Permit CITY OF T BUILDING PERMIT
etrkt
DEVELOPMENT SERVICES ~ ~
m�n��o�m.��nnwon�nmn "�n�vn�xw�u�x� PERMIT # ^ BUP98-0360
13125 SW Hall Blvd., Tigard, OR 97223(J3)639-4171 DATE ISSUED: 09/14/98
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 • 21700 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 21700 sf PROTECT OPENINGS?
TYPE OF CONST.:2-1HR ... 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL : 43400 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.$: 12000
Remarks: TI 1st & 2nd floor - remove walls 1st/remove and add walls 2nd floor.
Electrical and Mechanical permits required.
Owner: FEES
FARMERS INSURANCE type amount by date reopt
4600 WILSHIRE BOULEVARD PRMT $ 92.50 GEO 09/14/98 98-309094
LOS ANGELES CA 90010 5PCT $ 4.63 GEO 09/14/98
98-309094
PLCK $ 60.13 GEO 09/14/98 98-309094
Phone #: 213-932-3200 FIRE $ 37.00 GEO 09/14/98 98-309094
Contract or:
REHFELDT CONSTRUCTION INC
14707 NE 13TH CT
SUITE A102
VANCOUVER WA 98685 —
Phone #: 360-573-3252 $ 194.26 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 Gyp Board Insp
applicable laws All work will be done in accordance with Susp Ceilng Insp
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 0A8 952-vv1-0010 through DAR 952-00101987.
You any obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
Permittee Signature: - &1 Alt' ssued ����' ~' �� _��u-_
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
CITY OF TIGARD Commercial Building Permit Application Recd By
131-25 SW HALL BLVD. Tenant Improvement Date Rec'd
TIGARD, OR 97223 Date to P.E.
503 639 -4171 o )--c. Date to DST X/ ,7 - !l 12- ( ) Permit # %l�� Sfr - 3G-d
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building [1 (New Building ❑
Job firn.aars 6ro '-j' , 1-11C, .
Address t 3a33 suo uSA-S Suite Building
K Data
Bldg # City /State ' zip Existing Use of Building or Property:
Ti jur-a. a12 91 ? .23 Co rvotLife ott of-CA c t s e,
• Name Proposed Use of Building or Property:
Property 1= 1. ts. 00166 1 es) .
Owner Mailing Address Suite Q M 11 xe a s Le. S n f) J
IA) IAA tee, .B1 vci . No. Of Stories: C r( 1 T "`
City/State Zip Phone ■ if Sb r ;1Aaso>,nJ_
0 ca. Sq. Ft. Of Project:
1 a h t�es . CA 6 0b10 gal -3
r.[^�
p Name (CPI One,
Occupant `��� �rt! n�. Occupanc Class(es)
Name Y t B
Contractor R� ,Z ( j j Cimyt it'ft Of% 4 Zr1C.- Type(s) of Construction
Prior to permit Mailing Address Suite " IA a.. � t
issuance, a copy q7 7 NE f,b ek. Will this project have a Fire Supiaression System?
of all licenses A %O a Yes ❑ No ['
are required If City /State Zip Phone
expired In C.O.T. (APO Americans with Disabilities Act (ADA)
&:�av
database V.Heer OA �$i, SS S"l3 - .Px a Valuation X 25% = $ Participation
Oregon Const. Cont. Board Licit Exp. Date Complete Accessibility Form
717 3 8 4 1a LI 119 Project $ I a - ova
Name Valuation i
Architect \JpS 4 - €r{ - e.. -l� Plans Required: See Matrix for number of sets to submit
ailing Address Suite on back
011 51.z A■k, a•tou
City /State Zip Phon I hereby acknowledge that I have read this application, that the information
Portia l `17)04 b' given is correct, that I am the owner or authorized agent of the owner, and
Engineer
Name I ( that plans submitted are in compliance with Oregon State Laws.
/N- Siggnnattuurreeof Owner/Agent Date �y
Mailing Address Suite ` �� �. `.' .{++ WNd^ a /f4 I cj
Contact Person Name Phone
City /State Zip Phone 6 e- I t01--8 Lue- --N (3G S7 3 - 3,..4 S ,
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Ma /T Land Use:
Accessory Structure 0 Foundation Only 0 Alteration �' A 5 /d 1Df1 -6a/p ct I
Repair 0 Other 0 Notes:
Description of work:11),m $ y - e ,,, e _ My d- .-
iMb Bite n ? rtt wi �cLrcxt-r of ∎ ∎∎ieri Or TIF:
kPLUILS — 1/ F'tso r
Note: Site Work Permit Application must precede or accompany Building
Permit Application
1:1COMNEWTI.DOC (DST) 5/98 .
