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Permit Y CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00344 ill& DEVELOPMENT SERVICES n 1 DATE ISSUED: 9/3/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 f GIN PARCEL: 2S101AA -09108 SITE ADDRESS: 12559 SW 69TH AVE 1 V A SUBDIVISION: WEST PORTLAND HEIGHTS 11.. ZONING: MUE BLOCK: LOT: 030 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 5,000 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 70 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 45,000.00 Remarks: Tenant improvement Owner: Contractor: A & R PROPERTY DEVELOPMENT JOSEPH HUGHES CONSTRUCTION 7991 SW MOHAWK 7035 SW HAMPTON TUALATIN, OR 97062 TIGARD, OR 97223 Phone: 503 - 691 -1648 Phone: 620 -8134 Reg #: LIC 00045645 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK GEO 8/6/99 $169.33 99- 317317 Electrical Permit Required Framing Insp FIRE GEO 8/6/99 $104.20 99- 317317 Gyp Board Insp PRMT DEB 9/3/99 $260.50 99- 318116 Susp Ceilng Insp 5PCT DEB 9/3/99 $18.24 99- 318116 Final Inspection Total $552.27 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 these rules or direct questions to OUNC by calling (503) 246 -1987. Permitee .l 6,cee Sign - ure: j iss d By: , h . - /t., I,. . Call 639 -4175 by 7 p.m. for an inspection the next business day . . 5 CITY_ OF TIGARD Commercial Building Permit Rec'd By a- 13125 .W HALL BLVD. New Construction and Additions Date Rec'd – / - 9* TIGARD', OR 97223 Date to P.E. . -le' !r1' Q- Date to DST '''' " �' ? . (503) 6394171 Permit # fors+ ' r ------00 3 4 / x / Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called I Name of Development/Project E x i sting Building ❑ New Building Job ;k / ?F-oo /,r Address Street Address Suite Building I 24 S w 641 — Data Bldg # City /State Zip Existing Use of Building or Property: �cS«of Cy, 'f 7z z 3 044,c.j.z„..... 1 Name Property R f Proposed Use of Building or Property: r b e....4 4 .4.45 fr Owner Mailing Address / / Suite VN-)L-- 7f I SW GI!r••+� No. Of S ories: City /State Zip Phone � or 9X62 61/-/Gil Sq. Ft. Of Project: Occupant ' Name S Occt�,p�ncy Class(es) Name ; .' Contractor 15efi g As f' Type) of Construction Prior to permit Mailing Address Suite /(/ issuance, a copy 763 f 5.4 ( / Will this pr have a Fire Suppression System? of all licenses Yes ❑ No A are required if City /State Zip Phone Americans with Disabilities Act (ADA) gyred in C.O.T. database t� 4 570,3 �jZY w06) Valuation X 25% = $ Participation Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form Y r( `/r Project $ Name Valuation y f 6 0 0 Architect Mailing Address Suite Plans Required: See Matrix for number of sets to submit on back City/State Zip Phone - I hereby acknowledge that I have read this application, that the information N ame given is correct, that I am the owner or authorized agent of the owner, and Engineer that ns submitted are in compliance with Oregon State Laws. Mailing Address Suite i nature of erlAg� Da� 36/5 5 City/State Zip Phone ontact Person Name Ph ne f3f2(,) / 002 65 't, 1 Indicate type of work: New 0 Addition 0 Demolition 0 FOR OFFICE USE ONLY Accessory Structure 0 Foundation Only 0 Alteratpn 0 MapITL# Land Use: Repair 0 Other �Gf Description of work: �j(rriv`.^ ] / fo`S No" � / Z ft?9 oc _ TIF: Parks: Estimated # of Employees (� Ni... Site Work Permit Application must precede or accompany Building C e1(r av )6/q.,5 Permit Application J�' G 5 /U 4 1COMNEW.DOC (DST) 8/97 .- — / • • COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) -- B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- E (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o) B: ar: B : &: M A.It : : : : ::.. ..::.: : : : . .... j , o ) .. B& M& P {;Alt) > 3 1 2 ...:... 2: o ..:......2: o. NOTES: KEY a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f = Fire P = PLM u =USA E =ELC b..:. Shaded areas desigrtate .T submittals only . .: . ::' w = Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h:\matric.Doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 1 �� Date Requested �, -9 AM ?L PM BLD Location /2SST 60 4 ( 11 ,k) Suite MEC Contact Person Gevl.Q. Ph gt � 2. 4 1 PLM Contractor Ph SWR ILD�[ Tenant/Owner ELC Retaining Wall ELR Footing Access: Oki- Foundation I I ✓S FPS Ftg Drain SGN Crawl Drain Inspection N i Ill (,�.�Y1,s c�/droKS SIT P ost C �lYl Post & Beam Ext Sheath /Shear Int Sheath /Shear — — -- -414/4 �--` — /III: i �'A �v. errdnittattinfF> Firewall - A Fire Sprinkler Fire Alarm 41 D 0 /� Susp'd Ceilinc �/ s Roof /,- Misc: , ' Final PASS i FAIL PLZIM - _ 5 �� ! C ,L_E c A �� A Post & Beam Under Slab Top Out Water Service Sanitary Sewer / L i � / q( 1 / / Rain Drains (�'Gr �L C �� (J' Dec y PC / C=am Final PASS PART FAIL c ; 0 ki-C� P � � ` �� 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 1 � Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NOT REM • VE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Mg' 033 C /Y Date Requested q'2-2 -99 AM PM x BLD Location SS 4 q C O AV ° Suite MEC Contact Person Ph R 1 '/'7 Z!/ PLM Contractor Ph SWR .- ' ILDI r► Tenant/Owner 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 (usp'd Cei Roof Misc: Final QsAltS PART 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 Other Date ! ` a Z 7 7 Inspector Ext - 4 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP S Date Requested ID-Co ! AM PM x 0 Location 12SS -( £O'/ // A1}-e. Suite ME •O ° q -- •• • _ Contact Person Pre irl, Ph Ky9' 3g3 9 PL , # 9 ' — co r7 Contractor Ph SWR �UILDII Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain S p Slab Crawl Drain Inspection Notes: /'� /1 3 S I _I �� Post & Beam 'C [ l�C� Ext Sheath /Shear Int Sheath /Shear Framing Insulation "9// 4VO v 7 ' S Drywall Nailing C•� Firewall Fire Sprinkler (' n� O / �/teyee / � Fire Alarm Susp'd Ceiling C � � p Roof v `C /fir .6-, d f- ) , Misc: !'� r •ASS PART FAIL UMBIN Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains • RT FAIL Rough In Gas Line Smoke Dampers amt I i PART FAIL TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final P • S PART FAIL w, Bac fill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SV Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - ADA Approach /Sidewalk Other /(/‘/?7 Date Inspector Final PART FAIL DO NOT REMOVE this inspection record from the job site.