Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10009
l AL i DEVE SERVICES 503-639-4171 DATE ISSUED: 5/15/2006
13125 PARCEL: 1S135AA-01900
SITE ADDRESS: 10250 SW 87TH AVE ZONING: C -N
SUBDIVISION: METZGER ACRE TRACTS LOT: 037 JURISDICTION: TIG
Project Description: Unisex restroom, replacement of windows.
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1 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: $ 6,000.00
Owner: Contractor:
STEVE & JA NYS OWNER
10250 SW 87TH AVE
TIGARD, OR 97223
Phone: 503 - 245 -6721 Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/1/2006 $100.90
[TAX] 8% State Surcha 4/1/2006 $8.07
[BUPPLN] Pin Rv 4/1/2006 $65.59
[FLS] FLS Pln Rv 4/1/2006 $40.36
Total $214.92
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 direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature:
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.
t Buildint Permit An lication FOR OFFICE I SE ONLY
`7 Tigard RECEIVED Cl of Ti and E D Received Date/B — 7�0 Permit No' 7 " - ? — • • •'
13125 SW Hall Blvd, Tigard, OR 97223 Plan Review
�
Phone: 503.639.4171 Fax: 503.598.1 e/B . Other Permit:
Inspection Line: 503.639.4175 ? 2006 �,.� ' _� _ � � Date Ready/By: ® See Attached Checklist for
Internet: www.tigard- or.gov Notified/Method: sr Supplemental Information
CITY OF TIGARI
8U WW1 (i>QI*V N 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
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
s
❑ 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) 25 0 5 CV $ -1-t- V z- New dwelling area: square feet
City /State /ZIP: 7-19 CtV (I t C) Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: HC Re' f ro t' 'In Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
H (,t i f t- 0 L c c tvS f l IN e s t ok t_O C u 5 So Ot structure area: square feet
011 e 6 1� vi e tr t +C (► i `t'✓Yl� A t� �C � C I 1 ` G' REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Me e w A'e re T a c f 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
l 1 f C DESCRIPTION OF WORK work indicated on this application.
V kd / S i--x re5T c ivx / bi y i Q C.e eof t'L' (hc, G`�lti `7 Valuation $ f� , i�
/�,
P Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 5 t .tie. *- . J CL. it ( € 1\_) ce, Type of construction:
Address: (02-5 G 'S C'- v'7 fi f4 {i , Occupancy groups:
City /State/ZIP: T r9 ck✓4 0 R 9"7 2 23 Existing:
g:
Phone: ( ) - 7 - 4 S -- (G 72 1 Fax: (f-, t*' . 74 - (. 72 1 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 5c. ✓)^ -e- — All contractors and subcontractors are required to be
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: / v t t Cam" 05 z y\
BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
/o within 180 days after it has been accepted as complete.
Print name: ( -rr(! v eil E , N (,1 S Date: 3 ( o (0 * Fee methodology set by Tr-County Building Industry
Service Board.
11Building \Pamits\BUP- TI- PamitApp.doc 12/30/05 440-4613T( I I /02/COM/WEB)
•
- c
Building Division
^ !i►�� Plan Submittal Requirement Matrix
Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
tlBuilding\pamits BUP- 11- PamitApp.doc 12/30/05 440 -4613T(11 /02/COM/WEB)
CITY OF TIGARD , •
BUILDING DIVISION • PERMIT #: WP2 %'l00i 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 'l6t i
Phone: (503) 639 -4171 /a,�r��ury�uy� lttilii
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.��� _...
INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: /:01AM PAGE: 10
SITE ADDRESS: 10250 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: METZGER ACRE. TRACTS LOT #: 037 TYPE OF USE:
PROJECT NAME: NYS
DESCRIPTION: t.Jnisex restroom, replacement of windows.
OWNER: NYS, STEVE & :JANINE PHONE #: 503 -24'9 4 721
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: :3 lEV2001 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final ins=pection 044970 -01 503-246-6721 N
Corrections /Comments /Instructions:
(' 1° (1).)--
PASS ❑ ' ' RTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL % ' FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED
7_4/
Inspector: Date:
• . 0 Phone #: (503) 718 -
CITY OF TIGARD
' I BUILDING DIVISION PERMIT #: BUf'200G- i000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1f t20(} c
Phone: (503) 639 -4171 v°a Itiigiwl�lhi
Inspection Requests (24 Hrs.): (503) 639 -4175 =..W
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7:05AM PAGE: 16
SITE ADDRESS: 10260 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: MFI7GER ACRE TRACT; LOT #: 037 TYPE OF USE:
PROJECT NAME: NYS
DESCRIPTION: Unisex restroom, replacement of windows.
OWNER: NYS, STEVE & JANINE PHONE #: 50'„ -245- 6121
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: €3/152006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 034983 -01 503-245 N
Corrections /Comments/ Instructions:
MINIBINIIIV:uo. 411
Mit wr • `` t* X � / &iv vii ,
v'
ASS ❑ PARTIAL APPROVAL ❑ CANCEL l I NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITI.NAL EES ASSESSED
Inspect. . WAWA Date: I 0 .■• Phone #: (503) 718 - --
CITY OF TIGARi r - ,.
BUILDING DIVISION PERMIT #: DUI : )200 -- 1i1t10
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: alVAI2 17 ,
Phone: (503) 639 -4171 /a,1 �r db �ul�iiN�i�G��i , i" \
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:_
INSPECTION WORKSHEET FOR DATE: 9/200( TIME: /:02AM PAGE: I
SITE ADDRESS: 10250 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: MF TZ ACRE TRACTS LOT #: 1137 TYPE OF USE:
PROJECT NAME: NYS
DESCRIPTION: Unisex restroom, replacement of windows.
OWNER: NYS, STEVE & JANINE PHONE #: i 's 215 li "i
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: (9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2/5 Flaming 031485 -01 503 - 245 -6721 N
Corrections/Comments/Instructions:
Fes/ F;, Jh cic s‘isP..w ,7�a (' T .. Goff,, R
❑ PASS PARTIAL APPROVAL ❑CANCEL _ NO ACCESS
❑ FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: " . Date: 6 — ---d6 Phone #: (503) 718- 7._._4
- �