Permit CITY OF TIGARD
,P
�m.,� ,, ,a DEVELOPMENT SERVICES BUILDING PERMIT
�
�.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # • BUP97
DATE ISSUED: 08/14/97
PARCEL: 2S101AA -09800
SITE ADDRESS...: 12570 SW 69TH AVE #103 I
SUBDIVISION : MLP95 -0013 ZONING:MUE
BLOCK • LOT •001 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 736 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF C0NST.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 736 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 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. $ : 7200
Remarks : Tenant i.provesent to existing building: Paragon Business
Owner: FEES '
J.T. ROTH type amount by date recpt
12600 SW 72ND AVE PRMT $ 68.50 DST 08/14/97 97- 298292
STE 200 5PCT $ 3.43 DST 08/14/97 97- 298292
TIGARD OR 97223 PLCK $ 44.53 DST 08/14/97 97- 298292
Phone #: 639 -2639 FIRE $ 27.40 DST 08/14/97 97- 298292
Contract or:
J ROTH CONSTRUCTION INC
12540 SW 68TH PKWY
TIGARD OR 97223
Phone #: 639 -2639 $ 143.86 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 Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This peruit will expire if work is not started S u s p C e i i n g Insp
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 952101987.
You •any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987. ..
lral
Permittee Signature ,/` Issued By: ply/ �(,C,l�/Z,/,-,
+ + + + + + + + + + + + + + + + + + • + ++ ++++++++++++++++++++++++++U++++++++++++++++++++++++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
/4
, ,
. Commercial Building Permit Application t
.1 /k?
City of TI ga d 13125 SW Mai18Ivd. Tland, OR 97223
(503) 639.4171
Jobsite Address: LZ'570 Yw 6q ,w6 OFFICE U SE ON >'ac " :
Tenant /aJ *7M 1 /MS! Suite # /
c kl ff jl � � 2 �` � , ,� `r � ' °
Valuation: � 7 � ,0 j // r- t ��° e Q )
: : C1 1
O wner. y � a h � w i�w� « . \ \ \ ; � � . a '� ,�
/ 7�� j.. t rJ ! f • 1 r . � • ( I I 1 : .. � .� _ . Z • a o
Address. /02 1 / Z < - . " . � ' ' a
OR p : < v. C t
— 77,70. - col. OR /7L.Z3 , , a ti N w
C '- t". te+. .� ° . .� \ F> :* Telephone: R:. f ; -. : }• - <
... .w vv R o a v C \ ; ; ,. ' '''
Othe 4r
Contractors
Address:
7
_ .. _ . . .. _ .. . _ . _ _ _ ... _._... Type of constr. _ ___
Telephone: Occupancy Class:
Contractor's License # 3/100 Sprinkler? Yes _ o .
(attach copy of current Oregon license) -- - --
nn �� Sq. Ft Of Project: 7 3 C
Contact name & telephone: 77. 46/
459 ZG�' Story e2nd, etc.): /
Architect & Engineer /Id a; .6e s'ign // - larch . -
Proposed Use: r7► r ' e
Address:
' (� Previous use:
•r 7 (A.v.4 O2-
Note: Plumbing & mechanical plans must
Telephone: 25 'C 15 be submitted at time of building permit
application.
-
JOB DESCRIPTION: �C� l.g• -�io/' 9� Atez) aDnGQ , s, .tea
1 43, )-639
(A. • li . i4na re & Telephone Number)
fr .----
C cqr. Received by: Date Received:
1:'.COMf1.DOC (OS) 10196
PERMITS Account Description Amount Amt Pd. Balance Due
•
Building Permit (BUILD)
)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH) • •• _
State Tax (TAX) 3 '{ j - - 3 j
Bldg. .
Plumb.
• Mach. _.. _ _
Plan Check (PLANCK) q .I c) • -
Bldg. -
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _ .
• Parks Dev Charge (PKSDC)
Residential T1F • (T1F -R) - - - •
Mass Transit TIF • (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF _ (TIF -I) • _ - -
-
Institutional TIF (TIF -IS)
Office TIF (IF-O)
Water Quality (WQUAL) _ :. -- --
Water Quanity (WQUANT)
Fire Life Safety (FLS) 7 ��, 4 ° •
Erosion Cntrl Permit (ERPRMT) - -- --
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
/G i
TOTALS: /�. `i5, (-(°.
t COMT1.0OC (OS) 10/96
•
OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW
•
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST •
- .
DESCRIPTION OF PROJECT: 7 _ __. „ _ 7 4 ,
_..• . .a---..A-..
'7 _ ,..
