Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00196
Ali DEVELOPMENT SERVICES DATE ISSUED: 5/12/2005
=--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD 200 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG
Project Description: TI
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: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 61 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 35,000.00
Owner: Contractor:
ZIMMLER DEVELOPMENT LLC SI GRACE LLC
7165 SW FIR LOOP PO BOX 230698
SUITE 100 /P0 BOX 230698 PORTLAND, OR 97281 -0698
-P�ARD, OP 503- 3440
one: Phone: 503 - 620 -6553
FEES Reg #: LIC 156355
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharp 5/12/2005 $28.66
[BUILD] Permit Fee 5/12/2005 $358.30
[BUPPLN] Pin Rv 5/12/2005 $232.90
[FLS] FLS Pln Rv 5/12/2005 $143.32
Total $763.18
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
I 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: �.„ Z-v Permittee Signature q \
Call 503 - 639 -4175 by 7:00 a.m. for an inspection t 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 A lic ® � u� � � ; r� � o , d r r ri ,, r� x
, 0 �x i rFO = OFFI C E US E O N L Yti c4 �+ ` F y ti i,Y
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City of Tigard Received
y g DateB . a Q • • Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.59 60 / I DateB :
Other Permit:
Inspection Line: 503.639.4175 Afj t
-" 2005 � i)u _ t , 3 1v ea II Date Ready/By: Juris: Vf See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
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IN ,p $�: �y„ - �'\. , ...."� ? "i r d'� `�3:�" ' "xL- .?..mow ce�r.;.,; -s': �:�" . ::.�:� meG,yt➢":. ➢.Em. ::
'"TYPE° ;Q QRK': , -,� RE CIIRED °DATA.1 ' ND=2F,;A,MIL1' D.°
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® 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
g xa ;_ < , ; ,.aE, *: - €R::, , , ,.:,. work indicated ;��` ird � - ; Al ork indt on this a
: , f ' 'x t `� . TEG -,,, k> F� CO , STRUCTI ;�:< I application.
�,,�- _.,..s•-= :.� >:� _ ;:tea �. �:=�; , -� n�:. -_ �•��;��: � ,; ��:: <;.w:�•• ,, - �,: �� � �..�- ..... _:��� ' ,.,..
❑ 1 - and 2- family dwelling ® Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
< 1 • %Eg :i ° > ^ice:"':' ',�"yi" &a� "- is.`w..k.= yG, r'a
���" � "•� °� =K,� Total number of floors:
. : A : 4 ,- J I' -l U 7'IO,e : i r. b o i b A,TION ''
- <'�;,.;�:� �: �: -����� �.E„ ,�:- �.:��,:�,.f�:�, m� . :. b.- _.:..,,,,ter � >.
Job site address: 7117 Beveland New dwelling area: square feet
City /State /ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 200 I Project name: Ewing -Foley Tenant Improvement Covered porch area: square feet
Cross street/directions to job site: Just east along Beveland of the intersection of Beveland
and 72"" Ave. Deck area square feet
Other structure area: square feet
' ROD tRED pAT'MIV M 78,76, =USE-C -WONT 1ST" '
Subdivision: Lot no 2201 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 2S101AB, lot 2201 equipment, materials, labor, overhead, and the profit for the
.x�W t:_ work indicated on this application.
.:: ° A5& m » IO I , W Q 12K . ;:iPmAmiX. AZ OM M Valuation: $$35,000.00
Construct interior, non - structural, tenant improvements
Existing building area: square feet
New building area: 2,961 square feet
',, . fi w -, -_..` t ° - . 3 1 Number of stories: 2 (TI only on second floor)
5���> ... `:. ��:"%- `.�➢x.9' 4:iz�= ,, °," 5-- A$;..� • ,. u�:�'�- '..ox., �:.~'c:.z5x .e :.:)3AV-. ' 3',
Name: Zimmler Development, L.L.C. Type of construction: VB •
Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Occupancy groups:
City / State/ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698 Existing:
Phone: (503)598 -3440 Fax: (503)598 -3450 New: B
., ��; ...� ue: °_;�.:�.
