Permit C ITY OF TIGARD BUILDING PERMIT '
PERMIT #: BUP2006 -00218
r� DEVELOPMENT SERVICES DATE ISSUED: 9/7/2006
,. II 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S1 10AA - 00900
SITE ADDRESS: 14050 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: T.I. [change of occupancy from S1 to B, Office space added located in basement]
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: 5 - HR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 24 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: $ 7,000.00
Owner: Contractor:
ESP PROPERTIES
1522 SW SUNSET BLVD f
PORTLAND, OR 97239
•
Phone: 503 - 245 - 1177 Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 5/19/2006 $71.83
[FLS] FLS Pln Rv 5/19/2006 $44.20
[BUILD] Permit Fee 9/7/2006 $110.50
[TAX] 8% State Surcha 9/7/2006 $8.84
Total $235.37 ,
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: / i 4,4,, Permittee Signature"( /
ar— .
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.
i c_4_,9 . _. -- 0 s co Commercial Tenant Improvemen
Building. Permit Applicati i' ECE VE R t I�c)R OFFICE LUST ()NIA
City of Tigard , i ��QQ�� � ed r / �: Penult N,.. • �'_ "'' , III V 13125 SW Hall Blvd., Tigard, OR 9722511141 b�, 2 Plan Revi
Date/B (J� Oher Permit:
Phone: 503.639.4171 Fax: 503.598.1 9 6 0 111 ///��� Date/ . - dr , � J
T G R t) Inspection Line: 503.639.4175 CITY OF TIGARD Date Re:.. -/By:
r ® See Page 2 for
Internet: www.tigard- or.gov IN G DIVISION Notified/Method: 1 `.44 �� Supplemental Information
IA
BU �rI2, \ t �`
t--
TYPE OF WO 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 ❑ •Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling erCornrnerciallindustrial Valuation: S
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
• JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 £ 0 c $ V F ; - Z {i".'31, c ,) q i New dwelling area: square feet •
City /State/ZIP: 1 Q / 0 (, / 1 7 z,13 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: L a.. f f .Q,t 13 d ;(e( 74,y c Covered porch area: square feet
Cross street/directions to job site: 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.
, Valuation: $ 7 000 .
Existing building area:0 9 square feet
'' building area: e 2 5t , / square feet
❑ PROPERTY OWNER I• ❑ TENANT Number of stories:
Name: S r Pr -. +7.e.$ r Type of construction: S
Address: 15= 2_2, y 11/ 5 J D , (3 (vJJ Occupancy groups: e Z , e2y — • ,
City/ State/ZIP: T G r4 Ad' / a l 07 7. Z31' Existing: S 1 sir. Q 4,:, Phone:(SI3)'C. .5 Fax:( s - 03)Zq 5 aZG a New: �_
• APPLICANT L ❑ CONTACT PERSON NOTICE
Business name: Go S ,4 -1-c-4, cf All contractors and subcontractors are required to be
Contact name: d r 5 i licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7_,/ r 8 S (E D---4-0-1 1 5 -f jurisdiction in which work is being performed. If the + -
Cit y / State/ZIP: r -r'l Pa P r� O I � 7 Z O Z . applicant is exempt from licensing, the following reasons
apply:
Phone: ( 5 - 63) 2 3 - r$ - I Fax: : (S'a3 ) 2 3 s 0 T 3 S .
E -mail:
CONTRACTOR
Business name: r3 D BUILDING PERMIT FEES*
Address: (Please refer to fee schedule I
Structural plan review fee (or deposit): / . 3
City/State/ZIP:
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): W .J
Total fees due upon application: i CCB lic.:
—
a , U3
Amount received:
Authorized signature: .. " . .„,,e ..... 12c) '
:r;g?....?c/ ---.-0:412F---i
This permit application expires if a permit is not obtained
' r r / � '/ Date: within 180 days after it has been accepted as complete
Print name:
/� 1 A- - 14 -1 e,,.) U�- r , 1, , c, � Fee methodology set by Tri-County Building Indadry 7 (/
Service Board 1
I:\ Building \Permits\BUP- TI- PermitApp.doc 0323/06 4404613T(11/02/COM/WEB)
P 9
•
i i
V
•
4
71 ° .. , Building Division
- Plan Submittal Requirement Matrix
T I G A R D Commercial & Multi -Family - New, Additions or Alterations
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*
.° Fire Protection System 2 **
' ., !„1. •
•
r, Mechanical 2
`i: • , - S - 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 \Permits \BUP -TT- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200600218
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/7/2006
Phone: (503) 639 -4171 As `�I�I'�
Inspection Requests (24 Hrs.): (503) 639 -4175 A.L. F
INSPECTION WORKSHEET FOR DATE: 9 /25006 TIME: 7 : 01AM PAGE: 12
SITE ADDRESS: 14050 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ESP PROPERTIES
DESCRIPTION: T.I. [change of occupancy from S1 to B, Office space added located in basement]
OWNER: ESP PROPERTIES, PHONE #: 503-245-1177
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 03711401 503 - 730 -6214 Y
Corrections /Comments /Instructions: Ht'V
(i(,' 1 h �� __
J 1 .
„,-------
oci __ (.
Cr ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL •. CALL FOR INSPECTION ❑ ADDI IONAL F ES ASSESSED
Inspector: . ,V Date: 22 Q4hone #: (503) 718-2k
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200600218
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/7/2006
Phone: (503) 639 -4171 i 64
Inspection Requests (24 Hrs.): (503) 639 -4175 s' � :..
INSPECTION WORKSHEET FOR DATE: 9/19/2006 TIME: 7 :01AM PAGE: 11
SITE ADDRESS: 14050 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ESP PROPERTIES
DESCRIPTION: T.I. [change of occupancy from S1 to B, Office space added located in basement]
OWNER: ESP PROPERTIES, PHONE #: 503245 -1177
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036713-01 503-730-6214 Y
Corrections /Comments /Instructions: 1 1
(0: ,`1 ih r = A. S 1 t a_ %`si1=
-- 'Rf—t/l/t A ..,e2 F"}ri
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION ❑ ADDITI • NAL EES ASSESSED di,
Inspector: Ins
p Dat e: i � .► Phone #: (503) 71 S 7L