. a
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
.': n: �<::::>:::::::. �.:::<><>::>< F<:: FFF:::.:>:::::< :....:. ...:........:....:............. ......... x .. . ... ...:.: i::::::;: ti::::::: FF:<: r::;.:{ F:.}- n::: n:F ?. :.:: ::: ::: ::::: ?.i }:. }:. }:.
Ca�a:l��e�:l�: :.::.•' a ::::u : •..' : �:. � .: { •:: • : < ;::::: ::::::::.. .:.:::.,:....:: } .:::: '::.: }:..: i.'::r::Frr::
....:: }:......:...
:::�: }: �::.::. i:.::::: �:: n .:::::::::::?.}:.: �:.}:.::.}:.::}:.::?:::.:' r:: FrF ::F::;::r::F: <::::�::rir::::::r
{r:' v: {'?•: G: 4}}: 4:•}:::.}::. }:y:p' 3f;.;: :{5•:::}:::ni'::::: ::. } ......:.::.:..::::.... ...,5, �: {�►�1.j/. ...�...::n...... ��.... n: {t....::;.,•:::: n.:.v.::.
?�..t...........: n.:. ...F:: � ^,.i }:4:::::.:n �.. fnvn ?v: n•:::::: •.v:::::::: w::: .; r.... :......v: •n:v: .....
::.. :. n•.:.r: }. •• ?{• }:6;• }.ib;•:9 }::• is {:. }.:::: n• :::; ....w:::::::::: nr..• tw:.4+::::::.v:::::.v...... : ....................
r. ?.v......... r . ... .+....:. n.......... n.:{.i... ...:.... : :v ...... .... ..... v:::; v:: v::v ^F: xv; ... :.: ti ::: n :v::; }, •::: ::::i'.i }:• };.:. } }. } }: {•: }: ?:• :::'.:: ;::;; ti {::.v:Frr: ii >rr:
s1 net�'{{.�. yf } " .. }...:^I.l..
.. .. ` 1'.�........1'.:. ..: .. '14�.r .... . .........T' _ .N..,..................... ..�iYii ? ::, ?.::r
�: • ?•, •}:; n .. .........::::....:...vn ,�•,.•,.}•.•.•...:::: v: v'•:; :.: . xm.vnv}::... • .... . ........v... . n.. r.:.................. ........ mv. ...:.....;..: :::.:::. v.•.•:::.wnv
}'+' ':r:.niFr: {i }: { {i }''::::.v:.: {: •i {. .r .::: F ::: :..... .... } }:ir:G:v. • •.i•: } :::.::: nv:: v.w:: {•;v ::: v::: nv.n�:...... . n: •w,:v::: w: nv::::r ::•: ? ? + :! {• }:• }:SF :4y.. .......... n ..
•{ .; ...: .., ..... • }:::•:::::.. : .:.{... : .r.• ::. ....:: {: ti•• }•r {r::.:.;•:;...w:.i::. {::.;•n•;.y. }. . }S?. , }.. :, ?,. } }::. :.. }}::}}::C tF..i }}:• }i:ti• } }:• }:ti +:•} } :• }$:
:ti :ii }:C }ii ::::: .........n.......... w }�: {w::: n......... w.: {w } :;.,.: :::::::v:nw.l.vn:w: n }•:::.n. }F ?p } } }:L............. n::::::: n.. :.. : { ........... ....
]] ..:::: 8::: w::: v : .. ............... nt n.:::.v:::n............. nv:::: ?;: •::::.v:::: :. n.t ....:.v {• };.' /.:.:} ?rr:
...•...(� ...... .....::{: ..:. ..:: }•i:4 ":.v: v: ' . y :::} .::::::: nvv::::.::. r. ;..,• .. {4ti4:�!h :: • . :::{
!F iI CAI•} �:. siF� :•: � � � :rltr : f. } >.:v }:•:4Y } }'.:: }:. }:v..