„N a. s _ �.�. _ t ; �� .;ma
W ,-, &4 : r W . >> ', k . O � CT ' - ERSS1 ,; _ I'I OTI $ a 414,417v6 A
r� ..,,z � -: �,� -� �;,, . � 'c�. - ..:...��: �atEa��, .> - � ..�, a ,. .. _ �"va °:fix •,g_ ,
Business name: Mildren Design Group, P.C. ' All contractors and subcontractors are require to be
licensed with the Oregon Construction Contractors Board
Contact name: Jack Kriz under ORS 701 and may be required to be licensed in the
Address: 7650 S.W. Beveland, Suite 120 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: Tigard, Oregon 97223 apply:
Phone: (503) 244 -0552 I Fax: : (502) 244 -0417
E -mail: jack @mdgpc.com
�
,. E Q : • :: �,u, •' --,t -
u� i :! OIZ r :',A - :
Business name: SI Grace L.L.0 �a- ` y ''" ,tl w'' '; i _r,,"
B.P ILDIl V G EI 'F S " . 1 "
Address: 7165 S.W. Fir Loop, Suite 100 /P.O. Box 230698 Please refer to fee schedule.
City /State/ZIP: Tigard, Oregon 97223/Portland, Oregon 97281 -0698 Fees due upon application $763.18
Phone: (503) S98 -3440 I Fax: (503) 598 -3450 Amount received
CCB lie.: 147119
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jack Kr z I Date: 12 May 2005 *Fee methodology set by Tri- County Building Industry
Service Board.
is \Building \Permits \13UP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WEB)
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Form 2a Project Name: OW i — roL...p_l — 11 - 14 11:43 - ° 1 I Page: % I z_
SUMMARY
. . _ .
Project 1. Project Name E - ffit *104309.01
2. Project Address 9 I i _e-i_isc.N • •
3. City/Town TI - 41k9D , , 0 P- 0,4 5. County r .. V
4. Building, Gross Area (ft2) Cs, ID-12, 6. No. c:1_loors 2
'
7. Construction Site Elevation AbOve 2,000 ft? EYES IITIWNO
. ,
Attached Chapter Type ID Description Attach
Forms and Building Envelope Form 3a Building Envelope - General 0
Worksheets . 3b PrescriPtive,Path - All Climate Zones . 0
Worksheet 3a Wall U-factor . Cl
3b RoofUlactor 1:7
Check boxes to
3c Floor U CI
indicate attached
3d " Window/Skylight Schedule
forms and
worksheets Systems POrni ° 4a - Sy - General CI '
4b . complexZystems El;
Worksheet : 4a Oriitaiii Air Conditioners - Air COoled 0
0 % 4b ' Unitary Air Cond. - Water &Evap Cooled CI
46 Unitary Heat Pump-Air Cooled Cl
3913 ' 0 4d Unitary Heat Pump - Water Cooled CI
S 4e Packaged Terminal A.C: - Air Cooled 0
-, THOMASJ. KRIZ 4f Packaged Terminal Heat Pump - Air Cooled CI
: ir A 1
•
4g Water Chilling1Pkgs - Water & Air Cooled ' 0 •
'
,.: A LAK a OR,* 4h Heat Rejection Equipment
' . CI
c§.) 4i Boiler - Gas-Fired and Oil-Fired CI
'TIN, 4j -Furnace & Unit Heaters - Gas and Oil-Fired Cl
4k Simultaneous Heating and Cooling 0
41 Air TranspOrt:Ehergy 1:I
4m Natural Ventilatibh!-
, _..,. • .,. rs • — . , - „ . -
Lighting ' " '' FOnii-' - 56' ligliiiiien4e1 S
51) Interior Lighting Power - Tenant Method 0
, .
5c, Int, , 14ng.-PoWer, - SPaCe-by Method „ 0.
WOrkSheet.`:58 ' ' tightilig'Sdfiedille' CI
5b Interior :Lighting Power , . 0
. .
Appli T ,NO.IP4 - ; , 10 Telephone 5c .055;Z:
. ,
, , • : '
keoi*Ohy 1. Mo-pP-ew 1,!=t160.1 49-00' 11;batO.' .. :
... ...
0.„Signature, „ :, . '
1 .,, :- . . ,:-::., : ,,, .. , 5i, , ,,:i , : . ; - f - Alii.i , : .:•: ,,:,,,,.:.; : , , , -'-`== „, ',"-.'; , ', :"::„'1,: .;,;, :„.,,,,, .,, 7, ,.,.„!..:::
. .
