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Permit
v + - CITY OF TIGARD 1 BUILDING PERMIT PERMIT #: BUP2007 -00080 Nuke COMMUNITY DEVELOPMENT DATE ISSUED: 2/27/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135DD-05102 SITE ADDRESS: 11993 SW PACIFIC HWY ZONING: C - G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: ALL AMERICAN TRUCK & SUV Project Description: Containment wall for spray -in bed liners. 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? 1 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: $ 1,050.00 Owner: Contractor: GLADSTONE, HELENE D TRUSTEE OWNER 150 IRON MTN BLVD LAKE OSWEGO, OR 97034 Contact #: Phone: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 2/9/2007 $40.63 [FLS] FLS Pin Rv 2/9/2007 $25.00 [BUILD] Permit Fee 2/27/2007 $62.50 [TAX] 8% State Surcha 2/27/2007 $5.00 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 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: ,1Ji Permittee Signature: 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. • • Building Pe mit A licati p Commercial Tenant Impr r, ve ti l t . FOR OFFICE USE ONLY City of Tigard Received F FEB r DateBy:� 4 4 � ' � Permit Nd 3ln� ][ _�/� a) Q ° 13125 SW Hall Blvd., Tigard, OR 97223 0 9 2001 Plan Review D 9 / / Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 v y Y Y p � ` ' Date/By: � I U T I G A R D Inspection Line: 503.639.4175 Vl 1 Ut 11 �1�j�J ! Date tified/Me J (� - 30C r uns ® mental Information See for Internet: www.tigard- or.gov �J IT TxTmir- ivineralc 1 -eS �.ss W TYPE OF WORK REQ D 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. ❑ 1- and 2- family dwelling %Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: �J Job site address: 3 s !t/. A cc f rC ,/ ) y New dwelling area: square feet City/State /ZIP: 7 ,q 4 Q p OR Q 7 Z t 3 L Garage/carport area: square feet ■ Suite/bldg. /apt. no.: Project name: 4/f (ke/404/ Mace 7 SU V Covered porch area: square feet Cross street/directions to job site: / 1 Deck area: square feet Z TGUegev /14401.4 ` % f,,terivf��', Off/ 5:141 / k i 4C 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $ io So Existing building area: 75-0 b square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: e , ve , fie Titus"} C Se.eg ATod - ria.t{e Type of construction: IgCOcA/(vog Address: Q i—s S t.lj G e — /4.IP e- Occupancy groups: City/State /ZIP: ?a 'a pc/ , c' F 9 72 2. 3 Existing: Phone: (a03 2 q 3- / 3 7 q Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: ,4 j. ht/XIA/ c/mi ,Qlu4t' 3 5IIV A (tom I All contractors and subcontractors are required to be Contact name: R 47/5EK, / licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 3797 Adk f-t j 0 Qd U& jurisdiction in which work is being performed. If the City/State/ZIP: S,t m n2 9 73e 3 applicant is exempt from licensing, the following reasons apply: Phone: ( 52)3) 3 7 S o/q q Fax:: ( ) E -mail: Q4(/ // 4/)1 /CI4AJ C,woR&5 , CD Pti CONTRACTOR Business name: BUILDING PERMIT FEES* Address: (Please refer to fee schedu ) City /State /ZIP: Structural plan review fee (or deposit): 9' , ('f FLS plan review fee (if applicable): c:2 ` GI Phone: ( ) Fax:( ) ^ CCB lie.: Total fees due upon application: (,! Amount received: Authorized signature: i i I * � r ih�D� � "C,SI' - ,,,, his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. � t- Print name: 4,e y a n e _ I Date: * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits\BUP -TI- PermitApp.doc 12/27/06 440- 4613T(I1 /02/COM/WEB) r , * ... , . , t , q 7 . Building Division Plan Submittal Requirement Matrix T I 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 a 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 #: BUP2007 -00080 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007 Phone: (503) 639 -4171 Aee e�p��y' � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7:18AM PAGE: SITE ADDRESS: 11993 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ALL AMERICAN TRUCK & SUV DESCRIPTION: Containment wall for spray -in bed liners. OWNER: GLADSTONE, HELENE D TRUSTEE, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 3/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 044418-01 503-597-2878 N Corrections /Comments/ Instructions: t?t 4 , AitA l ❑ ' AL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ' 'OR INSPECTION ❑ ADDITION • FE .S ASSESSED Inspector: Dater 0 Phone #: (503) 718 CITY OF TIGARD - • BUILDING DIVISION PERMIT #: gUP 2007 -08080 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2127/2007 Phone: (503) 639 -4171 s . �.i N �, ' Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 2128/2007 TIME: 7 :02AM PAGE: 65 SITE ADDRESS: 11993 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ALL AMERICAN TRUCK & SUV DESCRIPTION: Containment wall for spray-in bed liners. OWNER: GLADSTONE, HELENE D TRUSTEE, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 2/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa• - dip cwt -t-C:._ 299 Final inspection 044031 -01 503-881 -5574 / Corrections /Comments /Instructions: Sa3 OtY7 VIE C__ 41 _ Z©.. — va, r .Z �' .............._. 4 i 4i IIIII W ❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-