Permit (12) BUILDING PERMIT
9 'CITY OF TIGARD
C OMMUNITY DEVELOPMENT D ATE ISSUED: BUP 200
�� o s 7 o0
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BB -01400
SITE ADDRESS: 12006 SW GARDEN PL BLD6 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: CUSTOM DECORATORS
Project Description: Add (2) fire spinkler heads in expanded bathroom.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: 256 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: $ 600.00
Owner: Contractor:
RREEF
101 SW MAIN
PORTLAND, OR 97205
Contact #:
Phone: 503 - 295 - 555
Reg #:
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 10/18/2007 $62.50
[TAX] 8% State Surchart 10/18/2007 $5.00
Total $67
This permit is issued subject to the regulations contained in the Tigard Munidpal 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 - • - • an 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.
Those r. es are set forth • - • 52- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct que tions to OUNC by
callin.- 503.246.6699 or 1 :00.33 .2344.
ti 1/ : �i ' Permittee Signature:
Issu -d By:
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.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard Date /B : � 7 NA i
IM I
i)
v 13125 SW Hall Blvd., Tigard, OR 97223 Received Plan Review Permit No.: , P„,-4,„,„ _ 40,55/
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
T I GARD Inspection Line: 503.639.4175 Date Ready /By: 1u ®See Attached Checklist for
Internet: www.tigard- or.gov Notified /Method: /'f/ 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
'O Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /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: 1 (?DC9 -t/ & -jt, al/1 �G� New dwelling area: square feet
City /State /ZIP: '�"( P I/ q-)22.3 Garage /carport area: square feet
t
Suite/bldg. /apt. no.: Q Project name: 6 1)5 4 0 .
1)S 14s D aL47,0 r . n 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.
Valuation: $
kCiel Ca) Q P.�d.eudf- .sP�tnk-ler c�s ; e QPtl COOn
b 4 i I �� Existing building area: square feet
tU New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: G(/t. 1U ( b45 i "UY1 Type of construction:
Address: FO Box (p' -]l Occupancy groups:
City /State /ZIP: B._ i ' t
3 o q�o)c Existing:
eer
Phone: 5 ) 1 15 - )' 3%$1 0$1 Fax: ( ) New:
al APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ire or _l f i'.�-- All contractors and subcontractors are required to be
Contact Wane: rr C licensed with the Oregon Construction Contractors Board
C.GI )l vt(e� under ORS 701 and may be required to be licensed in the
Address: (sup b E. /,Aft Atl 61 (3� jurisdiction in which work is being performed. If the
C� ��' a pplicant is exempt from licensing, the following reasons
City /State /ZIP:,
q llca W apply:
Phone: (364 ) 03 - /ct OD Fax:: (5b3 ) 02-6q — 2X
E -mail:
CONTRACTOR
Business name: 50 - co C901,e_— BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
CCB lic.: Yci-72 Total fees due upon application:
Amount received:
Authorized signature: A/A This permit application expires if a permit is not obtained
v J within 180 days after it has been accepted as complete.
Print name: g L cS � l � Date: lb// / * Fee methodology set by Tri- County Building Industry
ems` t (S Service Board.
1. \Building \Permits \B11P- PermitApp. doc 03/21/06 440- 4613T(I I /02/COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: G Up1007 -00 ;5l
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10i18/2007'
Phone: (503) 639 -4171 p�I.Illi`
Inspection Requests (24 Hrs.): (503) 639 -4175 , -���'*
INSPECTION WORKSHEET FOR DATE: 60/f912007 TIME: 7 :01AM PAGE: 3f
SITE ADDRESS: 12006 SW GARDEN PL BLD6 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: CUSTOM DECORATORS
DESCRIPTION: Add (2) firs: spinHer heads in expanded bathroom.
OWNER: RREEF, PHONE #: r03-23rr
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinlder final 0,57943 360:693-9906 h!
Corrections /Comments/ Instructions:
j `'
f
•
PASS I 1 PARTIAL APPROVAL 1 I CANCEL I I NO ACCESS
I FAIL n CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: Date: 6/ 11 1 6-7 Phone #: (503) 718- Z ' /