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9009 SW HALL BLVD #210
CITYOF T I GA R D BUILDING PERMIT
PERMIT #: BUP2003-00646
DEVELOPMENT SERVICES DATE ISSUED: 11/10/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126C0-01100
SITE ADDRESS: 09009 SW HALL. Bl_VD 210
SUBDIVISION: WASHINGTON SQUARE PLAZA 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: Sf AREA SEP. 'RATED:
STOR: HT: ft GARAGE: Sf OCCU SEP. FATED:
BSMT?: MEZZ?: REQD SETBACKS _ _ _ REQUIRED
FLOOR LOAD: Psf LEFT: ft RGHT:iT ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 34,000-00
Remarks: New suspended ceiling.
Owner: Contractor:
WASHINGTON SQUARE PLAZA PERFORMANCE CONTRACTING INC
BY THE CAFARO COMPANY 8015 SW HUNZIKER ST
P O BOX 422 TIGARD, OR 97223
FLORHAM PARK, NJ 07932
Phone:
Phone: 684-5533
Reg #: LIC 00065074
FEES REQUIRED INSPEC'rIONS
Description Date Amount Susp Celing Insp
I BUILD1 Permut Fre 11/10/03 $350.80 Final Inspection
IfAXj R State Surcharl 11/10/03 $28.06
113111'1'1 NI hIn Iry 11/10/03 $228.02
111 til I I S I'll) P" 11/10/03 $140.32
—�-- Total $747.20-- �-
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 rul9s or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2.344.
Issued By: '
site
Signature:
ig _ y
Signatuu re:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit A iieation Received building -
— -- Q C
Date/BY: I .L' G Permit No.: --UL
City g of Ti ar6REC EIV ED Planning Date/By: pro al Other
Permit No.:
13125 SW Hall Blvd, Plan Revie other
Tigard,Oregon 9722 OV (j (�n
Date/By: �- U'�� j PermitNo.:
Phone: 503-639-4171 Fax; 503,59'811960 ' " Date/BPost-R : Land Use
Date/By: Case No.
Internet: www.ci.tig#r011 . �a� Contact Ju s.'. 5ce Page 2 for
24-hour Inspection fwifl_S�liic��`,�I4� NamciMethod: Supplemental Information
TYPE OF WORK REQUIRED DATA:
New construction 10 Demolition 1 &2 FAMILY DWELLING
Addition/alteration/re lacement I M Other:
CATEGORY OF CONSTRUCTION Note: Permit fees•arc based on the total value of the work performed. Indicate
I & 2-Family dwelling s1Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
Accessory Building Multi-Family
overhead and profit for the work indicated on this application.
Master Builder ;Other: valuation......................................................_ S
JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: _.
Job site address: 9oM5 t y( t (j Total number of floors...,.. _
Suite#: Bld /A t.#: New dwelling area(sq.ft.)..............................
_t? Garage/carport area(sq.ft.)............................
Project Name: f L,L!>,� Covered porch area(sq. ft.)............................. —
(( Cross street/Directions to job site: Deck area(sq ftA........................................... _
Other structure area(sq. ft.)............................
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision:
Tax map/parcel#: Note: Permit fees*are based on the total value of the work performed Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application
c •- t I.
i I Valuation..................
Existing building area(sq. (I.).........................
- New building area(sq.ft.)............................... --
Number of stories............................................
PROPERTY OWNER TZ TENANT Type of construction....................................... _
^^ �� Occupancy group(s):
Name: -� Existing:New:
Address: ycL L w I --
Cit /State/Zi ': rf r G 01 9 1 2 •
Phone: Fax: NOTICE: All contractors and subcontractors are required to be
APPLICANT CONTAC'P PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
.
Business Name: cA "I06id_U -L0A W jurisdiction where work is being performed. If the applicant is exempt
Contact Name: - r from licensing,the following reason applies:
Address: Tsu1s Sw' -
Cit /State/Zi "T j - - —
Phone: .z. -S; Fax: N 6 Z7 _ - -
BUILDING PERMIT FEES"
E-mail: ( #Mcs�}IK r-P � y4 Please refer to fee schedule.
CONTRACT
Business Name: �& �� c '�t Fees due upon application.................... ........
Address:—_JCLI_ 6,42 t 4 it R,,el
._.
e/Zi c Amount received
City/Stat . ...... ..... ............. . .. .. . S
Phone_:5t,� �ax:SC 3-f:�NZ�,2 Datereceived:---_
CCB Lic. #_ (;
Authorized ] Notice: This permit application expires If a permit Is not ohtainea within
Signature L A� Itn Date' J 1N0 da.Ns after it has been accepted■s complete.
'Fee methodoings set by Tri-County Building Induxtr-s Service Board.
(Please print name)
r\DslsTermit Forms BldgPermilAppdoc 01'03
Oise- and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits
citYI)fTigar�/ Cit of Tigard City g J Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 UOther: a
Phone: (503) 639-4171
Fax: (503) 598-1960
1111-1 1WING I I EMS' A-R-F IRFOIAIED
I Land use actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.Flood plain,solar hal-ince points,seismic soils designation,historic district,etc.
3 Verificatirm of approved plat/lot.
4 Hire district—,,,approval required.
5 Septic system permit or authorization for remodel. Existing r,ystem capacity
6 Sewer permit. _
7 Water district approval. _
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.
10 _L Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details, Plan review cannot be completed
if copyright violations exist.
I I She/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(it'
there is more than a a-ft,elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and
driveway:footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot
ansa;building coverage area;percentage of coverage;imperviousarea-,existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size, location of smoke detectors,water heater.
furnace, ventilation fans,plumbing fixtures,balconies and decks 30 etches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof'construction. More than one cross section may he required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stain.,
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction:minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable. _
16 Wall bracing(prescriptive path)and/or lateral analysis plans,Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
locations.Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beamhoist carrying a non-uniform load.
20 Manufactured 1loorlroof truss design details.
21 Energy Code compliance, identify the prescriptive p.ah or provide calculations, A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,sl ear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall he shown to he applicable to the project under review.
23 Five(5)cite plans ate required for Item I I above. Site plans must he 8-U2•• x 11"or I I"x 17".
24 Two t 2)sets each are required for Items Ib, 19,20& 22 ahove.
25 Building plans shall not contain red lines or tape ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans )wst meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to scale" indicates staraard architect or engineer scale.
28 Si plan to include tree size,type& location per appro%ed project street tree plan(if applicable),and col Street Tree List.
hecklio. mu:,t he completed before plan revie%N start date, Minor changes or notes on submitted plans mai he in blue or black ink.
Red ink is reserved for department use only. U)4M1)4 16A K)WO sr)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
_ Bup •.3- aa� ��
Received . Date Requested -AMPM_-___-___. BUP _
Location __.-_. ____ _. Suite a �_ MEC - -
Contact Person _ _ - -_ Ph( ) �? - PLM _
Contractor -.-- --- Ph (-____) _._ _ _- SWR
BUILDING TenanUOwnerELC
Footing ELC;
Foundation Access:
Ftg Drain ELR - -- -
Crawl Drain ^
Slab Inspection Notes: SIT
Post&Beam ---- - - - ---- _- _. ---- ---_.^
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - --- -- -_ ------- -- _
Insulation
Drywall Nailing --- ----- -- ----- --- -
Firewall
Fire Sprinkler - -- -------- _ -_
Fire Alarm
us 'd Ceilin - ---- --_ - -- ----
Root
_
Other
i
S RT FAIL
ING
Post&Beam
Under Slab - -
Rough-in
Water Service
Sanitary Seaer
Rain Drains ---- --
Catch Basin/Manhole
Storm Drain -- - ----- -- -- - -- - -
Shower Pa^
Other:
Final
PASS PART FAIL
MECHANICAL - -
Post& Beam
Hough-In - -
Gas Line
Smoke Dampers - -
r-Inal
PASS PART FAIL - -- -- --
►L.ECTRICAL
Service
Rough-In
UG/Stab
Low Voltage
Fire Alarm
Final C� Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASSPART -FAIL
SITE _-_'_-�_ L] Please call for reinspection RE:. _ F] Unable to inspect-no access
Fire Supply line
ADA //
z - � � )
Approach/Sidewalk Date-_-- Inspector _ -- Ext------
other _
Finial DO NOT REMOVE this Inspectlon record from the joke site.
PASS PART FAIL