Loading...
Permit pp CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00557 COMMUNITY DEVELOPMENT DATE ISSUED: 11/29/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AB - 03600 SITE ADDRESS: 12285 SW MAIN ST ZONING: CBD SUBDIVISION: LOT: 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: 2N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: JOHNSON, WARREN W + BETTY TRS AN ROBERT TODD CONSTRUCTION JOHNSON, REES C + MARYANNE G 4080 SE INTERNATIONAL WAY B -11 3112 SW SANTA MONICA ST MILWAUKIE, OR 97222 PORTLAND, OR 97201 Phone: Contact #: PRI 503 - 653 - 5704 FAX 503 - 653 -5704 FEES Reg #: LIC 98517 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 111161200E $152.95 [FLS] FLS Pln Rv 111161200E $94.12 [BUILD] Permit Fee 111291200E $235.30 [TAX] 8% State Surcha 111291200E $18.82 Total $501.19 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: ,144,1:14? Permittee Signature/10 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. it , Commercial Tenant Improvement Building Permit Applicatib�ECE1VED Foli ori:ici tusl:: QNL1 City g of Tigard Received I ( I IO / O(o le) Permit No. R' 11 1 tdB . ► A p _� i Its q 13125 SW Hall Blvd., Tigard, OR 9722W0 d 1 6 2006 Plan Review : Phone: 503.639.4171 Fax: 503.59 01, TIGARD DateJB , , , J `= ���� Other Permit: TI G n It D Inspection Line: 503.639.4175 tit, ll T Date Ready - . ® See Page 2 for Internet: www.tigard -or.gov BUILDING DIVISION Notifed/Method Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition i 't , , (/ A ; Hermit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all tgAddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION NO if U 200 ork indicated on this application. El I- and 2 -family dwelling Commercial /industrial , ' ,/ I , . aluation: $ y ( _ ` ' VI. - 1.1.1L,11- El ❑ Other: 1 . Number of bedrooms: ❑ Accessory building ❑ Multi-family 71/T T� T � e ., Master builder ' , ' inlier of bathrooms: • JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / 22.13.5 Jl/ /VOW sr- New dwelling area: square feet City /State/ZIP: 77 e.y.t-RI) Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 5 pi- Covered porch area: square feet Cross street/directions to job site n Deck area: square feet � � ��� �, !i O t h er 6vcture area � ( ware feet J� �1 A ED�DATA: COM!RI(USE CHECKLIST i c/7 � 1 j Subdivision: � / / / / —✓ 1 I Lot no.: ) I/1 �tkbits o ie -val fthhwork performed. Tax ma / 1 n �. i ` - - - -� J I - r `nd( 1e the value (rounded to the nearest doila�) of all p pares °, ` equipment, materials, labor, overhead, and the profit for the • DESCRIPTION OF WORK work indicated on this application. T fle41V /9 4SU 17vl∎l0 !�F1 Valuation: $ z, o v v 1 7 .may D74 Existing building area: y,3 square feet 7 / ' New building area: 74.. square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: V,.- /3 Address: Occupancy groups: e City/ State/ZIP: Existing: Phone: ( ) Fax: ( ) New: pr APPLICANT ❑ CONTACT PERSON NOTICE Business name: / __//Vw sT'ah /,r,, Ave-44 1 r LL(_- All contractors and subcontractors are required to be �� licensed with the Oregon Construction Contractors Board Contact name: / A�t to S � � � ��� under ORS 701 and may be required to be licensed in the Address: (2I ,„ w , /111 ,_ jurisdiction in which work is being performed. If the �/ ` 1 Q 24.4 applicant is exempt from licensing, the following reasons City / State/ZIP: rzek Li 4 eft of 7 2 01 apply: Phone: (Fo3) 2.2./.... i f [ / I Fax: : (5 3 ) Z24 — / el f 5 - i5a q 5 E-mail: eJ 0 GJI () tC f -(�dVr e-0 Lt/i f 94 Ids. ONTRACTOR Business name: t ) h 4 F /d Cpt�� e BUILDING PERMIT FEES* Address: ' / _ (Please refer u, fee schedule) Structural plan review fee (or deposit): City /State/ZIP: FLS plan review fee (if applicable): . Phone: (54,3) 63 51,, el-- I Fax: ( ) — CCB lic.:V 5 '] Total fees due upon application: . / ��/� Amount received: A .1-7. Authorized signature : / 'Y Vi /' This permit application expires if a permit is not obtained �� (•_ � Thi within 180 days after it has been accepted as complete. Print name: Z 6044-c_ I Date: d .