Permit LDING PERMIT • CITYOFTIGARD
DEVELOPMENT SERVICES PERMIT # : BUF'98 -1003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 08/18/98
PARCEL: 2S101DA -00104
SITE ADDRESS...: 13333 SW 68TH PKWY #1ST
SUBDIVISION : GTE ZONING:MUE
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 2840 sf N: S: E: W:
TYPE OF USE•..:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:2 -1HR ••• : 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 2840 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 28 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REOD 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. $ : 4275
Remarks: Federal Credit Union TI move 77' +- wall approx 8' +- creating total
area of 2840 sq ft. Fire sprklr mechanical and elr permit req'd.
Owner: FEES
F I G HOLDING COMPANY type amount by date recpt
ATTN RUBY COURTLAND PRMT $ 50.50 JSD 08/17/98 98- 308327
4680 WILSHIRE BLVD 5PCT $ 2.53 JSD 08/17/98 98- 308327
LOS ANGELES CA 90010 PLCK $ 32.83 JSD 08/17/98 98- 308327
Phone #: FIRE $ 20.20 JSD 08/17/98 98- 308327
Contractor:
PACIFIC DESIGN PACKAGED HOMES
PO BOX 112
TROUTDALE OR 97060
Phone #: 519 -3849 $ 106.06 TOTAL
Reg #..: 119802
-- 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 _$ u s p C e i l n Insp
approved plans. This permit will expire if work is not started C __
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.
' ow e
Permittee Signatur:. Issued B
fir
++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + +++ + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OFJIGARD • Commercial Building Permit Applicatidh V C Recd By 6,
13125 Sb�i'FIALL BLVD. Tenant Improvement Date Recd `b —11 AWRY
to P.E. TIGARD, OR 97223 , - _
503 639 -4171 oats to DST > �,
( ) 6 Permit # d - / 7- f ? t 0-P
Print or Type (vi!' � j � /c5 -- ara'svvi
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building Ij Building ❑
Job "E , C,t -e,' i vldit
Address Street Address I Suiter-t Building
8333SU/ 6g" ' kti Data
Bldg # City/State Zip Existing Use of Building or Property:
TC OKeJon 97 ,2 23 gay' �' -e "z /)i//oh
Name Proposed Use of Building or Propejty:
Property �i o/ea s ut_ 6 uP S -efeh.lioh € P tbo 8u 0/h
Owner Mailing Address Suite
1 3333 < v Or / 4 — No. Of Stories
City /State Zip / Phone 614v*. / / %d/"
Tin dIT;M 00 --6941C Sq. Ft. 7 Project:
Occupant Name
- e�OE/'t -itt c/'ui2; U�va n Occupancy Class(es)
Na e
Contractor 4t L P „ tS /fiv Ack4r `fp#Xtf Types) of Construction
Prior to permit Mailing Address Suite - ^ 1 + IT
issuance, a copy Will this p ro ect have a Fire Su pp ression S tem?
of all licenses y f : ( / ci x �/ f- • Yes El
are required if City /State zip �0lS�i Phone A with Disabilities Act (ADA) in C.O.T. ( )
database Tifivitlttie O� S >f -ST'/ Valuation X 25% = $ Par ipation
Oregon Const. Cont. sb�rd Licit Exp. Date Complete Accessibility Form A/ A
//q� 1 — Project $
Na Re Valuation %V-7.5
Architect 620e et,f LtdOV C. Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct • . : • the owner or authorized agent of the owner, and
that plans s . • mitted - -- in compliance with Oregon State Laws. .
Engineer Na
.Q. eLij d NW : v/Agent 0 ate
Mailing Address Suite draw- -7 8'/ / - ��
`o nta « 'r Name Phone
City /State Zip Phone I A N G E CA 7- i Z .5 1 67? -3 g S2)
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 Cr
Repair 0 Other 0 Notes:
Description of work: g a 7 r > a pQ , h i t Ai p
AlaraL 84c1 47 r 15 wail TIF:
•
7444
Note: Site Work Permit Application must precede or accompany Building / if/ �e
Permit Application - 5 L-�-
J
I:ICOMNEWTI.DOC (DST) 5/98
•
•
�V.
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
rt�w eat u �a suratal of B3TI 1a A10 01- 1E;.EO
a • I :_ t on or >ar lele otr�.'
::::•`:::;:::::: : i •:::::: :;::::: <':'s' -" �' �::;:::::;:;%::: r: i::::: w i: �:: �i:;: �::;: ri:::: �:' r ( . : � :: �1 ':: M :: ) �: � t �:' � :: >::;:• { :;:; n f:i� • { :;:::i:::. : . .. .. .
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........... n• �:•:+ i:{{{ 3;• i:>.• iii:::...v..x.....:.��8ii'::iii isv ............................. ....................:.::......: n.:.v.:.... \.......:::::. v.::.::::. l��L} i:{{^:• iiiTi::.. .:.......:.:�:::....:::..::::n:
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d �: n ': laa:::s . $:::f. .G::;dis t n F'�Fni•..•.:•.: ::::ni'n.v:.;::::::ni':gv i'r l{ :..,iv:xy.•x' .,.,: :.}• ::..i'.vv ?..:: ni'.::": •: ..vti.'• it i:::i':x.:::yi >::jt::i::::i :'Y,. ::j
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asa c ::::::,.: { .::: .::.:::.:::::,i::::a11+�e. {soua
' ` il'i «<
> Bi ` >. « i > ` o lotgi < »i >' 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
NOTES:
:::; �.1: ?.S�i�::Ri:.��:5?�:::?4F��� :' R:t.�R..::::::.. �::.:::: ?:. : ': > :: ::.: : � . • t ::::::::::::::: r.`•: i' �: �': �:`:? i:::: i:: r`:: isr:::::: r:::::::::':::::: 5::::: :::::::::::::::::::;:::;::::�:: ::
I:kdsts\maxtrixl .doc 07/06/98
" ,OVER -THE- COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: T L . ??e, (.9 9 9 t f- // 0W7 T /
f IR? ( -'cl sz -- , 7 ec n/ � 4. / . e1 r1z,
CLASS OF WORK: .-4L i FLOOR AREAS:. yv EXTERIOR WALL CONSTRUCTION
TYPE OF USE: (D,7 FIRST I/ SQ. FT. N: S: E: W:
TYPE OF
CONSTR: /— 4-(Z. SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 0 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 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
Foot/Found Post/Beam $ 70 ---- Permit Fee
Masonry -- — Framing $ 3.0 ' Plan Review
Insulation Shear Wall $ /- 5% State Surcharge
Firewall �Gyp Board $ ? 2 FLS Plan Review
✓ Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous —al $ MIS Fee
o G o�
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)
hovrcntr2.doc (DST) 4/97
CITY OF TIGARDBUILDING INSPECTION DIVISION
MST
24 -I4our Inspection Line: 639 -4175 / Business Line: 639 -4171 7 3
Date Requested o G2 ! ® O AM PM BLD `�
Location /' 3 3 3 (b P 6j I ( Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UILDI Tenant/Owner --C/1-0/3±1,1.41c.) _ ELC
Retaining Wall ELR
Footing A NOT REQUESTED
Foundation FOUND DURING RESEARCH FPS
Ftg Drain NO INSPECTION (s) IN SGN
Crawl Drain I n; �) FILE
Slab SIT
Post & Beam r1 /V �t " , /CC, `
Ext Sheath /Shear `
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall 4—AZ—g:2-4)
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
, PART FAIL
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 (r--
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 7-14/O0 Inspector 75/. Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.