Attached Nc.,of Pages . : Descr iption of Documentation
. „
pticutnent-
4tion
Sumnnary040104.xls
Form 3a Project Name: Fy411,14 — �e,1 Ti 0•1043o9.01 Page: .212,
BUILDING ENVELOPE - GENERAL
Check all boxes that 1. x.eeptions (Section 1312)
apply. i'M' No Envelope Components. The building plans do not call for new or altered building envelope
components, e.g., walls, floors or roof /ceilings.
❑ A Non - conditioned Building. The proposed structure has no spaces heated or cooled by
an HVAC system.
Exceptions ❑ Exception. All new•or altered building envelope components do not comply with the
Discussion of qualifying requirements, Section 1312, but qualify for Exception 1 ❑ 2 •❑ 3 ❑ 4 ❑ 5 ❑
exceptions In instructions Portions of:the building that qualify:
section.
:The plan /specs show compliance in the following locations:
2�. Leakage (Sectioni312:1.1)
Plans /Specs L Complies: Plans - require that penetrations in the building envelope are sealed and that
Showc .. windows and doors'are caulked, gasketed or weatherstrippeth
• including a drawing The plans /specs' show.compliance inthe following. locations:
sheet, detail number, ... -
specification section •
and /or subparagraph. �_..
3:5 pended`Ceiling•(Section 1312:1:2.1)
• E deinplies:•Building,plans`do not show- suspended:. ceilings used to s conditioned
• - space; from unconditioned space No exceptions::permitted.
• t, e ssed Light Fi (Section 1312:12:2)
la Complies. The building,: plans. do not,s ligh fixt i i n. c . • 'separating conditioned „spaces'from unconditioned spaces: '
• • 0, Exception: The'building, plans require,that.fixtures installed indirect contact w insulation
be:'insullation coverage -(IC)•rated:;The'plans%specs sho* compliance ith in the- locations: •
V ii;eStiira:Conicd1-iSeCtiOtii312.1.4. . _ Complies: •A one -per`m vapor :retarder is installed on the warm side (in,winter),of'all.exterioi
floors'.walls and"ceilin'gs ,and, a ground: cover: is' installed in the.crawl�spaae for.both 'new and
existing;,buildings° <where. insulation is installed: • ` • • • -
• ',The. plans /specs, show;compliance`in thefollewing;locations:,
� I
0: Exception. AlLnew or altered buildlrigienvelopecomponents do not;comply With •the'vapor `
. retarder're,quirements'ofthe code, but qualify for an exception Note,a'pplicable exception.
Section 1312 ' E xception ' 1 11 • 2= 0 . .
Po'itions building that comply: •
.Climate • 6. C ' ate Zones »
Zones Zone1 A building site.is;in Climate Zone 1 ifits elevation is less than: 3000. feet. above.
sea level and it` is' in'oneof the.followin c ounties: Benton Columbia, :.Clackamas Clatsop ; .
