Permit i d ITY OF TIGARD BUILDING PERMIT
PERMIT I BUP2006 -00426
N r�i� DEVELOPMENT SERVICES DATE ISSUED: 10/3/2006
- 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 PARCEL: 1S134BC -00200
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: TI - ADA bathroom.
REISSUE: 1Y�1 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 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: 12 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,200.00
Owner: Contractor:
SAUNDERS, WILLIAM W TRUSTEE MALIBU PACIFIC
2155 KALAKAUA AVE STE 500 735 NE JACKSON SCHOOL ROAD .
HONOLULU, HI 96815 HILLSBORO, OR 97124
Phone: Contact #: PRI 693 - 9797
FAX 503 - 693 -9796
FEES Reg #: LIC 059045
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/31/2006 $62.50
[TAX] 8% State Surcha 8/31/2006 $5.00
[BUPPLN] Pln Rv 8/31/2006 $40.63
[FLS] FLS Pin Rv 8/31/2006 $25.00
(additional fees not listed here)
Total $178.58
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: / / / Permittee Si nature: (l t
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.
4 / sw Se_hd //s Y
C ommesc, Tenant Improyeme'� s A I I _A
_ -, i _1, / t, _
Building Permit Applicatibfr l oR ol; 11. (Isl.: ()NI ,l
City of Tigard n1 1� ',3 2006 :::: ®� , , Permit No . __,, , _ , _
13125 SW Hall Blvd., Tigard, OR 97 iew
14 - Phone: 503.639.4171 Fax: 503.598.1960. � ;f '
� p Q - - O( Other Permit: 1'
T I C A R 0 Inspection Line: 503.639.4175 Ali. i /I (; 1 r . __ � 8fi� Date Ready/By. , r tun* El See Page 2 for
Internet: www.tigard - or.gov --- ; �-Zt7T�y( T-- Notified/Method '/ ■ - 1 ■ , , /J : Supple Information •
„no .e., Spf r• Nc )
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
lif 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: $
❑ Accessory building 1:1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
• Job site address: MID/ SU, SC((to ((.5 V r J 2A New dwelling area: square feet
City / State/ZIP: "1G �-d DV._ 11-2,-2-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: ' fV Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
(,1 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.
n- ' p,, ;� Valuation: $ 2,10
Rtin 1.A.t� 1 �G - brODYVL `it) 0112.2. - l +aC)& 9 u iv 'iny1i 5 Existing building area: 1 ((7 0 square feet
New building area: 1 I Q 6 square feet
[ PROPERTY OWNER I ❑ TENANT Number of stories: j
Name: [-�- LLC Type of construction: RO(,Q.�
Address: aj�� f l _Caaarr -Pi -& # 11Q Occupancy groups:
City /State/ZIP: Pa - la,lrte_. , (Y . G1» -3''1 i Existing:
Phone: (5/03) 22 -6 ¢`1 S Fax: (5)3) 2.7. -D 4$ cf New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
• Business name: ' Ut to b& s All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City / State/ZIP: apply:
Phone: ( ) I Fax:: ( )
E -mail:
CONTRACTOR
Business name: tskittb4L, 1'CI.Cit't u a . e + J BUILDING PERMIT FEES'
Address: 1S 1 ■ &r.14.-So - n. &ifloot 1266d. (Please refer to jee schedule)
• City /State/ZIP: 14, t 16 haro, be Q1 al 4 Structural plan review fee (or deposit):
Phone: ( 6p3) (pCl 3- £314 ri I (6c3) 613 _ eh 6 11
FLS plan review fee (if applicable):
Fax:
CCB lic.: 64S Total fees due upon application:
Amount received: 47 /
Authorized signature: oblitdia_ ' ! n �.,_ _ ,
eA+�:�XIJYIJ Ur h - ( This permit application expires if a permit is not obtained
() 0 within 180 days after it has been accepted as complete.