//,#- 0 q • Fee methodology set by Tri- County Building Industry Service Board. I: \ Building \Permits\BUP- TI- PermitApp.doc 03 /23/06 440- 46I3T(I 1/02 /COM/WEB) ar I ri f i l o . Building Division Plan Submittal Requirement Matrix T l G A R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (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 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. I:\ Building \Permits \BUP -TI- PermitApp.doc 03/23/06 1 z\%7 6w4 g ' Effir" 1 fiLlf PL CR MK IWMF NN: IEFIFY SZE NO • . - DMA Et= PAM. We anegt Goble MOEN . A : -- Architect - AIA p! , yaw; ! iraw_4110 all ,tyliFFlitithrt nip 245 PcOant4 OR 9799 / 11761(% ON : Pie*', OP/M.1M &Mil goblegtiitopoAcons ' .-: p r ti ---Iiimor■IN Elarne 49 A An,- A .c2 Ib.‘ - OFFICE 4) 4 j t °2826Taufp t -. . jr SUPPLEMENTAL . • .... I, 111 „imaAcE - 4Pil. lanz 11110 1 0 , OFFCE . 8 A6L re-re DRAWING 1218 MSC REVISIONS 12-18-06 rj& fre OCIEWALJC AT MAN BM= Wikeitititcaus ‘k AN .4' (L,),,, 1 1/ , • 1. 54) . W, ERNEST GOBLE _ 0 REVISED FLOOR PLAN os, .. pvtuir640 ,_,3 . . PORTLAND, OREGON Co - , 22 REVISION City of Tigard Approved Plans ' 1 ' 4; OF () W4454____. Date ogiFizEM 1 600 aoo6.-oo OFFICE COPY I. - :5 _.ra) Maikt 1.;z., CITY -OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00667 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/1812007 TIME: 7:06AM PAGE: 18 SITE ADDRESS: 12285 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE FARM DESCRIPTION: TI OWNER: JOHNSON, WARREN W + BETTY TRS AN, PHONE #: CONTRACTOR: TODD CONSTRUCTION, ROBERT PHONE #: 503-653-5704 Inspection Request Scheduled For: Date: 1/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message (cm 299 Final inspection 042249 -01 503-38'1 -5101 Y f Corrections /Comments /Instruc . .ns: PP arah '_ 410 411.: i : :r. 4L &W _1 �i� — •��i� ■ ECC zo - OO'7(4 ( z S(GtoS AS) Ir . • El PARTIAL APPROVAL CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED Inspector: A / Date: t /6 Phone #: (503) 718- Ziff-2--5 CITY OFTIGARD ` BUILDING DIVISION PERMIT #: BUP200&00557 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2.9/2006 Phone: (503) 639 -4171 A y Inspection Requests (24 Hrs.): (503) 639 -4175 -' W R'l l� INSPECTION WORKSHEET FOR DATE: 1/16/2007 TIME: 7 :09AM PAGE: 23 SITE ADDRESS: 12285 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE FARM DESCRIPTION: TI r OWNER: JOHNSON, WARREN W + BETTY TRS AN, PHONE #: CONTRACTOR: TODD CONSTRUCTION, ROBERT PHONE #: 503 653 - 5704 Inspection Request Scheduled For: Date: 1/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 042166-0/ . 503-381-5101 Y Corrections /Comments /Instructions: -03 32,( Sfo( 1-0 Db IP i i • IV ir U, ili 1111 'P'" , AI v PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL MI CALL FOR INSP CTION ❑ ADDITIO AL F ES ASSESSED Inspector: •' 0 / Date: ✓ � ( . 0 0 Phone #: (503) 718 - '��+ S 0. CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00557 13125 SW Hall Blvd., Tigard, OR 97223 illt DATE ISSUED: 11/29/2006 ii. Phone: (503) 639 -4171 +h til. Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/27/2006 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 12286 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE FARM DESCRIPTION: C` ") OWNER: JOHNSON, WARREN W + BETTY TRS AN, PHONE #: CONTRACTOR: TODD CONSTRUCTION, ROBERT PHONE #: 503-653-5704 Inspection Request Scheduled For: Date: 12/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message Z85 Drywall nailing 041537 -01 ` .503-381 -5101 N 1 Corrections/ Comm is /Instruc C --. c....( 4--66 k-- i t i/vd4;1\ct i AA k) " ft-t__ CjL, 'Y4-4 — P r;kSS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: W(1 Date: V _42/4) Phone #: (503) 718 - . 2 2 ) CITY OF TIGARD BUILDINU DIVISION PERMIT #: BUP2006-00557 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/ Phone: (503) 639 -4171 A „11 Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' $' `'I INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 12285 SW MAIN ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STATE FARM DESCRIPTION: TI OWNER: JOHNSON, WARREN W + BEM TRS AN, PHONE #: CONTRACTOR: TODD CONSTRUCTION, ROBERT PHONE #: 503.653 -5701 Inspection Request Scheduled For: Date: 12/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 041311 -01 503381 -5101 Y 4© Corrections/Comments/Instructions: 1 (-28 ----------- All I v1 1 / T - A, ! - -- ►NV ' MI • F PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL II CALL FOR INSPECTION ❑ ADDITIO AL FE ASSESSED 1 I t/ ' 610 Inspector: r- f Date: ` . Phone #: (503) 718-