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Permit
CITY OF TIGARD yr, ,. DEVELOPMENT SERVICES BUILDING PERMIT ��, I'�' PERMIT # • BUP98 -0310 "�� 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 08/06/98 PARCEL: 2S1O1DA -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.:NONE .... 0 sf N: S: E: W: OCCUPANCY GRP.:NONE TOTAL . 0 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. $ : 0 Remarks : Parking lot ADA upgrade rails, cross walk, access aisels and parking stalls. Owner: FEES FARMERS INSURANCE GROUP type amount by date recpt 4680 WILSHIRE BOULEVARD PRMT $ 184.00 DLH 08/06/98 98- 308056 LOS ANGELES CA 90010 PLCK $ 119.60 DLH 08/06/98 98- 308056 5PCT $ 9.20 DLH 08/06/98 98- 308056 Phone #: 213 - 932 -3200 FIRE $ 73.60 DLH 08/06/98 98- 308056 Contractor: REHFELDT CONSTRUCTION INC 14707 NE 13TH CT SUITE A1O2 VANCOUVER WA 98685 Phone #: 360 - 573 -3252 $ 386.40 TOTAL Reg #..: 000717 -- REQUIRED ACTIONS or INSPECTIONS--- - This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. 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 -0014810 through OAR 952-88101987. You many obtain a copy of these rules or direct questions to Old by calling (503)246 -1987. Permittee Signature: � �;L.4 Issued By: / +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ /1; M • 42_ c..- .1 I! Po% 0,1/_ Rec'd G CITY OF TIGi4RD Commercial Building Permit Application Recd By � Rec'd P/qd' 13125 SW HALL BLVD. Tenant Improvement Date to P . P/�/ 9 7 TIGARD, OR 97223 Date to DST ,-/ 6 L f — 'cri4 - t2 (503) 6394171 Permit* l3 UP?" — O. Print or Type 116-1,- Related SWR # — Incomplete or illegible applications will not be a pied Called Name of Development/Project Existing Building �ew Building ❑ Job formers Group , Address Street Address , ( S uite Building 13333 3 Data Bldg # City/Sta te Zip Existing Use of Building or Property: d, OR 9722,E Cornnnexclal Off'' ice. Space Name Proposed Use of Building or Property: Property Fa. e . 14c a,„ c Owner Mailing Address \ Suite COMMPYCla1 mice space 1 -1(0130 Ulshwe.Bttt No. Of Stories: City/State Zip Phone 4 Stories/ Rasemenf lam► esf CA go©so'432 -3200 Sq. Ft. Of Project: Occupant Name Occupancy Class(es) rat rs Group, Inc 82 Name C ontractor Pgifeldi Consiruct Type(s) Prior to permit Mailing Address Suite 1V / ` 2 - I HIZ issuance, a copy � r� Will this project have a Fire Suppres Sy em? of all licenses O RO/ NE 1 ei . A 102 _ Yes ❑ No p are required if City/State Zip hone Americans with Disabilities Act ADA expired in C.O.T. (00 ( ) database WIXO \CY WA ggiag5 73.3252 Valuation X 25% = $ Participation Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form Name L1/21_1144 t/ valuation $ 2 A 7 Co Architect YOzA Grube Nall Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back 1211 Su) 5 Ave 2700 City /State Zip h I hereby acknowledge that I have read this application, that the information a idi OR g 72o4 21 -0160 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 WA Si nature of Ow er /Agent Date d Mailing Address Suite 0 r/(5/' g Contact Person Name Phone City/State Zip Phone doe Ar/ -c-cil $20,7. 2 2 /. O /S0 FOR OFFICE USE ONLY Indicate type of work: New 0 Addition 0 Demolition O Ma /TL# '/ Land Use: Accessory Structure 0 Foundation Only 0 Alteration Mg" i J L» 7)ei iv " Repair 0 Other 0 Notes: . Description of work: 12 handicap sAcklis TIF: handrails * ramps Note: Site Work Permit Application must precede or accompany Building Permit Application I: \COMNEWTI.DOC (DST) 5/98 - COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX a > h •:. t ip!n:::<::Fo n<:electrical ::::sub (tta -:: ae::a •. It tion inusl*::: > :.. a�n >: :::> ;::<: >:::::;:> <: > <: >: ,:.