Permit II CITY OF TIGARD BUILDING PERMIT
I PERMIT #: BUP2008 -00137
COMMUNITY DEVELOPMENT DATE ISSUED: 4/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135BD-00100
SITE ADDRESS: 09600 SW OAK ST 280 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
PROJECT: TIGARD FAMILY COUNSELING
Project Description: TI
• 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: 2N 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: 5 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: $ 21,000.00
Owner: Contractor:
PLAZA WEST LLC CG CONSTRUCTION
C/O NORRIS BEGGS & SIMPSON 1801 NW UPSHUR ST SUITE 490
121 SW MORRISON STE 200 PORTLAND, OR 97209
PORTLAND, OR 97209
Phone: 503 - 223 -7181 Contact #: PRI 503 - 226 -1078
FAX 503 - 226 -1088
Reg #: LIC 1156
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 4/24/2008 $198.35
[TAX] 12% State Surcha 4/24/2008 $23.80
[BUPPLN] Pin Rv 4/24/2008 $128.93
[FLS] FLS Pln Rv 4/24/2008 $79.34
Total $430.42
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 503.2 1.800.332.2344.
Issued y: Permittee Signature ( n - .AC-4
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.
Building Permit Application
Commercial
E ��.1�. FOR OFFICE USE ONLY
City of Tigard �� y Received ` RN a 8 Permit No.: — per!
=_
13125 SW Hall Blvd., Tigard, OR 9722 • / ) nfB Plan Revi
� C . Phone: 503.639.4171 Fax: 503.598.1960 Y I '\ ' ° Date/B : e pi tither Permit:
Inspection Line: 503.639.4175 �a,r "E "1t® Date Ready : y: ® See Page 2 for
l I G I: D Internet: www.tigard- or.gov �O a W ,�p�rS N oti fi ed/Method ♦ Supplemental iatormatloa
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.
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $
El 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: 9600 SW Oak Street New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 280 Project name: Tigard Family Counseling Covered porch area square feet
Cross street/directions to job site: Oak street and Greenberg Road at Hwy 217 Deck area: square feet
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.
Tenant Improvement Valuation: $21,000.00
Existing building area: 2,035 square feet
New building area: N/A square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Plaza West LLC Type of construction: H B
Address: do NorrisBeggs &Simpson/ 121 SW Morrison, Ste 200 Occupancy groups:
City/State/ZIP: Portland,Or 97209 Existing: B
Phone: (503)223 -7181 Fax: (503)273 -0256 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: GBD Architects, Incorporated All contractors and subcontractors are required to be
Contact name: Ray R. Glur licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1120 NW Couch Street, Ste 300 jurisdiction in which work is being performed. If the
City/ State/ZIP: Portland,Or 97209 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9656 I Fax: : (503) 299 -6273
E -mail: ray@gbdarchitects.com
CONTRACTOR
Business name: CG Constrcution BUILDING PERMIT FEES*
Address: 1801 NW Upshure Street, Suite 490 (Please refer to fee schedule)
City/State/ZIP: Portland, Or 97209 Structural plan review fee (or deposit):
Phone: (503) 226 -1078 Fax: (503) 226 -1088 FLS plan review fee (if applicable):
CCB lic.: 1156 Total fees due upon application:
` Amount received:
Authorized signature: X �2„ � � This permit application expires if a permit is not obtained
` within 180 days after It has been accepted as complete.
Print name: Ray R. Glur I Date: 4/24/08 • Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13 137
13125 SW Hall Blvd., Tigard, OR 97223 DATE SUED: 4
Phone: (503) 639 -4171 1 `" "
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I i.. 7
INSPECTION WORKSHEET FOR DATE: 6/9/2008 TIME: 7: / PAGE: 7
SITE ADDRESS: 09600 SW OAK ST 280 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: TIGARD FAMILY COUNSELING
DESCRIPTION: TI
OWNER: PLAZA WEST LLC, PHONE #: 503 -223 - 7181
CONTRACTOR: CO CONSTRUCTION PHONE #: 503 226 - 1078
Inspection Request Scheduled For: Date: 619/2008 Pour Time: 4
Code # Inspection Description Confirm # Contact # Mes- /ge Y
299 Final inspection 071103 -01 503-209-0571 Y
Corrections /Comments /Instructions:
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DI/ i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES A ESSED
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Inspector: Date: Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: BUP2008- 00137
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2000
Phone: (503) 639 -4171 o' i I�
Inspection Requests (24 Hrs.): (503) 639 -4175 'I E.
INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 4
SITE ADDRESS: 09600 SW OAK ST 280 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: TIGARD FAMILY COUNSF_LING
DESCRIPTION: 11
OWNER: PLAZA WEST LI..C, PHONE #: 503.223 -7181
CONTRACTOR: CO CONSTRUCTION PHONE #: 503 -226- 1078
Inspection Request Scheduled For: Date: 6/4/2008 Pour Time:
Code # Inspection Description Confirm # Co Message
299 Final inspection 070858 -01 Q ___
Corrections / Comments /Instructions:
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❑ PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
e fea ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
, _.? Inspector: Date: t 8 Phone #: (503) 718- 26
CITY OF TIGARD mi, . ),...
BUILDING DIVISION ,. J ? ir PERMIT #: BUP2008 -00137 1
13125 SW Hall Blvd., Tigard, OR 97223 ti ATE ISSUED: 4/24/2008
Phone: (503) 639 -4171 i ��
Inspection Requests (24 Hrs.): (503) 639 -4175 R I I.. < 7'3 1
INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 09600 SW OAK ST 280 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: TIGARD FAMILY COUNSELING
DESCRIPTION: TI
OWNER: PLAZA WEST LLC, i PHONE #: 503 - 223-7181
CONTRACTOR: CO CONSTRUCTION PHONE #: 503- 226.1078 1
Inspection Request Scheduled For: Date: 5/28/2008 4 Pour Ti• e:
Code # Inspection Description Confirm # Contact # Mes• . • - °V /
299 Final inspection 070450 -01 503-209-0571 1 c e b
5A0 Corrections /Comments /Instructions: '
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❑ PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘4/11 Date: S-7-.41 6 v Phone #: (503) 718 - 2424
•
CITY OF TIGARD • • •
BUILDING DIVISION #: BuP200B 00137
13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: 4/24/200H
Phone: (503) 639 -4171 � d° . Alki.
t �
Inspection Requests (24 Hrs.): (503) 639 -4175 _�'!!+i `__
INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 09600 SW OAK ST 280 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: TIGARD FAMILY COUNSELING
DESCRIPTION: TI
OWNER: PLAZA WEST LLC, PHONE #: 503.2237181
CONTRACTOR: CG CONSTRUCTION PHONE #: 503-226-1078
Inspection Request Scheduled For: Date: 5/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 069192 -01 503- 209 -0571 N
Corrections /Comments /Instructions:
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❑ PASS /vi / PA " APPRO : ❑ CANCEL ❑ NO ACCESS
❑ FAIL , ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
■ Inspector: Date: ) Phone #: (503) 718 -