Permit BUILDING PERMIT
CITY OF TIGARD
i PERMIT #: BUP2006 -00504
COMMUNITY DEVELOPMENT DATE ISSUED: 11/8/2006
Tic,OD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104BB -07900
SITE ADDRESS: 14350 SW BARROWS RD 001 ZONING: C -C
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT: 002 JURISDICTION: TIG
Project Description: AVALON HAIR SALON. (1,505 sq ft area) Alteration of (12) sprinkler heads.
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 16 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: $ 1,320.00
Owner: Contractor:
ALBERTSON'S INC #576 CASCADE FIRE PROTECTION
PO BOX 20 24023 NW SHEA LN. #110
BOISE, ID 83726 WOOD VILLAGE, OR 97060
Phone: Contact #: PRI 503 - 491 - 8755
FAX 503 - 491 -8768
Reg #: LIC 89086
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/19/200E $62.50
[FLS] FLS Pin Rv 10/19/200E $25.00
[TAX] 8% State Surcharl 10/19/200E $5.00
Total $92.50
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 rules or dired questions
to OUNC-liy calting,503.246.6699 or 1.800.332.2344.
n
I ued B '� i!�! P ermittee S(gnature: - \ , / �� ,(4. / ( _ )
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.
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Fire Pro e c ion System
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Building Permit Application tis � ,t } r F OR OfF IC U SE Q NL I. �n t . ti ' A ntif
City of Tigard A Env ED Dale /B q `j � ennit No t 1 J�/'' ‘J [�5 ac
13125 SW Hall Blvd.. Tigard, OR 972 1 , � Plan Rev'
Phone: 503.639.4171 Fax: 503.598.1 6
VA) v
b�� 4 Date/By II/3100 Other Permit:
Inspection Line: 503.639.4175 � C i % 9) .2 . 2 . c1 1 3 . 2 . c1 1 3 1 I I Date Rea. • : : Juris RI See Page 2 for
Internet: www.c i.tigard.or.us Notified/Method: Supplemental Information
GCM( OF TIGAR D
77 ioN
T \P.E11obF . - , "" REQUIRED DATA 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work pertbmied.
Indicate the value (rounded to the nearest dollar) of all
p Addition /alteration /replacement ❑ Other: equipment, materials. labor. overhead. and the profit for the
CATEGORY OF CONSTRUCTION, work indicated on this application.
Valuation: S
❑ 1- and 2- family dwelling 15t 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: /l�3 50 3,9., e pf s 7 ,9e New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite /bldg. /apt. no.: Oo Project name:401 A) (4 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: S
4)b Q/ d 7,v (0 /-77< 4
� . e- ''� 9,e;,� �,
/ ) /(JeS 4 � / 1 A W C , r f 1 / l . ) % ,L ' J /r6tJ/7,v f, osZe Ex b u il din g area: � � square f eet
New building area: square feet
❑ PROPERTY OWNER ❑ . TENANT Number of stories: '
Name: Type of construction:
Address: Occupancy groups:
/rpr ko _
City /State /ZIP: Existing: i/_ O CC-
Phone:( ) Fax: ( )
New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to he
Contact name: 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: `/,�� 7 _,... e /0„��PC7i'a�/ ( BUILDING PERMIT 'FEES*
n ' 7
Address: j 5/ �) 5a - 7 / �� "7 Please refer to fee schedule.
Cite /State /ZIP: �� !/l /f �� ��� � �,�
(5-(29)/// fix) ,7� 7 Fees due upon application �� 1
Phone: j -75 Fax: (503) 197 e p 7,e
Amount received 90 ( k
CCB lic.: c 9 .6
O Date received: /0-167-0 6
Authorized signature: This permit application expires if a permit is not obtained
'c-ieL- 1 within 180 days after it has been accepted as complete.
Print name. � d /n / ) D ,,; e S Date:`0 * Fee methodology set by Tri- County Building Industry
Service Board.
is \ Building \Permits \FPS- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB)
CIT O
BUILDING DIVISION PERMIT #: BUP')0013-00504
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/7036
Phone: (503) 639- 4171���a'��i I l .
Inspection Requests (24 Hrs.): (503) 639 -4175 'F
INSPECTION WORKSHEET FOR DATE: 1211/2006 TIME: 6:58AM PAGE: 46
SITE ADDRESS: •14350 S` BARROWS P1) 001 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCI - IDLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: AVALON HAIR SALON
DESCRIPTION: AVALON HAIR SALON. (1,505 sq ft area) Alteration of (12) sprinkler heath.
OWNER: AL.BERTSON'S INC #676, PHONE #:
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503-491-8755
. Inspection Request Scheduled For: Date: 1j1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 040535 -01 503.572- 4603 N
Corrections/Comments/Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL i ❑ CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED 4 j
Inspector: , I Date: 0 I c, Phone #: (503) 718- -'�,'61