Permit CITY OF TIGARD
/Art, ` II� � DEVELOPMENT SERVICES BUILDING PERMIT
` PERMIT # • BUP97 -0390
�!� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 08 / 13 / 97
PARCEL: 2S101AA- 09800
SITE ADDRESS...: 12570 SW 69TH AVE #101
SUBDIVISION • MLP95 -0013 ZONING:MUE
BLOCK • LOT •001 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 739 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF C0NST.:5N 739 ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 739 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:N SMOK 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. $ : 7200
Remarks : Tenant improvement
Owner: FEES
JT ROTH JR type amount by date recpt
12600 SW 72ND AVE PRMT $ 68.50 B 08/13/97 97- 298232
STE 200 PLCK $ 44.53 B 08/13/97 97- 298232
TIGARD OR 97223 FIRE $ 27.40 B 08/13/97 97- 298232
Phone #: 639 -2639 5PCT $ 3.43 B 08/13/97 97- 298232
Contractor:
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 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
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- 00101987.
You any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
4n4AAN 0/6/4AeN"--■
Permittee Signature: Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Commercial Building Permit Application 1 y
ci Tigard 13123 SW Mad Blvd. Nord. OR 9722? Z^� _� i 1 3 (303) 633•.,7, - �./ £V r 1 7-63(0
Jobsite Address: ,6�3 70 SW h9 A OFF ICE USE ONLY::` gib;.: a ;:�:.:; :.::, : ; ..:
Tenant c t / /ww..... Suite # / o / :� : \ .` �, ;. : \ ,
r
Valuation: 70 - c",, _ , , J • F
�.T' �
owner • .. 5 1 4 ' � 10 k. i 4 @& '''` ` . , �^ :,i: N k „ ..a: ,
1 1 • I i 3�ZS`ti r • vva\ . Ay G
Address / GO SW >� -.A.
ng
Telephone: Z w s �� a ">
>C A "\ k X' A
•
Contractor: - - _. _
Address: _
• - _ .. __ _ . -s Type of constr. �- -
Telephone: .S e l 4 a Occupancy Class:
Contractor's License # 3/ 7a° Sprinkler? Yes . -2. ,
(attach copy of current Oregon license) - -- - - - ---
Sq. Ft. Of Project 13/
Contact name & telephone: J. /
Sf'
6 39 X3 Story (1st, 2nd, etc.): /
Architect & Engineer: OW .be-s-
�� ' � ,rzc
Proposed Use: ca_ _
Address:
Previous use: rrA rti La J • Gu,�ofrec.
Note: Plumbing & mechanical plans must
Telephone: -25 L /5 be submitted at time of building permit
application.
JOB DESCRIPTION: �^ s , , 044e 1'c ) o -c c.¢. , /�
4644,1. 4To A4_6/1- � Dgll4v) .44 031, -, 11 Mt tit/
,37 39
plicant ignature & Telephone Number)
Received by: - Date Received:
h'cOMTI.DOC (DST) 10196
PERMITS Account Oescripdon Amount Amt Pd. Balance Due
Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax ' (TAX) ?� , � . . 77,(13
Bldg.
Plumb. •
Mech.
Plan Check (PLANCK) q L .s Lt ti_
Bldg.
Plumb. _
Mech.
Sewer Connection (=USA) - } •
Sewer Inspection (SWINSP) -- _ .
Parks Dev Charge • (PKSDC)
Residential TIF (11F-R) - -
Mass Transit 11F • - (TIF -MT)
Commercial TIF (TIF -C)
•
Industrial TIF (TIF.1)
Institutional TIF (TIF -IS)
_ Office TIF (TIF.0)
Water Quality • (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) 77, 'lb
Erosion Cntrl Permit (ERPRMT) - - - -
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) co / "I 5 k r 1 46
L1COMT1.00C (DST) 10196 -
' " OVER -THE- COUNTER (OTC) PERMIT PLAN REVIEW
.. COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: , gy p / � , , . . c , 7 4 , c t , t t . z ., e /
e- i a .rs r -e., r v a
pt€44)Zer (
CLASS OF WORK /V FLOOR AREAS: 23, EXTERIOR WALL CONSTRUCTION 0
TYPE OF USE: (or.•1 FIRST 75 SQ. FT. N: S: E: W:
TYPE OF
CONSTR: SECOND , SQ. FT. PROTECT OPENINGS ?: / 0
OCCUPANCY GRP: THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL 7.21 SQ. FT. ROOF CONSTR: FIRE RET:
1 1
STOR: HT: FT: ' BSMNT: — SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE - FIRE SMOKE HANDICAP
SPRINKLER: tf /4 ALARM: 174 DETECTOR: rV A ACCESS: ) 74
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GOMMERCIA INSPECTION ACTIONS A
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FOOT/FOUND INSULATION SUSPENDED CEILING SMOKE DETECTOR N A
INSPECTION /J/ INSPECTION A 4 CEILING INSPECTION /
POST/BEAM SHEAR WALL SPRINKLER / APPROACH /SIDEWALK
INSPECTION • INSPECTION ROUGH -IN ^1A INSPECTION
MASONRY FIREWALL SPRINKLER JJJ MISCELLANEOUS
INSPECTION INSPECTION FINAL INSPECTION
FRAMING GYP BOARD FIRE ALARM FINAL
INSPECTION INSPECTION INSPECTION INSPECTION
`t YPE OF,USE OPT[ONS (COM commerc al, CMS:= cocrrnerc at manufactured structured i
CLASS OF: WORK OPTIONS: FOR ALL::: : PERMITS (NEW =: newt; Add.= addition; ALT = alteration; ACS 'accessory FND
=farmdarion :.OTR =.other DEM = demoiition; REP :.= repa+r:: FPS = :ftre pro>ection system NOTE: USE OTR. FOR
FENCES;: RETAINING :WALLS: :DETACHED DECKS; SIGNS, AWNINGS;.CANOP!ESj :' ....:
I:bvrcntr2.doc (DST) 4/97
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: G-9- ` 1 A.M. _ P. MST:
(�
Location: 1 57 0 � ,c � apt,
Tenant: � � Suite: 10 1 Bldg: MEC: ` f 7 03 3
Contractor: Tr ® ' ' 1 Phone: e, 37 37 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con'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 Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp II .. t: Storm Furnace Temp Service MISC.
Masonry Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
CApprov r ed, Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
(2) ..t...e .0 e_ht---A-e-i -- 7.04--4.4..A-C 06- ei.A.4_,___Zy.,_
/ J ii
0 Call for reinspection D 0 Reinspection fee of $ 5)- required before next inspection 0 Unable to inspect
Inspector: J �i Date: F' / 7 Page of
•
• CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639-4175 Business Phone: 639 -4171
Date Requested: Q y�, Ave- � 0 G 7 A.M. - P.M. MST: ,q V
� f�
Location: � 02S 70 d� , -I � I 0 l / 1 t- BUP: 61 1 7 c
Tenant: Ci MC �(t ?C N J Suite: V) 1 Bldg: 1K MEC: C r — 0 31 S
Contractor. v1 Phone: cQ 3 9 3 -I 11M PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab ' o _ - i Ceiling Water Line
Slab Framing Top Out :-:L. me 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 Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Au, sired Approved Approved
Appr /Sdwlk Not Approved Not Approved li■ of Approv -. Not Approved Not Approved
FINAL FINAL I ' • i FINAL FINAL
0) - S 2-,?-,- C'/-
- C'
/ Al 1
I
•
Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
g Inspector: Date: 9 - 7 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: q / / 0 — q 7 A.M. P.M. MST: o
Location: / -Z 5 ! (J c ( {) r0 7 n 7"h BUP: ! 7- 0
Tenant: Suite: l6 / Bldg: MEC:
Contractor U FT /j fit Ct,r4.40/1: Phone: 6 39 ..- & 37 - PLM:
Owner: Phone: �,t{4 71 ELC:
ELR:
SIT:
BUILDING FLD on't) PLUMBING MECHANICAL ELECTRICAL SITE
Site ' • s : eam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Top Out Gas Line Rough -In UG Sprinlder
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 S�klr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk ved Not Approved Not Approved Not Approved Not Approved
AL FINAL FINAL FINAL FINAL
/ _ /
O Call for reinspection O Reinspection fee of $ o required before next inspection O Unable to inspect
Inspector: C Date: j / 0 0 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / 1 A.M. P.M. MST:
Location: / c 3 --- 7e3 6 9 W%—. BUP: C 7 (J 3 90
Tenant: Suite: /2 l Bldg: MEC: q -7 d -3 /3
Contractor: ` V l
1 7.4 , Phone: C, 63 ! — ,7 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab • o : n • Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp 1 . 1 Storm Furnace Temp Service MISC.
