Permit li Lu CITY OF TIGARD ' 0 BUILDING PERMIT '
PERMIT #: BUP2007 -00607
° COMMUNITY DEVELOPMENT DATE ISSUED: 11/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 DC -03700
SITE ADDRESS: 07095 SW SANDBURG ST ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: UNITED FOOD LOCAL 555
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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 6 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y 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: $ 30,443.00
Owner: Contractor:
UNITED FOOD + COMMERICAL WORKERS FORTIS CONSTRUCTION, INC.
UNION LOCAL #555 1705 SW TAYLOR ST #200
PO BOX 23555 PORTLAND, OR 97205
r TIGARD, OR 97281 •
Phone: Contact #: PRI 503 - 459 -4477
FAX 503 - 459 -4478
Reg #: LIC 155766
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/27/2007 $260.49
[TAX] 8% State Surcha 11/27/2007 $20.84
[BUPPLN] Pln Rv 11/27/2007 $169.32
[FLS] FLS Pln Rv 11/27/2007 $104.20
Total $554.85
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
. of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �i�r�l Permittee Signature: /C /1(.(.....__
•
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
h i
I$uifding Permit Application FOR OFFICE USE ONLY
- -� -, '
:‘ .D Received
City of Tigard , -ti r� Date/By: Permit No P ]_ e6607 0 13125 SW Hall Blvd., Tigard, OR 9Y129
Plan Review r
• la Phone: 503.639.4171 Fax: 503.598.19NOV 2 7 /uur Date/By: Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Attached Checklist for
Internet: www.tigard - or.gov CITY OF D Notified/Method: Supplemental Information
RUil LAI9�t�'®I ®N
TYPE OF WORK, REQUIRED DATA:1- AND 2-FAMILY DWELLING t_
❑ 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.
❑ 1- and 2- family dwelling p(Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Toys- sw - <,-4144v.--.1 New dwelling area: square feet
City/ State/ZIP: 77,9,.„..,/, ev 9728/ Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: 440/ `h,►- 77 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
G oss cir 'F - < 0 7Zrci /9VG Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. '
7A� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.:
/a t 4 , f ' , 770 i, f y / Se h 1 � . •slu Z S�tit equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ SO, 'MS
r� Existing building area: /3 gip square feet
New building area: 0 square feet
,PROPERTY OWNER ❑ TENANT Number of stories: z
Name: UFGW Geez/ SSS Type of construction: Y '
Address: -7pys--- ceo SR"4-1-go 5 Occupancy groups: 3
City/ State/ZIP: 77 OE 9 7Z,.9/ Existing:
Phone: ( ) /env y5-z. C>FG 0 Fax: (5 ) Co -6555 New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: / h5- thi.) {i o...-7 All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board • vli under ORS 701 and may be required to be licensed in the
Address: /705 ,<A.2 7 ,, .4.- 577-0._ 7 S „, le_ 200 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: P f /4i„cP , 674. 97Zo_5 apply:
Phone: (683 ) 75'x- y y 77 Fax:: (�3) vs __ yam/ 7 S
E -mail: c h i p T 5- - ' ' , ' '
CONTRACTOR
Business name: 4.L-,4 ,..., -- 'fie.”' BUILDING PERMIT FEES*
7;...7. (Please refer to fee scheduler
Address: /7o S w h .S7 S'... k- Z d0
Structural plan review fee (or deposit):
City/State/ZIP: Po,._ffat.,,,,P OE. _ 47Zo5
Phone: (5D3) 9-s-9 - v. 77 Fax: (cas ) H ^ YI( 78 FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application: ft / Amount received: /55 S5
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ap J /� gH r Date: /1 I c.L /0 * Fee methodology set by Tri- County Building Industry
Service Board.
