Permit : � " CITY O F TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00605
° jl • DEVELOPMENT SERVICES DATE ISSUED: 11/15/2005
'' 13125,SW HaII Blvd., Tigard, OR 97223 503 - 639 -4171 • PARCEL: 2S112DD -00701
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A -300 ZONING: I -P
' SUBDIVISION: OREGON BUSINESS PARK II LOT: JURISDICTION: TIG
Project Description: TI, walls & ceiling
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: 23 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: PAR KING:
VALUE: $ 51,000.00 . '
Owner: • Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LANE
PORTLAND, OR 97224 PORTLAND, OR 97225
Phone: Phone: 503 - 892 -0066
FEES Reg #: LIC 66070
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surchari 11/15/200: $38.10
[BUPPLN] Pln Rv 11/15/200` $309.58
[FLS] FLS Pln Rv 11/15/200: $190.51
[BUILD] Permit Fee 11/15/200; $476.27
Total .. $1,014.46
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- 1 -0010 thr• . • h 0 ' ' '52-001-0100. You may obtain a copy of these rules irect questi o UNC by
call' ng 503 - 246 -6699 • 1-8111 2 -2344.
Iss ed By: £ / '' '�� � � / ' Permittee Signatur „
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.
/ j Building Permit Application FOR OFFICE USE ONLY
City of Tigard C E \ V E D Received i j►
R — 2"3 Date/D 7� � 1 Permit No : — L1p '
13125 SW Hall Blvd., Tigard, 0872 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 " A Nr., , " Date/B � — Other Per
Inspection Line: 503.639.4175 i \p ' 2005 ! " " -' I I Date Ready : • ® See Attached Checldist for
Internet. www.ci.tigard.or.us "V 7 L Notified/Method. Supplemental Information
Cl tic* O IG WO [ y ft REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Oli:L2t�IEv 1 \iltit
❑ 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 CONSTRU ION work indicated on this application.
❑ I- and 2- family dwelling ommerclal /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: ./�S7G6 SGcJ DER ,,vas fy • e�0 New dwelling area: square feet
City /State/ZIP: �� ) A-Itt, OZ Garage /carport area: square feet
Suite/bldg. /apt. no. Project name: ). 74 - 7r)E:4G45 / / 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 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 work indicated on this application.
Al s - rr� ptvr� it C� h i Valuation: S ` �— /Q�
91" r41:_'. a/ . ��� / Existing building area: square feet
` New building area: square feet
�d�PROPERTY OWNER I ❑ TENANT Number of stories:
Name:..!// ��` C-'?7tiS -- Type of construction: ✓_ 9 ,
Address: L, S � 6/ „ ; • 6/ „ ; • p� u �, 3O ) ` < e / Occupancy groups: V 7 �7
City /State /ZIP: 7 7 9' '� 7 4/ � Existing: —yS
Phone f'As ?y _A r 0 FaX .� 4 /— 9":"....3---- New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
g 7 e r) r7 d 1 "4 1 -' under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply
Phone:( ) Fax::( )
E -mail:
CONTRACTOR
Business name 7) A1 9 74 ,,,,_ .. , (, I se .
.. J BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP: Fees due upon application
Phone:( ) I Fax•( )
Amount received
CCB lic.:
4676 I
Date received
Authorized signature: This permit application expires if a permit is not obtained
...f...-2 /u — within 180 days after it has been accepted as complete.
Print name: ) r � � r , x , / j �� , I Date J/� Fee methodology set by Tri- County Building Industry
/ Service Board.
1:\ Building \Pennits\BUP- 11- PenmtApp doe 12/03 4404613T(I I /02/COM/WEB)
1
Building Division
^ " kAc Plan 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 ** 1
• 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 \ Budding \Permus\BUP- T1- PermoApp doe 11103 470.4613T(I I /02/COM/WFD)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I31JP2005i.00f: )G
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/15/2006
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ., V .
INSPECTION WORKSHEET FOR DATE: 1/27/2006 TIME: 7:00AM PAGE: 79
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A - 300 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: MATTHEWS GALLERY
DESCRIPTION: TI, vealls & ceiling
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OL SON CONSTRUCT ION, MMATTHEW PHONE #: 603 -892 -0066
Inspection Request Scheduled For: Date: 1/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final int:pee-flan 026850 -01 503.956 6290 N
Corrections /Comments /Instructions:
Ai
— S ( it 1 (N G T ail i ' ■ c5 0,01‘..t• Le r 0
_. //
1,41'
�
•
PASS ❑PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL CALL FOki INSPECTION ❑ ADDIT ONAL FE S ASSESSED
Inspector: Date: hone #: (503) 718 -
P OF � )
1
CITY OFTI ARD No Yd c. L 1
G
BUILDING DIVISION l PERMIT # : DUP2005.0CO5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15,r 2005
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 _ °'I —
INSPECTION WORKSHEET FOR DATE: 1/17/2006 TIME 7:05AM PAGE: 40
SITE ADDRESS: 1 6000 SW UPPER BOONES FERRY RD A - 300 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: MATTHEWS THEWS GAt LERY
DESCRIPTION: TI, walls & ceiling
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 603_692_00s6
Inspection Request Scheduled For: Date: 1/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 025062-01 503- 956.6290 N
Corrections /Comments/ Instructions:
__11 Lak Z/tr--Q re_.;4 1 t;...- CON•-e-r<
X/ 0 0 ri c le / ...5
. .„- u
L
❑ PASS ' . PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \� (�U� • 1/1 7 0 718-
2 Z
pe Date. / Phone #: (503) 718
1
CITY OF TIGARD , A
BUILDING DIVISION ' - PERMIT #: I3UP200: •00605
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11116120t I
Phone: (503) 639 -4171 At'V
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 1131200E TIME: 7:01AM PAGE: 21
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A -300 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: MATTHEVVS GALLERY
DESCRIPTION: fI, wallas & ceiling
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503-692 -00W
Inspection Request Scheduled For: Date: 1/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 024291 -01 503-956.6290 N
Corrections /Comments /Instructions:
' Llf■ . k: O C1--- "'" ---
p 2-(2-vvx, vie_62 v\ --\-) ,-,_)_ v-v..)-5 •
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \4 ; " Date: U •r Phone #: (503) 718 - "2-) l �" 1
1