Permit CITY OF TIGARD
�. DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • BUP98 - 0201
DATE ISSUED: 05/12/98
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 • 3577 sf N: 9: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :3N ...: 0 sf N: 9: E: W:
OCCUPANCY GRP.:B TOTAL : 3577 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 30 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 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: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 50000
Remarks: TI one office. Fire alarm, mechanical, electrical, and sprinkler
permits required.
Owner: FEES
BENENSON CAPITAL COMPANY type amount by date recpt
708 3RD AVE PRMT $ 283.00 JSD 05/12/98 98- 305678
NEW YORK NY 10017 SPCT $ 14.15 JSD 05/12/98 98- 305678
PLCK $ 183.95 JSD 05/12/98 98- 305678
Phone #: 212- 867 -0990 FIRE $ 113.20 JSD 05/12/98 98- 305678
Contractor:
IN LINE COMMERCIAL CONSTRUCTIO
PO BOX 5837
ALOHA OR 97006
Phone #: 642 -5117 $ 594.30 TOTAL
Reg #..: 51880
-- REQUIRED ACTIONS or INSPECTIONS--- -
This per.it is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other F i r e wa l 1 Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This per.it 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
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 - 81-0010 through OAR 952-00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
—gaff
Permittee Signature ,�//04.1 Issued By:
+ + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + ++ + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + ++ + + + + + + + + + + + + ++
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: 7-/ C, A , O ki/ t e — ! y
l / / 1 40 11
`N9A. rIl 6.,. 6 '1 P 4) PIV/9 — /"i.4Xf/�I 5 Is .^b�, il- e(4i- oil i C Pot,r �f
l fr ' � ir"� fd74
I , 4 far f AL/}r d ?- l C < Gn/ e le c , rp7r/ - 1 A ,- ice,,.,, I- K--y•cr( /
CLASS OF WORK: A L- t FLOOR AREAS: 7 f7 7 EXTERIOR WALL CONSTRUCTION
TYPE OF USE: e0 � FIRST SQ. FT. N: S: E: W:
TYPE OF i
CONSTR: 3 /v SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY G RP: ! THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 7 v TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
1 1
STOR: HT: FT: i BSMNT: SQ. FT. i AREA SEP. RATED:
I I
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. i OCCU.SEP.RATED:
t t
I ,
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ o/ d Permit Fee
Masonry 4 -- -- Framing $ fr' 2 P lan Review
Insulation Shear Wall $ / V ✓ 5% State Surcharge
y 0
..Firewall Jyp Board $ 1) 3 FLS Plan Review
(/Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous , /Final $ ,— MIS Fee
3i
Pwt mer Aiett Abvv S-- f N
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I:\ovrcntr2.doc (DST) 4/97
003 C
CITY OF TIGARD Commercial Building Permit i Reed By
1312S,S1_!V �-IALL BLVD. Tenant Improvement f Date Recd Z
TIGARD, OR 97223 (� Date to DS L%
(503) 639 -4171 ci
Permit �31`� I
Print or Type Relat SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building New Building ❑
Job Prbv/d/Alcc.1 i art2l 4t/(t y
i
Address Street Address Suite Building /! I
I/ g SW -be P /(1"/A y Data b jr I' 't 61/1
Bldg # City/State Zip Existing Use of Budding or Property: ,
T
Name T 5 " i, OI 0 T . c-e_ Al 1 4 i #t 5
i4 NI • �- A re/ kre pp/
Property Peril_ t -or► Cijp /f4J (eryp6`ty Proposed Use of Building or Property: j
Owner Mailing Address Suite 2
7 025 3rp4 Arc, - No. Of Stories:
City/State Zip Phone 3527 7 S, F.
fV. Y r/ 7. !v 0 l - 7 2/ Z-8470 -1 ti Q Sq. Ft. Of Project:
Occupant Name /r'4 : g
WGi riG h lira 1 e i,
Occupancy Class(es)
Pet 04 /ACC He s� ft l+, 2 N
Name
Contractor f . LtAi 611 S , Type(s) of Construction •
Prior to permit Mailing Address Suite
issuance, a copy & Will this project have a Fire Suppression System?
