Permit J
f
w CITY OF TIGARD BUILDING PERMIT
Ali
PERMIT #: BUP1999 -00507
j l� ;� DEVELOPMENT SERVICES DATE ISSUED: 12/02/1999
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S10IAA -09100
SITE ADDRESS: 12259 SW 69TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 030 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 20.400 sf N: S: E: W:
TYPE OF USE: COM SECOND: 20.400 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 375 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 420,000.00
Remarks: Commercial TI
Owner: Contractor:
TIGARD CORPORATE CENTER LP BAUGH CONSTRUCTION OREGON INC
15400 SW MILLIKAN WAY PO BOX 14135
BEAVERTON, OR 97006 SEATTLE, WA 98114 -0135
Phone: Phone: 641 -2500
Reg #: LIC 000628
FEES REQUIRED INSPECTIONS - —
Type By Date Amount Receipt Framing Insp
PRMT GEO 12/02/1996 $1,864.00 99- 320137 Gyp Board Insp
Susp Ceilng Insp
PLCK GEO 12/02/1995 $1,211.60 99- 320137 Final Inspection
5PCT GEO 12/02/1995 $149.12 99- 320137
FIRE GEO . 12/02/1995 $745.60 99- 320137 ORIGINAL
Total $3,970.32
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 - 001 -1987. You
may obtain a copy of t• -se rules or direct questions to OUNC by calling (503) 246 -1987.
r AO
Permitee 1 p i /
Signature:
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Plan Check#
131 p. SMHALL BLVD. Tenant Improvement Redd By
Date Rec'd
TIGARD, OR 97223 q , 5- Date to P.E.
(503) 639 -4171 WW . 11 p 1-t. 9 TC. Date to DST /2 i
Print or Type Permit # (A, 07
Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building ❑ New Building IZ
. Job -0(A(Lp coRPoizer 6( t
Address Street Address - Suite Building
/ ZZ55 5 65 Data
Bldg # City /State Zip Existing Use of Building or Property:
Name
a Proposed Use of Building or Property:
Property rty 7/6A(-2 cap. 66 „Ka I, maw PART auiP
Owner Mailing Address Suite O1✓Fie2
(SyaO 5L4) 1 i /LUKAN WM No. Of Stones:
City/State Zip Phone Z
tzioa 97b04. Gy6-ZZ6Z Sq. Ft. Of Project:
Occupant '/
Name Occupancy Class(es)
ge N>4/ 554 tloc axg. y, / NG f 3
Name
Contractor 73404,H Type(s) Construction
Prior to permit Mailing Address Suite V' 1/" TER
Issuance, a copy Will this project have a Fire Suppression System?
of all licenses f Li � � - /C x 7 Yes ( No ❑
are required if City/State Zip Phone Americans with Disabilities Act (ADA)
expired in C.O.T.A f 1j 9 7675 C,,I1.25pa 25% database DG Valuation X 25 /o = $ Participation
Oregon Const. Cont. Board Uc.# Exp. Date Complete Accessibility Form
(o Z g 77 3l 661¢o • Project $
Name Valuation 4 Zo 06
Architect L/rZr7 14'RQ#,1 -13 pc iG Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
//2/ S.w- 5 Ar;rto. 1 Od
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
7? �kap, r 1 1720 y ZZ x_11 Z( 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 .
Signatu of Owner /Ag nt Date o�
Mailing Address Suite / / -Z4 7
• Contact Person Name Phone
City /State Zip Phone tq) ra Cal hAa) ZZ 1— /I Z
FOR OFFICE USE ONLY
Indicate type of work: Newt Addition 0 Demolition 0 Map/TL# I Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 Notes:
Description of work:
TIF:
7 e).- i r I O / k P(ZOO& 4 e ) r -
Note: Site Work Permit Application must precede or accompany Building
Penult Application
i:\COMNEWTI.DOC (DST) 5/98 -
■
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED'
application. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
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
*BorB &M(Alt) 1
*B &M &P(Alt) 3
*B &M &P &E(Alt) 3
*B &M &P &E &F(Alt) 3
NOTES:
*Shaded areas designate ALT submittals only.
I: dstsWorms\matrxcom.doc 11/17/99 _
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: T
CLASS OF WORK: FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF,�1S� FIRST 2 °450 SQ. FT. N: S: E: W:
TYPE OF.'oo tt
CONSTR: 7 fa�• 6 J ` 7 42 * ' SECOND 10 gp0 SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 3'715 TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
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 $ i lar Permit Fee
0
Masonry F amin $ 12C1 Plan Review
Insulation Shear Wall $ 12 ' 8% State Surcharge
Firewall Gyp oar $ 1401 FLS Plan Review
Sus ended Ceili • Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous $ 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: \ovrcntr2.doc (DST) 9/99