............. nt., r.:}}::•}}}}\ w}: v}:•.: v:::. ix: {#40}:- }fr:L: }::::.n .. .. y.'F. {: •?:::.•::: }'.:
::�'.: }y:• }i }.vv...:;•:4.v: } } } }:4:•....... . t.. n.... e ................... v .n...n..............•.n........ n......v.. r: ??.8:..
11111111111111111_,11111111111111111110w1
y ii 1._
�iF { {: : % {;i i r y i
Fi
iij:iir'i: iii:}':'
`+ '.: �� :.:. xt:. ::::;: { ?. } > ���:ry ?.::: } }r::. KEY:
:::3: ::: ::iF':F :: Fir }:;:: } }:. };::::::i;: %: }:;; ::: t:::,;::::: F ' :F:: : :::i�>:i::: <::: ii:;:::
�:•.'•:? 3;;•}:{• i:.} $•i::iFF::F:tirrF::F::r::::r•;is :::i;:;y;r;:;:iiiii ?; .1 �� t4
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
•.: #. ?. > .. :: risF : ?:r {'::: F_.
:iF}:jrrF :j;�:i::v;.:? .. . { { {4:•. ?i ?.i
.,:r?, � :;`:Frri::iF:• :.:rF::•`.i:::ii� :iT`��r:'<F:FF�}:• }} {.. } ::
;: } rFF' :::u •!.;!:.tl. •::i+i�'`:.F::.. ::':N::`.::.
•::? k. F. ii} �• r:: f:<: i:: i> F: r: r: >: ::3:, >. ?.;'v . }: \�w
? :i: r:} ii;ii M }::r} % } } "•
: ? ? • ?':r'Fr$FFirr;:rF; '::•: +•: • }:4:• } }:{•:•iFi }: ; : :irrY:i::: i:::::ii:
: •y: {. }rr::: : - :FFrF:S } }:ti i:: n ?.v:..• ..: i;.v {. :: n'.}::::'.r'.:
F: i: ; .� {;v: : >. {tin } }i } }:4':.:i: i }:i'•;: }
.. ...... : g E A :F':i ?r :: :.::• :!i::i y }i {:Y:iirr:!:i? •r:.,;?F ::':::::'� 1
NOTES:
::::::bid.:. :: :.
F n s : °
......:. ......
I: dstslmaxtrixl.doc 07/06/98
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPT ON OF PROJECT: Fp f /1-'
Q z .71/ �1 ^ �� I/.� LJ h ���
y
1 at "Au v,� A-. /J.-P) I� A )b 2- PJ -
c/0 C i 6 1 e Mit / Q4,, .? )- 27), in t � ■0"
CLASS OF WORK: /I-1, 4 FLOOR AREAS: �■ Sr O d EXTERIOR WALL CONSTRUCTION
TYPE OF USE: (I 271 FIRST r/ SQ. FT. N: S: E: W:
TYPE OF y�
CONSTR: / I ` �l' `— SECOND 1- FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: J1/I1— THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: Ai/i.--- TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
1 1
STOR: HT: FT: BSMNT: SQ. FT. i AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. i OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSPECTION ACTIONS FEE MENU I
Foot/Found Post/Beam $ 9 2 ermit Fee
Masonry gaming $ (mob Plan Review
Insulation Shear Wall $ LI y 5% State Surcharge
Firewall Gyp Board $ 7 , ` "FLS Plan Review
_uspended 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
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:lovrcntr2.doc (DST) 4/97
•
. .
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] $ la ODb
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ • aD COP
In choosing which accessible elements to provide under this section, priority shall be given to
those elements that will provide the greatest access. Elements shall be provided in the following
order:
(a) Parking $ •
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for
each sex or a single unisex restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of value computation $ 3, UD7)
CI
Iv cp- 1 0 : (/ ( 4 14 )
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST O P-C--
24 -Hour Inspection Line: 639 -4175 Business L e: 39 -4171
1241 i `I. -qt BUP
Date Requested /� ,(� AM PM BLD
Location 1 333 3 S 68 � t Suite MEC
Contact Person Ph ,560 '57331252PLM
Contractor 6-tht (!± Ph 0` 3'"6 J SWR
Tenant/Owner k ,yK p ki]_ 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
Fire Alarm
Susp'd Ceiling
Roof
Mj
F ri l
[':• S. 'ART FAIL
PL I MBING
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
Other Approach/Sidewalk Date ��--/5 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .