Permit � � C I TY O F TIGARD
BUILDING PERMIT
�' ° PERMIT #: BUP2007 - 00178
COMMUNITY DEVELOPMENT
DATE ISSUED: 4/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AB - 02200
SITE ADDRESS: 12525 SW MAIN ST ZONING: CBD
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE LOT: 015 JURISDICTION: TIG
PROJECT: STONE GALLERY
Project Description: TI - room reconfiguration & install beams. (975 sq ft)
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 0 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf • PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 33 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 30,000.00
Owner: Contractor:
JIM TOMA SUNSET HOMES INC
26431 S BARLOW RD 26398 SW LABROUSSE RD
CANBY, OR 97013 SHERWOOD, OR 97140
• Contact #: PRI 503 313 - 2599
Phone: • FAX 503 - 825 - 1684
Reg #: LIC 91700
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 3/27/2007 $208.52
[FLS] FLS Pln Rv 3/27/2007 $128.32
[BUILD] Permit Fee 4/5/2007 $320.80
[TAX] 8% State Surcha 4/5/2007 $25.66
Total $683.30
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 ' • otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
oft -se rules or .' ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is- ed By: � / / Permittee Signature /
Call 503.639.4175 by 7:00 a.m. for an inspection that business d.
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.
•
: wilding Permit Application ! 2-`52. c&) NMA I i
Q Com!iercial Tenant Improvement FOR OFFICE USE ONLY
i
City of Tigard Received /� p ermit No.: �/�� ,�� N�
° 13125 SW Hal Blvd., Ti ard OR FIF ^ VFD Dateiv : ,/ p ., D O1Q'/� a'Y
\ g Plan Revi-. / ,1�
C E„„ M Other Permit:
Phone: 503.639.4171 Fax: 503.59 9 DateB : � S ri
^ TIGARD
Inspection Line: 503.639.417 ^' ` Date ReadyBy: �� ® See
∎)1 Internet: www.tigard- or.gov
CITY fit= "I- ;GAi�D Notified/Method: �9/0 Supplemental Page 2 Information
�i —
- - �.
TYPE OF WORK I v tJt REQUIRED t ` TA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees' are b. ed on the value of the work performed.
Addition/alteration/re lacement 111 Other: Indi : to the value (rounded to the nearest dollar) of all
P equip , t, materials, labor, overhead, and the pro it for the
CATEGORY OF CONSTRUCTION work ind ated on this application.
El 2- family dwelling 'Commercial /industrial Valuation:
3� `��� _
❑ Accessory building ❑ Multi - family Number of be ooms: $
p ❑ Master builder ❑ Other: Number of bathror ,1 :
/A6-4945--- JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / ZS g S S 4/ 'j t: /A. 5' T /1 New dwelling area: square feet
City/State /ZIP: Tt Garage /carport .. a: square feet
P p S uite/bldg. /apt. no.: Project name: �, Covered p » ch area: so - are feet
S7`on.� /,.l /�
Cross street/directions to job site: 4€i /I / / / Deck ea: squar feet
p o Other structure area: square feet
4 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.
y � c Valuation: $ /ry D 0
T f , j f / k A Existing building area: square feet
G New building area: square feet
•PROPERTY OWNER ❑ TENANT Number of stories:
/
Name: 3/ ^ .L r? r•t.A Type of construction: j J • J JS 6.
