Permit •A CITY OF TIGARD
y ,T DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT # • BUP97 -0561
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 0 i / 14 / 98
PARCEL: 1S136DA -00100
SITE ADDRESS...: 11308 SW 68TH PKWY
SUBDIVISION • ZONING:MUE
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 39375 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 47875 sf PROTECT OPENINGS?
TYPE OF C0NST.:3N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 87250 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 760 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 2 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE.$: 262095
Remarks : Tenant improvement to an existing office building. Note to Inspector,
pay close attention to notes in the memo field. Any ?s see Bob P
Owner: FEES
BENENSON CAPITAL COMPANY type amount by date recpt
708 3RD AVE PLCK $ 546.33 DRA 12/22/97 97- 301973
NEW YORK NY 10017 FIRE $ 336.20 DRA 12/22/97 97- 301973
PRMT $ 840.50 DRA 01/14/98 98- 302478
Phone #: 212- 867 -0990 5PCT $ 42.03 DRA 01/14/98 98- 302478
Contractor:
IN LINE COMMERCIAL CONSTRUCTIO
PO BOX 5837
ALOHA OR 97006
Phone #: 642 -5117 $ 1765.06 TOTAL
Reg #..: 51880
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started S u s p C e i i n g Insp
within 180 days of issuance, or if work is suspended for more ' gJ4i , j 051
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 952-881-0810 through OAR 952101987.
You many obtain a copy of these rules or direct questions to OUAC
by calling (503)246 -1987.
Permittee Signature: /� �9'� Issued By OLE/n/0
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day /
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit Rec'd _LAO -
13125 .6W HALL BLVD. New Construction and Additions C,/ Date Rec'd -
T4ARD, OR 97223 ' if/ Date to P.E. 1 ' - i . -
(503) 639-4171
Date to DST *II t 1 mg
6
Permit * x//6 -05a,/
Print or Type Related SWR>r
Incomplete or illegible applications will not be accepted Called L (,3 4
Job Name of Development/Project
»vv/deize Ti rel Ma /1y Existing New Building 0
Address Street Address
11308 SW 1I 1PArkwa J
Bldg City /State zip Building •
7A4p , K ' Data Offiti Pivi/4'
Property Name „p� c 1
. s ors C4 pt r CAP w. pa.% y Existing Use of Building or Property:
Owner Mailing Address - Suite
708 3.el Ott t — t f/k< B(.11,041,
11
Zip Phone Proposed Use of Building or Property:
Ivy. N`( t0o /-7 Nam /2/22.
e rr
QC/lCt, KGt H- f ��/S 1rn 2 '
Occupant Mailing Address Suite
4704 NEC limn -. No. Of Stories:
City /S to Zip Phone 1st N 31,315 cp. ? ¢7 ns Sr.
Povr ,,R 972/3 2! 5- 264 2. Sq. Ft Of Project:
Name,. CenSih'ac/70n Occupancy Class(es) 111
Contractor Mailing Address Suite
3A/
PO- pox 5537
(Prior of a Lance City/State Phone Type(s) of Construction
licenses are Zip /110/101 OR � j 03)
required if 617006 ban • gig Will this project have a Fire Suppression System?
expired in C.O.T. Yes No
data base) Project / �1
Oregon Coast. Cont. Board Licit Exp. Date Valuation $ 21e 2 0- 15 ---1-)J
S/S9,o l/' /3• 1b
Name Americans. with Disabilities Act (ADA)
Architect UPA R. Jv�ens 4ASstc. &lc , Valuation X25 % = $ . 65 523 Participation
Mailing Address , S Complete Accessibility Form
IS S S MW S'ca'►bne 20 Plans Required: See Matrix for number of sets to submit
City/State Zp 1'aarhwA Phone on back
&AI,rt lvr► aQ.
Engineer bC /
✓d /wig &€ r I hereby acknowledge that I have read this application, that the information
Mailing A dress Suite given is correct, that I am the owner or authorized agent of the owner, and
3607 slv Carbc1/'A►w that plans submitted are in compliance with Oregon State Laws.
