Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00515
s , �l� DEVELOPMENT SERVICES DATE ISSUED: 10/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AB 01606
SITE ADDRESS: 07357 SW BEVELAND RD 200 ZONING: MUE
SUBDIVISION: CLARKE BUILDING LOT: 017 JURISDICTION: TIG
Project Description: TI (main floor (2nd) 3791 sq ft story)
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W: 1HR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W: Y
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 38 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: 29 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 125,000.00
Owner: Contractor:
TOM CLARKE SEQUOIA WOODS DEVELOPMENT CO
7357 SW BEVELAND STE. 100 12439 SW 22ND AVE
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
Phone: 503 - 793 -2621 Phone: 503 - 293 -1226
FEES Reg #: LIC 162554
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/30/2005 $547.17
[FLS] FLS Pln Rv 9/30/2005 $336.72
[BUILD] Permit Fee 10/11/200E $841.80 • .
[TAX] 8% State Surcharl 10/11/200E $67.34
Total $1,793.03
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 Cente --T \ hose rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or dir a giie to OUNC by
calling i -24. -.699 or 1- 800 -33 -2344.
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Issued :, : ,� !, iI Permittee Signature: �• (, % x
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.
7357 5w eve /�eL s &
1 Building Permit Ap' SCE IV E _B . FOR OFFICE,USE, ONLY ' \ .
City of Tigard Received / Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 S
3 ® 2005 Pla Revue O _�t'� • i ��I ���
Phone: 503.639.4171 Fax: 503.598.1960 / �'� *•uNMarit ji (? . n Date/By: t Fat UM! Other Permit:
Inspection Line: 503.639.4175 CITY ■ U. e'' _ 1' Date Re. ty t: I: `1411/ /// RI See Attached Checklist for
Internet: www.ci.tigard.or.us
CI i ®� � ,�+ ^^ Notified/Method: �(J Supplemental Information
BUILDING DTVISIOT'I �II
. 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: TAT twA9ao'i T equipment, materials, labor, overhead, and the profit for the
' CATEGORY OF CONSTRUCT ION work indicated on this application.
Valuation: $
❑ 1 - and 2 - family dwelling ,❑'commercial /industrial
El Accessory building El Multi-family • Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE' INFORMATION. AND LOCATION . Total number of floors:
Job site address: - 7857 'Sc.) g 14-•,r) S-1 New dwelling area: square feet
City /State /ZIP: -F 0_ t 7 72. Su I 2 Garage /carport area: square feet
. Suite/bldg. /apt. no.: • Project name: [.(._...r. la Covered porch area: square feet
Cross street /directions to job site: ^- 12 $ 3,wc(tit Deck area: square feet
(?i .L4/.zJ/jj_t4 / . ____. "V L2tt$j Other structure area:. square feet
REQUIRED DATA :COMMERCIAL -USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed.
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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.
rr Valuation: $
l Existing building are . 1 a 0 square feet
A p � c� S 3 771 1 so-cvso 271
• New building area: square feet
O ROPERTY OWNER ' ❑ TENANT Number of stories: a
Name: 1 G LE_ O
\ Type of construction: ,, a 3 d
Address: --7 Si.4..) ? �iq,,t D Su 1 ko Occupancy groups: 6 3
City /State /ZIP: —I-- l2 cvz... Existing:
Phone: (C/A) v 1073 _2 Fax: (Sib ) - 2 3 4 1, 53(0 New:
Q PPLICANT AR ONTACT PERSON NOTICE.
Business name: .p -,, t l- ,4-. j - __ _ All 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: jurisdiction in which work is being performed. If the
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City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
. CONTRACTOR ,. '
Business name: S ( A.- w000 )9 Etia ol7ltt,c�/T
( BUILDING' PERMIT FEES*
Address: Please refer to fee schedule.
