Permit r C ITY O TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00192
- OI DEVELOPMENT SERVICES DATE ISSUED: 5/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102AA -04100
SITE ADDRESS: 12230 SW MAIN ST ZONING: CBD
SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG
Project Description: TI, phase II of II.
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: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 307 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: $ 100,000.00
Owner: Contractor:
INTEGRITY INVESTMENTS INC YORKE + CURTIS
2229 NE BURNSIDE SUITE 86 4480 SW 101ST AVE
GRESHAM, OR 97030 BEAVERTON, OR 97005
Phone: Phone: 646 -2123
FEES Reg #: LIC 55644
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/9/2005 $744.30 Bolts in concrete
[TAX] 8% State Surchari 5/9/2005 $59.54 Structural welding
[BUPPLN] Pin Rv 5/9/2005 $483.80 Special inspection (see pla
[FLS] FLS Pin Rv 5/9/2005 $297.72
Total $1,585.36
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 o . to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 • -0010 th . • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
call' g 503 - 246 -669 • -8 332 -2344. /�
Iss ed By: Permittee Signature:', 1 / 7 Ad E
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.
i s 3o S W rnO % '► 4 •
Building Permit Appli ' 1.V `�" "- FOR OFFICE USE ONLY
City of Tigard �j ` ✓ rI Da e /B e aS ' -) ��� Permit No.' 10,5"- C/ / 19.2., 13125 SW Hall Blvd., Ti ar �}2Z a
g 0 � Plan Review / ''�P Other Permit:
Phone: 503.639.4171 Fax: 03.598.1'60 19 4114
— 4 � Date /B : � / '
Insp Line: 503.639.4175 f�` 0 Date Ready /By: ��JJ El See Attached Checklist for
Internet: www.ci.tigard.or.us O < ` S` Notified /Method: -, / 1Cil ` Supplemental Information
s � OF WORK 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.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12230 SW Main Street New dwelling area: square feet
City/State /ZIP: Tigard, OR 97213 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Crown Carpets Remodel Phase II Covered porch area: square feet
Cross street/directions to job site: Commercial and Main St. Deck area: square feet
• Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 4100 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S102AA 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.
adding 2 windows and 1 storefront door to the north side of the west elevation Valuation: $$100,000.00
removing existing metal siding and painting CMU to match the rest of the building Existing building area: 23,750 square feet
New building area: 23,750 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Crown Carpets - Doug Lepper Type of construction: III B .
Address: 6324 NE Halsey Occupancy groups:
City/State /ZIP: Portland, OR 97213 Existing: M,B,S
Phone: (503)287 -6783 Fax: (503)288 -6900 New: M,B,S
0 APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: CIDA, Inc. All contractors and subcontractors are required to be
Contact name: Jennifer Beattie licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4445 SW Barbur Blvd. Suite 200 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 226 -1285 Fax: : (503) 226-1670
E -mail: jenniferb @cidainc.com
CONTRACTOR
Business name: Yorke & Curtis
BUILDING PERMIT FEES*
Address: 4480 SW 101st Ave.
Please refer to fee schedule.
City/State /ZIP: Beaverton, OR 97005
Fees due upon application $1,585.36
Phone: (503) 646 -2123 Fax: (503) 643 -5531
Amount received
CCB lic.: 55644 -
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: Jennifer Beattie I Date: 05/08/05 • Fee methodology set by Tri- County Building Industry
Service Board.
is \ Building \Permits \BUP- PermitApp.doe 12/03 440- 4613T(t 1!02 /COM/WEB)
4445 SW BARBUR BLVD., SUITE 200 RECEIVED
PORTLAND, OREGON 97239
TEL: 503.226.1285 FAX: 503.226.1670
E -MAIL: info @cidainc.com MAY 0 9 2005
TRANSMITTAL CITY OF TIGARD
BUILDING DIVISION
Project No: 040103.01 Date: 05 -09 -05
Project Name: Crown Carpets -- Phase II
Attn: Building Permit
Company: City of Tigard
Address: SW Hall Blvd
Tigard, OR 97223
Enclosed: Plans ['Specifications ❑Copy of letter
['Details ['Shop Drawings ['Calculations
['Sketches ❑Other:
No. Of Copies Description
PHASE II BUILDING PERMIT SET
❑For your Use For Review ['Returned
['For Approval DAs Requested
❑Other:
Comments:
Thank you
Jennifer
Copies To: file
Deliver: ❑ 90 Min 03 HR 08 HR
['Pick Up [Nail ['Next Day
Signed: (1 \ZA" , —.,-. a
ARCHITECTURE • ENGINEERING • PLANNING • INTERIORS • LANDSCAPE
CITY OF TIGARD
BUILDING DIVISION PERMIT #:app'.'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 " °,�N�ap�Fillll
Inspection Requests (24 Hrs.): (503) 639 -4175 —JAI- °`_-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: t2.7-a23 VAN(K) CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: e_art,ki
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: y PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions:
•
tuf ruk-v
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDIT NAL F ES ASSESSED
Inspector:
401k Date: z4- 0 5 Phone #: (503) 718-
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00192
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19 /2005
Phone: (503) 639 -4171 .1 §1 l I
Inspection Requests (24 Hrs.): (503) 639 -4175 _�' . 1J—
INSPECTION WORKSHEET FOR DATE: 6/9 /2005 TIME: 7:09AM PAGE: 101
SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: CROWN CARPET
DESCRIPTION: TI, phase II of II.
OWNER: INTEGRITY INVESTMENTS INC, PHONE #:
CONTRACTOR: YORKE + CURTIS PHONE #: 646 -2123
Inspection Request Scheduled For: Date: 6/9/2005 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
265 Masonry 008756.01 971 - 404 -4501 N
Corrections/Comments/Instructions:
X G,goctr .
•
❑ PASS (` 6 RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-