Permit CITY OF TIGARD
BUILDING PERMIT
%,,si DEVELOPMENT SERVICES DATE PERMIT 7 -0532
I SSUED : l i /2BU�7
PARCEL: 2S1O1AA -09800
SITE ADDRESS...: 12570 SW 69TH AVE #102
SUBDIVISION : MLP95 -0013 ZONING:MUE
BLOCK • LOT :001 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.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 11 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. $ : 9500
Remarks : Tenant improvement to new commercial office building.
Owner: FEES
J T ROTHRTNERS type amount by date recpt
12600 SW 72ND AVE. #B PRMT $ 80.50 GEO 11/25/97 97-301236
TIGARD OR 97223 PLCK $ 52.33 GEO 11/25/97 97- 301236
FIRE $ 32.20 GEO 11/25/97 97- 301236
Phone #: 503- 639 -2639 SPCT $ 4.03 GEO 11/25/97 97- 301236
Contractor:
J ROTH CONSTRUCTION INC
12540 SW 68TH PKWY
TIGARD OR 97223
Phone #: 639 -2639 $ 169.06 TOTAL
Reg #..: 000317
REQUIRED 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 Su s p Ce i l n g Insp
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 952-901-0910 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
.-
Permittee Signature ,► �� Issued By:� �` /.. �y ;
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
• • Commercial Bujidi Permit Application �j'f ��
Cily of rows t3123 SW NM Blvd- Nord. OR 97223 �! /
(503) 639.4171 /E/ 6 ("17-
Jobsite Address: /70 Scc/ 69x.4e/G OFFICE USE ONLY° r
. ..w %,' ' ' , � °` ; tM ` ' 'fi ^ \ a S may,. '.' 'x
H
Tenant: C • le. Suite # /0Z _.�� : �. °
valuation: Cr?. - —
j. 7 fin•, � ° ,
O wner. y 7 � r ... 2 ta°, y <;1 <y° a ° -; ° a A. \� > ,,,,.,,,A,',-
Address: 4 Sal Z ' ,/ _200 h a < ? J k ° �x s ? t ?
Plan < i ,-
7;y� 9423 � N � w s���<
t v
Telephone:
e * _ v 2 ' , . .
•
Contractor
�� -.-e- - -- -
Address:
- - - . _ - - _. - __.�
Type of constr: 1/ . N i.-.: . -� --
..
Telephone: � Q- - Occupancy Class:
Contractor's License # 3/700 Sprinkler? Yes _ - o
(attach copy of rent Oregon license
cur S q. Ft. Of Project / 0 6
Contact name & tele hone:
...7.7.-2,i ` �6•
P ( / Story (1st, 2nd, etc.): / `��
Architect & Engineer Aw �� � ��, .• l'
r /
Proposed Use: 0 4 J c .
Address:
Previous use: l 1...2:- j--. 0 + ���
Note: Plumbing & me chanical plans must
igHtLeAd &
Telephone: �� �� be su bmitted at time of building permit
_ application.
JOB DESCRIPTION: �c -# jo/ � a�t� �q,."�,c2/
4 , • „ X39 39
pplica t Signature & Telephone Number)
Received by: Date Received:
1: COMT1.00C (0ST) 10196
PERMITS Account Description Amount Amt Pd. . Balance Due
Building Permit (BUILD)(] c:%
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax ' (TAX)
Bldg.
Plumb. -
Mech. •
Plan Check - (PLANCK ) �3 jy - - N
Bldg.
Plumb.
Mech. •
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
• Parks Dev Charge (PKSOC) •
Residential TIF (TIER - • -
Mass Transit TIF (TIP-LIT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -1) •
Institutional TIF (TIF -IS) -
Office TIF (TIF -O)
Water Quality (WQUAL) _ _ . _
Water Quanity (WQUANT)
9- o
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) -
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) •
ti
TOTALS: / 1 �
VCOMTI.DOC (DST) 10196
1 .. :�
OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: 7: - / J � h,
1-
CLASS OF WORK: ,4Z r FLOOR AREAS: / (, G EXTERIOR WALL CONSTRUCTION
TYPE OF USE: L Ol FIRST ./ SQ. FT. N: S: E: W:
TYPE OF
CONSTR: V /Y SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: I / TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ: FT. i AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. i OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSPECTION ACTIONS FEE MENU I
Foot/Found Post/Beam $ ) c ) Permit Fee
Masonry /Framing $ 5 Plan Review
Insulation Shear Wall $ U 5% State Surcharge
1
Firewall Gyp Board $ 7 - FLS Plan Review
fi Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Final $ 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)
1: \ovrcntr2.doc (DST) 4/97
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BU C' 7 - 06532-
Date Requested .2/16,/ AM JJ PM BLD ��v
Location I o� S 7 0 ( 06 / 41/ ‘ Sui t MEC� q "�ycci
Contact Person Ph PLM
Contra r � • T. Ph SWR
UILDI Tenant/Owner lvC-.- ' ELC
Retaining Wall ELR
Footing / NOT REQUESTED FPS
Foundation
Ftg Drain _ FOUND DURING RESEARCH a SGN
Crawl Drain I NO INSPECTION(s) IN FILE 67 .1 ( e c
Slab SIT
-
Post & Beam • ��� s C7 / C. t
Ext Sheath /Shear ' - 1 /
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
-..f '1
elk
lO PART FAIL
PL :ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In IV. =�
Gas Line
Smoke Dampers
PART FAIL
CTRICAL
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 Date U Inspector ( .J \ Ext
Other
Final
PASS PART FAIL DO NOT R MOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
E.
