Permit . CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00405
III DEVELOPMENT TSERVICES o -639 -4171 DATE ISSUED: 8/25/2005
13125 SW Hall PARCEL: 2S 101 AB -01501
SITE ADDRESS: 07555 SW HERMOSO WAY 200 ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 021 JURISDICTION: TIG
Project Description: T.1. - walls.
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: 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: $ 4,397.00
Owner: Contractor:
LIONEL LLC OSWEGO DRYWALL INSTALLERS, INC
7555 SW HERMOSO WAY PO BOX 230283
TIGARD, OR 97223 TIGARD, OR 97281 -0283
Phone: 503 - 620 -5203
• Phone: 503 - 639 -8694
FEES Reg #: LIC 2141
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/25/2005 $91.30 •
[TAX] 8% State Surcharl 8/25/2005 $7.30
[BUPPLN] Pln Rv 8/25/2005 $59.35
[FLS] FLS Pln Rv 8/25/2005 $36.52
Total $194.47
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. " if izej„ ,___
Issued By:9 i J,ttilti - 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- , 2 5 cf S cv tie(711.0cd &O
(s Building Permit Applicaltip` C IV P Q i FOR OFFICE USE ONLY
u u
City of Tigard CVJ , . v. Received
AU Date/By: O j� Permit No. " �S � ' ��� • 13125 SW Hall Blvd., Tigard, OR 97223 AUG 7 2Or Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / , *zy:' / / °F Ij� a+• Date/By. Other Permit:
��IWp''
Inspection Line: 503.639.4175 I Date Ready/By: 10 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGhnu Notified/Method: VIM Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING -
El New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
10 Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicted on this application.
. Val u: :7.._.� �,.;...
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION - c , Total number of floors:
Job site address: '7 j"S7 - ( # 13 Cal- / New dwelling area: square feet
City /State /ZIP: n t/,�f (] 1 2 7R R.3 Garage /carport area: square feet
Suite/bldg. /apt. no.: 61 Project name: A(, (,), 6 -A, cf -R Covered porch area: square feet
Cross street /directions to job site: ?Z 7) is) Jwel Ciff? S) Deck area: square feet
Q fVEI4� osb (Z_) Y �"' Other structure area: square feet
lt� / /A/Ct AM 4eciEs1 REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
Ae./ /� 1 /(Lt' UF_/164ll6.p Valuation: $ 7'f '
D(v /,o4A4 ci.A4 1.Lf- s - „,,,..,--11-.'-±. —„ r • _ _ Existing building area: F. 0 square feet II
New building area: -e-- square feet
, W PROPERTY OWNER ❑ TENANT Number of stories:
Name: RAWL L C.G C/twate i/tf, A ) Type of construction:
' Address: 75 ---- 3 - 5 -- S w, �� .'• Occupancy groups:
City /State /ZIP: 776" 419 art y 7a o f 3 Existing:
Phone: (5-03) 6"
O ax) -5-az 3 Fax: (j)) 6 go Ss 3 New:
X APPLICANT ' (CONTACT PERSON NOTICE
Business name: �t7E / ¢-f' ma vc. All contractors and subcontractors are required to be
Contact name: rem p 00 son/ 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: 6 C� O ��YtcM- L L BUILDING .PERMIT= FEES*
Address: / aetl4 A ) ! . 0. d - r9,30 d O' ..7
Please refer to fee schedule. •
City /State /ZIP: n 6 AAP c,Q Fees due upon application
Phone: (O3) 15 37 - 6 ( 99' Fax: (5Z21) 6)2 y- `c C 7( .
a ( (!/ Amount received
CCB lic.: T
Date received:
iz
Authorized signature: !� This permit application expires if a permit is not obtained
,
within 180 days after it has been accepted as complete.
Print name: Aaigel C 7 4 • (f(tSQ , &/ ' Date: /7 4 (1605" * Fee methodology set by Tri- County Building Industry
Service Board.
is \Building\Perm its\BUP- Tt- PermitApp.doc 12/03 440- 4613T(1 1/02ICOM/WEB)
Building Division
� '� Plan Submittal Requirement Matrix
1 Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal.. - # of Pla ti ,
(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 I*
Fire Protection System 3**
•
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. •
•
i:\ Building \Perri ts\BUP -T1- PermitApp.doc 12/03 440-4613T(11/02/COM/WEB)
CITY OF-TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/25/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1017/2005 TIME: 7:05AM PAGE: 83
SITE ADDRESS: 07555 SW HERMOSO WAY 200 CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 021 TYPE OF USE:
PROJECT NAME: NW GRASSROOTS
DESCRIPTION: T.I. - walls.
OWNER: LIONEL LLC, PHONE #: 503-620 -5203
CONTRACTOR: OSWEGO DRYWALL INSTALLERS, INC PHONE #: 503.639 -8694
Inspection Request Scheduled For: Date: 10/7 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 017667 -01 503 - 6205203 N
Corrections /Comments /Instructions:
it
V
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
n FAIL ❑ CALL FsR INSPECTION (l ADDITI NAL FEES ASSESSED
-110
' 7 f
Inspector: Date: Phone #: (503) 718