Permit z. s �+ CITY OF TIGARD
iur' ,, DEVELOPMENT SERVICES BUILDING PERMIT
vti� PERMIT # • BUP97 -0140
! +� - '�
L. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 06/04/97
PARCEL: 2S101AA -09800
SITE ADDRESS...: 12570 SW 69TH AVE #200
SUBDIVISION • MLP95 -0013 ZONING:MUE
BLOCK • LOT •001 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N:NR S:1HR E:NR W:1HR
TYPE OF USE...:COM SECOND...: 4116 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 4116 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 46 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 2 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:N SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE. $ : 46584
Remarks : Tenant improvement of 4,116 sq. ft. office space
Owner: FEES
JT ROTH JR type amount by date recpt
12600 SW 72ND AVE PLCK $ 175.18 DRA 03/24/97 97- 292135
STE 200 FIRE $ 107.80 DRA 03/24/97 97- 292135
TIGARD OR 97223 PRMT $ 269.50 DRA 06/04/97 97- 295486
Phone #: 639 -2639 PLCK $ 175.18 DRA 06/04/97 97- 295486
FIRE $ 107.80 DRA 06/04/97 97- 295486
Contractor: 5PCT $ 13.48 DRA 06/04/97 97- 295486
JTR DEVELOPMENT GROUP
JT ROTH CONSTRUCTION INC
12540 SW 68TH PKWY #B
TIGARD OR 97223
Phone #: 639 -2639 $ 848.94 TOTAL
Reg #..: 000317
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
1 Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with S u s p C e i i n g Insp
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for sore
than 180 days.
Perm ' • Nature �`''' °''�
Per i i►.n�
Issued By: . . ` f 4 ) ' .[:
Call for inspection — 639 -4175
•
Commercial Building Permit Application
N. •* C.ty of Tigard 131 :3 SW hall 8 fl
1vd. gara. OR 9733 ' _
P1 • (5031 d39 -1171 A_(1.;. I 1 / -1 y
Jobsite Address:] 2.576 SW 1,'9 • _ -- OFFICE USE ONLY ,1
'�
Tenant: -901) , Ske.i Suite * it. , Planck/Rec. # 3 — .7&. *�
Valuation (� 8 eermit ,t)4, t : ' . ' : 4, �., .
.
• QaTH ■ aR. Ma p & TL# f/ �L^i4 •:- 4 7 fl.
Owner: ' J :..: ; ...: : ... ..
Approvals Required
Address: 1 -2 - 4 =°:=> � Z 2-v`°( Zoo .: •
2
Planning < „ •. , .• . Y.;.. ;:
T re and Oct . 9122-3 ::<...
Engineering "�.,. ....:H,„ „ } r �.; ;.,:;
Telephone: 63 24039 (.2.4 0239 .
. Other • ” . . ';-. :... >>:> . . %
ontractor. Sf
Address:
Type of constr:
�,»” to
Telephone: SowAG. 1 � Occupancy Class: -r%
Contractor's License # ..t � o0 i : ;il ;
I Sprinkler? Yes
(attach copy of current Oregon Iicenie)
Sq. Ft. Of Project: 3$$ Z
Contact name & telephone: �w■\'T14
Story (1st, 2nd, etc.): Z
Architect & Engineer: PDW be-sry...
(1 a. ) Proposed Use: crC Cow ke re-60.1
Address:
Previous use:
( r& /is
Note: Plumbing & mechanical plans must
' elephone: 25Z -S015 Fo 5? I892. be submitted at time of building permit
application.
.10B DESCRIPTION: Tw....A 1w-ptove44e 4
7 ' '
i r
r
�,i, ,�1 X39 3r, 1 ' ,
1...
��"' ppli = nt Signature & Telephone Number)
:ceived by. ..9.16 Date Received: 3 (l`c/ 4 7 •
.2:2%11 ;cs� '‘..s416
r. _
rERMITx Account Description Amount 4 Amt Pd. Balance Oue -
Building Permit (BUILD) O(0/' �er) l SC;
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) /3' V % / � � C
Bldg.
Plumb.
Mech. v /
Plan Check - (PLANCK) - / 7 5 ' / D r
Bldg.
Plumb. -
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) -
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit T1F (TIF -MT) •
Commercial T1F (T1F -C)
•
Industrial TIF (TIF -1)
Institutional TIF (11F -IS)
Office TIF (TIF -0)
•
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) /) 7 �� /o 7• w -
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 6( . ( .1
bCCMTI.CCC (CST) 1096 '��
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: A.M. r / f'/ A.M. P.M. : 97-6/0
Location: ?5 �7 2 5 k !� / 9?Z
/ BUP: ,k
Tenant: Suite: Bldg: MEC:
Contractor. Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING ; t.�T PLUMBING MECHANICAL ELECTRICAL SITE
Site P. •': Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab - �mar Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt
ved A Approved Approved Approved
Appr /Sdwlk of Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
7 / rrf rfa a ye/v lc IS SAO
5 ,, elf // ,,q O /Q WC , 7 eo/wyec r /�J//
/U 6'lei /c7//7 * c7A DOX %,- 0/ /%/c26
."-/. G /�/X 6 2 ‘ 85' //trSV /4T7d�
/,' 77c //d/zS
O
O Call for reinspection Reinspection fee of $ required before next inspection O Unable to inspect
-- - - re
Inspector: Date:
� '�/ //� Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: t0 //a4Cti AM. P.M. MST:
Location: (z 570 ad 1 "'- l BUP: "17 — 0140
Tenant: Suite: Bldg: MEC:
Contractor. t 'Y) / d7 / Phone: 639-Q-6. 3 1 PLM:
Owner: Phone: ELC:
— relJAOT 1M PROV 1 2 GN N ` 0 FLOOR ELR:
(. k iL Bur % -'o 5 SIT:
BU DIG BLDG (con't) LUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer/Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framin To Top Out Gas Line Rough -In UG Sprinkler
Foundation s ation Sewer Hood/Duct Reconnect Vault
Bsmt Damp torm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
- • • •• Approved Approved Approved Approved
Appr /Sdwlk • • • pproved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
d i /../1/ car /it- w /. - c ki
i _
5 / .�-�. e .• A., .> 79 ( /�b • -Z. / / S -c-' C
Y 4 ' ,Y 4 to 56, ( %/A yo ��e 4/4-> 4 /
72) (' " l-e c� / � / 7 /'-
/N S (,/'/9 77 e) n 7 OP
l' ----70. 6 ..- ‘
0 Call for re' ' n 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: Page of
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 0/ 9 7 A.M. P.M. MST: ✓'
Location: /2.5 7( 4- a 9 6 9 / BUP: . —/ 'd. /
Tenant: Suite: Bldg: c —/ AO
Contractor. t,%1 / Phone: PLM: !\
Owne .r.�_ %' /. 'L_//._ /.;L.e- _ /tl Phone: ELC:
1 i dly 2 nLe.a ELR:
SIT:
BUILDING LDG (coa =c PLUMBING MECHANICAL ELECTRICAL SITE
Site st/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof _ UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation tsor G Sewer Hood/Duct Reconnect Vault
Bsmt Damp 1 / torm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire S.klr /Alm Crawl/Found Dr Heat Pump Low Volt
2
Approved Approved Approved Approved
Appr /Sdwlk Not Appro Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
l 0
g . \ . - .. / V ,.... 1 ..'......... r ... /_: -.----- ;■/ (. ..Z) K .__
•
O Call for re' O Reinspection fee of $ reequir before nput inspection O Unable to inspect
/
Inspector: Date: (o Page of