Permit f CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00398
DEVELOPMENT SERVICES DATE ISSUED: 11/1/00
s!,L '- �! 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 13221 SW 68TH PKWY 520 PARCEL: 2S101 DA -00102
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
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: 3 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
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: $ 2,200.00
Remarks: Tenant Improvement Door and Wall addition
Owner: Contractor:
TIGARD TRIANGLE I LLC JBA CONSTRUCTION, INC.
4650 SW MACADAM AVE STE 220 61445 SE 27TH #119
PORTLAND, OR 97201 BEND, OR 97702
Phone: Phone: 541 - 318 -5503
Reg #: LIC 135995
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PLCK CTR 9/22/00 $48.14 27200000000 Sprinkler Permit Required
Framing Insp
PRMT CTR 11/1/00 $59.25 27200000000 Gyp Board Insp
5PCT CTR 11/1/00 $4.74 27200000000 Final Inspection
PLCK CTR 11/1/00 $38.51 27200000000
(additional fees not listed here)
Total $174.34
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe Sign it
Signature: . /
Issued By: T _
CaII 639 -4175 by 7 p.m. for an inspection the next business day
ITY OF TIGARD Commercial Building Permit Application
Tenant Improvement Plan Check#
Recd By
125 SW HALL BLVD.
lGARD �R' 97223 Date Recd 9 —zZ�
9
Date to P.E. — a 2�rri7
503) 6394171 Date to DST lo/sing)
Print or T y p e 1 � �� Permit # G12d$V 3cig
T Related SWR #
Incomplete or illegible applications will not be accepted Called Hr‘/ 11-H41 t.--
Name of Development/Project Existing Building d New Building ❑
Job 77/4/ /e. rt9 FOrQk /d 3
Address Street Additsss 4 Suite Building
r--
/322/ s / c i Ay $ •Z 0 Data Existing Use of Building or Property:
Bldg # City /State Zip g U g P rty:
Name T �° / O2 CO/'1/t c / -4 / O7"fCe ��G
Proposed Use of Building or Property:
Prorty
O er Mailing Address Suite CO/ MI/ G4h oils 4j� 6.4,4/1-4:047
a
No. Of Stories: �
City /State Zip Phone
Sq. Ft. Of Project:
Occupant Name f 5-0
r e• /, 3e4 74-- Occupancy Class(es)
Name
Contractor CoAd-c-ijc17-04/ Type(s) of Construction
Prior to permit Mailing Address 4 Suite
issuance, a copy c� � JL C� Z 7 r Will this project have a Fire Suppression System?
of all licenses C3 � i Yes ❑ No ❑
are required if City /State 4 Zip Phone
expired in C.O.T. Americans with Disabilities Act (ADA)
database el • eX 77702 6Y9-457 Valuation X 25% = $ Participation
regon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
3377.‘" / 3377.‘" I /9,0/ 7�/3 - / a / Pro , $ .Z Z O
Name Valuation /
Arc hit_ t Plans Required: See
n M trix for number of sets to submit
Mailing Address Suite
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Signature of Owner /Agent Date /�
Mailing Address Suite 4 y/z z-/°c
Contact Person Name Phone
City /State Zip Phone bey /fir / 4vg€ /-5-v-/r- 05
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other O Notes:
Description of work:
TIF:
000 r lie / � / r/I ST S di, O/1
Note: Site Work Permit Application must precede or accompany Building
Permit Application
1:1COMNEWTI.DOC (DST) 5/98
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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Aft : n =:review.:a . ' roval, Plan :Examine
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ilrygglipRoggimttrAvegonotifigonomii: KEY:
S ( Private) :::::................................................ .....::::::::. S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
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NOTES:
1 :ldsts\formstrnatrxcom.doc 10/30/98