Permit ` � . CITY OF TIGARD
,a,,,.. , DEVELOPMENT SERVICES BUILDING PERMIT
u �l 13125 SW Hall Blvd., Tigard, OR 97223(503)639°4171 DATE ISSUED: 08/31/98 034?, ,
PARCEL: 2S10IDA- 00104
SITE ADDRESS...: 13333 SW 68TH PKWY #4TH
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 DF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE DF CONST.:2 -1HR FOURTH...: 21700 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 21700 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 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:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 10000
Remarks : Farmers Insurance - installation of suspended ceiling on fourth floor.
A electrical permit and energy analysis is required.
Owner: FEES
FARMERS INSURANCE HOLDING CO type amount by date recpt
4680 WILSHIRE BOULEVARD PRMT $ 80.50 JSD 08/31/98 98- 308741
LOS ANGELES CA 90010 5PCT $ 4.03 JSD 08/31/98 98- 308741
PLCK $ 52.33 JSD 08/31/98 98- 308741
Phone #: 213 -932 -3200 FIRE $ 32.20 JSD 08/31/98 98- 308741
Contractor:
REHFELDT CONSTRUCTION INC
14707 NE 13TH CT
SUITE A102
VANCOUVER WA 98685
Phone #: 360 -573 -3252 $ 169.06 TOTAL
Reg #..: 000717
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Susp Ceilng Insp
Tigard Municipal Code, State of are. Specialty Codes and all other
applicable laws. 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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
,.....040 011 011111 .0 1110
Permittee Signature: Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF, TIGARD Commercial Building Permit Application C// Rec'd By
131 SW HALL BLVD. Tenant Improvement Date Redd
Date to P.E.
TIGARD, OR 97223 OK Date to DST .1E77 �
1 1),F
(503) 6394171 — Permit # !, _ A , - • I,
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building " New Building ❑
Job
1 Ihaxs GrOlAf , jr L
Address Street Address Suite Building
13333 S.. irrn Data
Bldg # City/State 0 zip Existing Use of Building or Property:
• gourd, bR 9 7aa3
Name CDntii J J n C e. s
Proposed Use of Building or Property:
Property Et 6 4.tDta.I hq . f
Owner Mailing Address �J Suite Can,�,yhk,re Oi l S f te.XJ
A Ikeib (Ail 'Ski t'Q. 8 la . No. Of Stories: ,�
City /State Zip � PPh in 4 r LI S ( ba c k
YsL/.v
LS GIC4C, CA 4 10b10 laR - 3a - 00 Sq. Ft. Of Pro
Occupant Name ,
Occupancy Class(es)
"Few' Fw2.1'S A 0,1,4p , � .
Name
Contractor R4- (,i - en.Ist-r 'im L• Type(s) of Construction /
Prior to permit Mailing Address Suite - ru T - a/ 1
issuance, a copy /� Will this project have a Fire Suppre§efon Syste
of all licenses 14107 NJ i,7 � CI-. i -to a_ Yes ❑ No ®.."'"
are required if City /State Zip ( Phone
expired in C.O.T. 346) Americans with Disabilities Act (ADA)
database Vaktt iet , ► ci DM ' -73- 3252 Valuation X 25% = $ 2,500 Participation
Oregon Const. Cont. Board Lic.# Exp. Date / Complete Accessibility Form
'7i 738 if/ /�q Project $ /0 / UDC)
Name
Architect f - , 4.34Q Plans Required: See Matrix for number of sets to submit
y
iling Address Suite on back
tat► sLO s a
City /State Zip l Phhone t 1 hereby acknowledge that I have read this application, that the information
Po �I/ oft - O 15O given is correct, that I am the owner or authorized agent of the owner, and
T that plans submitted are in compliance with Oregon State Laws.
Engineer Name
N /A Signature of Owner /Agent Date
Mailing Address Suite ,i101}11 at.c.h1A44/ZAktril,00- 3 01 he
Contact Person Name Phone
City /State Zip Phone Gerr l C IA b u.r n too) 573 — 3aS .
