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_11920 SW GREENBURG ROAD
SUITE 150
PERM11 # . . . . . : PILM9,.5-00
-`1TY OF TIGARD . .
DATE* I 6SUE 01/26/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 P,A R GE L. . .15 1 35JDD---04400
D #5. 150
bDIVISIUN. ZONING: C--F'
OCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
ASS OF WORK. . tALT GAPBPKA-,� WSPIOSALS. 110BIi.-L 1401YIE
WL W- LJ..)L. . . . I LOM WASHING MACH. . . . . . . : SACKFLOW P,REVN'l KS. . :
CUPANCY GRP. . : FLOOR DRAINS. . . . . . . . TRAP'S. . . . . . . . . . . . . . :
URIES. . . . . . . . 31 WATER HI-4)'mm9s. . . . . . , CATCH BASINS. . . . . . . .
: XT'Ulll.L-5--, ------- --- ------ LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
NKS. . . . . . . . . . : i URI NALS. . . . . . . . . . . . .. GREASE TRAP'S. . . . . . . :
4VATURIL6. . . . . o"rHER FIXTURES. . . . .
oki/,1�HUWt W} j. . . . SEWER LINE (ft ) . . . .
Lo,- '
Lm . i
.) W("4l1'LR LINE (ft ) . . . .
'-iHWt-'4SHLRS. . . .
RAIN DRAIN (f t )
-mAr,ks, : Ov,egon FiIbert -- office addition RELOCATE I SINK AND I TOILET
"lleyl: FELS
KL STEVENSUN t y F)e amount by date v,ecpt
.4elIA LAW bRLENIAUH(-, ROAD P,RMJ $ C.J. 00 JG 01/0216/95
5P,L'i $ I JG 01/1.216/1)b
GARD OR
olle #I
ontract 0.":
N W(411CONSTRUCTION I1q(;
i BOX 230925
iGORD OR 97r81
io-e 6B4 4431 $ 21:+.
(4
REQU I t-i) i iv r L.L I I diva
is permit is issued subject to the regulations contained in the 'I a P-0 ktt I r)S jj
i:a-d Nuniciui Lade, State of Ore. Specialty Lodes and all other Final Inspection
.1oiicable laws. W) work will be done in accordance with
loroved plans. This permit will expire if worF is not sta-ted
thin IN dans of issuance, or if work is suspended for so-e
an 180 days.
Issi-ted LAyt
Call --for---i-r-)spect-ion 639-4175
(503) 6.39-4111
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residences Only
^d'••• p ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job 1 1'A Z U SL,3 6 1 �, �<;-1 ❑ 3 BATH HOUSE$225.00
Address aupma._ zipFee includes all plumbing fixtures in the dwelling and the first 100 feet
`i�r? ��, ��•2 ` 1 �� .� of water service, sanitary sewer and storm sewer. See fees below.
"""•'" "•'""°'a'"•^^' FIXTURES QTY PRICE AMT
�1 v� ^{P••c ,i�" n 3r .1)Ly 3 5 Sink 9.00
M"Ina^dd••• P1— Lavatory 9.00
Owner V-1(-)C) S�;J �s „• t (?= Tub or Tub/Shower Comb. 9.00
c•�r''•" Z'^ Shower Only Y 9.00
2-1 Water Closet--^' 9.00
N.m.la mm.•1 MnNn.) Dishwasher 9.00
l -
c r, .ALX ,• Garbage Di3posa! 9.00
Occupant M&Mg Aftm ons,. Washing Machine 9.00
ll`iuc-- r �,. �� c9 Floor Drain 9.00
o"+'s'•'• Z1^ Water Heater 9.00
Laundry Room Tray 9.00
"^"• \ (c�`+ V 3� Urinal 9.00
- ;r *;; -' -T Other Fixtures (Specify) 9.00
M.tia A"." P".,. 9.00
Contractor ``,, ,
i cbb5 �� Tjr�1 w\� 2�0 900
cMis�.�. tw
900
Sewer 1st 100' 3000
^'•"•w"•"°^No cm a° '•^N.
Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 2.00' 25.00
information given is correct, that I am the owner of authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Contractoi's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given N correct. (If exempt from State registration, please -
give reason below) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 900
P^' "^"'• ° •a"^' — o•'• Any Trap or Waste Not
i Connected to a Fixture 900
Describe work new addition (_) alte:ration repair Catch Basin 9.00
to be done residential Q non-residential Q Insp. of Exist Plumbing 40.001hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property 0 �t LRain Drain, single family dwelling_ 30.00
Residential backflow prevention
devices 1500
Proposed use of -\ --
building or property _ —
'(Except residential backflow
prevention devices)
NOTICE "Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION `~
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED --FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions _
-- —� Date issued ` --`--by —� -
CZY O F T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 BUILDING PERMIT
PERMIT #. . . . . . . t BUP94-&_,1-)i
DATE ISSUED: 11/02/94
639--4171
PARCELt 1SI35DD-04400
SITE ADDRESS. . . . 1, 1920 SW GREENBURG RD #9. 150
GUBDIVIS31ON. . . . I ZONING: C-P
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . .
--------------------------
REISSLJE- FLOOR EXTERIOR WALL CONSTRUCTIOINI
CLASS OF WORK. :ADD FIRS,r. . . . ..400
N: lHR S: E.ii W:
'IYP'L OF USE. —COM SECOND. . . -. Sf PROTECT OPENINGS?-------------
TYPE. OF CON'j] . 25N THIRD. . . . : S f NiN Ss Ea W.
OCCUPANCY GIMP. :B2 TOTAL----------: 4 0 0 s ROOF CONST: FIRE RET? :
UC LUPIANCY LOAD:4 BASEMENT. s *f AREA SEP. RATED:
�il*()R. : l HT. -. 16 ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT9.-N MEZZ7:N READ SETBACKS--------- REQUIRED----_-_--._-_---_-__
FLOOR
ED-------------------
FLOOR LOAD. . . . : p s f LEFT: ft RGH'. ft FIR SPKLaN SMOK DET. . :N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRMsN HND ICP ACC:Y
BiEDRMS% BATHS: IMP SLIR'ACE:00 PRO CORRiN PARKTNG:
VALUE. $j 45000
Remarksi Oregon Filbert- office addition
UWner: -------------------------------------------------------- FEES ---------------
MIKE STEVENSON type Ainoi.Ant by date reept
11920 SW GREENBURG ROAD PRMT $ 260. 50 JS 11/02/94 -
PLCK * 169. 33 - 09/20/94 94-256941
-116(4RD OR 97223 FIRE $ 104. 20 - 09/20/94 94--256941
Phone #: 5PCT $ 13. 1213 JG 11/02/94 -
EROS $ 26. 00 JG 11/02/94
Contractor: 1 8. 45 J6 11/02/94
TOUCHSTONE HOMES, INC ERPC $ 8. 45 JG 11/02/94
P0 BOX 23112186 TIF' $ 933. 00 JG 11/02/f14
TIGARD OR 57281 ---------------------------------------
Phone #: 639-3829 f 1522. 96 TOTAL
Reg #. . a 50948
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot/VoLtnd Insp
Tigard Municipal Code, State of Ore. Spi!cialty Codes and all other Post/Beam Insp
applicable law.. All work will be done in accordance, with Framing Insp
approved plans. This permit will expire if work is not started Roof nailng Insp
within 189 days of issuance, or if work is suspended for morp InsLilation Insp
than 181 days. Gyp Board Insp
Sl-ksp Ceilng Insp
Final Inspection
Pet-m I ttee 1.gnat�.tre-
I ssi.ted By : ---------
Call For inspection 639-4175
C CommercialBuildingBuilding Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639.4171
11 Su;t1 Iso . t
Jobsite Address: l � 2D L-1 'ee 'D-J
Tenant: O�B��OnIY Suite rk SU Office Use Only
Valuation: 5 Planck/Rec# f •' r - _
�'
Permit #
Owner: IT) . C��' <JC r1 VC)
Map & TL# t5
Address: _1 l`1 2C) 5 c•-� �► V>V4 Approvals Required !
�gczo C)� Planning
Phone: ��1 Engineering !w
Other
Contractor: U-C
ddress: I-_; S
Type of const: 4etz' r `
Occupancy class.,
hone: � �� LI'S V 2. 1� -
Sprinklered^ Yes No
Con ctor's License#— 5 C7 Ci'-4 1
(attach copy of current Oregon license,' Sq. ft. of project: 4 V D
Story (1st, 2nd, etc.)
Arehltect/Engineer: IX��1- V, Proposed use: N c f. _
Address: Previous use:
Note: Plumbing & mechanical plans
y must be submitted at time of
Phone: CT building permit application.
COMMENTS:
Applicant Signature & Phone number
Received by: A16 Date Received:
Permit# Account Description Amount Amt. Pd. Bal. Due
909 9 U f Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb.-
Mech:
lumb:Mech:
Plan Check (PLANCK)
Bldg. -- —
Plumb.
