Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00414
DEVELOPMENT SERVICES DATE ISSUED: 9/8/2006
..� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 115AA -01100
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 027 JURISDICTION: TIG
Project Description: Carport E - 2 add carport cover over existing parking space.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 1,200.00
Owner: Contractor:
ELTON, MICHAEL D STEELPORT LLC
BY MDE INSTITUTIONAL 7075 SW 130TH
6950 SW HAMPTON ST STE 320 BEAVERTON, OR 97008
PORTLAND, OR 97223
,;, Phone: Contact #: PRI 503 - 643 -6785
Reg #: LIC 108502
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
•
[TAX] 8% State Surcha 9/6/2006 $5.00
[FLS] FLS Pln Rv 9/6/2006 $25.00
[BUILD] Permit Fee 9/6/2006 $62.50
[BUPPLN] Pln Rv 8/29/2006 $40.63
Total $133.13
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
l 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: ,� � � °�� Permittee Signature: 1 !c ( C_F('1 - I_
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 Applicati h G (,I . Foi.oI-�FICtusE ONLY - ,
Receive
I II City of Tigard .... Date/s o Permit No.: �� ., r 4 'i 13125 SW Hall Blvd., Tigard, OR 97223 Plan Re
m AUG 2 - 2006 Other Permit:
Phone: 503.639.4171 Fax: 503.598.19 2 U Date/B ��y��
Tt,GA KD Inspection Line: 503.639.4175 R e El See Page 2 for
Internet: www.tigard - or.gov ik..4I bJ 0 11U • � x � Notified/Method: Supplemental Information Pil
i , �� tt
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.
ID I- and 2-family dwelling Valuation: $
y g ❑ Commercial /industrial
El Accessory building !," ulti- family Number of bedrooms:
❑ Master builder J 4,0 5 ` it Other: �2 Number of bathrooms: •
JOB SITE INFORMATION AND LOCATION Total number of floors:
. Job site address: Sk /Q# p sca j-1 . ag � New dwelling area: square feet
City /State /ZIP: ( �� 77;2,7 4 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name MK ,re, r• $ Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
‘`g ti-ir ff�/. 7 7 / j ,1-e- .' p Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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 a lication.
4(0j1 / 6 , r� focesze- '. f rig r Valuation: $ a ( 0/61/ ! [` Existing building area: square feet
New building area: l square feet
' ROPERTY OWNER ❑ TENANT Number of stories: /
Name: z;?' !, 0 � (J 9/ , $l.Ud Type of construction:
Address: ' / / L.,,.., /7' f U ..-0-- Occupancy groups:
City /State /ZIP: Y1QJt /• l tie 6P /L 9' - ? p,®7 Existing:
Phone: ( ) Fax: ( ) New:
X APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ft. e j / I All contractors and subcontractors are required to be
Contact name: / . .,, ,-.7-30 t�., !� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7,i 7 f -- (SY-) / U jurisdiction in which work is being performed. If the
City/State/ZIP: ��v� y ��,, " iQ�eJ applicant is exempt from / llicensing, the following reasons
•
�`�"° ` "�� a pply: CG ,.5-77 .5-77 Phone: L 'Y 64" 6 7es` Fax:: (' ) . y i/o • b3
E-mail: GL.-S 2I . . e70 //
CONTRACTOR S D J
Business name: � .� po,' ,riLG BUILDING PERMIT ES*
• Address: • (Please refer to fee schedule
i Structural plan review fee (or deposit): 1 33.i .3
City /State /ZIP: 54 Le o4 ' ./ - 0 te_.-
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
CCB lic.: rq / Total fees due upon application:
/ � / / 0 v V
g ,��� Amouni received: �'
Authorized signatur� , ' T is pe it application expires if a permit is not obtained
• � w= � /T> �� ithin 180 days after it has been accepted as complete.
Print name i D ate . Ar i ,„ * Fee methodology set by Tri- County Building Industry
r ' Service Board.
1ABuilding\PermitstBUP- TI- PermitApp.d•3 /06 440-461 T( I 1/02/COM/WEB)
.I'
•
. y
.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 OF TIGARD
BUILDING DIVISION PERMIT #: BUP20 6 -00414
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 91812006
.
Phone: (503) 639 -4171
A NA O(
Inspection Requests (24 Hrs.): (503) 639 -4175 Ail 111.
INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7 :06AM PAGE: 22
SITE ADDRESS: 16065 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: MLLOW BROOK FARM LOT #: 027 TYPE OF USE:
PROJECT NAME: OAK TREE ARTS II
DESCRIPTION: Carport E -2 add carport cover over existing parking space.
OWNER: ELTON, MICHAEL 0, PHONE #:
CONTRACTOR: STEELPORT LLC PHONE #: 503. 643..6785
Inspection Request Scheduled For: Date: 9/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 037159-01 503 - 6436785 N
' Corrections /Comments /Instructions:
. L
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL� I I CALL FOR INSPECTION n ADDITI• AL FEES ASSESSED
Inspector: �I,�- Date: �--� �'' Phone #: (503) 718 - '24--
_ '�L'
CITY OF TI'GARD •
BUILDING DIVISION PERMIT #: BUP200 &00414
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/0/2006
Phone: (503) 639 -4171 ■ „40
Inspection Requests (24 Hrs.): (503) 639- 4175 `__..
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 :02AM PAGE: 39
SITE ADDRESS: 16065 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 027 TYPE OF USE:
PROJECT NAME: OAK TREE APTS II
DESCRIPTION: Carport E -2 add carport. cover over existing parking space.
OWNER: ELTON, MICHAEL D, PHONE #:
CONTRACTOR: STEELPORT LLC PHONE #: 503 -643 -6785
Inspection Request Scheduled For: Date: 8/21/2006 Pour Time: 2 : 00
Code # Inspection Description Confirm # Contact # Message
206 Footing 036962-01 503 -643 -6785 N
Corrections /Comments /Instructions:
i AC` 1 / &alga . i
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL CALL FOR INSPECTION I ADDI ION FEES ASSESSED
Inspector: I / Date: It a) Phone #: (503) 718-