1 :\ Building \Pertnits\BUP- PermitApp.doc 03/21/06 440- 4613T(i1 /02/COM/WEB)
IN CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPME`NT,. DATE ISSUED: 1
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DC - 03700
SITE ADDRESS: 07095 SW SANDBURG ST ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: UNITED FOOD LOCAL 555
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 6 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y 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: $ 30,443.00
Owner: Contractor:
UNITED FOOD + COMMERICAL WORKERS FORTIS CONSTRUCTION, INC. 03
UNION LOCAL #555 1705 SW TAYLOR ST #200 C
PO BOX 23555 PORTLAND, OR 97205 "rp
TIGARD, OR 97281
Phone: Contact #: PRI 503 - 459 -4477 V
• FAX 503 - 459 - 4478
Reg #: LIC 155766
FEES 0
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/27/2007 $260.49 / .4
[TAX] 8% State Surcha 11/27/2007 $20.84 /
[BUPPLN] Pln Rv 11/27/2007 $169.32 / '
[FLS] FLS Pln Rv 11/27/2007 $104.20
Total $554.85
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: /C i � j &( /' _ \—,
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: `64 and - 00 CO . ti ' R.`QUIRED ON GREEN INSPECTION CARD.
,1
Code I Inspection Description I PASS Date I By I I ./ Code I Inspection Description I PASS Date I By I
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry _ 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 , , Drywall nailing 610 Gas line
X 287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
X 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
PLM - Plumbing Permit
910 Sprinkler rough -in
305 Plumbing underslab
915 Fire alarm rough -in
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final _ 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls __
- 215 Footin: drain .
- 420 Sprinkler supply lines SWR - Sewer Permit
II Misc. inspection: 505 Sanitary sewer
Grading final 595 Misc. inspection:
Final inspection 599 Final inspection '
I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: RUP2007 -00607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 /27/: ?007
Phone: (503) 639 -4171 ' AeuepIl
Inspection Requests (24 Hrs.): (503) 639 -4175 . .
INSPECTION WORKSHEET FOR DATE: 1/1 8/2008 TIME: 7:02AM PAGE: F0
SITE ADDRESS: 07085 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: UNITED FOOD LOCAL 555
DESCRIPTION: TI
OWNER: UNITED FOOD + COMMERICAL WORKERS, PHONE #:
CONTRACTOR: FORTIS CONSTRUCTION, INC. PHONE #: 503-4594477
Inspection Request Scheduled For: Date: 1/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 063496-0/ 503. 572 -7463 N
Corrections/Comments/Instructions:
ASS ■ P' - TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL V CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / Date: /8 Phone #: (503) 718- 4_
CITY OF TIGARD , .
BUILDING DIVISION A P PERMIT #: BUP2007 -00607
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 11/27/2007
Phone: (503) 639- 4171ptl�
Inspection Requests (24 Hrs.): (503) 639 -4175 °I I ..
INSPECTION WORKSHEET FOR DATE: 1/17/7008 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 07095 SW SANDSURU ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: UNITED FOOD LOCAL 555
DESCRIPTION: TI
OWNER: UNITED FOOD + COMMERICAL WORKERS, PHONE #:
CONTRACTOR: FORTIS CONSTRUCTION, INC. PHONE #: 503- 459-4477
Inspection Request Scheduled For: Date: 1117/7008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 063414.01 503- 572 -7463 N
Corrections /Comments /Instructions:
(L 7 rne - e208
l L, OA. ae ii 146 • • „/ ' i'/
err S ,&_ H
❑ PASS al 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
:;0 FA IA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i i / 7 a9- Phone #: (503) 718 -Z--4G/
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: BUP2007 -00607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 11/27/2007
Phone: (503) 639 -4171 ,, 1 I�Ih
Inspection Requests (24 Hrs.): (503) 639 -4175 , F__..
INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 :01AM PAGE: 45
y " D
SITE ADDRESS: 07095 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: UNITED FOOD LOCAL 555
DESCRIPTION: TI
OWNER: UNITED FOOD + COMMERICAL WORKERS, PHONE #:
CONTRACTOR: FORTIS CONSTRUCTION, INC. PHONE #: 50345134477
Inspection Request Scheduled For: Date: 12/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 06/6/5-01 503. 3 N
Corrections /Comments /Instructions: n
f &t. , Fes- / F1 Q 'lt�� C� b
of
e)1( --r- 6rD__v_f _W rte �2c t �a I -
_�
Ai )
❑ PASS , ► ' � F ..: ;LAP' : • • ❑ CANCEL ❑ NO ACCESS
❑ FAIL /hi CALL FOR INSPECTION ❑ ADDITIONAL (o7 ES ASSESSED
Inspector: _ . Aril■. Date: 147 Phone #: (503) 718- Z--- EN,/