Form B70-1028 Page 1 of 2 REV 8/16
Permit No.: ____________ Date Issued: _______________
Job Address: ______________________________________ Suite No.: ____________
Tenant Name: _____________________________________________________________
Building Area: _______Occupancy: ______Construction_______________ Type:_________
Pre-Application Meeting Conducted? Yes No
Owner: _____________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________
Phone No.: ______________
Contractor: ______________________________________ CCB No.: ____________
Address: _____________________________________________________________
_____________________________________________________________
Phone No.: ______________
The following work is authorized under this temporary permit:
Demolition of interior nonbearing walls Framing of interior nonbearing walls
Installation of suspended ceiling grid
Install gypsum wallboard on nonbearing walls (with one side to remain open)
Rough mechanical
Installation of the fire alarm system
Installation of the fire sprinkler system
Other: __________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
CITY OF BEAVERTON
Community Development Department
Building Division
12725 SW Millikan Way / PO Box 4755
Beaverton, OR 97076
Phone: (503) 526-2493 Fax: (503) 526-2550
General Information (503) 526-2222 V/TDD
BeavertonOregon.gov
TEMPORARY TENANT IMPROVEMENT PERMIT
WAIVER
Form B70-1028 Page 2 of 2 REV 8/16
The Owner, Developer, Contractor, or other Responsible Party(ies) shall have a pre-application
meeting with the TI Plans Examiner prior to issuance of a temporary permit.
This temporary tenant improvement (TI) permit application authorizes construction work to begin
prior to the issuance of a permit subject to the restrictions and limitations contained herein. The
following terms, conditions, restrictions, and limitations shall be in effect:
Temporary permits are only issued for interior nonstructural commercial TI projects. Only
work authorized by this temporary permit can commence.
No work of any kind shall commence prior to obtaining a temporary permit, nor shall any work be
done beyond or outside the scope of the temporary permit. A violation of this regulation shall
result in the issuance of a "Stop Work Order," which will remain in effect until all applicable
permits have been issued, and could result in the assessment of an investigation fee.
The Owner, Developer, Contractor, or other Responsible Party shall apply for a temporary permit
during the hours the TI Plans Examiner is available (7:30 a.m. to 9 a.m. and 1:30 p.m. to 2:30
p.m. daily or by appointment). Building counter is closed daily from 12:00 pm to 1:00pm.
The Owner, Developer, Contractor, or other Responsible Party shall submit four complete sets of
construction drawings and specifications (as required in the TI Application Checklist) and pay the
appropriate plan review fee. Incomplete plan submittals will not be accepted for temporary permit
applications or plans review.
All contractors authorized to work under this temporary permit shall have all current licenses and
registrations.
Work authorized under this temporary permit may proceed in accordance with the temporary
permit plans up to the point where an inspection is necessary, at which point work shall cease
until all permits have been issued. NO INSPECTIONS SHALL BE REQUESTED OR
CONDUCTED UNDER A TEMPORARY PERMIT. This does not apply to work permitted under a
full permit.
The City's inspection staff shall be provided access to the job site during normal business hours.
The City retains the right to deny issuance of a temporary permit to any party found to be abusing
the privilege.
The temporary permit plans shall be kept on the job site at all times.
This temporary permit shall become a part of the temporary permit plans and attached thereto.
The undersigned permittee agrees to all of the conditions contained in this temporary
permit and understands that all work authorized under this temporary permit is done at the
permittee's risk and that any work not in conformity with applicable codes and regulations
shall be removed, altered, or corrected at the expense of the owner, contractor, or
responsible party and further indemnifies the City from any liability for work authorized
under this temporary permit.
____________________________________________________ ________________________
Authorized Signature Date
____________________________________________________ ________________________
Approved By Date
This temporary permit shall become null and void after 180 days from the issued date.