Permit �%_ CITY OF TIGARD
/4 ,1/0,1 -1 DEVELOPMENT SERVICES
d BUILDING PERMIT
en' I ' '' PERM I T # BUP98 -0309
'� 1 3125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 639.4171 DATE ISSUED: 08 / 05 / 98
PARCEL: 2S101DA -00104
SITE ADDRESS...: 13333 SW 68TH PKWY
SUBDIVISION • GTE ZONING:MUE
BLOCK • LOT ° JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :2-1HR THIRD ...° 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL 0 sf ROOF CONST: FIRE RET ?
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 s f 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:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 14300
Remarks: Tenant Improvement, third floor only. Electrical and fire sprinkler
permits are required. No mechanical alteration.
Owner: FEES
FARMERS INSURANCE type amount by date recpt
4600 WILSHIRE BOULEVARD PRMT $ 110.50 GEO 08/05/98 98- 308040
LOS ANGELES CA 90010 SPCT $ 5.53 GEO 08/05/98 98- 308040
PLCK $ 71.83 GEO 08/05/98 98- 308040
Phone #: 213- 932 -3200 FIRE $ 44.20 GEO 08/05/98 98- 308040
Contractor:
REHFELDT CONSTRUCTION INC
14707 NE 13TH CT
SUITE A102
VANCOUVER WA 98685
Phone #: 360- 573 -3252 $ 232.06 TOTAL
Reg #..: 000717
-- REQUIRED ACTIONS or 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 F i r e wa l l 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
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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
� Permittee Si gna� � / _ ��i Iss_►ed By :
++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + ++ + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
f i - /dG
CIT *:CARD Commercial Building Permit Application Recd By 9i
/5 13125 SW -HALL BLVD. Tenant Improvement Date Recd •
Date to P.E.
TIGARD, OR 97223 etc- Date to DST 1 , c7ni
(503) 639 -4171 `---- Permit • /,S4#'9$ --0309
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
&ply. 6ZIL
Name of Development/Project Existing Building [New Building ❑
Job FttlaKe s F5r . Address t3333fe5w (col f S uite Building
Par-1(v-a-41 - . Data
Bldg # city/State Zip Existing Use of Building or Property:
p� .rol 0R q ��3 -n
Name `J CaM.irn of iG al &M u. �Q_,
Proposed Use of Building or Property:
Property F r 6, 1 i ex..
Owner Mailing Address Suite C.,0huvuxe,i 4 o ffs
4 OI IsU re gl vd No. Of Stories: �' ''
City /State Zip Dog £_ - S rjA-S/ba,SP ,
J.os Grt�s, COY 90010 ` tea - 3ao6 Sq. Ft. Of Project: CD 7 /
Occupa v
N ame 1 /
Occupant nt asses)
1 &r►N•e rs 6rauf, .2nc_J . g
Name
Contractor geMeldit Catsinxam L , Type(s)� f Construction , H12 Prior to permit Mailing Address Suite
issuance. a copy Will this project have a Fire Suppression System?
of all licenses l't IFI Ne 132- cf Alba Yes No /
are required if City /State Zip Phone ❑ p
expired in C.O.T. (3(eo) Americans with Disabilities Act (ADA) 4 , p I4 -
database C.O.T. „, vex, tADI 9 8b$S 573 - tea Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form - Ai✓ g :
7 t1 3$ 4 /99 Project $ / 2 367) Name Valuation /
Architect b5+ Grt.dk. 4411/9 Plans Required: See Matrix for number of sets to submit
ailing Address Suite on back
I-II StAl 5`la dire.. aloe
City /State Zip i hone I hereby acknowledge that I have read this application, that the information
p L1 _ ,, �� � _ )ISO given is correct, that I am the owner or authorized agent of the owner, and
Tat t W1a/ that plans submitted are in compliance with Oregon State Laws.
Engineer Name
N/A. Signature of Owner /Agent Date
Mailing Address Suite uAt. L : ,` ree#1,iel .
Contact Person Name Phone
City /State Zip Phone L o .,.n c - - - , (((# o S _3 5 L
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O 0 Map/TL# I Land Use:
Accessory Structure 0 Foundation Only 0 Alteration gle
Repair 0 Other O Notes:
Description of work: ”'
u v
T ,K� f'O - " Q '° �' fy t)n � TIF:
r Ll59Yi1 t �l r� pt- c h7aur i Q1' wails- 3 - to it _
Note: Site Work Permit Application must precede or accompany Building
Permit Application
1: \COMNEWTI.DOC (DST) 5/98
4
.
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
ggiiiiiggiiiiE
.................
.rYpE OF SUBMLITAL Plans KEY:
Submtted
S (Private) 1 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
NOTES:
lAdsts \maxtrixl .doc 07/06/98
r , ;�
OVER - THE - COUNTER (OTC) PERMIT
`r
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: T
L � t4 / r� Y l v dy OJ y
rid- z. Jiki r 4 / a n.1 rid-re _.07d-rk L �rm t) gic
nt/ ?xi. P G' , ( ct ` 4 -/7 1-4° P - 4 77 0 AN
CLASS OF WORK: ,4 L ± FLOOR AREAS: GIIAd4 -j a y EXTERIOR WALL CONSTRUCTION
TYPE OF USE: et- FIRST SQ. FT. N: S: E: W
TYPE OF
CONSTR: Zr / m)4 )'L SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: /3 THIRD )( SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 14Y7Cot 4 e/ TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
/ I I
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU I
Foot/Found Post/Beam $ / /O - Permit Fee
Masonry (framing • $ �l ��Plan Review
3
Insulation Shear Wall $ �� � ' 5% State Surcharge
�Firewall ` Gyp Board $ 4 �1 FLS Plan Review
' uspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pin
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous \ 4 /final $ MIS Fee
y
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
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171
BUP _� 2n7
101
// Date f 2 Requested G. I l � �� ° Q AM PM BLD
Location 13 > 33 G 6 d l l Suite MEC
Contact Person C6)1 Ph �/ / 1 , PLM g4w4tei
Contractor? l,�Un� Ph Y' J�'(o�(� SWR
�UIt,Q1Dl6? Tenant/Owner
ELC
- Retaining 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 5 l `
Fire Alarm
Susp'd Ceiling %
Roof
C PART FAIL
• ii BING
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 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date //—/ � 3 � / Inspector f Ins ector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.