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Permit A . CITYOFTIGARD 4 „. ,� ' DEVELOPMENT SERVICES BUILDING PERMIT )1 'I 11 PERMIT # • BUP97 -0376 - ! + f ' 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 08/04/97 PARCEL: 29101AA- 09800 SITE ADDRESS...: 12570 SW 69TH AVE #104 SUBDIVISION....: MLP95 -0013 ZONING:MUE BLOCK • LOT .001 JUR I SD I CT I OiN : T I G REISSUE: FLOOR AREAS--- ----- -• - - -- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST • 658 sf N: 9: 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 658 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 9 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 :N SMOR DET..:N DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:N BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 6400 Remarks : Tenant i.prove.ent: Bellanca Ent. • Owner: -- -- - - -- FEES -- - -- J T ROTH JR type amount by date recpt 12600 SW 72ND STE 200 PRMT $ 62.50 B 08/04/97 97- 297922 TIGARD OR 97223 PLCK $ 40.63 B 08/04/97 97-297922 FIRE $ 25.00 B 08/04/97 97- 297922 Phone #: 639 -2639 5PCT $ 3.13 B 08/04/97 97- 297922 Contractor: -- - - - --- -- J ROTH CONSTRUCTION INC . 12540 SW 68TH PKWY TIGARD OR 97223 Phone #: 639 -2639 $ 131.26 TOTAL Rea #.. ; 000317 REQUIRED INSPECTIONS This per.it 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 C e i l n g Insp approved plans. This perrit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 182 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. Perrnittee Signature: _ Issued g;°2;9-- 4v144;1/4.0 By: +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + +-+• + + + + + + ++ + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + ++ + ++ + + ++ + + + ++ ++ + + + + + ++ Commercial Building rmit Application °� rL9 ��� Cate of Tigard 131:5 SW Mail elvo, Nab, OR 9T�3 x (503) 639.1171 Jobsite Address: 42570 SW ‘ 9 . OFFICE USE ONLY ' i enant:���rda.,tc,� d-�: Suite # /o'`/ Planck/Rec. # .. / �. ; .'r - • I ' ( C Valuation: G, yo - ,. ( : , .`',,:� _•:..''' O Perm , i:- t:. ./...: ' .:::"� i , iC Owner: �/• T %27l, </2 P �' .x ' { 'M 4 Aporovals Require ''. 0o .2 S�w O d ::''' • �� .SW Address: o . ,:.. �.. ����' �� � •' � ' • Planning ' "" - : ;' ' T - r �r...:, ..:;:: : :, . :: : ° 7�7 CoC. 9 7.x.23 s.. .: ;. : Engine Telephone: 02 639 '� . ering ;�:�:. ,1. �.:., , , �;� .. ,: /... , . ±:` ICk. :. ':. N r, k 4: ' . : 4: . . ;. r .. < Contractor. �•.+� -�� ! :�,, C; /' I ' �,l'� err'Sa Address: • / Type of constr: `� Telephone: amt. j � � - Occupancy Class: - Contractor's License # J/ 700 ); 1, Y, prinkler? Yes on (attach copy of current Oregon license) ; u, Sq. Ft. Of Project: .S e Contact name & telephone: 77 �/ 39 . 3 Y Story (1st, 2nd, etc.): / Architect & Engineer. PA14J bcS &fi.., J',44 GiJa!°c44. Proposed Use: or cc_ ( i . 1?.. a./ Address: Previous use: IA (/«✓ eaufl`''.) 7 }f-7L t#.. / ©2 Note: Plumbing & mechanical plans must Telephone: cv ,F0/5 be submitted at time of building permit application. JOB DESCRIPTION: T. ate- e....-- 76 ,, o> 4c. 60.64,,I,A .I E - - — r/ • pp cant Signature & Telephone Number) r a .- ..- 'R - * )(-- - ( ,- 1 - \ 17 calved by: ;` Cate Received: / xtim.ccc (CST I 09 ERMIT# 'Account Description Amount Amt Pd. Balance Oue 6 � 3 Building Permit (BUILD) 40 • 2 Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) .31'3 / T Bldg. Plumb. Mech. 40" .. Plan Check • (PLANCK) �� Bldg. _ - Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection, (SWINSP) • Pants Dev Charge (PKSDC) • Residential T1F (TIF -R) Mass Transit TIF (TIF -MT) • Commercial T1F (T1F -C) • Industrial TIF (TIF -1) Institutional TIF (TIF -IS) Office TIF (TIF -0) - Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) 4 1-‘ � -- F9 Erosion Cntrt Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) �. TOTALS: l InCCMTLCCC (CST) 1 0/96 � / • • . OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: 774 7 pr..:A€44 , c.a•a .2' t f ' ,,., . l .P /S f- -1 f' *t c-wt L G!..rc ,- to of '/ CLASS OF WORK 4 ► Aar: FLOOR AREAS: 45 EXTERIOR WALL CONSTRUCTI • TYPE OF USE: Cam FIRST g• SQ. FT. N: S: E: W: TYPE OF CONSTR: /4 SECOND 1 SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: 6 THIRD 1 SQ. FT. N: S: E: W: OCCUPANCY LOAD: / TOTAL a-57 SQ. FT. ROOF CONSTR: FIRE RET: I I STOR: HT: FT: BSMNT: 1 SQ. FT. AREA SEP. RATED: BSMNT ?: MEZZ ?: ' GARAGE: d SQ. FT. ' OCCU.SEP.RATED: I I FIRE N / ^ FIRE /11/A SMOKE AI /A HANDICAP 4///i SPRINKLER: ALARM: DETECTOR: ! ACCESS: .:;: ;;:.;::::' i.::.:::.:'::.:'.:::;.:<.:::::::.;:;.::.:; .:;::; >.