Permit CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2001 -00389
�i�, DEVELOPMENT SERVICES DATE ISSUED: 2/6/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112BD
SITE ADDRESS: — 0 - 7 - 581 - SW BONITA RD
SUBDIVISION: TIFFANY COURT APT. ZONING: R - 12
BLOCK: /iid Q 34 ,4-( A ..., LOT: 065 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: 5 - HR : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 30,000.00
Remarks: Fire restoration
Owner: Contractor:
BOROS, STEFAN A + FIVIA DUMITRU IONESI
PO BOX 1890 2870 NE HOGAN DR
GRESHAM, OR 97030 GRESHAM, OR 97030
Phone: Phone:
Reg #: LIC 96978
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 10/24/01 $208.52 27200100000 Plumbing Permit Required
Framing Insp
FIRE CTR 10/24/01 $128.32 27200100000 Shear Wall Insp
PRMT CTR 2/6/02 $320.80 27200200000 Firewall Insp
5PCT CTR 2/6/02 $25.66 27200200000 Gyp Board lnsp
Fire Alarm Insp
Total $683.30 Final lnspection
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe mi ittee I
Signature: / 1//cAGZ (/l
Issued By: ,/,/,.1//�,A___ �4./X�)
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Applicati
411,, a Date received: ire/64 Permit no.: ,^,i� /-A0581
w w ;i i City of Tigard •
'- Project/appl" no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd Ti OR 97223 U`
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
?...._
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 4 Multi- family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION '
Job address: `75 80 f-,+, 1`,4,),7 - # " pt Bldg. no.: Suite no.:
Lot: I Block: Subdivision: I Tax map /tax lot/account no.:
Project name:7 Q rT A 'J F LL. {.;
Description and location of work on premises /special conditions: . / ), f f 1 P` Ili Xi r7(' /3
ct
F
' .. '' „:, OWNER , _ FOR SPECIAL INFORMATION, USE CHECKLIST ,
Name. ' 'i h(J 20 - , . (Floo
j dplain, septic capacity, solar, etc.) N
Mailing address: P , 0 . X .4 L7 _ 1 & 2 family dwelling:
City: eilc dlt��gv Stat / I V ZIP: Q Valuation of work $
Phone: "rre 2 E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone - '/. "/ 1/0 *d .x: E -mail: New dwelling area (sq. ft.)
' _. j APPLICANT ' , Garage /carport area (sq. ft.)
Name: / ) _ T. CcQ A ) S T om - C "TO Ai G 'a l I' rl v Covered porch area (sq. ft.)
Mailing address: Z 6 '7o ill E t-no (0rt N A t e. STp y4, Deck area (sq. ft.)
City: c e T $F/dt f . I State: OR I ZIP: 7 7 0 3 o Other structure area (sq. ft.)
Phone: Sd3-110 g-a 32 Fax: if 08-009Z 0 E -mail: Commercial/industrial /multi- family:
' ;. CONTRACTOR Valuation of work $ O, r '. ''
Business name: 6_ r C'O/V 5 r» - MA/ Existing bldg. area (sq. ft.)
Address: 2 ? 7 n NE Lit c.-, ill ig. s r New bldg. area (sq. ft.)
y 3 Number of stories •
City: (, es 1,e e4.M. I State: Oc I ZIP: 77 o S
Phone: 5 -+ Fax: 4 -tog—an/ I E -mail: Type of construction
Occupancy group(s): Existing:
CCB no.: 7 6 , 711 New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 1-L7 C- -I H 1 56 Imo} provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: 1 ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
Name: I A5A ®'� ' _ Fees due upon application $
Address:F. t, ' '' at. • pt ,-- 4 ,, Date received:
5 , t t 4 Amount received $
City: 1; ------ #1 7- 13 -; WI (S tater ��
Phone: R - 565 , z,h - (p,s -0 ; E4maii Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied with, whatier specified herein or not. Credit card number: / /
Expires
Authorized signature: .___, Date: Name of cardholder as shown on credit card
$
Print name: Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within,18 . days after it has been accepted as complete. 446-4613 (6IOOICOM)
1 ) -3 3 356.E
i q S ri'
/1
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
�, Total # "ofr,4
TYPE OFSU,BMITTAL Plans KEY:
Submlfted.
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) — 2 E = Electrical
New = New Building
Add = Addition
Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I: \dsts \forms \matrxcom.doc 10/27/00
CITY OF TIGARD 24 -Hour
BUILDING' Inspection Line: (503) 639 -4175
INSPECTION DIVISION / Business Line: (503) 639 -4171 MST �-
J/ ' 0 7CO � _ BUP °G l l O 3 e
Received Date Requested ! a ' 3 AM PM BUP
Location 9 Suite7S 7 0.3 � MEC d � ' CO
Contact Person r i Ph ( ) ' ' ' 3V ( 13 PLM �.T�° i►'
Contractor ,j.l. Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation g 9 / /``�� � � Oo ( ( pA.,4
Drywall Nailing /
Fi rewall
Fire Sprinkler
Fire Alarm 14/1. a(9dd0 V � n gd.l� 4
Susp'd Ceiling (J
Roof
Other:
" 7r1�; BINGRT FAIL ( b o 75 71 (l
Witi 45,,
tal - 0
tr)
trit
u T�4
4,10
` j Mpg ���
04.kirAto.,...",
ismerotioin
Lam: rr, r,gm►O_
Post & B �'
Rough -In
Gas Line
Smoke Dampers
m
S PART FAIL
RICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please cal or reinspection RE: ❑ Unable to inspect – no access
Aire Supply Line / 2 3' - �
Approach /Sidewalk Date �r Inspector / 1 1 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site..
PASS PART FAIL