of all licenses Pr 0 . & 9e S 37 YeS No ❑
are required if City/State Zip Phon
expired in C.O.T. °3 ) Americans wit inabilities Act (ADA)
database rii oA 97004 -5117 Valuation X 25% = $ — Participation
Oregon Const. 6ont. Board Lic.# Exp. Date Complete Accessibility Form
/ 8 g D // • /3 • i s Project $
Name Aity : ei c vah it, wrly' Valuation 5j b / aoo
Architect AN ers oy • Dahrvty. Ki Ifrefi ; fed., Plans Required: See Matrix for number of sets to submit
Mailing Address Suite - on back
/ o5 s6 M CI< 7p: Blvd Z
City/State Zip Phone p I hereby acknowledge that I have read this application, that the information
v -(A� d(` - J ' 72)� Z 34- .13 7? given is correct, that I am the owner or authorized agent of the owner, and
1 / / that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Sjgnat of Own - • ge t Date
Mailing Address Suite / /�/ / (0, ' i, // , 5 • 12..4 e
'Con ct Person W • (/vN Phone
City /State Zip Phone E/4 tilt_ Yob 67 WS /dA' o3 ) 2.34 3 7 7
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 9 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration
Repair 0 Other 0 Notes:
Description of work:
/ :' ..kirk fl/U(/(,h L (J � 4^ ?)cf5 C .---- TIF:
Parks: Estimated # of Employees 6 v , 1.5' , J
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEW.DOC (DST) 8/97
F
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Sutbtr :Pta is - endent ....'-,su •m : > . : .. : .. s ... .... .: ' :::::1.
.: : ,, ..::. :.:::,:,..::: • :.:::.:: :...:.::.:: : ::::: „: : ::.....:.. poi b . : : o6 t3"t' .. tans AM 1 a O C» TE ..::: ><::
:: > �:::� :.t� ter•: a�n :::a the: >a .Hra��u: >n ie::: : >:;:<:<::;:::: >::, <::::::' <;:•
., . . :.. ,..:.. ,:.; ... , ..:..:;... ... .., . :....... :. .......a. -.. -
l: . ...; . - .;•...: :.:. :: 0: - %." , ... :•. .:. .. i;: ii: ii;i::riiiii5:`:•::! na�tu o : >the su :. nsrn :::etec . c be . �..u�� .�` are .. . n::: �rev�e±� . : < ��::ale:::�r«::: ::: <: >:: <: >:: > <: >:::<: >:: >::<::
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- — 3 (j,o,u) — —
B (New or Add) 1 1 -- -- 3 (j,o,w) — —
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 — — 2 (j,o) — —
B & M (New or Add) 1 1 — — 3 (j,o,w) — —
P (New, Add. or Alt) 2 — 2 — — 2(j,o) —
B & M & P (New or Add.) 2 1 1 — 3 (j,o,w) 2(j,o) —
E (New, Add, or Alt) 2 -- -- 2 — — 2(j,o)
B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
.... ........................:.. .
a:.
. :v Y 'S:: :iiii: i::ii ':ii: i$:ii:ii iiiit:;:
8 & ICI •�. P &,E> A(#:. ;.; >;�.:. <........... - •.:::::: ..2 t� :ii ....:.. r..2.. a .
