Permit •, .
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00054
4 WitVIS �l� DEVELOPMENT SERVICES DATE ISSUED: 2/14/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AC -02400
SITE ADDRESS: 14655 SW 72ND AVE
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
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: 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: $ 1,448.00
Remarks: Stair repacement to code.
Owner: Contractor:
ALPHA LIMITED PARTNERSHIP REIMERS + JOLIVETTE INC
14725 SW 72ND 2344 NW 24TH AVE
TIGARD, OR 97224 PORTLAND, OR 97210
Phone: Phone: 228 -7691
Reg #: LIC 011614
FEES REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 2/14/2005 $62.50
[TAX] 8% State Surchan 2/14/2005 $5.00
Total $67.50
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: / zAix()
Permittee ._ z 6
Signature: (�
Call 639 -4175 by p.m. for an inspection the next business day
Buildin Per . i ation FOlt ol� l � IC US oN ►.Y
�_
City Of Tigard 1 Date /B :, 5 / A Permit No.: ° d i�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review •
Phone: 503.639.4171 Fax: 5 31.1960 A ipt%fy '°} i l h Date/B : Other Permit:
Inspection Line: 503.639.4175 tt 1 4 2005 I„ Date Ready /By: Juris: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us J Notified/Method: Supplemental Information
CI TY (IF Tic
8 UT L DIN( t/ W �K REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction Nolition Permit fees* are based on the value of the work perform •..
Indicate the value (rounded to the nearest dollar) of al
25 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the pro for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling rg 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: f 4 ASS Sit/ 72Ae l A ✓t_ New dwelling are . square feet
City / State/ZIP: / - r��j Qe 97224 Garage/carps area: square feet
S Suite/bldg. /apt. no.: �/ I Project name: 1 1 t „ j_, „A,, a. ..le.... Covere• • •rch area: square feet
Cross street/directions to job site: s ‘` t 64' ^ / , _J.
a / ` 9 De • • area: square feet
Of 72t l
rnpt e (JtT/
AI A e,l r ekitC o +A,2- A`pAc Other structure area: square feet
Cot_fr t.¢- $c4 1ably S�i 1k it!”, REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ✓ 16t no.: J Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
-, l ` Valuation: $ 14.48 . °a
rt 1 J t ✓ ✓ l / Existing building area: ` . square feet 2�
✓ New building area: N/14 square feet —
8 PROPERTY OWNER I ❑ TENANT Number of stories: Z
Name: y 6 i•A CAD 0./ ^7 Ave. Type of construction: SfNlr /,l 4/w
r, ...C:5- � / d/ C;-
Address: /4 . S 2,,,,/ A Occupancy groups:
City /State/ZIP: g4rol Qg e / 7224 Existing:
Phone: (so) .8.4,-- 1111 X Sat) Fax: ( ) New:
is APPLICANT Er CONTACT PERSON NOTICE
Business name: ) 1 , / 6er er-a.(' Fle_c_-1-r/L All contractors and subcontractors are required to be
Contact name: I QA / / licensed with the Oregon Construction Contractors Board
d ' `� C-`� (0. under ORS 701 and may be required to be licensed in the
Address: % 21 s ..J t - 5A- Anne•-∎ jurisdiction in which work is being performed. If the
/ State/ZIP: 1 / n applicant is exempt from licensing, the following reasons
Cit
y TOv`T l o�aol" Q f 720. apply:
Phone: (503) 4i4 " g/7 7 Fax: : 15-63) 44' RI g0
E -mail: rc...cly. Akc.(0- a / c °M
J CONTRACTOR
Business name; y2�itme./� JQI,t Ve-fie— BUILDING PERMIT FEES*
Address: 2344 NW 24 fi 1 ve,
I � Please refer to fee schedule.
City /State/ZIP: r OI_ „..„, C . 9 72, 4
/ Fees due upon application
Phone: (503) Z2 7‘ cj / Fax: ( 22$- 272. (
12.1 Amount received .
CCB lic.: 114 4 Ate--fit # Z Date received:
Authorized signature: This permit application expires if a permit is not obtained
A, within 180 days after it has been accepted as complete.
Print name: RA. Ku AZ
y 6 14., Date: Z/j 4/20z.5._<— * Fee methodology set by Tri- County Building industry
Service Board.
C.1
is \Building\Pemuu \BUP- PermitApp duc 12/03 440- 4613T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00054
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14 /2005
Phone: (503) 639 -4171 Qtrii4lh
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,J911 .
INSPECTION WORKSHEET FOR DATE: 4/12/2005 TIME: 7 :O9AM PAGE: 54
SITE ADDRESS: 14655 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PGE
DESCRIPTION: Stair repacement to code.
OWNER: ALPHA LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: REIMERS + JOLIVETTE INC PHONE #: 228.7691
Inspection Request Scheduled For: Date: 4/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 004247 -01 503-803 -0663 N
•
Corrections /Comments /Instructions:
fi Kr-kr OF
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
:.-‘' pri .
Inspector: i it Date: 4 ---
` `� �/ #: (503) 718 -
i
f