Permit CIT b TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00461
,c i
�l� DEVELOP R 503-639-4171
DATE ISSUED: 9/12/2005
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: TI - Remodel restrooms, add (2) showers.
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: F2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 72 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: $ 6,500.00
Owner: Contractor:
AMB PROPERTY L P EVERGREEN ENGINEERING
BY TRAMELL CROW NW INC 20827 NW CORNELL RD.
8930 SW GEMINI DR HILLSBORO, OR 97124
WAVE RTON, OR 97008
one Phone: 503 - 439 -8777
FEES Reg #: LIC 151480
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/12/2005 $110.50
[TAX] 8% State Surcharp 9/12/2005 $8.84
[BUPPLN] Pln Rv 9/12/2005 $71.83
[FLS] FLS Pln Rv 9/12/2005 $44.20
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 -0s i. e • ough OAR 952 - 001 -0100. You may obtain a copy of these rules or,' irect ques ons to OUNC by
calli ' g 503 - 246 -6:99 , r - 800 - 332 -2344.
Iss -d By: i 4 i Permittee Signature: i i 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.
1.
k Building Permit Application Egli OFF ICE: USE OINL\
/
City of Tigard Date/Bv R eceived . 9 i - Permit No : ► . „ - , - IQ / •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review DateJS . . /,
Phone: 503.639.4171 Fax: 503.598.1960 * " •. I ` - r7� Other Permit.
Inspection Line: 503.639 4175 A -'I l� .
Checklist Ready "y /FM ®See Attached hecklist for
Internet: www.ci.tigard.or.us Notified/Method Supplemental Information
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
D�' Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- w indicated on thili
Valuation: $ .
CATEGORY OF CONSTRUCTION this app f � `) C b
El 1- and 2- family dwelling Commercial /industrial
❑ 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: ‘651.- � ) Cc., SLR ck New dwelling area: square feet
City /State /ZIP: ' c C--l 22 . 2 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: t -x ... l )C.12.4cotv - \, 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 WOR work indicated on this application.
(®® � _( fi ��,. 5 ���- ` Valuation: $
� Existing building area: square feet
' New building area: square feet
❑ PROPERTY OWNER - TENANT " . Number of stories:
Name: t•'NCv n Type of construction.
Address: \,c �(.1.. Cssc -_ (>. . l Occupancy groups:
City /State /ZIP: " (C-6 d T Existing:
Phone: ( ) Fax:( ) New:
. , : ❑ APPLICANT - - CONTACT PERSON NOTICE
Business name: — l lZl." c...._ All contractors and subcontractors are required to be
Contact name: Ct t_,- licensed with the Oregon Construction Contractors Board
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 �O��OOY��� `1 S-Q..,(■. BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
•
City /State /ZIP: Fees due upon application '
Phone: ( ) Fax: ( )
Amount received
CCB lic.: _
� l t Date received:
Authorized signature: \ l 4 This permit application expires if a permit is not obtained
r I within 180 days after it has been accepted as complete.
Print name: v )t . C fk Date: k.-2., � l � * Fee methodology set by Tn- County Building Industry
Service Board.
I \Buildin 11- PennitApp doc 12/03 4404613T(I I /OLCOM/WEB)
Building Division
1 r�l�, Plan Submittal Requirement Matrix
Commercial & Multi - Family - New, Additions or Alterations
Coy 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 \ Buddmg\Permits\BUP- TI- PennitApp doc 12/03 440-4613T(1 I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00461
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 9/12/2005
Phone: (503) 639 -4171 i � l
Inspection Requests (24 Hrs.): (503) 639 -4175 °• __..
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 86
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCC)N
DESCRIPTION: TI - Remodel restrooms, add (2) showers.
OWNER: AMB PROPERTY L P. PHONE #:
CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503 - 439 -8777
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm #. Contact # Message
299 Final inspection 019364 -02 503-407 -4755 Y
Corrections /Comments /Instructions:
4
•
ASS ❑ PARTIAL APPRO L ❑ CANCEL ❑ NO ACCESS
FAIL ❑ . • IN' PEC ION ❑ ADDITI NAL EES ASSESSED
11 l l
Inspector: J A Date: 1 (5
Phone #: (503) 718-
CITY OF TIGARD 4. - -•
BUILDING DIVISION #: BUP20 05 0046 i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 911212005
Phone: (503) 639- 4171ft
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 312312005 TIME: 7:08AM PAGE: 109
SITE ADDRESS: CLASS OF WORK:
10575 SW CASCADE AVE 130
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON
DESCRIPTION: TI - Remodel restrooms, add (2) showers. •
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503- 439 -8777
Inspection Request Scheduled For: Date: 9/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016918 -01 503-407 -4755 N
Corrections /Comments /1 tractions:
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r-.L.J1)-- . 5--k 0) SC. -e.(i∎ .
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0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL , ❑ NO ACCESS
❑ FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " `� " �� Date: 971-4 Phone #: (503) 718-