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 0') Z Z (9 7 A.M. P.M. / 3 MST:
Location: /0-.5 6 9 BUP: c f ` DS) Z
Tenant: Suite Bldg: MEC: 97 n k
Contractor: , Phone: Cp 39 a.tp PLM:
Owner: Phone: ELC:
(jA Sy. c 7/ . , ELR:
SIT:
BUILDING II. (con') PLUMBING r : ► ELECTRICAL SITE
Site - • o`stfBeani Post/Beam Po I : eam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab • ough -In Ceiling Water Line
Slab Framing n Top Out : me Rough -In UG Sprinkler
Foundation Insulation (� Sewer Hood/Duct Reconnect Vault
Bsmt Damp D : 1 iJJXXX "' I Storm Furnace 1 ' (4 Temp Service MISC.
Masonry Ceilin Rain Drain A/C UG Slab
Shear /Sheath Fire SpkIr/A1n? . wl/Found Dr Heat Pump i ` Low Volt
Approved • pprov Approved Approved
Appr /Sdwlk Not pprovD Not Approved - . • .proved Not Approved Not Approved
FINAL FIN FINA IN
6 .. ._. • # ._ .._ c FINAL F
f it � v-`
Air A v A
Cbi 0 # _ 1 ,
1'1 i VP '
NU) sk,eivv\,,S Qv\ ','..--:' k
[..›, U-v\./39Le - 6 U isLo. fxj■ . 1 _
v___A ...t.A.,ei jr.1.21,...v.... \pc.. A \e‘A ji .s
,Q - •
1.. \"
&) S s
•
•s
1,
1'
i` all for reinspectio O Reinspection fee of $ require before next inspection O Unable to inspect
t v
Inspector: � �/ Date: Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 Hour Inspectio Line: 639 -4175 Business Phone: 639 -4171
Date Requested: J / 74 1 7 A.M. P.M. MST:
Location: / r 76 6- BUP: ( 77 d S3-
Tenant Suite: / 49.... Q
Bldg: MEC: / 7 D Z
Contractor. — 1 - 7--4-i►iy\ Aii.k, Phone: 63 37 PLM:
Owner Phone: / ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING _.,,i_N . ►! i ELECTRICAL SITE
Site Post/Beam . Post/Beam Po : eam Cover /Service Sewer/Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall re l d- Storm Furnace Temp Service MISC. C. Masonry T o t Rain Drain A/C UG Slab
Shear /Sheath ire Spkl Crawl/Found Dr Heat Pump Low Volt
pr Approved A n ,� Approved Approved
Appr /Sdwlk ef- 1pproved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
_. /,i . " /// _ /_i� D i ' 7
- r,a -IS32
•
O Call for re' ; O Reinspection fee of $ required before next • tion O Unable to inspect
Inspector: t Date: / — 2 6 9 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION aZ,-
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: /r)-- q 7 X P.M. MST:
Location: 1.-1,5 -7 /() std 6 9 / lJ BUP: q 7-(553O-
Tenant: Suite: `Qo2 Bldg: MEC:
Contractor 9 7- - ,ge i Phone: ___,_,// i, - „0 - . PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING ' on't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/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 latron 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 /Alm Crawl/Found Dr Heat Pump Low Volt
c�„�4pproed Approved Approved Approved Approved
Appr /Sdwlk ed Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL ( FINAL FINAL
1
°7- 7 -771)1 / T '
3 s--rs O 3 7 id
D f' igto Rai /// %%vim `l •g/ �4z i'� S' PI ��S /Al 7 g 36e /ors % 4 // q/ i 2 CQ //
da /A-eS 04/
•
O Call for rein io O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: - Date: 7-.2— 5 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 1,2 -Of - 97 � AM. P.M. MST: Q � � /��
Location: f L ' 70 .5 6 q (/ ��,, f�t/``T B� J BP: / / 0. 3 c
Tenant: Suite: t0� Bldg: MEC:
Contractor: 9.. 7 /24- Phone: `�2( 19 L 639 — oL637 PLM:
Owner: . / I ' , Phone: IELC:
/ n'�
► l � 'J / 1/ ./ :��� 1 �..'S� � I . I ELR:
1 1 , 11 • A cz. f .. : �3(,tP9 7-513°-
BUILDING : i PLUMBING 1 MECHANICAL E ' CTRICAL SITE
Site • . • •':::. • Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line `j
Slab • Framing Top Out Gas Line Rough -In UG Sprinkler a d/1 , 1/4,
Foundation Insulation I/ '� Sewer Hood/Duct Reconnect Vault
Bsmt Damp ®�� Storm Furnace Temp Service MISC. ( pf..IT
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
ved Approved Approved Approved Approved
Appr /Sdwlk 'ot Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
■
''Ci --, cr!t.pcp ( P-)4='r v- r.. r I r '
O Call for r • ' EI Reinspection fee of $ equired before next inspection O Unable to inspect
/
Inspector: Date: --g -F7 Page of