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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00548 4 DEVELOPMENT SERVICES DATE ISSUED: 11/18/2004 All- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S1346C -00300 SITE ADDRESS: 12268 SW SCHOLLS FERRY RD SUBDIVISION: GREENWAY TOWN CENTER 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: 118 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: $ 1,000.00 Remarks: TI new wall in dining room. Owner: Contractor: BPP RETAIL LLC A TECH CONTRACTING, INC. BY BURNHAM PACIFIC PROPERTIES 5425 SE LAFAYETTE ATTN: JOHN WATERS PORTLAND, OR 97206 SPAN one DIE GO, CA 92101 - - Phone: 503 - 320 -9238 Reg #: LIC 119031 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 11/18/2004 $62.50 Plumbing Permit Required • [TAX] 8% State Surchari 11/18/2004 $5.00 Framing Insp Pln Rv 11/18/2004 $40.63 Gyp Board Inspection Lio [BUPPLN] Final Inspection [FLS] FLS Pln Rv 11/18/2004 $25.00 • Total $133.13 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 Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day • P ... B uilding Permit A L V E D FOR OFFICE USE ONLY }y Tigard Received Ci of Ti and Date : 1; / S B o , MM. ,laBdhl 4 13125 SW Hall Blvd., Tigard, OR 97223�11 i 1 8 2004 Plan Revie Phone: 503.639.4171 Fax: 503.598.19611 ��'� "t Date/13 : -- ;-10 ,/ Other Permit: CITY OF TIGARD Inspection Line: 503.639.4175 • Date Ready/13y: ® See Attached Checklist for �� _�- Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: 1011 Supplemental Information • TYPE OF WORK • : 2 . :, 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 p il Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION . . :■. ;,; `-`, work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling 51 Commercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION / AND LOCATION p ' Total number of floors: Job site address: 1 67 sw _cc/ %f/L� i',941 1Q ( New dwelling area: square feet City/ State/ZIP: Tt� 4,1 0R 99-7.23 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: k .tit. -eJ# / —3-4.1) t Covered porch area: square feet Cross street/directions to job site: /,, I le+ Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ,,// DESCRIPTION OF WORK t/ work indicated on this application. aelh. BvLQ n14.1 ;41111 _50 ,X ' wi 6h ThAo [ leoYS Valuation: $ /pov I/ Existing building area: -3 1 a j square feet New building area: square feet ' ❑ PROPERTY OWNER TENANT ± Number of stories: Name: 'eye e Ch?i1 ,/ // Type of construction: V Al I�U Address: A'65. 5GI/ Clii i; i&l& Occupancy groups: 4. 3 City/ State/ZIP: atse0,e4.4 . 12,1? 77o 7 Existing: Phone: (503 ) F 4 X - ;; p Fax: (6 64) - 3.73 y New: . 94 APPLICANT ❑ CONTACT 'PERSON NOTICE . Business name: i j ' .748...e.. All contractors and subcontractors are required to be Contact name: J'0 CP �, / licensed with the Oregon Construction Contractors Board J /t under ORS 701 and may be required to be licensed in the Address: b' 33S1 , /t,4 7Pn x_ jurisdiction in which work is being performed. If the Ci / State/ZIP applicant is exempt from licensing, the following reasons ty : , • � r •7O ° '7 apply: Phone: ( r7o3 ) ) d�- 3g -, Fax:: ( ) E -mail: ) v/C e c/a*, X1 ‘ ° . c' aH. CONTRACTOR , Business name: A /P! t _ - / C � -141...e : .$UILDING PERMIT FEES* Address: �w �'4 /� S t 2l�l'GO O Please refer to fee schedule. • City/State/ZIP: 1/'ei D rg pI o x: Fees due upon application Phone: (53)3,26, -9 ( ) CCB lic.: // 9 O 3/ / 2 5.A Amount received Date received: Authorized signature: t_____,,— This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: : pl/('e ��a Date: / 1 // ! y/6, * Fee methodology set by Tri-County Building Industry / Service Board. i:\ Building \Permits \BUP- PemtitApp.doc 12/03 440- 4613T(l1 /02/COM/WEB) Building Division ° " ii i Pl an Submittal Requirement Matrix Commercial & Multi - Family - New, Additions or Alterations City of Tigard 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 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 Case Activity Listing 3/17/2005 �� 2:05:25PM TIDEMARK Case #: BUP2004 -00548 COMPUTER SYSTEMS. INC. Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes BUPC005 Application received 11/18/2004 None DONE BB 11/18/2004 BLD BUPC008 Permit created 11/18/2004 None DONE BB 11/18/2004 BLD BUPC740 Framing Insp None 11/18/2004 BLD BUPC760 Gyp Board Insp None 11/18/2004 BLD BUPC799 Final Inspection None 11/18/2004 BLD a BUPC565 Plumbing Permit None 11/18/2004 • Required BLD • 0 BUPC530 Electrical Permit None 11/18/2004 Required BLD BUPC100 (F) Issue permit 11/18/2004 None DONE BB 11/18/2004 BLD BUP2275 Framing 3/16/2005 3/17/2005 3/17/2005 None FAIL HAP 3/17/2005 002096 -01 - 503- 888 -3870 - VM - STI N -180 / J211- e-e5L-ej i ji-6Y1/7 )42- Page 1 of 1 CaseActivity..rpt CITY 04 TIGARD 2 ,, .' m � BUILDING DIVISION PERMIT #: BUP2004 -00548 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/18/2004 Phone: (503) 639 -4171 :Nol l - Inspection Requests (24 Hrs.): (503) 639 -4175 ,-.14- __.. INSPECTION WORKSHEET FOR DATE: 4/1/2005 TIME: 7:10AM PAGE: 10 SITE ADDRESS: 12268 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE: PROJECT NAME: LUCKY JADE DESCRIPTION: TI new wall in dining room. OWNER: BPP RETAIL LLC, PHONE #: CONTRACTOR: A TECH CONTRACTING, INC. PHONE #: 503-320-9238 Inspection Request Scheduled For: Date: 4/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 003539-01 503-888 -3870 N Corrections /Comments /Instructions: ii 1 O) 4111111111 1.11 I I 0 I :.,•-■ jA( ..... , 4 ,0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED Inspector: Date: # ` / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION t t PERMIT #: BUP2004 -00548 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/18/2004 Phone: (503) 639 -4171 / m i'lln�!�Ill l \ Inspection Requests (24 Hrs.): (503) 639 -4175 :�' ` 1 INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7 :08AM PAGE: 29 SITE ADDRESS: 12268 SW SCHOLLS FERRY RD CLASS OF WORK: , SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE: PROJECT NAME: LUCKY JADE DESCRIPTION: TI new wall in dining room. OWNER: BPP RETAIL LLC, PHONE #: CONTRACTOR: A TECH CONTRACTING, INC. PHONE #: 503 -320 -9238 Inspection Request Scheduled For: Date: 3/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 002583.01 503. 888 -3870 N Corrections/Comments/Instructions: El PASS El ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 et f [cc 7/ Date: 3-23- 6 5 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2004 -00548 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/18/2004 Phone: (503) 639 -4171 :. N i��1� Inspection Requests (24 Hrs.): (503) 639 -4175 '!�- °__.. / ' INSPECTION WORKSHEET FOR DATE: 3/18/2005 TIME: 7 :24AM PAGE: 28 SITE ADDRESS: 12268 SW SCHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE: PROJECT NAME: LUCKY JADE DESCRIPTION: TI new wall in dining room. OWNER: BPP RETAIL LLC, PHONE #: CONTRACTOR: A TECH CONTRACTING, INC. PHONE #: 503-320-9238 Inspection Request Scheduled For: Date: 3/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 002205 -01 503-888-3870 N VVr Corr ctions /Comments /Instructions: NA d n _ 0 4.(2,t /•1 Pelle__,",-■,..k 0 ' .,_ Li.leLi.J■ ‘--it_Ce,-Ce..-eL3kA-1 L-9-eL---S._ ( A__(,._ ,, ,,,_,-1--- ,, N o c 0 /, _ f , _ 1 - r "— ±_ - _ -k-' _‘ —s t r- c Ur. . as _ - =j;( ZR U .. ' / _ SIA U2� if C\---- r- 4 _4(.7es_c_ .--- /;/( - cZ__Q . , - • r lrt- -t ,v ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � PL_.....-- z i Inspector: ' V' Date: 3 / 1 'v O Phone #: (503) 718-