Permit a CITY OF TIGARD .1--- v BUILDING PERMIT
III PERMIT #: BUP2008 -00332
COMMUNITY DEVELOPMENT DATE ISSUED: 10/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135BA -01802
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE TOO LOT: 025 JURISDICTION: TIG
PROJECT: BANK OF AMERICA
Project Description: Ada improvements to existing storefront entrance.
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 66 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 15,000.00
Owner: Contractor:
PPR SQUARE TOO LLC BNK CONSTRUCTION INC
101 N TRYON ST 10730 SE HWY 212
CHARLOTTE, NC 28255 PO BOX 66
CLACKAMAS, OR 97015
Phone: Contact #: FAX 503 - 557 - 1085
PRI 503 - 557 - 0866
Reg #: LIC 107555
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 10/2/2008 $101.04
[FLS] FLS Pln Rv 10/2/2008 $62.18
[BUILD] Permit Fee 10/10/200E $155.45
[TAX] 12% State Surch 10/10/200E $18.65
Total $337.32
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 tility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of th e rules or dire • . - • \ to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu d By: L L , � ( ',kid . / Permittee Signature: qt
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.
134 c MlMEP-4 c- (0 10 1 UK*
Building Permit Application
Commercial I 1 FOR OFFICE USE ONL1'
1.11,„, • City of Tigard e ' �� Date/B j7� ; i / //L X 11
13125 SW Hall Blvd., Tigard, OR tig ' Plan Revie . D r
Phone: 503.639.4171 Fax: 503. ' \ $ I Date/B . I �l�t) I
�� Other Permit:
Inspection Line: 503.639 x ; \ �® Date ReadyBy See Page 2 for
T I G A R U
Internet: www tigard- or.gov ��,� otifie �; Supplemental Information
- �� ®i \�1 \SW:
TYPE OF W ®*0 REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ 24tion Permit fees* are based on the value of the work p -'ormed.
Indicate the value (rounded to the nearest doll. - of all
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and • e profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling NE Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
4 ❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floor
N Job site address: 1plot sw kAgask s . Rd. New dwelling are. square feet
City/State/ZIP: 'T ; B ard , oR. C 7 Garage/carport : ea: square feet
n Suite/bldg. /apt. no.: Project name: Uk 9 Aa ,=, Covered po h area: square feet
' Cross street/directions to job site: 14,01 run en SW 1,W( Nvd, 46,.Jaro( Sw Deck ar •: square feet
r nte/ie..t( Sf, iUfr► left 41 I- 9.4f (.ews1- WI �qkk. Le(a- ti� SW 481:011 structure area: square feet
(sre bt►a1 141 -fvrn r��h4 cal- SW 6),$16, R o 1 REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
1 iV Valuation: $ I5, o
;Ai. • ,. A . e, . re L.
1 , Existing building area: y S( t( square feet
"ILUSS aid tnknoe vIN+v'1rS S.IC(n, 1s Pofntfvre, ctAci Sijnase,. t
New building area: square feet
2,._ PROPERTY OWNER I ❑ TENANT Number of stories: 1
Na me: k eE a e itt ,o yV1inVue. = Pied Gemoo(':OV\ Type of construction: 11 It
Address: I co t Litt% /,,,,,, 4 vi R Occupancy groups:
a t) City /State/ZIP: 3, (,,VA ,w Existing: 13
4 Phone: ( ZJCSo) A t g52S Fax: ( )(3t1,,)'"�lb — 5�Q2 S New: k VA '
❑ APPLICANT 1p CONTACT PERSON NOTICE
Business name: M 4'eAIAn A ccinACLT"re, All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
C
e ►annG C. under ORS 701 and may be required to be licensed in the
Address: SI 8'S (S8 Ht Aue,, 14G Sva.e. '1,$p jurisdiction in which work is being performed. If the
City / State/ZIP: color applicant is exempt from licensing, the following reasons
apply:
t's�'�t"f°^cl
O Phone: ('(t1 ) e as -- Fax: : (4.41s - ) i ((O1
E -mail: br Zgnnt, @• rh 'l , a(anrbrci,,l teefS. corn
CONTRACTOR
Business name: INK (A h Y Ji ,t r N BUILDING PERMIT FEES*
Address: I j'?) 5'0 1 • Aiti t 0.1 ' do &h (Please refer r fee deposit):
/ State/ZIP: '' (N_/ Structural plan review fee (or deposit): ( V' � ()L,
Cit
y ` r �. �� 9) U/> FLS plan review fee (if applicable): V
Phone: 4")3 ) 35 ! --1 Fax: (503) 55 7.. 6
CCB lic.: v Total fees due upon application: . a 2
�0 1 �^
�� ` , / Amount received: � t. 4
Authorized si l atur jam This permit application expires if a permit is not obtained
�� �-, within 180 days after it has been accepted as complete.
Print name: — ri a t ne CA I I e Date: I ?,3 b y * Fee methodology set by Tri-County Building Industry
Service Board.
IABuilding\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T( /02/COM/WEB)
CITY OF TIGARD - •
BUILDING DIVISION PERMIT #: BUP2008.00392 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2008
Phone: (503) 639- 4171�4pi�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ -'�� : -- /
INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 10101 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE TOO LOT #: 025 TYPE OF USE:
PROJECT NAME: BANK OF AMERICA
DESCRIPTION: Ada improvements to existing storefront entrance.
OWNER: PPR SQUARE TOO LLC, PHONE #:
CONTRACTOR: BNI( CONSTRUCTION INC PHONE #: 503 -557 -0866
Inspection Request Scheduled For: Date: 12/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 078752 -01 503 - 888 -7454 N
Corrections /Comments /Instructions:
.} 1 1„i (f t L it .)\
"ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L " l t/ Date: /� Phone #: (503) 718- I
P ( )