Permit `� C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00095
' DEVELOPMENT SERVICES DATE ISSUED: 2/15/2006
4.11 ` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 AB -02704
SITE ADDRESS: 07410 SW BEVELAND RD ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 028 JURISDICTION: TIG
Project Description: TI
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: $ 15,000.00
Owner: Contractor:
NEWHAM, DAVID ALLEN + BARBARA AN CORNERSTONE BUILDERS
7410 SW BEVELAND RD 4845 SE HENDERSON ST.
TIGARD, OR 97223 PROTLAND, OR 97206
Phone: Contact #: FAX 503 - 671 -9640
PRI 503 671 - 9538
FEES Reg #: LIC 155542
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/15/2006 $187.30
[TAX] 8% State Surcharl 2/15/2006 $14.98
[BUPPLN] Pin Rv 2/15/2006 $121.75
[FLS] FLS Pin Rv 2/15/2006 $74.92
Total $398.95
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 - 246 -6.29 or 1- 800 - 332 -2344. %',
Issued By: At ., // .40 or Permittee Signature{' „ /d _
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
It .,
Buildi$germit Application F OR OFFICE USE ONLY
City of Tigard P•+ EGEIVED A Received -
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.196p 1 5 2006 /r " -�gt��lll, f3 �'' , Date/By. Other Permit:
Inspection Line: 503.639.4175 III �.j. =' II Date Ready/By: 0 See Attached Checklist for
Internet: www.tigard- or.gov Notified/Method: r`i Supplemental Information .
CITY OF TIGARD
ENPEDIV- ORK IOP!
REQUIRED DATA: 1 - AND 2- FAMILY DWELLING
❑ New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
f Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. .
Valuation: $
❑ 1- and 2- family dwelling )fommercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder CI Other: Number of bathrooms:
. ,JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: °7 t /f) . 5E,,, 6 -a RA 1/2> New dwelling area: square feet
City /State /ZIP: 7)C- ;yam a• 9 z Z j / Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ' 5 06A C P Covered porch area: square feet
Cross street /directions to job site: 7 Z 666����SEEE 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
�A DESCRIPTION OF WORK work indicated on this application.
OW 2 us / ��lCz_ar if,' aerr: CO 44-,911 Valuation: $ t!
/U
* Existing building area: square feet
C i, / f.- 00 7Z9.n%l
New building area: square feet
(a-'PROPERTY I ❑ TENANT Number of stories:
-Name: m N op K c ..P Type of construction:
Address: 7'/ f a 'c LA., % evt�l t> 71')" Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax:( ) - New:
-. ,APPLICANT ❑ CONTACT PERSON NOTICE
Business name: (, v/mb -- '7- 7 - 077 Q '7-' "I9f7?_ T All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
deLL e p 7 2,,k 7Z 7 L—, under ORS 701 and may be required to be licensed in the
Address: 4/By" •6 /4-.271,&77.3027 Sze jurisdiction in which work is being performed. If the
City /State/ZIP: hj2 � O/Z 772p4, applicant is exempt from licensing, the following reasons
apply: P /97. 3o
Phone:( .. ) tB 7/ 9S' 9 I Fax: :(St-13) & 7f' 9G 3 '..1—i .15
E -mail: 7 H• /8
, CONTRACTOR T
/f � '1-5 74 •q2
Business name: / rr�(�dt BU -
ILDIN PERMIT FEES
Address: 7/z3 S., /SG 7I/ !ft/fs' Please refer to fee schedule.
City /State /ZIP: 01.7.0A O n, O pp
Fees due upon application
Phone:( ) Fax:( )
CCB lic.: / 67 1 ii, vi �1 Amount received
Date received:
Authorized signature: / / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: / iii/ �z, * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits \BUP -TI- PermitApp.doc 12/30/05 440- 4613T(I I /02/COM/WEB)
' .., ,,, ... i
' Building Division
°a'f ' 90(n Plan Submittal Requirement Matrix
_La. AP 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
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, s ub m it 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. . . .
1:\ Building \Permits \BUP- T1- PetmitApp.doc 12/30/05 440-4613T( 1 1/02/COM/WEB)
CIS 11 1 1 WT " IGARD
BUILDING DIVISION 1 PERMIT #: BUP2006 -00085
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/15/2006
Phone: (503) 639 -4171 � 0�"4ii' ill'I
Inspection Requests (24 Hrs.): (503) 639 -4175 ' W
INSPECTION WORKSHEET FOR DATE: 6/7/2005 TIME: 7:06AM PAGE: 43
SITE ADDRESS: 07410 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 028 TYPE OF USE:
PROJECT NAME: JIM SHOOK C.P.A.
DESCRIPTION: TI
OWNER: NEWHAM, DAVID ALLEN + BARBARA AN, PHONE #:
CONTRACTOR: CORNERSTONE BUILDERS PHONE #: +503 -671 -9538
Inspection Request Scheduled For: Date: 6/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 031268 -01 503- 504 -1294 N
Corrections /Comments /Instructions:
•
. �! , ti ,
to
\_ PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
li t
inspector: W014 / Date: 6:, 06) . Phone #: (503) 718-
CITY Q.F TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00095
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/151200G -
Phone: (503) 639 -4171 :idUp�iuj1l+
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/512006 TIME: 7:02AM PAGE: 76
SITE ADDRESS: 07410 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: HIRIvIOSO PARK LOT #: 020 TYPE OF USE:
PROJECT NAME: JIM SHOOK C.P.A.
DESCRIPTION: TI
OWNER: NEWHAM, DAVID ALLEN 4- BARBARA AN, PHONE #:
CONTRACTOR: CORNERSTONE BUILDERS PHONE #: 503- 671.953
Inspection Request Scheduled For: Date: 615/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 031033 -02 503-504 -1294 N
Corrections /Comments /Instructions:
VE6J) Os looq
F1,20-v hn:De 00 e 7 U
QS (cg,
❑ PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
AIL CALL FOR INSPECTION ❑ ADDITIO L FEES ASSESSED
tir4f
Inspector: Date: / 0 41 , Phone #: (503) 718- 2Z3
CITYQF TIGARD
BUILDING DIVISION ,
PERMIT #: 13UP2006-00095
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/16/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/4/2006 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 07410 SW BE.VELAND RD CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 026 TYPE OF USE:
PROJECT NAME: JIM SHOOK C.P.A.
DESCRIPTION: TI
OWNER: IqE.WHAlvi, DAVID ALLEN + BARBARA AN, PHONE #:
CONTRACTOR: CORNERSTONE BUILDERS PHONE #: 503-671-9638
Inspection Request Scheduled For: Date: 6/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 029291-01 503-560-6866 N
Corrections /Comments/ Instructions:
1
rommirAvA
•
ASS 0 PARTIAL APPROVAL fl CANCEL I NO ACCESS
I I FAIL ■ — I ALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Am 4A1 0 .
-Ay
Inspect..': Date: 5 / 4 // 0 46 Phone #: (503) 718- 3