Permit ir CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00019
COMMUNITY DEVELOPMENT DATE ISSUED: 1/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AD -03100
SITE ADDRESS: 06950 SW HAMPTON ST 330 ZONING: MUE
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: HORVAT. T.I.
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: BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: , o b
Owner: 7 1, Contractor:
WESTON INVESTMENT CO OWNER
2154 NE BROADWAY
PORTLAND, OR 97232
Phone: Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/18/2007 $81.70
[TAX] 8% State Surcha 1/18/2007 $6.54
[BUPPLN] Pin Rv 1/18/2007 $53.11
[FLS] FLS Pln Rv 1/18/2007 $32.68
Total $174.03
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: �7 Permittee Signature: �I
y' yG 1 � ' g ' C ' W__)
• d '
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.
Commercial Tenant In 9 • 1 a
$ 7 - + ,� , d . -4 4 »; { 'i. do, , t, Xo4 ri $ k
Building Permit Annliaa On z. - ,. .., " ? ' , i 1 f ICI -ftS 0 NIal ' ' t fp
., s
City of Tigard 7 B ve . f (� (7 .- Permit N V\l I -- - d 1
13125 SW Hall Blvd, Tigard, OR 93M1 1 8 100 '
Plan Review
-- • ® r Phone: 503.639.4171 Fax: 503.598.1960 D • Other Pemut:
T I G A' D' Inspection Line: 503.639.417 Date Ready/By. liall ® See Page 2 for
%alid ( 'WARD
Internet: www.tigard or.gov y Notified/Method: Supplemental Information
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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
lacement
P `' '
❑ Addition /alteration/re (Other: 1 ' .� i? B (( ��� -
��,�) i � :� �� equipment, materials, labor, overhead, and the profit for the
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t ,'�''4; " r '` "" E °° " ss `.. 1.4' work indicated on this application.
. ; .!',4,..1, c F , .,' - .a.'ii, GORY �OF.;�CONSTR13GT ,,,ArY ', , k w r
.`�?�b,. t�'! ;T4�. ti_A ;� ". x `".i - ........ , .rn. -s,.:Y one_ _ c,. ... s =_^b. -, -�. .. � .=:'4.��,'',Y��°: }Y��` ,u =u41 4
❑ 1- and 2 -famiy dwelling RCommercial /industrial Valuation: $ i
ID Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
¢•. i . _ .c-a� a .. .,� �n Jn° qµ . „ � � s � �: ., .. .... �+:5,..., r.'v -:sx*'m � �;..r,';rca :h�,
' "" "i "" `' i �" ° "A- I i?`' `'' Total number of floors:
`'��ti' •.� . , �+' �' `JOB STt`E INFU1tMATION,';�AND'-I:OCATION >¢ ".i;�'"� "F, X - ,.;�.,�..; '�'�,
:1s: r _,•;,:.ar ,. a....•. nri= rlYn.w
Job site address: � ( r) cj
q ) 06 � n F.)-1— New dwelling area: square feet
City / State/ZIP: - r (-� cp 2.2 -- Garage /carport area: square feet
Suite/bldg. /apt. no.: 336 1 Project name: �t � l 1� p�)() N, A1 r � _# Covered porch area: square feet
Cross street /directions to job site: (j \ r .. J LI Deck area: square feet
Other structure area: square feet At g1: F R EQUIRED. DATA ;SCO 7
Subdivision: 1 Lot no.: Permit fees' are based on the value of the work performed. .
Tax map/parcel no.: , a Indicate the value (rounded to the nearest dollar) of all
r , , .:.no. 't : x r : ; .- :.:.,,;• .: u, t,: ,v -. _, . .�., , : , r; .,�.s, work indicated on this application.