<n »::'u of # e ry s " 1 tr ,::;:.:: be r • - lar r. ,;: [t` . _:<. »:: >. >:: >'::> t< ` '<> `< : •i: : p..r..i' ?i:: ni: i:.:i ::: i:::.i: ' •: {::.iii':.i':::: n: i 'n' . i':ii::::: ::::. � n':: niv: ryiiiv: A 'e` -' :IPn irev ;. > `a :: r` vat Plans >f mi : er: ti: c' it " <:t e a ' . €nt:: o:re - a:: >:::: ::>:::<:ttat:#::r:f::> KEY: 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 { :::'`• ii��rff��i�ri�a sSS:> �i ?i�i�: %��,•'£rii�rFN33 {:.: ?�i ::e 8c'::M::::&::1 ::. `Ait' : ::: #::;`;:; :: :: ' :::::::::::::::r..::: ::::t4rM::::4:::P::: &::::::< F:J,R7c' .::::::::::::::::::::::::::: : ::o::::::3:i::i::5::i::i::::a: NOTES: :::: b d ..::. X410:::: 1i: n :: : ;:110..:: 1CS;k . >:«::«::>::::;::>::»: <::::::: >:: >:: >:::: >:: >:::::::: »:; < :::: ;>;:::><:::_::::<::>: :::::;:::>::::>:: >::::1111:: >:1 I:dstslmaxtrixl.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] $ 27g75.00 multiply: 25% Barrier removal requirement. .25_ BUDGET FOR BARRIER REMOVAL [2] $ (0gg3, 75 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 less 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 $ i:/otc4.doc(DST) OVER - THE - COUNTER (OTC) PERMIT f COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: ( Ki n G L v }-- 4- 174- c���)- G f./,P C ai l --, Croft kJ 4 J k, A.rV ,.�./ / s /,, J , 4 r )e - 1 . 7 /.r CLASS OF WORK: A. L- - 9 – FLOOR AREAS: 4 EXTERIOR WALL CONSTRUCTION TYPE OF USE: elf" /r7 FIRST SQ. FT. N: S: E: W: TYPE OF CONSTR: A/JL SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: /y,_ THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: Ai/A_ TOTAL SQ. FT. ROOF CONSTR: FIRE RET: STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: 1 , FIRE FIRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: COMMERCIAL INSPECTION ACTIONS FEE MENU Foot/Found Post/Beam $ t) Permit Fee i Masonry Framing $ // 7 v Plan Review Insulation Shear Wall $ 9� - 5% State Surcharge 0 Firewall Gyp Board $ 7 3 -FLS 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 ;, G yr 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 96 e` e) BUP Date Requested / �j L AM PM BLD A Location ' 33 3 tO r 4' Suite MEC 11! _ Contact Person Ph PLM � Contr.. - Ph SWR ILDING Tenant/Owner 1 ! .o ELC R - - ining Wall / ELR Footing Access: l t FPS Foundation Ftg Drain fil2eitee24_641/ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath/Shear Int Sheath/Shear Framing ' Insulation ^ (j �c),r t gPpr ox 2--,0 Drywall Nailing 7 Fire wall ?( Cc e /� �� - , Fire Sprinkler / Fire Alarm Susp'd Ceiling - Roof Misc: W ..., )PART FAIL PLUMBING / s C/ ,�� / �j� Post & Beam ���/// Under Slab Top Out Water Service j /2/ 5 / (r ' Sanitary Sewer e Rain Drains Final [. / c��dl' , PASS PART FAIL \ / _ MECHANICAL Post & Beam Rough In \N''----. x • Gas Line Smoke Dampers • Final PASS PART FAIL ASP ELECTRICAL Service G 5 , Rough In ,( UG /Slab Low Voltage ------ Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ 1 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: [ 1 Unable to inspect - no access ADA Approach/Sidewalk Other Date 5/2 / F? Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.