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and o = Office M = MEC
completes, updates and adds actions. f = Fire P = PLM
u =USA E =ELC
�`:j ; °- •:;:::::;.:: ii:.:}}; i.;.:;.; y::: j iY�.;:.: i; ( :6r:;iY %isw::;:; is iL;;:;:: r iiiii iii;i:;i:iiii >: % °'.:
•h:«::Shacted areas°desi ate AL: >;:su a: ' : ::: : w = W =
:: . .............. ............:.....' '.:..:.. bmtt a..... o . �<• >'. << > < > < >;:.:.: ash. County F FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
I:Vnatrix.Doc
--__--- ~
CITY OF TIGARD
DEVELOPMENT �����Uo�����
���� ���x n��v� o ���nu�n�����
el I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. ... ... : BUP98-020i
DATE ISSUED: 06/30/98
PARCEL: 1S136DA-00100
SITE ADDRESS.. . :11308 SW 68TH PKWY *MAIL
SUBDIVISION : ZONING:MUE
BLOCK c LOT • JURISDICTION: TIG
_____________________ ___________________ _________________
CLASS OF WORK.:ALT
TYPE OF USE...:COM
TYPE OF CONSTR:3N
OCCUPANCY 8RP.:B
OCCUPANCY LOAD: 30
TENANT NAME...: PROVIDENCE FACILITY - MAIL ROOM
Remarks: TI one office, located in mail courier room
Owner: -------�----------- --
THE KEY FIRST AMERICAN TAX VALUATION
PO BOX 15144 DEPT: KEY
WORCESTER MA 691615
Phone #:
Contractor:
IN LINE COMMERCIAL CONSTRUCTIO
PO BOX 5837
ALOHA OR 97006 •
Phone #: 642-5117
Reg #..: 51880
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with
the State f Orgon Specialty Codes for the p and use under
which the referenced permit was issued.
'-- ------ ------ --
BUILDI�� If�SPECToR � � e BUILDING DFFICIAL 'L./ `J \J
"
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ D+ BUP '� — Oao
. Date Requested ' - /0 AM PM BLD 7 — 0
Location 1 1 3o o dw f Pb?W't Suite #14 1 -- MEC t.3
. .
Contact Person ALL. (� Ph 5-761-39'77 PLM
Contractor rn i. Gym. ce , . Ph fl�V R* 76 — SWR
IC L11 7b,7 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: �p
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing ,�,, ,�,,// �
Drywall on : a.(�.Ci��.rQ.G..dL
Drywall Nailing �/f,��� `� �, ,�,, �I � ��
'ire Sprinkler "" `"� • / vV f',�' `�►� / ; o , O.
Firew..
BI�q�— p �21(�
ire arm
Susp'd Ceiling C am" "` y 42A A/ U^ 4' ! •
Roof 1 /
Misc:
`ASS " PART FAIL
P I1MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough
UG /Slab
Low Voltage Li
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA 001# Approach/Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL .D0 NOT REMOVE this inspection record from the job site..
AUG-27 -1998 11 :18 IN LINE COMMERCIAL CONSTR 5036493301 P.
Ivur uraNc..uvn L.uw. u.. w 1 r ousiness Line: b3e•4i fl BUP
1 /1 Q7 Date Requested fir? ' JD ) 4 . PM _ BLD 7 7rf — G�Ci ta
Location 113 C 0 5/A) 6. ff F h r" Suite A MEC 116 t t.15 Contact Person . 5 LE` • •l.'ra Ph 5! q - 397 j PLM .
Contractor m 1- 5' 70 — SWR
trol -- Tenant/Owner r✓' 76 ELC
Retaining Wall ELR
Footing � ~ , , , , . -� , .
Foundation ° c FPS
Ftg Drain r.,Zt � _..�, ? l _ (
Crawl Drain InSpectlon Notes: SGN
Slab Q (.�� , _ ' (.(.(.ti.f. SIT
Post hBeam / (`L
Ext Sheath/Shear /AC
Int Sheath/Shear
Framing
Insulation
Drywall Nailing j `'T _ . . � i 4_ el.. Li ice.. r i ; 4-' ' _ •
ire:Sprinid aLito 9 ? 4' r
Susp'd Ceiling
Roof 1 ;
iRART FAIL
- 13 _ ..
Post & Beam
Under Slab
Top Out —
Water Service
Sanitary Sewer
Rath Drains
Final
PASS PART FAIL
MECHANICAL
Post di Beam
Rough In
Gas Line -
Smoke Dampers
Final - -
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm _ —
Final
_PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ) Reinspection tee of $ required before next Inspection. Pay at City Hat, 13125 SW Hall Blvd
Catch Basin [ ) Please cad for reinspection RE: _ [ ) Unable to inspect - no access
Fire Supply Una
ADA r
Appr�oadt /Sidewalk Date /(/ 9L Ins El(t
O
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
TOTAL P.02