Coos` Curry, Douglas Jackson, Josephine, La Lincoln, Linn,; Marion ,<Multnomah Polk
^ Tlllamook, Washington
. .0 Zone 2.= Building=sites not in Zone:1 or where constructio s elevation' is. 3000- f or •
' higher in, Zone: 1;. are in Zone 2:
3=1. ;
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12/2005
Phone: (503) 639 -4171 Jai/1W
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/27/2005 TIME: 7:09AM PAGE: 62
SITE ADDRESS: 07117 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: EWING -FOLEY
DESCRIPTION: TI: Walls
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 -598 -3440
CONTRACTOR: SI GRACE LLC PHONE #: 503 - 620 -6553
Inspection Request Scheduled For: Date: 6/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 010172 -01 503-209 --5425 V
Corrections /Comments /Instructions:
L2'
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL F ES ASSESSED
Inspector: gP Date: I Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200&- 00'196
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/12/2005
Phone: (503) 639 -4171 '," mlpip�W
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 6/14/2005 TIME: 7:10AM PAGE: 50
•
SITE ADDRESS: 07117 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: E\MNG - FOLEY
DESCRIPTION: TI: Walls
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503-598-3440
CONTRACTOR: SI GRACE LLC PHONE #: 503-620-6553
Inspection Request Scheduled For: Date: 6/14 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 009201 -01 503. 209-5425 Y
Corrections /Comments /Instructions: Y j— y
L l 944
•
r Ai p •
Aiw _ (
. 11 u — �' • . -� s '
L ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIINAL F ES ASSESSED
i
Inspector: Date: r v Phone #: (503) 718- ______7427-
CITY OF,TIGARD
BUILDING. DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP200S -00196
Phone: (503) 639 -4171 �mmr 5/12/2005
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
6/1/2005 7:15AM 50
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 07117 SW BEVELAND RD 200 LOT #: TYPE OF USE:
PROJECT NAME: BEVELAND 2 -3
DESCRIPTION: EWING-FOLEY •
TI: Walls
OWNER: PHONE #:
CONTRACTOR: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 - 598.3440
SI GRACE LLC 503- 620-6553
Inspection Request Scheduled For: Date: Pour Time:
6/1/2005
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 008070 -01 360-609 -1592 Y
Corrections /Comments /Instructions: jT -'I -
7
I /i...ft.lf
rirgVal7
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: Afiraf Date: ` /O3) 718 -
CITY OF TIGARD ' . L.
BUILD>NG DIVISION PERMIT #: BUP2005-00196
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5.1 12/2005
Phone: (503) 639 -4171 e � " 0 � � '�'4���ypiglN 14
Inspection Requests (24 Hrs.): (503) 639 -4175 -14
)
INSPECTION WORKSHEET FOR DATE: 5/31/2005 TIME: 7 :11AM PAGE: 42
SITE ADDRESS: 07117 SVV BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 7.3 TYPE OF USE:
PROJECT NAME: EWING-FOL.EY
DESCRIPTION: TI: Walls
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503. 590 -3440
CONTRACTOR: SI GRACE LLC PHONE #: 503 - 620-6553
Inspection Request Scheduled For: Date: 5/31 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 007925 -01 503-969-2953 N
Corr tions/ mments /Instructions: I
pp
1 t Al\ > 1: '—a/I -- (I c' 51AJZ-Q1
•
—762_,WV `-'C S v
P i . J .p_ - 0" I?� 6 .
o c i .1,„ 17 C ae C .'\
_.__. r
Pit,,,,vtl,f, 4
I i l� ` r " V � c Cam—
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L / 3 IA) _.--
Inspector: Date: Phone #: (503) 718-
•
CITY OF TIGARD .-
BUILDING DIVISION PERMIT #: BUP2005.00196
13125 SW Hall Blvd., Tigard, OR 97223 L DATE ISSUED: 5/12/2005
Phone: (503) 639 -4171 �o �-
Inspection Requests (24 Hrs.): (503) 639 -4175 .. &W
INSPECTION WORKSHEET FOR DATE: 5/26/2005 TIME: 7 :27AM PAGE: 57
1
SITE ADDRESS: 07117 SW BEVELAND D 2
00 CLASS OF WORK:
SUBDIVISION: , BEVELAND LOT #: 2 - TYPE OF USE:
PROJECT NAME: EWNG - FOLEY
DESCRIPTION: TI: Walls
OWNER: Z {MMLER DEVELOPMENT LLC, PHONE #: 503"
CONTRACTOR: ,l GRACE LLC PHONE #: 503-620-6553
Inspection Request Scheduled For: Date: 526/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007761 -01 503 -369 -2953 N