Mech
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSDC) `
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) ,�)i� �vD
Commercial T;. (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O) k L e ( .�h
Water Quality (WQUAL)
Water Quantity (WOUANT'
Fire Life Safety (FI_S) , 2 U
Erosion Cntrl Permit (ERPRMT)
Erosion PlanckJUSA (ERPLAN) e'`K
Erosion Planck/COT (EROSN) --
TOTALS:
DATE: PLANS CHECK NO.:
_�/ _-, Ll J
/ G
PROJECT TITLE:
7
COUNTYWIDE -
i
TRAFFIC IMPACT FEEF APP CANT;
WORKSHEET - ,
MAILING ADDRESS:
('-C#R NON-SINGLE FAMILY USES) c".
CITY/ZIP/PHONE:
RATE PER -f
LAND Q5�QATEQQRY TP, TAX Alt. NO.:
RESIDENTIAL $155.00
S AND rl"IMMERClAL $39.00 SITUS NO.ADMESS:.k= OFFICE /
143.00 c L S't*" i
INDUSTRIAL $150.00 /
INSTITUTIONAL $64.00 �� 5 '
PAYMENT METHOD:
CREDIT INSTMJTIONAL ONLY:
BANCROFT PROMISSORY NOTE),LAND USE CATEGORY ESCRIPTION OF USE 'EKDAY AVG TRIP RAI WSEEK.END AVE TRIP RA
DEFER TO OCCUPANCY --
BASIS:
CALCULATIONS:
TiF = jJ s r l(�.�i l n k/y�
.v
PROJECT TPIP GENERATIOW
r-_
fEE: ,
ADDITIONAL.NOTES: FOR ACCOUNTING PURPOSES CNLY'
ROAD AMT.: T — C
TRANSIT AMT.: Ihc(`u•_
PREPARED BY:
CC' WASHINGTON COUNTY
1 IF NOTEBOOK
"6m t1110
Page No. 1 CASE HISTORY MR CASE NO.: BUP94-0291
MIKE. STEVENSON
11920 SW GREENBURG RD Unit: S.15
04/10/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
SUPCO07 Application received / / / / 09/20/94 09/?6/94 MAB
HUPCO10 Plan check deposit paid / / / / 09/20/94 r1/26/94 MAB
SUPCO20 Plan check by / / / / 10/14/94 APPR MB 10/14/94 MAB
DUPC040 Check for prcl. restrict. / / / / 09/21/94 NIIF JIG 09/2G/94 MAD
SUPC100 (F) Issue permit / / / / 11/02/94 PASS JW 11/02/94 JO
RUPC705 Foot/Fo+uld Insp 09/26/94 / / 11/02/94 tie vert bare to maintain 3" MIN TO DIS GS 11/03/94 GES
GROUND
BLOCK OUT FOR ("PAWL ACCESS
MUCK OUT FTGS
SUPC705 Foot/Found Insp / / / / 11/07/94 APP GS 11/07/94 OHS
BUPC710 Post/Beam Insp 09/26/94 / / 11/22/94 PIBRPAD AND POST UNDER BEAM HND DIS OS 11/22/94 GES
MIN 2 NAILS 'r ENP OF POST/BEAM GUSSHT
MOVE NONPRRSSGRE TREATED POSTS MIN 1/2"
FPOM CONC
SOME PLATE W&SHERS MISSING
CRAWL ACCESS TO EXISTING BUILDING
LEDGER AT EXIST BUIL7ING
CRAWL DRAIN W/BACKWATER VALVE' NEED TO
KNOW IF PUMP IS NEEDED FOR BW VAL
NO MECH IN
BUPC710 Post/Beam Inap / / / j 11/23/94 LEAVE OPENING IN FLOOR FOR INSTALLATION APP GS 11/21/94 GES
AND INSPHCTION OF rRAWt. DRAIN AND PUMP
IIF NNEDRP)
NO MHCH OR ?LM UNDERFLOOR
BUPC710 Post/Beam Insp / / / / 11/29/94 STILL NERDS PUItP FOR CRAWL DRAIN APP GS 11/29/94 GBS
BUPC740 Framing Insp / / / / 01/24/95 PASS TLP 01/25/95 TLP
BUPC')30 Insulation Insp / / / / 01/26/95 PASS RB 01/26/95 RB
BUPC760 an Board Inap / / / / 01/27/95 APP GS 01/27/95 GES
RUPC762 Sump Coling Inap 09/26/94 / / 02/17/96 AFP GS 02/17/95 GHS
BUPC799 Final Inspection / / / / 07/02/96 APP GS 07/02/96 GHS
BUPC950 (F) Issue Cert. of Occupancy / / / / 07/02/96 JF 08/22/96 JF
BUPC960 Case Finaled / / / / 07/02/96 APP GS 07/02/96 GHS