Permit CITY OF TIGARD • BUILDING PERMIT
PE RMIT #: BUP2001 -00194
^ � } _�� i ; DEVELOPMENT SERVICES DATE ISSUED: 6/5/01
13125 SW Hall Blvd., Tisiard, OR 97223 (503) 639 -4171 PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 550
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 18 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 46,747.00
Remarks: Commercial TI of 2,070 sq. ft.
Owner: Contractor:
TIGARD TRIANGLE I LLC R + H CONSTRUCTION
4650 SW MACADAM AVE STE 220 1530 SW TAYLOR
PORTLAND, OR 97201 PORTLAND, OR 97205
Phone: Phone: 228 -7177
Reg #: LIC 38304
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 5/30/01 $448.30 27200100000 Sprinkler Permit Required
Plumbing Permit Required
5PCT CTR 5/30/01 $35.86 27200100000 Framing Insp
PLCK CTR 5/30/01 $291.40 27200100000 Gyp Board Insp
FIRE CTR 5/30/01 $179.32 27200100000 Susp Ceilng Insp
Final Inspection
Total $954.88
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
caning (503) 246-6699 or 1 -800- 332 -2344.
Pe Sig nature: mt ittee , /
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Issued By: ___T
Call 639 -4175 by 7 p.m. for an inspection the next business day
Build] �s�. .
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� Date received: S J' /0/ Permit no.:� it OP( --a0 /9y
i y, City of —
1�- Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: B- Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
7 "Y1'E OF P1_10111
0 1 & 2 family dwelling or accessory 0 Commerciallindustrial 0 Multi- family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler/alarm 0 Other.
Job address: 13 '2_,2 \ 5 0 (o 2 % P/Kt(1/ T , i "s - ,' +� 11. e 7 2. ,.., Bldg. no.: Suite no.: S5
Lot: ( Block: (Subdivision: ( Tax map /tax lot/account no.:
Project name: Cj(7f' (a . as ` ' ■ r I 1 l4.a- ir'.1 tr
Description and location of ork on premises/special conditions: 2 /o° S 0.- Pr- Tr'r IA' .1 I H1r•!t -/ s=f: - ''
�C',yR.v: Ld4,Ta 1 Cf s C ' "„
O1VNEIt FOR Sl'I:CIAL INFORi\IATION. USE CIIEChLIS
Name: 1'' 4 , .1c„,. / 4. 1 _ r,t-: - "_. l ,. t -r` � ( Floudplain . septic capacitv, solar, etc.)
Mailing ad�ss: 46 ;SD 5) N (7\1 7 %Fri ,& { . 1 & 2 family dwelling:
City: � St ate: (t2(ZIP: 11201 Valuation of work $
Phone: / - 2 4 1 -(a 'Fax. 3b•21q.6 -mail: No. of bedrooms/baths
Owner's representative: L, •. IS I Clef Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
•
Garage carport area (sq. ft.)
Name: (f'2p ; f. i ( ' tip.. Covered porch area (sq. ft.)
Mailing address: 17,( ) ( °,. 6003'1 Deck area (sq. ft.)
City: c''''_ 1 State:t . ( ZIP: q ? i Other structure area (sq. ft.)
Phone: s? - ?ill r (' 2I Fax: ; ` ; , ° E- mail: Commercial/industriallmulttl- family:
CONTRACTOR Valuation of work $ 4 i el', • .. 1
Existing bldg. area (sq. ft.)
Business name: A',_ ��c�' ,,t4,,,,_,,, New bldg. area (sq. ft.)
Address:
Number of stories
City: ( State: ( ZIP:
Phone: ( Fax: ( E-mail: Type of construction
Occupancy group(s): Existing:
CCB no.: New: 2
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
A R (:III 7 IAA M 1•:S I G N I: R licensed with the Oregon Construction Contractors Board under
Name: �'v P � � O/, (-..-* � , 1 - "(4o
provisions of ORS 701 and may be required to be licensed in the
` --
Address: ( t' (.: , . � t> y
jurisdiction where work is being performed. If the applicant is
Ci J State: o iP: an w) exempt from licensing, the following reason applies:
Contact person: , , ,, / 1 LTD Plan no.:
Phone: / 4 • j, r t o Fax. ? P, / _ E -mail: •
Name: Contact person: _ Fees due upon application $ _ ?-.Cr, 4>?
Address: Date received:
City: (State: (ZIP: Amount received $
Phone: - I Fax: ( E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the No' jurisdictions accept credit cards, please call jurisction for more information.'
attached checklist. All • 'visions • f laws and ordinances governing this 0 visa 0 MasterCard
work will be complied :� w I r s fled herein or not Credit card number: Expires
Authorized sl •- i Date: r ✓ 1 2410 Name of cardholder as shown on credit cars
Print name: A L.:1 Cardholder signature $ Amount , .
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Mo -4613 motcOM)
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
. • Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) _ 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
.Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
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CITY OF TIGARD BUILDI___NGJNSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 =4175 Business Line: 639 -4171
BUP 2&U/-be) /f �(
Date Requested 7 -17 AM PM BLD
Location /3 2 Z-/ 51A2 6I b4 "4✓ w Suite 5Y MEC
Contact Person Ci'r'S S Ph r39 ("/�� 7 PLM
Contractor Ph SWR
ILQI / �7 / Tenant/Owner / ( G 4 a . ELC
irnng Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post& Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi .,01111.■
4 a
- • S PART FAIL
PLU = ING
`. t & Beam
Under Slab
Top Out j
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 In
UG /Slab
Low Voltage
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 • pect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date 1 1 1 O I Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.