Permit '� CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00469
COMMUNITY DEVELOPMENT DATE ISSUED: 9/4/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AB -02000
SITE ADDRESS: 07175 SW BEVELAND RD 105 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 004 JURISDICTION: TIG
PROJECT: QUERIN
Project Description: TI
REISSUE: A451 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: AE 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: 8 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: $ 20,000.00
Owner: Contractor:
BERMAN, JOHN M + SHAW DEVELOPMENT CO
SUMMERS, MICHAEL L 7175 SW BEVELAND STREET
7175 SW BEVELAND RD #210 TIGARD, OR 97223
TIGARD, OR 97223
Phone:
Contact #: PRI 670 -1133
Reg #: LIC 47398
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/4/2007 $191.20
[TAX] 8% State Surcha 9/4/2007 $15.30
[BUPPLN] Pln Rv 9/4/2007 $124.28
[FLS] FLS Pin Rv 9/4/2007 $76.48
Total $407.26
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.
°} Building Permit Applicatt
A # r r , . .
Commercial t „r FOR OFFICE USE ONL
Receive•/
IN City of Tigard ('"� 0 4 ^007 Date /B : / I �� )_i 0 4 * VIP w
° 13125 SW Hall Blvd., Tigard, OR 97223'x« L Plan Revi'
-
: Phone: 503.639.4171 Fax: 503.5,98,1960 Date/By: Other Permit:
Inspection Line: 503.639.417, I \ u'p' R N /, Date Ready /By: luris: ii See Page 2 for
Ins
T I G AR'D' � �� 1 �'t No tified Method: S u lemental Information
Internet: www.tigard -or.gp Dr y-1 ` PP
ti u-ELDING TYPE OF WORK REQUIRED'DATA:'1- AND 2- FAMILY DWELLING
❑ Ne construction El I=1 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition /alteration/replacement I=1 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY. OF, CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwellingmmercial /industrial
El Accessory building I=1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE' INFORMATION AND LOCATI N Total number of floors:
Job site address: swills (.4.) ��c),e,s-4 4- ids- New dwelling area: square feet
City /State /ZIP: d f �- v _ e V. Garage /carport area: square feet
Suite/bldg. /apt. no.: Project nam Covered porch area: square feet
Cross street/directions to job site: r Li FP( A) Deck area: square feet
Other structure area: square feet
_ REQUIRED D COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work �.:. ror :r
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: $ 20 00.1
Existing building area: square feet
New building area: square feet
❑ .PROPERTY OWNER' . ❑ TENANT Number of stories:
Name: Q w✓ Vh V S VV1 �,V Type of construction:
Address: , I w
7 C S ` 'e , ^,...,/ S7 2 i o Occupancy groups:
' J
City /State /ZIP: SG%. Existin
Phone: j1 ) co a -1 (3 3 Fax: (S►3) (>7 - bJ 3 J New:
❑ APPLICANT 0„ CONTACT PERSON NOTICE '
Business name: 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: ( ) I Fax: : ( ) /9/ o
E -mail:
CONTRACTOR
Business name: r 7" /s,
h 1f . QV`e p » 4 A BUILDING PERMIT FEES tile
Address: - 7 i —) C s,1 J 1 a0.e I y ST # L' 11 (Please refer to fee schedule) T ' 7 wr
Structural plan review fee (or deposit):
City /State /ZIP: i' lic /
Phone: ni ) (c,—)6 _ I t.33 Fax: (5 3) C2b — i —S�� FLS plan review fee. (if applicable):
CCB lic.: 9 7 -,/, 2._-/ o9 Total fees due upon application:
Amount received: 1 109.k7
Authorize signatu •
This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name A/� Date: * Fee methodology set by Tri - County Building Industry
(4/...---
Service Board.
I: \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
•
1
.11,
Building Division
•
Accessibility: Barrier Removal Improvement Plan
-T 'I GARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
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I: \Building \Permits \BUP -COM PermitApp.doc 02 /23/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: SUR)007 -00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/41/2007
Phone: (503) 639 -4171 a 1(11
Inspection Requests (24 Hrs.): (503) 639 -4175 : `:_..
INSPECTION WORKSHEET FOR DATE: 10/2120€7 TIME: 7 :04AM PAGE: 91
SITE ADDRESS: 07171 SW E3EVELAND RD 105 CLASS OF WORK:
SUBDIVISION: EJEVELAND LOT #: 004 TYPE OF USE:
PROJECT NAME: QUERIN
DESCRIPTION: Ti
OWNER: BERMAN, JOHN M +, PHONE #:
CONTRACTOR: SHAW DEVELOPMENT CO PHONE #: 670-1133
Inspection Request Scheduled For: Date: /0/212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 056730 -01 603- 781 -3639 N
Corrections /Comments /Instructions:
v
/ s .
IN PAS. 1/ PATIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL {'CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
•
Inspector , / Date: 0 Phone #: (503) 718- Z‘`T
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: BLIP2007-00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/2O()7
Phone: (503) 639- 4171u dljpu� "�
Inspection Requests (24 Hrs.): (503) 639 -4175 �z 'I�
INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 07175 SW I3FVFLAND RD 105 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: ow TYPE OF USE:
PROJECT NAME: QUERIN
DESCRIPTION: TI
OWNER: BERMAN, JOHN M +, PHONE #:
CONTRACTOR: SHAW DEVELOPMENT CO PHONE #: 670-1133
Inspection Request Scheduled For: Date: 10/1/7007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection • 056666 -01 503 -781 -3639 N
Corrections /Comments /Instructions:
8o? 2 c2e-D'1 coo /v ` J 5 - Pie t o ii-P/ o L/
PASS I -, RTIAL APPROVAL I I CANCEL I NO ACCESS
IL /ALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
l
Inspector: ■��- Date:/ :° / - 6 Phone #: (503) 718-
`.