City /State Zip Phone
livrifa"4 OR c1120 1 Z27. 71$ 3 S ' at r j rJA • : g t Date
Indicate type of work: New 0 Addition 0 Demolition 0 , ` . t 04\5 /2 ' Z2'
q
Accessory Structure 0 Fou ndation Only 0 Alteration' Con ct Person a Phone
Repair O Other 0 b
Description of work: ELAINE, D�ORGWSk( c503) 282-7F /S
?engrt' ,iMp info i't(,f,t 40 Art e )Q s1 FOR OFFICE USE ONLY
Mapinft Land Use: •
, office 6v71d141 . (Alt: : Pre pp
Notes:
_ /14/4 S 1#1( 1TM•• Air Is)
TIF:
•
Parks: Estim ted >f; of Employees
Note: Site Work Permit Application must precede or accompany Building �� j ` , 3, j
Permit Appliction ?` r ( y
ru5
•
1:1COMNEW.DOC (DST) 8/97 / v
Z/9 0.s
1A
•
t -
COMMERCIAL PLAN SUBMITAL
REQUIREMENT MATRIX
Applicant DSTs to Plans Examiner Plans Examiner to DSTs
Initial No. Plans required to complete
Plans Routing (processing (see note a.)
Submitted
TYPE OF SUBMITTAL f'`>r CPE PPE EPE CPE PPE EPE
�. .::.;...
SITE — -- 3 (j,o,u)
���`��•>��;• v .::: > >��: >::<::
B (New or Add) `: < ' r p :,r•::. ti: 1 — — (j,o,w) — —
F (New or Add or Alt.) ::.:.::.:4:4.7 > 3 --
%:;: { .,, ; :,'; ::;
M (New or Add. or Alt) `
1 — — — —
B & M (New or Add) :' :::. :. 1 — -- — —
P (New, Add. or Alt)
::::::.:::::::::::::::::::!.g.::::::::::::::::
— — — —
. B & M & P (New or Add.) r< = Vn %: ><: 1 1 — 3 (j,o,w) 2(j,o) —
E (New, Add or Alt) {, :: ;<:;:;<::: — -- 2 -- — 2 0, 0 ) •
B & M & P & E (New, Add) < ::0013 `' < 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
Borg &M (Alt) x >n > : <:< „v...
�r:: — — —
B & M & P (Alt) f "``` "�: 1 2 -_
( ) .z.,. v : >:: €:: ' :: >::.... 2 (j,o) 2 (j,o) —
B &M &P &E Alt
( ) 1 2 (j,o) 2 (j,o) 2 (j,o)
NOTES: KEY
a. The applicant will be requested to submit the correct number of j = Job B = BUP
revised plans plans when all plan review issues have been o = Office M = MEC
resolved. f = Fire P = PLm
u=USA E = ELC
b:> Shaded areas designates icnttal Sui?tttat.reguireinents w = Wash. County F = FPS
h:Vnatz c.Doc
CITY OF TIGARD
DEVE SERVICES
13125 SW CERTIFICATE OF
OCCUPANCY
PERMIT #x. • BUP• 7-- i2I5C !:
DATE IS S UED: 05/20/98
PARCEL: 15136DA-- 00100
SITE ADDRESS...: 1 1308 SW 68TH PKWY
S1fl3DIVISION.... ^ ZONING: NNUE
BLOCK........ > , . LOT..... .. . . . . . JURI" DICTION: TIG
CLASS OF WORK.: ALT
TYPE OF U.3E...: COM
TYPE OF CONSTR u 3N
OCCUPANCY L RP.: B
OCCUPANCY LOAD 760
TENANT NAh:E.... PROV iDENCE HEALTH SYSTEM
Remarks: Tenant Improvement
Owner: ----------
BENE.N�ON 68TH PARKWAY
BY FIRST AMERICAN TAX VALUATION
PO BOX 15144 DEP KEY
WORCESTER MA 01615 --
Phone #: •
Contractor: •• ------- --------
IN LINE COMMERCIAL CONSTRUCTIO
PO BOX 5837
ALOHA OR 9 ?7006
Phone #4 642-5117
Reg #..: 518€0
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with
the Stateof Orgon Specialty Cosies for the group, occupancy, and use under
which t e reffer••enc- -rmit was issuede
BUILDING INPPECTiP BUILDING oFF ICIr ;IL
• POST IN CONSPICUOUS PLACE