• Print name:pf2A . I Date: 8/()06, • Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\BUP- TI- PermitApp.doc 03/23/06 440 -4613T(11 /02 /COM/WEB)
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I
Building Division
Plan Submittal Requirement Matrix
T I G n 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 **
Mechanical 2
•
Plumbing (building fixtures) 2
Eleuxical t,
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" fare 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- TI- PermitApp.doc 03/23/06
From: Ankrom Moisan 5032461056 10/09/2006 11:27 8186 P.002/002
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PLOTTED: TAMRA LINDSTROM 10/9/2006 11:04 AM tob
IAA-RELLIOTT ASSOCIATES-T1 PROJECTS\ GREENWAY TOWN aNTE It 1055177 - STE 12162 NEW a%
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- :1::W:i; A NKROM GREENWAY TOWN CENTER ' A MOISAN
12162 SW SCHOLLS FERRY ROAD - ..:," ARCH TTECTURE INTERIORS PLANNING
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TIGARD, OR 97223 6720 SW M ACADAM, SUITE 100, PORTLAND, OREGON 97219
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. PHONE 503-245-7100 I FAR 503-245-7710 I WWW.AMAA.COM
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00426
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7 :03AM PAGE: 29
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: THE BARBERS
DESCRIPTION: TI - ADA bathroom.
OWNER: SAUNDERS, WILLIAM W TRUSTEE, PHONE #:
CONTRACTOR: MALIBU PACIFIC PHONE #: 693-9797
Inspection Request Scheduled For: Date: 11/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039434 -01 503-780.4299 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL Fs INSPECTION ❑ ADDITIONAL FEES ASSESSED
A lt ► r � Inspector: Date: 1 8 Phone #: (503) 718 - 3
CITY - OF TIGARD ,
BUILDING DIVISION PERMIT #: BUP2006-00426
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006
Phone: (503) 639 -4171 �I
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' j —.
INSPECTION WORKSHEET FOR DATE: 11/212006 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: THE BARBERS
DESCRIPTION: TI - ADA bathroom.
OWNER: SAUNDERS, WILLIAM W TRUSTEE, PHONE #:
CONTRACTOR: MALIBU PACIFIC PHONE #: 693 -9797
Inspection Request Scheduled For: Date: 11/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039211 -01 503 - 780 -4299 Y Cii--
Corrections /Comments /Instructions: EA-
L6_ /2 .6_‘ &c am (MD(
(N
❑ PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ — FAIL ,I]j CALL F R INSPECTION ❑ ADDI ION L FEES ASSESSED r a
Inspector: �� Date: I Z Phone #: (503) 718- 7242"
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: BUP200Ei -00426
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006
Phone: (503) 639- 4171 g4y:.pi �,I,
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ` __ I
INSPECTION WORKSHEET FOR DATE: 10/16/2006 TIME: 7 :03AM PAGE: 4
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: THE BARBERS
DESCRIPTION: TI - ADA bathroom. •
OWNER: SAUNDERS, WILLIAM W TRUSTEE, PHONE #:
CONTRACTOR: MALIBU PACIFIC PHONE #: 693.9797
Inspection Request Scheduled For: Date: 10/16/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
286 Drywall nailing 038263-01 503 - 780 -4299 Y
Corrections/Comments/Instructions:
k(L.,10. ditT
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FA _ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector fit Date: tO 1 CZ Phone #: 503 718 - l " 1, 3
CITY •O.F TIGARD •
BUILDING DIVISION PERMIT #: BUP200600426
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/10/2006 TIME: 7:06AM PAGE: 26
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: THE BARBERS
DESCRIPTION: TI - ADA bathroom.
OWNER: SAUNDERS, VALLIAM WTRUSTEE, PHONE #:
CONTRACTOR: MALIBU PACIFIC PHONE #: 693 -9797
Inspection Request Scheduled For: Date: 10/1012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 037932 -01 503-780-4299 Y
Corrections /Comments/ Instructions:
)6
‚
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ F � j CALL INSPECTION El ADDITIONAL FEES ASSESSED
Inspecto r` Date: 0 ` ,, Phone #: (503) 718