Permit Iii .�' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00289
COMMUNITY DEVELOPMENT DATE ISSUED: 6/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114AA-00200
SITE ADDRESS: 16285 SW 85TH AVE 103 ZONING: I -P
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT: JURISDICTION: TIG
PROJECT: CHEZ GOURMET
Project Description: TI - CHANGE OF USE.
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 1,700 sf N: S: E: W:
OCCUPANCY GRP: Fl TOTAL AREA: 1,700 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 17 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED: 1HR
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,200.00
Owner: Contractor:
BIRKEMEIER, BRENT T /JANET D TRS
BY THE BIRKEMEIER FAMILY TRUST
10573 SW NAEVE ST
TIGARD, OR 97224
Contact #:
Phone:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/12/2007 $62.50
[TAX] 8% State Surcha 6/12/2007 $5.00
[BUPPLN] Pln Rv 6/12/2007 $40.63
[FLS] FLS Pin Rv 6/12/2007 $25.00
Total $133.13
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Ore. e II ility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through Oe - 952 - 001 -0100. You may obtain a copy
of ese rules or direct q - • ins to OUNC by calling 503.246.6699 or 1.800.332.2344.
I sued By: MOP"' /� 4 9 / 4 �� j Permittee Signature 4 0 1 ,
'
Call 503.639.4175 by 7:00 a.m. for an inspection that busine —:y.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mai 31 07 08:36p ^' Mp,'2K VAN � bMEL�N N / � � �. •--- P• 1
�= t � G`":. r., b E OITO-. C o
W o � « ` ^ T
Building Permit Applica
‘'.-J -- -
` l FOR OFFICE l.s e ONLY
��' � '`
City of Tigard
- -- -0
's 13125 S Hap Blvd, Tigard, OR 97223 ' r n !' '111
I N
Phone 500 3.639.4171 Fax: 503S9g.19 i J I Plan Review� 1007 Plan i(w' Other Peraut
T I C I I. D lnspecbon Line: 503.639.4175 ,,-,, ,- Date • >.. �""" ® See Attached Checklist for
• Internet: www.tigard-or I a / r. N.4' rcd/htethod: I j� 1" l Supplemental ]aformaInformation on
t `" e l ..1 hi` \ � ) —1 r
• r.: �. .�, ' f•- -. 17; 311 E I E --.+ . ..+;.. 4 r t•f��N �: 1 : l`u •�
°r- 6aw?.�.5_�� tires 11 fficikte- '
❑ New construction 0 Demolition Permit fees* are based on the value of the work performed.
❑ Addition /alttration/replacement i G Indicate the value (rounded to the nearest dollar) of all
($Other: c
Valuation e=' 0 , merit, materials, labor, overhead, and the profit for the
;; _- - . ,� CA•g 441 e g �- - ta mi "` l ' ` ;� •�-: indicated on this application.
P
❑ I - and 2- family dwelling (�►p+ciallundustrial S
❑ Accessory bolding ❑Multi - family Number of bedrooms: .., '
❑Master builder Other:
Number of bathrooms: ^ p
- --.. /
s: , , : - - 7 ,5 £ p p - E / ; ;i.4, - Total number of floors:
Job site address: a eZ s 8S su , 4 / O 3 . New dwelling area: .--_ O — square feet
City/StaterLIP: c ; „ Dry I 72_z Y j Garage/ carport area: r- v -- square feet
Suite/bldg./apt. no.: % 1 Project name: '4 e 6c4) square feet .n,L�` Covered porch area: r o - - .
Cross street/directions to job sie: Deck area: — e square feet
Other structure area: — is -- square feet -
Subdivision:
a`_ �re� •. . r+�: ■ �:'w.'ve.— :�.� rtra.r`
��Cs "-"s - ..
( 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
�r ,, - equipment, materials, labor, overhead, and the profit for the
° -i :, ::4? _ . .r SC :§ OF W Itii : -` : work indicated on this application.
t ..
in OIL •v k )f r — 14.i ,Q� r.i — 'STD —Lev% Valuation: $
�� Existing building area: /60r, square feet
New building area —• f__) — square feet
raitliOr'7 .:_ . • : €. . i A " Number of stories
Name: (.1 f i- file., 67.54r c.' Si Type of Existing: construction F
Address: `/2- 5 LA., $ s A ipj O ,,,.,,,,,.� ov.c= C Yc•;.