3 " Address: 2 3 / S A /�� /2d Occupancy groups:
City/State /ZIP: `.t�r6t/ 4/Z C17,4•1� Existing:
Phone: (��� Fax: ( ) New:
�PLICANT ❑ CONTACT PERSON NOTICE
Business name: Sun$G 44 404.4 . $ All contractors and subcontractors are required to be
N • licensed with the Oregon Construction Contractors Board
�� Contact name: ���� �����` under ORS 701 and may be required to be licensed in the
Address: .2..:-.-41 g S� /— 2� jurisdiction in which work is being performed. If the
7 applicant is exempt from licensing, the following reasons
City/State /ZIP: S,e,__,
G „/ z; ,J 2 1 ' f4 apply:
I Phone: (SOS) j (3 .a Seiq I Fax: : (Sd j) lit3- S” /li '/
Q... E -mail: .,e,- - 2 . /�-r - -- ��is...1- .e� 57 /F 1
CONTRACTOR
Business name: _S,,,,,,,,... 4-.' ( e,„ f /� BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit): qP,IQ' • S=A
City/State /ZIP:
FLS plan review fee (if applicable): /AB. j�
Phone: ( ) Fax: ( ) 45 I
Total fees due upon application:
d- CCB lic.: 9/7� 2•
i /i% Amount 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: ��'"" �� �/ 4 .41/`! Date: j/23/0 7 ' Fee methodology set by Tri -County Building Industry
" Service Board.
I:\ Building \Permits\BUP- TI- PermitApp.doc 1 7/06 440- 4613T(I1 /02/COM/WEB)
4
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4
71 : ° - Building Division
Plan Submittal Requirement Matrix
T 1 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- PemvtApp.doc 03/23/06 ,
CITY OF TIGARD r .
BUILDING DIVISION PERMIT #: BUP2007- 0017L3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007
Phone: (503) 639 -4171 . ` ( i
Inspection Requests (24 Hrs.): (503) 639 - 4175 `'I I-.
INSPECTION WORKSHEET FOR DATE: 4/17/2007 TIME: 7:01AM PAGE: 20
SITE ADDRESS: 12525 SW MAIN ST CLASS OF WORK:
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE LOT #: 015 TYPE OF USE:
PROJECT NAME: STONE GALLERY
DESCRIPTION: TI - room reconfiguration & install beams. (975 sq ft)
OWNER: TOMA, JIM PHONE #:
CONTRACTOR: SUNSET HOMES INC PHONE #: 503-313 -2599
Inspection Request Scheduled For: Date: 4/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 046626-01 503 -313 -2599 N
Corrections /Comments /Instructions:
R v' D cc A-'r°2a vCAM PC- ■/ nAi- s , -,
oK /SPA -7 7 Al .
.1 P67 g ,.,'-- A,(c
_. _
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[AIL r, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ - 2> Inspector: Date: P hone #: (503) 718- L� / y
1 \
CITY OF TIGARD
BUILDING DIVISION T . J t!'• PERMIT #: BUP2007- 001713
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007
Phone: (503) 639 -4171 vijlt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:OOAM PAGE: 16
SITE ADDRESS: 12525 SW MAIN ST CLASS OF WORK:
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE LOT #: 015 TYPE OF USE:
PROJECT NAME: STONE GALLERY
DESCRIPTION: TI - room reconfiguration & install beams. (975 sq ft)
OWNER: TOMA, JIM PHONE #:
CONTRACTOR: SUNSET HOMES INC PHONE #: 503-313 -2599
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 046710 -03 603- 313.2599 N
\ • ections /Comments /Instructions:
��i ZZ'" 2 Z r� I Z 'r W (Z .-4::■ S � ` L14-y f)c arl 11)&7 1nISPe,7-T . 14 Th
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Th Pk OJI
❑ PASS i j ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL %2 ' LL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspect. D ate: /8 0 7 Phone #: (503) 718 -
lb
CITY OF TIGARD
BUILDING DIVISION „• PERMIT #: BUP2007- 00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
Phone: (503) 639 -4171 .11 4
Inspection Requests (24 Hrs.): (503) 639 -4175 - `'' �
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:0OAM PAGE: 22
s SITE ADDRESS: 12525 SW MAIN ST CLASS OF WORK:
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE LOT #: 015 TYPE OF USE:
PROJECT NAME: STONE GALLERY
DESCRIPTION: TI - room reconfiguration & install beams. (975 sq ft)
OWNER: TOMA, JIM PHONE #:
CONTRACTOR: SUNSET HOMES INC PHONE #: 503-313-2599
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 046969-01 503-313-2599 N
Corrections /Comments /Instructions:
ii2, PASS ' ' TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL rA ' LL FOR INSPECTION LI ADDITI NAL FE S ASSESSED
Inspector: _ Date: _ �S 0 Phone #: (503) 718 - -5.6
CITY OF TIGARD .