Ar.....„ ...... It- ,..........t.. - A.. A a : —.AL ''
&lIcr
7A-CJ
CLASS OF WORK 1 4 - 4 " 17- f )(1/ FLOOR AREAS: 73 EXTERIOR WALL CONSTRUCTION
TYPE OF USE: FIRST 7 34 SQ. FT. N: S: E: w:4/4
TYPE OF
CONSTR: SECOND _1_, SQ. FT. PROTECT OPENINGS?:
THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL 254 SQ. FT. ROOF CONSTR: FIRE RET: A/
A
STOR:_ HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE . FIRE SMOKE / 1,
SPRINKLER: A ALARM: //A DETECTOR: A ACCESS: " Al
V:::;:0:Patm;::S:R
1 I AC*030E.011111111111111.61
111111111161111141COM
FOOT/FOUND A , INSULATION A -
SUSPENDED CEILING ..- SMOKE DETECTOR
INSPECTION / IVA INSPECTION N ii- CEILING - INSPECTION
POST/BEAM SHEAR WALL SPRINKLER / . , , APPROACH/SIDEWALK
INSPECTION • INSPECTION ROUGH-IN N A INSPECTION
MASONRY FIREWALL SPRINKLER MISCELLANEOUS
INSPECTION — — INSPECTION FINAL INSPECTION
—
FRAMING GYP. BOARD FIRE ALARM FINAL
INSPECTION V INSPECTION 1Z INSPECTION — INSPECTION --------
_
'''' •••••••'•-•:•"::•••-••:'• •-••••••• ••• — • • • -----.:-:''•• - - • - •-• :::•••'''—':-.....".• -...— - ••••:- ' - • • • •-•*. ''"' ' • • • • -..
r OPTIONS:.(COM:=: commercial CMS.* tOrriTteirciat manufactured sinittike) g::::;:::1
CLASS OF woRicppilaNs:FpR AL4:pERMITS(NEW - F-- - addition ; ALT, alteration; ACS aCOLsori);
#firi(iiidaticait.:QTR:Ottie.it PE.14:•-t ='..fire systerti.:NOTE::USE OTR FOR:Vin::::
1:.FEI■ICES;AETAINING:wAiis:i:bgrAcHEa DECKS. SIGNS, Ntourips:-..cANoptEsy . : :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
- -
1:Novrastr2.doc (DST) 4197
- CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 / Business Line: 639 -4171
430
Date Requested °�' -// 4 O / d 0 AM PM BLD
Location (2_S (c 7 vite Q31 MEC
Contact Person Ph PLM
Contractor /� • Q C TH Ph �c� SWR
cNG UILDI Tenant/Owner C N� k Cv SVICI E• SS; ELC
Retaining Wall ELR
Footing A c NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH • SGN
Crawl Drain In: NO INSPECTION(s) IN FILE �
Slab SIT
Post & Beam 0/4 � G
Ext Sheath /Shear U
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm � o : v /) .
Susp'd Ceiling Z � d
/ Roof
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
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 l j / l �,� /
Other Date V 0/Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: O - 27- 9 7 A.M. f/ MST:
Location: /2 570 ...3(.4) 1 c) q� GLc� . BUP:97-23 7 -
Tenant: Suite: /0.3 Bldg: MEC:
Contractor. 4 9 - a 4I / Phone: 63 9-.24 3 g PLM:
Owner: Phone: ELC:
— 71,o-62: ZA Ld h Ccusz_- Q. r t . ,�lQiurp A- �L ELR:
Uc1 i — cA'i. 0 V • ku TP1 CO37644P
BUILDING BLDG . 1 n't) PLUMBING / MECHANIC i ELECTRICAL SITE
Site Yost/ • eam 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 ; . - er Hood/Duct Reconnect Vault
Bsmt Damp DrywalloWL/ ell Furnace Temp Service MISC.
Masonry Cei ' 1_ Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
ipr el /Approved Approved Approved Approved
Appr /Sdwlk Not Approv Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
, r i' 4 /el- der. .e ,St1 1._)--eat - esr2.1.,.
•
O Call for reinspection O Reinspection fee of $ p required before next inspection O Unable to inspect
Inspector: Date: O ' Z 7 9 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 7'2,, — 9 7 A.M. P.M. MST:
Location: /570 69111 0 e . BUP: q 7 037 —
T t Suite: Bldg: MEC:
Contractor ∎ . Phone: & 3 7 -- C .16 3? PLM:
Owner. Phone: ELC:
7 1i U L YrI ' 'A A- ELR:
� 4 ' SIT:
BUILDING BLDG (con't) UMBING " MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Fes • Top Out Gas Line Rough -In UG Sprinkler
Foundation rx (Z' & Sewer Hood/Duct Reconnect Vault
Bsmt Damp p 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
• pproved Approved Approved Approved Approved
Appr /Sdwlk o • pproved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: W `, e - / 7 Page of