Permit e • a t
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00549
DEVELOPMENT SERVICES DATE ISSUED: 10/12/2005
° �'I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S102DB -00100
SITE ADDRESS: 08840 SW BURNHAM ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TI - walls
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: 93 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 25,000.00
Owner: Contractor:
VERIZON NW PRECISION CONSTRUCTION CO
1800 41ST ST 8025 NE KILLINGSWORTH AVE
PO BOX hon 10 \
A 4 -LB PORTLAND, OR 97218
e TT ' 425 -26T- .-5408
Phone: 503 - 253 -4827
FEES Reg #: LIC 60684
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/12/200; $283.30
[TAX] 8% State Surchar; 10/12/200`. $22.66
[BUPPLN] Pln Rv 10/12/200E $184.15
[FLS] FLS Pln Rv 10/12/200E. $113.32
Total $603.43
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 -s a -0010 t .ugh OAR 952 - 001 -0100. You may obtain a copy of these rule r direct questions to OUNC by
c. ing 503 - 246 -66 or 1 -851 . 344.
I-. sued By: / ,l ;,a i , // :/ / Permittee Signature:
.
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busines day.
This permit card shall be kept in a conspicuous place on the job site until completion of the p ject.
Approved plans are required on the job site at the time of each inspection. •
Building Permit Appli M l \ED FOR OFFICE USE ONLY
City of Tigard Received
Y ��i 4 � / r .
Permit N ..
13125 SW Flail Blvd., Tigard, OR 97223 r 1 2o�J GG Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 OC . /,itr,%, t fi ' tt ' ,''' • Date Date/By Other Permit:
Inspection Line: 503.639.4175 ei I Date Ready/By: El See Attached Checklist for
Internet: www.ci.tigard.or.us o r( OF TIGA ----- Notified/Method Supplemental Information
guILDING D(V . .
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 CI Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling E Commercial /industrial
•
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE' INFORMATION AND LOCATION Total number of floors:
Job site address: ogzio 51. gvalvfvtwl K New dwelling area: square feet
City /State /ZIP: -17 C le-4 Ole_ 9' 7 zZ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: V.')2t Z Covered porch area: square feet
Cross street /directions to job site: 5LA/ /-J-7¢LL Deck area: square feet
. 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 application.
Valuation: $
/N5-14z�_ lvtl? -�,c) DMA S / A7 wr 4 M t/1 .
/ 000
/`LL O fl i r-t Gay- -h.oyt S Existing building area: Z4 6 square feet
ID P New building area: square feet
. , ROPERTY OWNER ❑' TENANT Number of stories:
Name: V/ 12I -2_,0,‘/ N Type of construction: 5pJ (56) ,
Address: / 3
b'( Q' ( s $T �� �6X /603 �� CVO � - -- �{ 3 Oc cupancy groups:
City /State /ZIP: � & -ff- (n/ Pt- . R 8 20 & Existing:
Phone: (� ) 2, / 54-0 5 Fax: (42r) 258 S ¢44 New:
JD/APPLICANT • E CONTACT PERSON .
NOTICE
Business name: f' G(5 C en,/ Go: i s Ty-t€ c ,, - -f-z...0-2. 1 All contractors and subcontractors are required to be
Contact name: p14---11_ �' 0 v � (r licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: UO ZS A/E 4 it4V65 k/o jurisdiction in which work is being performed. If the
City /State /ZIP: ilcryt z_-e7t/ci 01C.- q 7 74 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 25 3 43 2-7 Fax:: CCU z- s/ 7 7
•
E -mail:
CONTRACTOR ,
Business name: S kyt,\,P its 5,re
A " ►! t BUILDING PERMIT FEES*
Address:
' Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone:( ) Fax:( )
• CCB lie.: Amount received
& O (o B 4
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: P/-/-1.4., Y u � / Date: h// 21 OD * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP- T1- PermitApp.doc 12/03 440-4613T(I1/02 /COM/WEB)
Building Division
� `� Plan Submittal Requirement Matrix
' --�` Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
. Type, of Submittal # of Plans
(Includes new, 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 I*
Fire Protection System 3**
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.
•
is \Building\Pemiits\BUP -T1- PermitApp.doc 12/03 440-4613T(11/02 /COM/WEB)
CITY OF TIGARD bUEc- 5-CcGA,
BUILDING DIVISION PERMIT #: BUP2005`O0549
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/12/2005
Phone: (503) 639 -4171 ion lull
Inspection Requests (24 Hrs.): (503) 639 -4175 „_,W -- L
INSPECTION WORKSHEET FOR DATE: 12/15/2005 TIME: 7:04AM PAGE: 83
SITE ADDRESS: 08840 SW BURNHAM ST . CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: VERIZON
DESCRIPTION: TI - walls
OWNER: VERIZON NW, PHONE #: 425. 261 -5408
CONTRACTOR: PRECISION CONSTRUCTION CO PHONE #: 503. 253 -4827
Inspection Request Scheduled For: Date: 12/15/2006 Pour Time:
Code # Inspection Description Confirm # ntact -# Message
299 Final inspection 023497 -01 603-803-5099 Y
Corrections /Comments /Instructions: r i d
06c-c"--q f
I 041
1 ( .
,-- 1
(
0 \---it------j .--------
!i i /
F ASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
Ilk `\ ' Date: / t ' 7 3 S ' Phone #: (503) 718 - 2 - Z3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00549
• - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1212005
Phone: (503) 639 -4171 / v dl numi `�i�hl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/7/2005 TIME: 7:00AM PAGE: 104
SITE ADDRESS: 08840 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: VERIZON
i DESCRIPTION: Tl - Walls
OWNER: VERIZON NW, PHONE #: 425 - 261 - 5408
CONTRACTOR: PRECISION CONSTRUCTION CO PHONE #: 503 - 253.4827
Fr Inspection Request Scheduled For: Date: 12/712005 Pour Time:
/ l
�,. Code # Inspection Description Confirm # Contact # Message
• 245 Firewall 023030.01 503 -803 -5099 Y
Corrections /Comments /Instructions: E l t? ,-
,r•
/V-= ' �iW
rA Mnre. 1 Opp__
•
� f
.t
PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FO' INSPECTION ❑ ADDITION F S ASSESSED
Inspector: AIM Date: Phone #: (503) 718-