equipment, materials, r, overhead, and the p
p t 1bo , dan e ofit for the
r
ft : ,R * ; DESCRiPTIQN�:OF WO ,y � r y 5� : ' t ,
coemp me l�Y'Q.QQ ow v-c, i �'�;_ la / `c°or- „ Valuation: $ L) bLN)1
,y-N-- - G-\( >c J Existing building area:'? square feet
New building area: I ..- 5 square feet
c4 �'•,�k ,V - .. , am�•ria Pz s” "tmr4 •.,. f' ^G? �'}''�,':•,�� ��M `s. .--' "' "' is.- -:,dw w,-" .ti :�� Number of stories: lS�
^i� ^.;iii PROFERT]' OWNER a' ,, . " .i: , * '� "°,s`t O ;- TENANTp "� i.rFk : � t 5 :k ^'�
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( �,� i
Name: Ca V `TY r - eat Type of construction: 1 -g
Address: Qs I D ( `rn I L . 1 ,.._ ) � ,� Occupancy groups:
' City /State/ZIP: PN - O t l , r "' !!1111 ��� 7 .2_'3 / / Existing:
Phone: ( a .� + � 3 � � ^ 2 ,• Fax: ( S " Z 'L. /' l 1.0 (0 New:
':»r'�i4I ?`;:tip Sri ^,4:: , ..�. s rc rcu»,.• .t. ..+e� k J z ,�' Y ,.t � t:° :.' =,: w r+er,:m ,.. � ..��
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,r
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Business name: t / All contractors and subcontractors are required to be
�m�� `'1 P . r� ( 1"(�o.G� `, �� Pal �-
Contact name: - C'\ licensed with the Oregon Construction Contractors Board
t1, `^ under ORS 701 and may be required to be licensed in the
Address: c� 1 ( (t `i t Cif N'Yl0t \ i jurisdiction in which work is being performed. If the
1 t t J _ applicant is exempt from licensing, the following reasons
City/ State/ZIP: yt)l t (�� q -7 3 2 apply:
Phone: ( ) \\ _,gtf;___ ( ( ? 1 3 I Fax:: ( 7� ,) ZS —) ( 4
E-mail: : �
".,v`�= vb,.� 3.�u t ��z+:� "voR•,��e� ''r'z�' ":.^krr� (ar' <.�.�. �., ��� w. aa�.- ,'�'w- °- e-es*�r `L
+ '' "s g „ i, t "_. GONTRAGTOR'.:t "'� �,tt'. * " 4c ail-k �, ,
n... 'i1.. 'a.ve t- :«.��rc� M ✓ ... �; GL _ "r'Y ='�d. '. w lore F,
Business name: l �t 1 L �� � �� t/�c A 1 d i Al/ItQ�> �a BUILDINGPERMIT,4FEES "':' a: +' ,:
Address aS t 0 11 ' (Aid r I t ±t/ I CSi t `f c % : 4. , 'I s * ,,,.., z � ,, =42, 1 ,,
�„ „ �z.( Pleds e "`” ie jei' tojeeshediile )i:�•:r!�,:,,;.��tarr,�
Structural plan review fee (or deposit):
City /State./ZIP: C' t l , a , I L 9 7'7 -� Z
i (( / ^ FLS plan review fee (if applicable):
Phone: ( �``e 1 33 Fax: (�; 7. r1('l�
CCB tic.: ✓ Total fees due upon application:
Amount received:
Authorized signature: 1'"k jn � - j i l f Q,� ,- This permit application expires if a permit is not obtained
/ U �(��( C� � ��f within 180 days after it has been accepted as complete.
Print name:1i� ; , t ( V Date: f / i 5 (,� ' Fee methodology set by Tri-County Building Industry
J ("\, l Service Board
•
I:\Building\Permits\BUP -TI- PermitApp.doc 0323/06 440- 4613T( /COM/WEB)
Building Division
Plan Submittal Requirement Matrix
T [ G A R D Commercial & Multi- Family - New, Additions or Alterations
e` s . , T .W"�w fi ..�.... ft � f„p »^.+¢,x E+.� � F "0 d �F. 3YT.`k,. Q � q N
M h
b f�, .,.Type 6tPilinuttai ;g a #10: Plans
'(Includes new additions and alter"ation Regwred at . ,
xJ?.i V4 „"°.%:_, `��a ' � v,t i. ,n✓'' ^`#x.Y`” -s *� '� k _.. .. a,
- _ .• �,- -. A Submm;<ttal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must indude 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.
1:\ Building \Permits \BUP- TT- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 00018
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/1812007
Phone: (503) 639 -4171 4u ili i .
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 2/16/2007 TIME: 7 :00AM PAGE: 34
SITE ADDRESS: 06950 SW HAMPTON ST 330 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HORVAT
DESCRIPTION: HORVAT. T.I.
OWNER: WESTON INVESTMENT CO, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 2!18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 043480-01 503-969.2703 N
Corrections /Comments /Instructions: ,
,T Aregt i
MiliMA' Oi '--- liala \
k, — ...... Amr ..._
,-- .
' 4 i ..„..e. • _ .
1 PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: I v Date: 6 � Phone #: (503) 718- 23
CITY OF TIGARD
• ' 'BUILDING DIVISION PERMIT #: BUP2007-00019 "—
13125 SW Hall Blvd., Tigard, OR 97223
/ DATE ISSUED: 1/18/2007
Phone: (503) 639-4171 A kit i t,
amov finvii 'I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7:02AM PAGE: 1
SITE ADDRESS: 06950 SW HAMPTON ST 330 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HORVAT
DESCRIPTION: HORVAT. T.I.
OWNER: VVESTON_ INVESTMENT CO, PHONE #:
CONTRACTOR: OWNER . PHONE #:
Inspection Request Scheduled For: Date: 1/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 042473-01 503-9692703 N
Correctio s/C mments/lnstructions:
0 )\ • IrCria - 0)-- 00 4 I ( 0
teuecle
•
Z .vvi.,-(7 5 C., r- _ 11_-, 4-
\c) j r\ao1/4,.cA • 3
0
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e ..._
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A —_■/ . . 1111 ' 1' • — )C
1 ...
lit" C
( -•O
l
...
: s ' '4 i 6- A ' Afr - C
A A 1 •
1,
ASS I PARTIAL APPROVAL FI CANCEL 0 NO ACCESS
El FAIL ILI CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
/
\ L i c t j4......— Date: H (
Inspector: Phone #: (503) 718- 242-ei