BUILDING DIVISION - PERMIT #: BUP2007 -00170
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007
Phone: (503) 639 -4171 U*oa A
Inspection Requests (24 Hrs.): (503) 639 -4175 _J "I'
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 12525 SW MAIN ST CLASS OF WORK:
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE LOT #: 015 TYPE OF USE:
PROJECT NAME: STONE GALLERY
DESCRIPTION: TI - room reconfiguration & install beams. (975 sq ft)
OWNER: TOMA, JIM PHONE #:
CONTRACTOR: SUNSET HOMES INC PHONE #: 503-313-2599
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time:
Code # I nspection Description Confirm # Contact # Message
299 a Final inspection 053222 -01 503- 313 -2599 N
Corrections /Comments /I structions:
f &err - A 1 . 7 /?At/a 7 (WA) - Li..c r,V
•
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cke A 7 N n s a _ 6L' i N . . . ,1-
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `� �' " Dat e: 2 ( v Phone #: (503) 718- 2 Y L T
CITY OF TIGARD
BUILDING DIVISION ERMIT #: BUP2007- 00170
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' 'I �..
INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 22
SITE ADDRESS: 12525 SW MAIN ST CLASS OF WORK:
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE LOT #: 015 TYPE OF USE:
PROJECT NAME: STONE GALLERY
DESCRIPTION: TI - room reconfiguration & install beams. (975 sq ft)
OWNER: TOMA, JIM PHONE #:
CONTRACTOR: SUNSET HOMES INC PHONE #: 503 313 - 2599
Inspection Request Scheduled For: Date: 7/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 052615 -01 503-313 -2599 N
Corrections/ omme is /In j uctions: ,
S
i:3 d — 00 2--frs (AwNi i -,
y c o / . 1 0 £ ZC -ado -7 —00 -7 C 111—
N''
X r v k J ? ( 5 - e _ , c _ 2 U - 0 0 2 - w 6 tvti./ j , SS-v
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LI. /PL'i 20 0 - 2- do/33 ( T — it
dA vv)6 - 0-(/ - 7- or) 1 (e <lc C - 7 -- .D) — vfrutc.c-c,,xce---(Z
( '-e. 7'lk_k_ i-v-e , , .... ,,/
I' - QC.,.1
a
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F C AIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ✓ Date: 9 /7/6-0 T7 Phone #: (503) 718:2-4 Zy
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00178
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4f5/7007
Phone: (503) 639 -4171 A, g'� I I�
Inspection Requests (24 Hrs.): (503) 639 -4175 P__..
INSPECTION WORKSHEET FOR DATE: 9/5/2007 TIME: 7 :OOAM PAGE: 40
SITE ADDRESS: 12625 SW MAIN ST CLASS OF WORK:
SUBDIVISION: ELECTRIC ADD. TO TIGARDVILLE LOT #: 015 TYPE OF USE:
PROJECT NAME: STONE GALLERY
DESCRIPTION: TI - room reconfiguration & install beams. (975 sq ft)
OWNER: TOMA, JIM PHONE #:
CONTRACTOR: SUNSET HOMES INC PHONE #: 503 - 313-2599
Inspection Request Scheduled For: Date: 915 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection '3 055121 -01 503- 313-2599 N
C rr ction /Commen s /Instructions: JC. (S) r .
X14 7/0 u C
7 — 6 2 -5 Avo t 0)0
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1r v (.4^ 4/ k e/O (c)
VA0 r- - AA V ZI o ke J :. SS `SAS
0._.-A, c lstif
O i g .:Aiti SJ ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \X,: Date: g /'/ d -) Phone #: (503) 718- 2 - Z