Corrections /Comments /Instructions:
sij / 1
‘,/ r / i , i L
/4
❑ PAS. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
\' ` FAIL 111 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 5 /hone #: (503) 718-
Inspections required for; v ?. c7O5 - /7
Code Inspection Description — - [
Y PASS Date I By I ✓ Code I Inspection Description i PASS Date LBv 1
BLIP - Building Permit - ELC - Electrical Permit —
405 Excavation _ 105- Underground /slab cover
410 Fill _ 110 Temporary electrical service
415 Grading 115 Electrical service/reconnect _ _
205 Footing _ t _i_ — 120 Electrical rough -in_ �___
805 MFG - Stnicture grading/footing - —I 125 Wall cover __ ___ •
_210 Foundation walls I 130 Ceiling cover —
12l 5 Footing drain J 135 Low volt
220 Slab 140 Sign installation _
310 Crawl drain —_ 1 145 A/C or heating unit circuit
_ 225 Post/beam structural _ 150 Hot tub /spa/pool I
T 230 Underfloor insulation _ 195 Misc. inspection: I • — •
235 Shear walls /anchors _ 199 Electrical final __I
-
240 Exterior sheathing
245 Firewall •
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 I Low voltage _ _____
260 Tilt -up panel 195 Misc. inspection:
_ _ 265 Masonry — 199 Electrical final
270 Reinforcing steel (rebar) I
K 275 Framing 3t. ti r- 4
10 MFG- Structure set -up
280 Insulation. MEC - Mechanical Permit
605 Post/beam mechanical 1
— -- •
_285 Drywall nailing 610 Gas line _
287 Sus ended ceiling
295 Misc. inspection_
615 Mechanical rough in
620 Hydronic piping _ —
899 _
498 Grading MFG Structure final o2� Duct work _ _
630 ; Fire damper
final _ p — - -�
299 Final inspection 1 635 Smoke detector shutdown
I-
640 Exhaust hood
695 Misc. inspection: 1-
699 Mechanical final I _ j _�
BIT - Fire Protection System Permit
905 Sprinkler underfloor /slab , PLM - Plumbing Permit
910 Sprinkler rough-in 305 Plumbing underslab
1 915 Fire alarm rough -in 310 Crawl drain 1
I 920 Suppression trig test 315 Post/beam plum_bin __
995 Misc. ins section: 320 Plumbing rough -in
998 Alarm final
_
999 S _p final 325 RP/backflow preventer
— I - 330 Water service _
335 Rain drain 1
•
340 Storm drain I
SIT - Site Work Permit 505 Sanitary --I ewer _ _ —_
ry
405 Excavation _ 345 Culvert/catch basin -1
410 Fill _ 350 Septic tank I
415 Grading _ 395 I Misc. inspection:
205 Footing 399 Plumbing final _ __ — —;
210 Foundation walls
215 Footing drain _
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: _ 505 Sanitary sewer
498 Grading final _ _ 595 Misc. inspection:
499 Final inspection — _ I _ I 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 02/02/2005
CITY TIGARD _ BUILDING PERM!'?
PERMIT tt• BUP2005 -00106
:,, 1, DEVELOPMENT SERVICES DATE ISSUED: 5/12/2005
.�-``- • gym;. 13125 SW Hal! Blvd., Tigard, OR 97223 3'03- 639 -4171
PARCEL: 2.101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD 200 ZONING: iVMUE •
SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG
Project Description: - TI
r REISSUE: _ _FLOOR A REAS EXTERIOR WALL CONSTRUCT/ON
CLASS OF WORK: ALT FIRST: sf N: 5: E: 'v J:
TYPE OF USE: COM . SECOND: sf _ PROJECT OPENINGS? __
TYPE OF CONST: 5 -1 HR : sf N: — E: W:
OCCUPANCY
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 61 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft
GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SNICK DE T : -�
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 35,000.00
Owner: - -� Contractor:
ZlMMLER DEVELOPMENT LLC Si GRACE LLC
7165 SW FIR LOOP PO BOX 230698 .°
SLUE 100 /PO BOX 230698 PORTLAND, OR 97281 -0E98
TJGARP, O R 977
1 Stn P e: ' 503 -bYt; -3440
Phone: 503- 620 -6553
r - - - - FEES — - -- I Reg #: LIC 156355
( Description Date Amount REQUIRED ITEMS AND REPORTS Si:
FAX] 8% State Surr, ark 5/12/2005 $28.66 - -_. IV
[BU.(LD] Permit Fee 5//12/2005 $358.30
[BUPPLN] P n Ri- 5/12/2005 $232.90 O
[FLS; FLS Pin Rv 5/12/2005 $143.32
Tote $763.18 r;"
d
g0
___,
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 wort: 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_ / ; , .1Y- ,. __, > . s 2 .7-1,e , , ., Permittee Signature; , \A: 1. 1 - --
Call 503 - 639.4175 by 7:00 a.m. for an inspection 4t 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.