«.;:;.;;;:.:;:.:_::.:;: .:;:..::.::.;;:.;:..:COMMERCIAL : INSPECTION ACTIONS i:::;....::::;:':::.;,::.::•..:.>:.:::::<.::.:: ::::..::<:...:.:::..::::.:::;: V:;v }:�iv i:v ii i :::ii.•:i ritk i'i:': : v:::i•:: v ii::: tLiii\:• :::iiJ:i� \iJii i:i4:•:iiiJ i :::: •.::::::::n::: �. �..: ' ...... ... ......... v FOOT/FOUND INSULATION SUSPENDED CEILING , / SMOKE DETECTOR INSPECTION PI P' INSPECTION i CEILING X INSPECTION f/ POST/BEAM SHEAR SPRINKLER APPROACH/SIDEWALK INSPECTION N // INSPECTION / ROUGH -IN /J /A INSPECTION A MASONRY FIREWALL SPRINKLER MISCELLANEOUS INSPECTION /VA INSPECTION /I/ FINAL r' iA INSPECTION FRAMING ,_/ GYP BOARD )[ FIRE ALARM FINAL INSPECTION '/� INSPECTION / ' INSPECTION ~ / A INSPECTION :: IYPE OF USE OPTIONS (COM commercial: CMS. = coat ercial:: Manufactured structure) •:, OF: WORK OPTIONS:'FOR ALL`PERMITS (NEW= new Add = addition; ALT = alteration:: ACS'= accessory: i=ND foundation :OTR = ottier..DEM =• demolitlon;.REP =repair ,':FPS = fire•protection system,. NOTE.:USE OTR FOR FENCES, RETAJNING WALLS. :DETACHED DECKS, S'GNS, AWNINGS,. CANOPIES) I :lovrcntr2.doc (DST) 4/97 OVER- THE - COUNTER (OTC) COMMERCIAL MECHANICAL PERMIT CHECK LIST Permit #: Date: S k (q 7 Project Name: 1Z uJ Maur 4.v^I4 Site Address: tas-'o sw 4, -4 Description of Project: T — dr-a 4 Class of Work: A tx• Floor Furnace: Evap Coolers: Type of Use: Co Unit Heaters: Vent Fans: Occupancy Grp: f3 Vents w/o Appl: Vent Systems: Stories: iL Boilers /Comprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: / / / / 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units Clo Dryer: Fire Dampers: < = 10000 cfm: Oth Units: '? Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Fum < 100k Btu: Fum > =100k Btu: NOTES: :` •: :< >::<::: » » >::;: Permit Extension 6 4I Permit Fee Gas Line Inspection 6 Plan Review Mechanical Inspection 2.06 5% State Surcharge Heating Unit Inspection Supplemental Permit Cooling Unit Inspection Additional Permit Fee Shaft Inspection Additional Plan Review Fee Hood Inspection Inspection Fee Fire Suppr Inspection Miscellaneous Fee X Duct Inspection Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection Final Inspection :TYPE OF USE OPTIONS: COM = commerciat° CMS= commerc at manufactuted structure is CLASS: OF WORK OPTIONS• FOR ALL PERKS. (NEW= new ADO .= addition: ALT = alteration: :lei` = :foundatlom:OTH` ='otter;. DEM _ I,ition REP repair. FPS = fire protection systern:;NOTE =USE FOR FENCEs; z' RETAINS WALL; DETACHED DECKS. SIt tS `AWNINGS CANOPIES). i:lovrcntr.doc (dst) 2/97 1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: q -- l0 - c7 7 5-(A) A.M. P.M. MST: q Location: <■ , it ' A BUP: / 7-0 3 7(2 Tenant: Suite:,,, Bldg: MEC: Contractor: ( Tr et 11 , Phone: < ? - c ' t g PLM: Owner: Phone: - / ELC: ELR: SIT: BUILDING � D con't) PLUMBING MECHANICAL ELECTRICAL SITE Site ost/Beam Post/Beam Post/Beam Cover /Service Sewer /Stone 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 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 pprov Approved Approved Approved Approved Appr /Sdwlk .. oved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL .• _ _ —1 ' ice- - ' " • O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect Inspector: , j(I Date: / '" F 7 Page ,of CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 / Business Line: 639 -4171 BUP ? 7 - 06E76 Date Requested c // !se AM PM BLD Location 1 S7C 695 � Suite` MEC Contact Person Ph PLM Contractor 37T. e_6744- Ph SWR UIL Tenant/Owner te,, l ! ELC Retaining Wall ELR Footing Foundation / NOT REQUESTED FPS Ftg Drain FOUND DURING RESEARCH I, SGN Crawl Drain I NO INSPECTION(s) IN FILE Vx Slab SIT Post & Beam / 31 �cy� Ext Sheath /Shear / $ Int Sheath /Shear Framing • Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof isc: k Q Fin- PASS 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 Low Voltage 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 2) /�� / (o l CC.) Inspectol Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site