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 .. Alteration 0 l
Repair 0 Other C#' T n1A /�7r Notes:
Description of work: n L
RC.Q La- t.eW� -(^� D r 0-6 1 i 0.�r�•¢ I awd TIF:
p rag,ck all 1 4- - - teTh t
Note: Site Work Permit Application must precede or accompany Building
Permit Application
l:1COMNEWTI.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
NR#M01:01#11po
409014FglfgtlhtifY#000.0SI00001§Rgefpx#1040300wiwilkflkontluttedNolimi
After pan evew approval. Plans Examiner wilt oontact the appIiant to requet
additionatiplanisetwfor distributort,iforpo$esp(Copytdr:CdritraCitinVityprIRREN
11111111111111111111
veop:CMSOOMMIZONESSIOWORME KEY:
Subimtted
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
tO0100011014§10151311:13:1111EMEINEN
MINNIPPO.'1;5::
OningaMBEN
liftetteigignigkigniagniniallajliatti
NOTES:
g§ttAgggi:Ot
I:\dsts\maxtrixl.doc 07/06/98
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities, unless
such alterations are disproportionate to the overall alterations in terms of cost and scope
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five percent (25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering.. [1] $ ) b 000.
multiply: 25% Barrier removal requirement. _ .25_
BUDGET FOR BARRIER REMOVAL [2] $ off, SbCb
The dollar amount of the BUDGET established on line (2) in the computation above shall be spent
providing the accessible elements in the following order:
1. An accessible route connecting the building to accessible pedestrian
walkways, and the public way. $
(including but not limited to curb ramps, detectable wamings,
marked crossings, ramps handrails and landings). •
2. Not Tess than one accessible parking space. $
(including but not limited to adjacent access aisle, signs and curb ramp
connecting with the accessible route).
3. Accessible entry or entries. • $
(including but not limited to ramps, handrails, landings,
door sill height, door width and door hardware).
4. An accessible interior route to the altered area. $
(including but not limited to door -ways, maneuvering
clearances, door hardware and stairways).
5. At least one accessible restroom for each sex. $
6. At least one accessible telephone where public phones
are provided. $
7. When drinking fountains are required, fifty per -cent but
not less than one shall be accessible. $
8. Additional accessible elements such as storage, reach ranges,
alarms, etc. $
TOTAL: Shall equal line 2 of Value Computation $ , SOS
i:/otc4.doc(DST) ✓�7" //'
6-21/L
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: 1: v )' f & ( )1 Q 1- $.4X' 11 o /
c � — g11ti Vlei/ pr 721%1 ' J ' P71 j 4 -OVAA /11 1J
CLASS OF WORK: A- 1 � FLOOR AREAS: 2-I. I r 1 EXTERIOR WALL CONSTRUCTION 001/
TYPE OF USE: ( '11 FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: --1 f} R i SECOND 1,k SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: �'l 5(RD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 411/7V" TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
1 1
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: i GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
1 COMMERCIAL INSPECTION ACTIONS:. FEE MENU :; I
Foot/Found Post/Beam $ Pd Permit Fee
Masonry Framing $ 57 Plan Review
Insulation Shear Wall $ 03.- State Surcharge
Firewall Gyp Board $ 37-5- Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous ( Final $ MIS Fee
o 9 0-
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 gf i *
/02 — 1/2/ Date Requested 1 / — /3 — qj AM PM BLD _ �; _
Location /3333 41 O
g ' {� -� Pka (J Suite MEC
Contact Person Ph PLM
Co Ph 4 #3'& SWR
UILDIN Tenant/Owner L X1')1 IA AL ' bt4_ ELC
Retaiiiiig g 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
r _
)/. • ART FAIL ��•/
PLUMBING
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 /Y'13 -98 Inspector ,_ .:. Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.