CITY OF TIGARD _ ,_
BUILDING DIVISION PERMIT #: B,UP2007 -0 i4f:,g
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W/2007
Phone: (503) 639 -4171 �14 j�
Inspection Requests (24 Hrs.): (503) 639 -4175 n '__-.
INSPECTION WORKSHEET FOR DATE: !128/2007 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 07175 SW 13EVELAND RD 105 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 00,E TYPE OF USE:
PROJECT NAME: QUERIN
DESCRIPTION: TI .
OWNER: BERMAN, JOHN M 4 -, PHONE #:
CONTRACTOR: SHAW DEVELOPMENT CO PHONE #: 670-1133
Inspection Request Scheduled For: Date: 9/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 050582 -01 503 -791 -3639 N
Corrections /Comments /Instructions:
�� PAS
I, _ II ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
i All■
,
Inspector: Date: G Phone #: (503) 718 - Z.691
CITY OF TIGARD
BUILDING DIVISION t- , }.. PERMIT #: BUP1007-00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9114,2007
Phone: (503) 639 -4171 ° t I
Inspection Requests (24 Hrs.): (503) 639 -4175 411.
INSPECTION WORKSHEET FOR DATE: 9/27/2007 TIME: 7:00AM PAGE: 79
SITE ADDRESS: 07175 SW BEVELAND RD 101 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 00,4 TYPE OF USE:
PROJECT NAME: QUERIN
DESCRIPTION:
TI
OWNER: BERMAN, JOHN M +, PHONE #:
CONTRACTOR: SHAW DEVELOPMENT CO PHONE #: 670 -1133
Inspection Request Scheduled For: Date: 9/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 056422 -01 503- 781 -3639 N
Corrections /Comments/ Instructions:
Pr c:, i - . 1 e. rte.=. - ■ fir ' w Aa
o s C.-- 5 C/7 / / 6, C
(s ; - - — c_ap N / Ni T ti re—.0 /et
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&)0 1 % : P KCD i L Pee, F 7 z" ..k/e i Z C
2 t i. e- -via c e r_ L sir 's
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1(S l )3 -iZ� c o' c / ,.( - P ,e c l -1
I I PASS 'if, '_RTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: , Z ° Phone #: (503) 718- Z—C 7
CITY OF TIGARD
BUILDING DIVISION "_ " PERMIT #: BUP200i 004 €9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/2007
Phone: (503) 639 -4171 situ ' t
Inspection Requests (24 Hrs.): (503) 639 -4175 �'I �..
INSPECTION WORKSHEET FOR DATE: 9/14/2007 TIME: 7 :00AM PAGE: 53
SITE ADDRESS: 07175 SW BEVELAND RD 105 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 004 TYPE OF USE:
PROJECT NAME: QUERN
DESCRIPTION: TI
OWNER: BERMAN, JOHN M +, PHONE #:
CONTRACTOR: SHAW DEVELOPMENT CO PHONE #: 57
Inspection Request Scheduled For: Date: 9/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
285 Drywall nailing 056664 -01 503.5519 -5937. N
Corrections /Comments/ Instructions:
(f /•-il 4_ Imo( S L.) A4 '
n PASS 4 ' ' RTIAL APPROVA n CANCEL n NO ACCESS
I I FAIL r, CALL FOR INSPECTION n ADDITIONAL F S ASSESSED
' O .411IP Inspector: Date: ` Y Phone #: (503) 718
201:74
• CITY OF TIGARD •
•
BUILDING DIVISION v PERMIT #: BUP2007 -00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 944/2007
Phone: (503) 639- 4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/12/2007 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 07175 SW BEVELAND RD 105 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 004 TYPE OF USE:
PROJECT NAME: OUERIN
DESCRIPTION: TI
OWNER: BERMAN, JOHN M +, PHONE #:
CONTRACTOR: SHAW DEVELOPMENT CO PHONE #: 670.1133
Inspection Request Scheduled For: Date: 91/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
285 Drywall nailing 056529 -01 503-51%5937
Corrections /Comments /Instructions:
e L.7
❑ PASS $ 'ARTIAL APP: e'' L n CANCEL n NO ACCESS
FAIL I ALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
9
Inspector: Date: / / Z 6 7 Phone #: (503) 718- _
CITY OF TIGARD .
BUILDING DIVISION / PERMIT #: BUP2007- 00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 914/2007
Phone: (503) 639 -4171 ' 0 •f lll�
Inspection Requests (24 Hrs.): (503) 639 -4175 -.44- L.
INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 1 :00AM PAGE: 25
SITE ADDRESS: 07175 SW BEVELAND RD 105 CLASS OF WORK:
• SUBDIVISION: BEVELAND LOT #: 004 TYPE OF USE:
PROJECT NAME: OUERIN
DESCRIPTION: TI
OWNER: BERMAN, JOHN M +, PHONE #:
CONTRACTOR: SHAW DEVELOPMENT CO PHONE #: 670'1133
. Inspection Request Scheduled For: Date: 91512007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 056152 -01 503-781-3639 N
Corrections /Comments /Instructions:
®WL — Fr:). ��„� ( W . ! 7 Lg _ �e2o tic s
•
►•L0 ■ 7 L .P - yl- ze � y f / 4c/ ./ , .
1--/4v 65 0 alit 4 -A-v1 - s ..tom s re — C-7. z _
•
. ■-
I I PASS . �d • - . • ° _ _ ", `� fl CANCEL NO ACCESS
I I FAIL %BALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ..
Inspector: _ — Date: O Phone #: (503) 718- 2 - '7'