City /State /ZIP: c/4111 r. AC. A- 501/o Fees due upon application
Phone: ( ) Fax:( )
Amount received
CCB lic.: I l +J
!� - Date received:
--- Authorized signature: i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: i.A C(0_k C. _ Date: q / c 5 * Fee methodology set byTri- County Building Industry
l/ /0"S"---
Service Board.
i:\ Building \Permits\BUP- Ti- PermitApp doe 12/03 440- 4613T(11/02/COM /WEB)
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Building Division
,Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
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
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Building 1*
Fire Protection System 3**
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Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
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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 12/03 440-4613T(I I /02/COM/WEB)
CITY OF TIGARD
BUILDING"DIVISION
A PERMIT #:
D ATE Bup2006.00616
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 10111/2006
Phone: (503) 639-4171 i o dio t oi#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:03AM PAGE: 34
SITE ADDRESS: 07367 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BEVELAND WELLNESS CENTER
DESCRIPTION: TI (main floor (2nd) 3791 sq ft story)
OWNER: CLARKE, TOM PHONE #: 603-793.2621
CONTRACTOR: SEQUOIA WOODS DEVELOPMENT CO PHONE #: 603-29:3-1226
Inspection Request Scheduled For: Date: 1/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inswrion 025280.01 503-793-2621 N
• Corrections/Comments/Instructions:
---- . 1
t 4
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PASS . I I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
i
I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: - Date: 1- 6 1. q) Phone #: (503) 718-
CITY OF TIGARD
,
BUILDING DIVISION
/11PA PERMIT #: Bt1P2005-00615
13125 SW Hall Blvd., Tigard, OR 97223 DJE ISSUED: ion 1/2006
Phone: (503) 639-4171 —, till t 01
Inspection Requests (24 Hrs.): (503) 639-4175 „.--te.sfr 61 ---•
W/
INSPECTION WORKSHEET FOR DATE: 1/1712006 TIME: 7 PAGE: 5
SITE ADDRESS: 07357 SW EEVELAWD RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BFVELAND WELLNESS CENTER
DESCRIPTION: TI (main floor (2nd) 3791 sq ft story) •
OWNER: CLARKE, TOM PHONE #: 503-793-2621
CONTRACTOR: SEQUOIA WOODS DEVELOPMENT CO PHONE #: 503.293,1226
Inspection Request Scheduled For: Date: 1/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 025086-01 503-793-2821 N
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Corrections/Comments/Instructions:
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1 PASS fl PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
74 FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspe.ctor: Date: hone #: (503) 718-
CITY.OF TIGARD
BUIL®ING DIVISION PERMIT #: BUP2005-00515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) +�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 75
SITE ADDRESS: 07357 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 ' TYPE OF USE:
PROJECT NAME: BEVELAND WELLNESS CENTER
DESCRIPTION: TI (main floor (2nd) 3791 sq ft story)
OWNER: CLARKE, TOM PHONE #: 503- 793 -2621
CONTRACTOR: SEQUOIA WOODS DEVELOPMENT CO PHONE #: 503 - 293 -1226
Inspection Request Scheduled For: Date: 11/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 019974 -01 503 -793 -2621 V
Corrections /Comments/ Instructions:
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, Mr; osititims
41:
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i
PASS fl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FO' INSPECTION ❑ ADDITI NAL FEES ASSESSED
//tit
Inspector: !,' f Date: I t o Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639 -4171
Inspection, Requests (24 Hrs.): (503) 639 -4175 1.11.
INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 106
SITE ADDRESS: 07357 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BEVELAND WELLNESS CENTER
DESCRIPTION: TI (main floor (2nd) 3791 sq ft story)
OWNER: CLARKE, TOM PHONE #: 503- 793.2621
CONTRACTOR: SEQUOIA WOODS DEVELOPMENT CO PHONE #: 503-293-1226
Inspection Request Scheduled For: Date: 10/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 018934 -01 503- 463 -4500 N
Corrections /Comments /Instructions:
L
KVA r I - .
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ASS I I PARTIAL APPROVAL fl CANCEL n NO ACCESS
[l FAIL in CALL FOR INS °ECTION n ADDITIO AL FEE ASSESSED
Inspector: Date: 10 one #: (503) 718-