City/State/ZIP: T A_ DX e ` r
Phone: ( a,e .Sv 2 P.s %w Fa ( ) g � r_ 1 1., ✓�-e �o�r
G �?;:t: p - ` ° w' f, ,!, _.,, - New /%� o�C n l :€4 .,_ — -rc� ' F es '- .` -.. ��� [5�'�`'sr6'2�'�' �:i: ��.:- �;i -� _«
. '� : ; . :; }- t'?•
Bosmess name" 7/ e ,, 2 6 1 rAA e 1 All contractors and subcontractors are required to be
Contact name: 0.'; ! ` yo iJ 4 ram licensed with the Oregon t�nstru�on Contractors Board
/ under ORS 701 and may be required to be licensed in the
Address: j gS Sc.," es-4- $ 4ej O_3 jurisdiction in which work is being performed. If the
City/State/ZIP: a v�_ 9 ��Y applicant is exe pt from licensing, the following reasons
Phone: ( Fax:: (/ j —
yzs � : ti v y I yes Y� z. �.� "2_<— E-mail: 6; /( " ` � ' S s r`eg . G.:+u.. >�
i4c `S"f.'"'', %!ftl.Yi...�:+.W �. �� 4v. -';tom S�'+2- .a. �.
w .. :• a41•'gt .A. '' :fir - '4 .4� . .- - v7-� '- _ __ -_ .
...333 - � � - Y ..'•`rte.
Business name: H }^ p1 �� e
Address: - i�j' _ -. CWA �11,... O��.ZD�jt . _;l �•'^ � �
City/StatefLf IP: Structural plan review fee (or deposit):
Phone. ( ) (F ( ) PIS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Authorized e ' _ Amount received:
This permit application expires if s permit la not obtained
p j Date S within 180 days after it has been accepted is complete.
(( orv' J .1Sn u1/4 - I 3/ —O ( • Fee methodology set by Th-County Buiilding Industry
Service Board.
n:1Bmgdnal aniteBUP.run:eAppdoe 0301A5 44O4613r(1 UO2IOOWWFB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUF400 7- 0028 3
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/12/2007
Phone: (503) 639 -4171 lv ,ili
Inspection Requests (24 Hrs.): (503) 639 -4175 . F__..
INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 16286 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: CHEZ GOURMET
DESCRIPTION: TI - CHANGE OF USE.
OWNER: BIRKEMEIER, BRENT T/JANET D TRS, PHONE #:
CONTRACTOR: PHONE #:
d"
Inspection Request Scheduled For: Date: 8/10/2007 Pour Time: p i /_
Code # / f spection Description Confirm # Contact # M- -age
299 Final inspection 053795 01 503-320.4406 Y t 2��
Corrections /Comments /Instructions:
kt■C -- M ‘ P "ZA 0 0) ; ss s
C.."-,C) Ct.--c_k
, 4 1, i
/.
//7 ..
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘r (. Date: �/i E7I 0� Phone #: (503) 718- / Z
CITY OF TIGARD ja
BUILDING DIVISION PERMIT #: BUP2007 -00289
13125 SW Hall Blvd., Tigard, OR 97223 A TE ISSUED: 6/17/2007
Phone: (503) 639 -4171 P A
Inspection Requests (24 Hrs.): (503) 639 -4175 (- 1 �..
INSPECTION WORKSHEET FOR DATE: 81212007 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: CHEZ GOURMET
DESCRIPTION: TI - CHANGE OF USE.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 053283 01 503 -320 -4406 N
Corrections/Comments/Instructions:
Y - G� ` 2 VI/1 otc e.
Y V D� 5 C L G Zoo -7 - O o � -7 C O v , �wa.� P COO levz , (
i
Aa 1g wi 17(.7,0 07 - 40 (CoWl ?.e 5c i)ov s )
(1605 g VIA 0 2()C -00 4 ?- (rt-Ny,k c k4-rnvi 070„- 24- ev -4
/ / c .
_
P Pr � /7 Or , ,
❑ PAS- O ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
IL 4 Ti CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: O 2 Phone #: (503) 718- 2- V 2-/