Masonry : Rain Drain A/C UG Slab
Shear /Sheath ire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
A b. 64 Approved Approved Approved Approved
Appr /Sdwlk of Approv 6.' Not Approved Not Approved Not Approved Not Approved
FIN .T FINAL FINAL FINAL FINAL
„I...
da
......"- A," ..,,A _Ap........i/V ....,"...."..o.._.,C>)
d
O Call for reinspection O Reinspection fee of $ q, required before next inspection O Unable to inspect
Inspector: 4-1:7-1 Date: / S — 2 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: -)- � 9 / 7 7 A.M. P.M. MST: T
Location: t a.5- / �7 � W Cc Gq'Th �/'l. o-e BUP: q 7- Q3go
Tenant: Suite: , (0 I Bldg: MEC:
Contractor Phon ��!/ Y( 639 42637 PLM:
Owner Phone: 1 ELC:
ELR:
SIT:
BUILDING BLDG (con'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 Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp 1 all Storm Furnace Temp Service MISC.
Masonry ACIMIG0 ' D Rain Drain A/C UG Slab
Shear /Sheath ire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt
A • • oved Approved Approved Approved Approved
Appr /Sdwlk ' of • • +rov: ' Not Approved Not Approved Not Approved Not Approved
i ' 1 FINAL FINAL FLNAL FINAL
r J
` t/ u
- - 97-0 3�
o r ... 0 ,...e....." 1 0..e . ....... 6 -. ;::4_,:c. 6 ,...... fr , ( jest ,.....
Call 1 for rein 'on Reinspection O R inspection fee of $ required before next inspection O Unable to inspect
Inspector: i''CQ Date: W 2 8 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: k - /g /c.)-- s '' 7 p ,, A..M. // P.M. MST:
Location: � 5 7 0 SW 6 7 - 7 1 h (24 l BUP: 77-A370
Tenant aCe__. Suite: /0 / Bldg: MEC:
Contractor: ■_14../rl, lb) lV Phone: 6 3? —0 6,3 7 PLM:
Owner. Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Stone
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation • Sewer Hood/Duct Reconnect Vault
Bsmt Damp porm Furnace Temp Service MISC.
Masonry ain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
�pprovea" Approved Approved Approved Approved
Appr /Sdwlk Not Approved 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
7 0 Unable to inspect
Inspector: ..�� Date: 8 — / CJ -- ? Page of
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: O - I v - 9 7 P.M. MST:
Location: /� 0 _VA s 7) 6 ' � A.M. G BUP: 97 -0.3 O
Tenant: �) &7 Sute: / 0 1 Bld MEC:
Conactor. 9 T /) Phone: '..1c/ i 6 3 q-.16 3 7 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer/Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab 1 . 7 F_I . • Top Out Gas Line Rough -In UG Sprinkler
Foundation ation ���l Sewer Hood/Duct Reconnect Vault
Bsmt Damp 1 CWe'L Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr /Sdwlk roved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
O Call for rein O Reinspection fee of $ /q7:17fore next inspection O Unable to inspect ....?
lo
Inspector: 'A Date: Page of