature
•
• 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.
•
tot/s5 seo Nonbaa r
Suildin� Permit Apt ";�„ l Oii rici:: usi.: o,Ni.„
City of Tigard FIVE ffi By f —0 �V>< PemtitN ( „2pj 000
13125 SW Hall Blvd., Tigard, OR 97223 • Plan Review ,
Phone: 503.639.4171 Fax: 503.598.1960 'C . ,'.` f ` Date/B . 70 pf Other Permit:
Inspection Line: 503.639.4175 FEB 01 200:.1 .i I ■ Date Ready/Ey. / MIRY:NM ® See Attached Checklist for
Internet: www.ci.tigard.or.us Noti ry eth.. i /` Supplemental Information
CITY OF T1G �. , / • „
•i l a 'MEW N VISION ' / REQU • ED 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
0 Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2 -family dwelling pgi Commercial /industrial Valuation: $
❑ 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: 10 1 i 5 S W Li I LA CS u S New dwelling area: square feet
City /State/ZIP: T t G .A (?. D , a .Z 9 -) Z. - ° S Garage /carport area: square feet
Suite/bldg. /apt. no.: Sp c-> I Project name: M s( G '-4 Covered porch area: square feet
Cross street/directions to job site: AT I I.rr F e-S Z_r , o „J o G t.-1 t t..11 6 L Deck area: square feet
T C iO -S t = t= iZZ'-( 'L9 • Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
—r-/ z
� Valuation: $ �'� ,
Existing building area: 0,,006 squ are feet
New building area: square feet
❑ PROPERTY OWNER I 12 TENANT Number of stories:
Name: G Ze-*T- c_ Li c U E o >,( Type of construction: •
Address: I o I I 5 >4 I •-1 is L S - S Oc cupancy groups: 3�d
r�
S w
_ _
City /State/ZIP: TI c , , , n . - e . . - , o 9 . - 7 - 7 . - 2 Existing:
Phone: (5x3) 31 2 - J i 1'1 Fax: ( ) New:
g APPLICANT ❑ CONTACT PERSON NOTICE
I
Business name: 5 p Y 5 , 1. c. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: , ..., S . ► `d 3 4-c. ,,� under ORS 701 and may be required to be licensed in the
Address: I S SS g w S T I.1 LIV E r..J u E jurisdiction in which work is being performed. If the
City / State/ZIP: 'T, f< ex P.� , 6e, S 1 Zz¢ applicant is exempt from licensing, the following reasons
apply:
Phone: (9)3) 56S -6SS9 Fax::(.5b3 ) 4. 0 - 41 I1.
E -mail: Te_5 . 13 A. V S C V-e Y.4'7.-o✓ . J -ET
CONTRACTOR
Business name: Z PI or 5 1 ort. -r 1 l.J._e, BUILDING PERMIT FEES*
Address: /5155 $ l tk Ad L Please refer to fee schedule.
City / State/ZIP. ✓G4. , r2 9 4'
Fees due upon application
Phone: (9 C
) I t,'a ". 466- q 1 I Fax: (, 3) 470 —'17 /
Amount received
CCB lic.: ► s4-6S 9- a ( 01
Date received:
Authorized signature: 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: — , •.t 5 c....t t-01.45 a -c.t.i I Date: s / I l / 0 6 • Fee methodology set by Tri-County Building Industry
Service Board.
is Building \Prnnits\BtP- 11- Pem 12/03 440 I /02/COM/WEB)
• Building Division
"''"(�-�4r�� +�; ` , 'I lan Submittal Requirement Matrix
- Com & Multi- Family - New, Additions or Alterations
City of Tigard ' , ■ . , °
t
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*
.
1 es e-)t)e. Fire Protection System 3 * *
` °' Mechanical 2 • •
ri .)!t,�C. ``t .
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 requir'e"thai plans°bear the original seal 'of an'' ° '
Oregon licensed fire suppression engineer, or NICET level "3?' ‘technicians. . '
i:\ Building \PennitABUP- T1- PennitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #:81.4.P.2'9'U`o — '0"
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 m (
Inspection Requests (24 Hrs.): (503) 639 -4175 1J-
INSPECTION WORKSHEET FOR DATE: TIMEC9 PAGE:
SITE ADDRESS: 1 Otis f Vh.6,0j Ji CLASS OF WORK:
SUBDIVISION: LO TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:9 -R36 -576 0
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4 . 7 - v6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Plt rjv
Corrections /Comments /Instructions:
I
F ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I/ CALL FOR INSPECTION ❑ ADDITIoNA FEES ASSESSED
Inspector: ,� 11lt1 Date: I *0 Phone #: (503) 718-2_4--
.
CITY 'OF TIGARD
BUILDING DIVISION • PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ZQd( —or)D73
Phone: (503) 639 -4171 At te
Inspection Requests (24 Hrs.): (503) 639 -4175 W E:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / D ( Ls - )2 19(.0 � 0 ° CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: / + ' ` J -1(/)(}1k PHONE #:
Inspection Request Scheduled For: Date: L( — (o -- Pour Time:
Code # Insez nnescription Confirm # Contact # Message
2-9 9 Fkierf 7 q 3 6 - s7 o
Corrections /Comments /Instructions: ..
41 • r /
01 l i- F. - ' /` ii. I I &Lr I t fah-
'
11 V g ."2 - / , ' --<
❑ PA5V ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL II CALL FOR INSPECTION El ADDITI NA FEES ASSESSED
3
Inspector: I kI /! Date: tJ 0 Phone #: (503) 718 1 ��
�
CITY OF TIGARD
BUILDING DIVISION PERMIT #:(34 -00 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Ott
Inspection `�� I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..,_,. �:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 10(15
0 (1 S N I rn 6 1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: l PHONE *TO ,93 b e 76>o
CONTRACTOR: I I Yh PHONE #:
Inspection Request Scheduled For: Date: j -----K' 0 Pour Time:
Code # Inspection Description Co . • # 1Contact # 1 Message
Spe c,�1 fi -5/• C r (4'J
rte^ Gar e l'e-- CV 0(5 W ell
Corrections/ : •• •• - s /Instructions: glit. (27
(6 chEc_trt-L____ (433 t : f t. 1� l
---V-Al-ie II
;1 U- LS
___(---.'
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO NSPECTION ❑ ADDITIO L FEE ASSESSED
Inspector: W ' T
_ Date: - 06hone #: (503) 718 - Z___kZ3
CY- OF'TIGARD �'
IT
g
BUILDING DIVISION - PERMIT r : 240 - 0 0 673
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ga
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �—
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 Q l 1 Cj ��� CLASS OF WORK:
SUBDIVISION: LOT #: 60 TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Messag- • 0-7 -> vNJ v,,. S (■ IV
Corrections /Comments/ Instructions:
1) b IS k ine1 :)Z4iC \fik-6 -1 / 4 7
`4,1Z_ s , ./ ,,,_.,_„, Lut,,_,
CL1/4...k. ..- .e.... e i.,....,\_ •
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \4) Date: 7 1 t— / (a C e Phone #: (503) 718- > r 2- l
1
CITY OF TIGARD ._ .
,e6t-p
BUILDING DIVISION PERMIT #: m .066 -- o00 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 alt
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / Q / I s �d CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: •
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 --...R r 0 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.15 ✓ l 7 S .
Corrections /Comments /Instructions: 3 _ 76 a
ill!'
. �/ / I / VA
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NA FEES ASSESSED
Inspector: Date: v 0 410 Phone #: (503) 718- '''1/5