Permit (12) C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00491
,.��l�i, DEVELOPMENT SERVICES DATE ISSUED: 10/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104BB -07900
SITE ADDRESS: 14350 SW BARROWS RD 002 ZONING: C -C
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT: 002 JURISDICTION: TIG
Project Description: TI - ceiling grid, bathroom and ADA ramp. (1,339 sq ft)
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 14 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 50,000.00
Owner: Contractor:
ALBERTSON'S INC #576 CPS CONSTRUCTION INC
PO BOX 20 9825 SW DAY ROAD
BOISE, ID 83726 SHERWOOD, OR 97140
Phone: Contact #: FAX 503 - 320 -0918
FAX 503 - 570 -8713
FEES Reg #: LIC 102248
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/12/200E $470.80
[TAX] 8% State Surchan 10/12/200E $37.66
[BUPPLN] Pln Rv 10/12/200E $306.02
[FLS] FLS Pln Rv 10/12/200E $188.32
Total $1,002.80
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 -001 001.0..thr.ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling-503-246-669° • 1400-332-2344. ___
ued B Y: / / ■/ Permittee Signature. , 4 ,p
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.
Building Permit Application ' ; .. FOR OFFICE USE ONLY
City of Tigard "'r r_'' ._ - Date/B ed 1' /a- 06„ i 6 Permit No.�? O y9
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C :: Phone: 503.639.4171 Fax: 50 .19i MS Date/B : Other Permit:
T I GARD Inspection Line: 503.639.4175 U Date Ready /By: liall El See Attached Checklist for
Internet www.tigard or.gov Notified/Method: Supplemental Information
e .L�i
TW'•E 1OF'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.
❑ 1- 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: 14350 SW Barrows Road New dwelling area: square feet
City /State /ZIP: Tigard, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Vacant Space Covered porch area: square feet
Cross street/directions to job site: SW Walnut Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ADA Restroom, HVAC ductwork, 200 amp service, sprinklers, store front Valuation: $$50,000.00
Existing building area: square feet
New building area: 1,339 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Aluil Real Estate Holdings, LLC Type of construction: IIIB
Address: c/o Elliott Associates, Inc., Todd Becker Occupancy groups:
City /State /ZIP: 50 SW Pine Street, Suite 200, Portland, 97204 Existing: B
g
Phone: (503)224 -6791 Fax: ( ) New: B
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Day Road Design, LLC All contractors and subcontractors are required to be
Contact name: Ron Kief licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 9825 SW Day Road jurisdiction in which work is being performed. If the
City/State/ZIP: Sherwood, OR 97140 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 320 -0918 Fax: : (503) 570-8713
E -mail: RonKief @comcast.net
CONTRACTOR
Business name: CPS Construction, Inc. BUILDING PERMIT FEES*
Address: 9825 SW Day Road (Please refer to fee schedule
Structural plan review fee (or deposit):
City /State /ZIP: S i • [woo • OR 97140
Phone: (503) • 0 -0918 Fax: 03) 570 -8713 FLS plan review fee (if applicable):
—
CCB lic.: 1 12248 Total fees due upon application:
�� /
Authorizes signal J' Amount received:
�A , ` - - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ron Kief Date: 10 -12-06 * Fee methodology set by Tri- County Building Industry
Service Board.
C\Building\PermitABUP- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: B;UP2006;- 00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/12/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12112/2006 TIME: 7:0 i PAGE: 50
SITE ADDRESS: 14350 SW BARROWS RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI - ceiling grid, bathroom and ADA tamp. (1,339 sq ft)
OWNER: ALSERTSON'S INC #6676, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 12/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 040926-01 503. 320 - -09118 Y
Corrections/Comments/Instructions:
4 1'I
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PASS PARTIAL APPROVAL 111 CANCEL NO ACCESS
1 1 FAIL el CALL FO' INSPECTION ADDITIO AL F ES ASSESSED
Inspector: A., Date: % I.2/ 404 C" Phone #: (503) 718- AZ--3
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CITY OF TIGARD
BUILDING DIVISION it PERMIT #: BUP OO &O04 i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/122006
Phone: (503) 639 -4171 � °,�" ^ii , l �'
Inspection Requests (24 Hrs.): (503) 639 -4175 !�- "'II
INSPECTION WORKSHEET FOR DATE: 11/28112006; TIME: 7:MANI PAGE: 11
SITE ADDRESS: 14350 SW BARROWS RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHULLS FERRY SUB LOT #• 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
U4 14 DESCRIPTION: 11 - ceiling grid, bathroom and ADA ramp. (1,339 sq ft.)
OWNER: ALBERTSON'S INC #576, PHONE #: i O
CONTRACTOR: PHONE #:
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Inspection Request Scheduled For: • Date: 11/28/2006 Pour Time: i 0
Code # inspection Description Confirm # Contact # Messtge H � �
293 Final inspection 040332 -01 503 - 320.09 8 ;� I
Corr tions Com ent Instruction , .
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PASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 18 T Phone #: (503) 718- )1 i
CITY OF ��wo m '��m� 'm n�m��n���
BUILDING �DIVISION K � V�^ -\ PERMIT #: BUP�0�0�91
13125 SW HHall B|vd..Tigard, OR 97223 ' .
DATE ISSUED: 10/12/2006
Phone: (503)630'4171 9`
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INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:0OAM PAGE: 27
SITE ADDRESS: 14350 SW BARROWS R[)OD] CLASS OFWORK:
SUBDIVISION: RU�SELL'� FERRY SUB LOT #: 002 TYPE OFUSE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: T|- ceiling grid, bathroom and ADAramp. (1,339 sq ft)
OWNER: ALBERTS8N^S INC #S76. PHONE #:
CONTRACTOR: PHONE #:
. Inspection Request Scheduled For: Date: 11/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
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287 Suspended ceiling 0391377-01 503-320-0910 Y /'��' 1,1^-!-)eyvt-
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Corrections/Comments/Instructions: /ao Ai
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fl PARTIAL APPROVAL | 1 CANCEL 1 1 NO ACCESS
L j FAIL I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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.CIT*OF TIGARD B 1 7 z o 4 -0o /
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BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 .; r
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: I 0 ' � G��Gf� CLASS OF WORK:
SUBDIVISION: LOT #: "Z TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time: /...)
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Code # Inspection Description Confirm # Contact # Message VV
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Corrections /Comments/ Instructions:
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l I CALL FOR INSPECTION ❑ ADDITIO AL .EES ASSESSED
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Inspecto ;� Date: Phone #: (503 `'
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CITY .OF TIGARD _
BUILDING DIVISION PERMIT #: BUP200&00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011312006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/1/ 2006 TIME: 7:O3AM PAGE: 6
SITE ADDRESS: 14350 SW BARROWS RC) 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: 11 - ceiling grid, bathroom and ADA ramp. (1,339 sg ft)
OWNER: ALBERTSON'S INC #576, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11 /1 /2OO6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
205 Drywall nailing 039167 -01 503-320-0918 Y
Corrections /Comments /Instructions: ROO
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PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL • CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
►.1 I r k Inspector: �,a1/ Date: I ` Phone #: (503) 718- ���
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