Permit , ' BUILDING PERMIT
A - CITY OF TIGARD PERMIT #: BUP2002 -00396
i DEVELOPMENT SERVICES DATE ISSUED: 3/5/03
----- ��;� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10998 SW 68TH PKWY PARCEL: 1 S136AD -06505
SUBDIVISION: WAY LEE ZONING: C -G
BLOCK: LOT: 003 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 2,753 sf N: 1 HR S: E: 1 HR W:
TYPE OF USE: COM SECOND: 960 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 0 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 3,713 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 28 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: 26 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 50 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: $ 250,000.00
Remarks: Construction of new bank building.
Owner: Contractor:
BANK OF SALEM PHOENIX CONTRACTORS
PO BOX 847 5360 LANDON STREET SE
SALEM, OR 97308 SALEM, OR 97306
Phone: 503 - 585 -5290
Phone: 503 - 589 -1268
Reg #: 503- 363 - 1466161
FEES 503 1REQUIRED INSPECTIONS
Description Date Amount Erosion Control Insp 846 -8• Insulation Insp
[BUPPLN] Pln Rv 9/11/02 $530.01 Mechanical Permit Require Shear Wall Insp
TIF- Commerc 3/5/03 $14,820.00 Electrical Permit Required Firewall Insp
[TIF-Cl Plumbing Permit Required Gyp Board Insp
[TIF -MT] TIF Mass Tr 3/5/03 $6,354.00 Foot/Found Insp Susp Ceiing Insp
[PKSDC] Parks SDC 3/5/03 $476.00 Footing Drain Final Inspection
(additional fees not listed here) Slab Insp
Masonry Insp
Total $24,876.61 Framing Insp
Roof naiing Insp
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: -C� /t
Permittee //�
Signature: zi2X,� �����
Call 639 -4175 by 7 p.m. for an inspection the next business day
4
'B uilding Permit Application
A .
_,
Date received: e/ 1/ Q Permit no. ��_ _ ■ : 1:k
i City of Tigard
Project/appl. no.: e date: W
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Date �� Rec ei
Phone: (503) 639 -4171 Receipt no.:
/_ P
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 3'92/99 9 -000 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alamt 0 Other:
JOB SITE INFORMATION
lob address: iMMIWILt��..ji� Bldg. no.: Suite no.: •
Lot: : lock: ubdivision: Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special,conditions: !.... . l ' (AN t Tp
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
(Floodplain, septic capacity, solar, etc.)
Mailing ad r ress: h r 1& 2 family dwelling: 4
City: ilia; _ rap_'ll • [MA ZIP: ' ,11KI Valuation of work $
Phon: ,_, / i WO E -mail: _ No. of bedrooms/baths
Owner's representative: 1J V _4 . Total number of floors
Phone: /i ; Fax: E -mail: New dwelling area (sq. ft.)
`" ' APPLICANT Garage/carport area (sq. ft.)
x .i • , • i� Covered porch area (sq. ft.) n1
Name: 1'14%. ��! _
Mailing address /V ' �IBMIE Deck area (sq. ft.)
�_ :•31 ZIP: �' Other structure area (sq. ft.)
Phone:
, 7 Eill E -mail: Commercial/industrial/multi-family: `%� 0 ,
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.) VJ
►� i- i►c New bldg. area (sq. ft.) '
Address: �, Number of stories
(�,:_ >, MII' hRaZIZMII %, „01,,i Phone: ` ��' Fax: E -mail: Type of construction
Occupancy
group(s): Existing:
CCB no.: 0 ` e ,)
City /metro lic. no.: Notice: All contractors and subcon Aare required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
► - ��
, . provisions of ORS 701 and may be required to be licensed in the
Address:
,` jurisdiction where work is being performed. If the applicant is
City: State: ZIP:
exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: _ . Fax: E -mail:
ENGINEER
r ��� Contact person: AR MIN i l u u pon application . $
►► ✓�� Address: R, 1.1 (,._ I)rT`jf.►n1 Date received:
_ • I a ZIP: t'lgr:Y, Amount received $
Phone: W; MW1.9 Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied with, wh• er specified herein or not. Credit card number: Ex ir/
P
Authorized sign. : V___�; `� 0-v Dat -: U Name of cardholder as shown on credit card $
�
Print name: t1�:�G � • Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/OO /COM)
.,_ . i
Al e Commercial Plan Submittal
1 l I Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
1
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 \dsts \forms \COM- matrix.doc 9/24/01
CITY OF TIGARD 24 -Hour 2_002-"
BUILDING Inspectionline: (503) 639 -4175 MST S ew
INSPECTION DIVISION Business Line: (503) 639 -4171
: up Z vu 3 - v u 37
Received Date Requested 7- 2 Z AM PM BUP
Location / 4 ° 9 R Co g- I' Suite MEC 24 - 60 // 9
Contact Person s Ph ( . 1 - 5 2 . 1 ) T3a- 13'45 PLM 7 .00Z - Dc), 6 ?-
Contractor Ph ( ) SWR
BUILDING Tenant/Owner Ggr...i IN A: / ELC
/
Footing ELC
Foundation Access:
Ftg Drain - ELR
Crawl Drain a e -600 2Z
Slab Inspection Notes: SD 19 et 9 — GOO a- c SIT
Post & Beam
Shear Anchors E a av c' �
Ext Sheath/Shear (V6-
Int Sheath/Shear -` ;
Framing <- i
Insulation / ��,
Drywall Nailing _
Firewall Fire Sprinkler /../;c/4/ L 5:4-1,1 ri &M 0 XS'e rz- -9T ` z 4 •..4YCT
Fire Alarm /`ca- i d ∎ i , `�,,'
Susp'd Ceiling
Roof
Other: •
Fi
i� .' - - T F L
:IN
Po :=am Ca C e
Under Slab , v _ ` y ,� /
Rough -In .
Water Service
Sanitary Sewer NI=FKIV T— 8 G O
Rain Drains
Catch Basin / Manhole C,0 // 3
Storm Drain
Shower Pan - - -
Other:
Fi --
, PART FAIL
"'� 'ANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers � , - - L�
Final
PASS PART FAIL
ELECTRICAL o..-
Service
Rough -In
-\. •
UG/Slab
Low Voltage'
Fire Alarm
Final 0 Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line /
ADA D 1 /z- Z /o p
Approach/Sidewalk J Inspector C- DI>P---. Ext
Other:
DO NOT REMOVE this inspection record from the Job site.
'ASS PART FAIL