Permit i CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #: BUP2006 -00370
DATE ISSUED: 8/3/2006
�I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 114AA - 00200
SITE ADDRESS: 16285 SW 85TH AVE 302 ZONING: I -P
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT: JURISDICTION: TIG
Project Description: TI Walls, curbcut.
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: 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: $ 19,000.00
Owner: Contractor:
BIRKEMEIER, BRENT T /JANET D TRS STEVEN BECK JOHNSON CONSTRUCTION
BY THE BIRKEMEIER FAMILY TRUST 37121 SE GIBSON RD.
10573 SW NAEVE ST WASHOUGAL, WA 98671
TIGARD, OR 97224
Phone: Contact #: PRI 360 607 - 4048
Reg #: LIC 80603
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/3/2006 $225.70
[TAX] 8% State Surcha 8/3/2006 $18.06
[BUPPLN] Pln Rv 8/3/2006 $146.71
[FLS] FLS Pln Rv 8/3/2006 $90.28
Total $480.75
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 i!/L, Permittee Signature:
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.
Commercial Tenant Improvement .
- Building Permit Application 1 0 k O F F I C L: 1 'SF O,: 1.1
City of Tigard RECEIVE " -
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
B Phone: 503.639.4171 Fax: 503.595.19f Date/B . Other Permit:
-1 - G , R i Inspection Line: 503.639.4175 2006 Date Ready/By: See Page 2 for
Internet: www.tigard- or.gov CITY OF T :G Notified/Method Supplemental Information
/
BUILDING D,iriS:O
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
Tx 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 m
Comercial /industrial Valuation: S
❑ Accessory building ❑ Multi -family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION L Total number of floors:
Job site address: (� l S " � 5 (S S4- 4-v r 54e. z 2. New dwelling area: square feet
City/State/ZIP: T I , 14- x'1 0 2 . 9 7 7.2. Garage /carport area: square feet
Suite/bldg./apt. no.: 30 Z, I Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.
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.
CO "u'4V A)LC/4 ID1A) 9F_fe-VF iz 4 ----) Valuation: $ tq 0 56J
Al CO A) b i T I d N 1 & Ct `Jim t .. IL /1 .- vvi 1 Existing building area: . square feet
P f T c li _P_ ' GT t 4-T }-I J P6PrfE5 New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: K . 641 Ma ...) Cv ,+vl p ,e1 �/ Type of construction: PSI .
Address: 1 j Occupancy groups: 8�
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON �/ _ NOTICE
Business name: ej`1 -� C- ' V 1 G k . 1, (q v1 'c9 ,, / C ' 0 ''I7T1�v(4 - 10t013l contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
/� under ORS 701 and may be required to be licensed in the
Address: 37 12.1 5E (, t 65o u1 If` -e'I. jurisdiction in which work is being performed. If the
City /State/ZIP: We( c) Ile V of 1 Wo1 9 e' b? 1 applicant is exempt from licensing, the following reasons
apply: ota.,
Phone: (3b0) 4 — +0+40 I Fax:: ( ) S - .
E-mail: F Cle.28 -
CONTRACTOR / O
Business name: S 4-04 E BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State/ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: X306 p 3 ip Total fees due upon application:
� 0 b Amount received: 4 �. 7
Authorized signature: Th' permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: < + ev L vi E5 JD li 0 c j , ✓1 I Date: c -3 -o b • Fee methodology set by Tri-County Building Industry
Service Board.
I:\ Building \Permits\BUP- TI- PerrnitApp.doc 03/23/06 440 -4613T(1 l/02 /COM/WEB)
f .
Building Division
Plan Submittal Requirement Matrix
TI G A R D Commercial & Multi - Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
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 sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I: \Building \Permits \BUP- TI- PermitApp.doc 03/23/06
CITY (W TIGARD _
BUILDING DIVISION PERMIT #: BUP200G -00370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2006 /
Phone: (503) 639 -4171 a
Inspection Requests (24 Hrs.): (503) 639-4175 =
INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 16285 SW 85TH AVE 302 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: QUALITY COUNTS
DESCRIPTION: TI Walls, curbcut.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: STEVEN BECK JOHNSON CONSTRUCTION PHONE #: 360 - 607 -4048
Inspection Request Scheduled For: Date: 8/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 034493 -01 360.607 -4048 N
y
Corrections /Comments /Instructions:
gi
.p'I/t l or)--- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL NI CALL FOR SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1` Date ell 6(c, Phone #: (503) 718 A 3
CITY OF TIGARD _
I I BUILDING DIVISION PERMIT #:,06)6. -8c 3 7e)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ..V __...
INSPECTION WORKSHEET FOR DATE: TIME: - PAGE:
SITE ADDRESS: / 6, gs- ' ,S A0-e- 30D- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: S — c),S --- Pour Time:
Code # Inspection Description A Confirm # Contact # Message
c7 ni.t , 75/A6� N
' 36 Cod7- 4(d lor
C , / omme is /Instructions:
, MI d4A „ / i • ,
•
i i
Ni& e! A4j-- eY-, ?2_2,-, . (5)7
4
ki‘ T I MA C31) t.----- e 7:-66-i-"°T 7 -i ) al-4 / T: e- Cre/t/ ) .
V
2 14 4 , )'' '' PLC 2- c - 00 t t ; C'' 5 _c /k# -4-
k i m6 7 -oZe - 0(331 - 2, C 4- F'U / %-k ca w ce-)
7,3°t Z� I) v.... -
4 7- -; ‘ — ' 4.- /
,01,-- 4A-C, -7/-es-- r c:) -
to
i
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IVA FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
7 ,r'
1 Inspector: D ate: /i Ph one #: (503) 718- ��" 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 Q0370
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2006
Phone: (503) 639 -4171 e„q i l i l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/14/2006 TIME: 7 :00AM PAGE: 2
SITE ADDRESS: 16285 SW 85TH AVE 302 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: QUALITY COUNTS
DESCRIPTION: TI Walls, curbcut.
OWNER: BIRKEMEIER, BRENT T /JANET D IRS, PHONE #:
CONTRACTOR: STEVEN BECK JOHNSON CONSTRUCTION PHONE #: 360 - 607 - -4Q48
Inspection Request Scheduled For: Date: 911Q12006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036547 -01 360-607-4048 N
Corrections /Comments /Instructions:
a
(------ ( iso t _ /
❑ P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
iiiii ill■ '
♦
l
Inspector: Art Date: ` 0 ' Phone #: (503) 718-