Permit CITY OF TIGARD BUILDING PERMIT
I
1 1 COMMUNITY DEVELOPMENT Permit#: BUP2014-00276
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2014
Parcel: 2S101AB03500
Jurisdiction: TIGARD
Site address: 7110 SW BEVELAND RD
Project: Curzon Subdivision: 2014-011 PARTITION PLAT Lot: 3
Project Description: Build out of tenant space in previous shell building
Contractor: MISSION HOMES NORTHWEST LLC Owner: CURZON
PO BOX 1689 15171 SW BNGY RD SUITE#124
LAKE OSWEGO,OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503-381-3753 PHONE: 503-601-5060
FAX: 503-214-8524
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 12/18/2014 $917.70
ype of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 26 12%State Surcharge-Building 12/18/2014 $110.12
Dwelling Units: 0 Plan Review 12/18/2014 $596.51
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 11/24/2014 $367.08
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 12/18/2014 $187.00
Value: $75,000 DC Provision Review,COM TI-LRP 12/18/2014 $28.00
Info Process/Archiving-Lg$2.00(over 12/18/2014 $12.00
11x17)
Floor Areas:
Total Area: 2520
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,218.41
Required:
Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 180
days. AT ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 1-0010 throligh.QAR 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
sued By: Permittee Signature:
Call 503.638.4175 by 7:00 a.m.for the next available inspec e.
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.
Building Permit Appl ar "IN I [1IZ OI I1( I: l ,,I O\I.1
City Tigard RDaext If ff� - bbl —��7(47
Ci of 4 2014 Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 1 V 2 Plan Rev1 ��
Phone: 503.639.4171 Fax: 503.598.1960 ND Avg,N1%.,401 i" Date/13 : ���� .� Other Permit:
Inspection Line: 503.639.4175
COY UVT1G J.L •_��„ Date Ready:y: lads: ® Sec Attached Checklist for
Internet: www.ci.tigard.or.us LN` 1)1‘11 a�o\ Notified Method: �, �� 1�K /' Supplemental Information
TYPE 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.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7110 SW Beveland Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:N/A Project name:Parcel#3 Curzon Tenant Improvement Covered porch area: square feet
Cross street/directions to job site:SW 72"d Ave. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:#3 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2SIOlAB02500 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.
Tenant Imparovement to an existing building shell. Valuation: $75,000.00
Existing building area: 3520 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name:Curzon Type of construction: V-B
Address: 15171 SW Bangy Road,Suite 124 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)601-5060 Fax:(503)601-5042 New: B
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:David Bissett Architect,PC All contractors and subcontractors are required to be
Contact name: David Bissett licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 10940 SW Barnes Rd.,#101 jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97225 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)341-4445 Fax: :( )
E-mail:davidb @dbaarch.com
CONTRACTOR
Business name:Mission Homes
BUILDING PERMIT FEES*
Address:7090 SW Beveland Rd.
Please refer to fee schedule.
City/State/ZIP:Tigard,OR 97223
Fees due upon application
Phone:(503)381-3753 Fax:( )
Amount received
CCB lic.:186849 /
Date received:
Authorized signature: G This permit application expires if a permit is not obtained xissalt within 180 days after it has been accepted as complete.
Print name:David Bissett Date: 11-18-14 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\Building\Permits\BUP-PemitApp.doc 12/03 440-4613T(I1/02/COM/WEB)
•
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
I
Building Permit Review — Commercial - With Land Use
I1GARL)
Building Permit #: ?D i a ap an a -a5 )`-7 ef
Site Address: 1/0 Yw &A(aant Suite/Bldg#: —0--
Project Name: ett.r-z_e-vi
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: - 'i. J L;. _it/ ' G1a., 3h6/1--
Verify site address/suite #exists and active in permit system. 6- Q a( /3 d0DD --
)--tLP aoi3 -0°4e)/
Land Use Case #: sO(q 0 pte7717' 0h
Plans Match Approved Land Use: /
❑ Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
/E Conditions Met. CI Prior to Submittal Prior to Permit Issuance
•
Notes: 691 on 40 e-rred y o C e - 1 1 1P-0c-eve-no/
7l 7 e�
Approved by Planning: _ Date: ///7120/
Revisions (after Building Submittal only) Reviewer //Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /1 /4L
Site Plans: #
Building Plans: #
Building Permit#: �Zer building permit# above.
Workflow Routing: ld Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: Cl Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
C--By Permit Technician: Date: /la /
I:\BuildingWorms\BIdgPermitRvw_COM_W ithLandUse_042914.docx
• e
Engineering Review
❑ Actual Slope:
❑ PFI Permit#:
❑ Conditions Met
Notes: JJ ■ LG 'J.c. re , 1 d s w
Approved by Engineering: '� Date: ;1 • L,y , /Li
Revisions (after Building Submi only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
OK to Issue Permit
Approved by Permit Coordinator: f!/ � 40' Date: / 5✓/1C
I:\Building\Fonm\BIdgPerrnitRvw_COM_WithLandUse 042914.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7110 SW BEVELAND RD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
FAIL
April 30, 2015 at 10:09:39 AM
BUP2014-00276
George Heimos
1. Provide SIT and PLM site final approvals on shell permit. All else ok
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7110 SW BEVELAND RD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
FAIL
BUP2014-00276
George Heimos
1. Provide SIT and PLM site final approvals on shell permit.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7110 SW BEVELAND RD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
FAIL
BUP2014-00276
George Heimos
1. Provide SIT and PLM site final approvals on shell permit.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7110 SW BEVELAND RD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00276
George Heimos
All planning conditions met as per Albert Shields
Violation Summary:
Inspector Contractor