Permit CITY OFTIGARD
a,„ , DEVELOPMENT SERVICES BUILDING PERMIT
,'i M I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • BUP98 - 0508
DATE ISSUED: 02/17/99
PARCEL: 2S101AC -01900
SITE ADDRESS...: 12615 SW 72ND AVE
SUBDIVISION . ZONING:C —G PD
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :DEM FIRST • 0 sf N: S: E: W:
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? .... 0 sf N: S: E: W:
OCCUPANCY GRP. :E1 TOTAL 0 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. $ : 0
Remarks : Demolition permit of a 4, sq ft Phil Lewis School building, as
identified as building °A° on attached site plan. Two other buildings at this site
will be demolished under separate permits. All debris to be removed, utilities
capped, inspected and approved prior to issuance of new builing permit.
Owner: FEES
EAGLE HARDWARE & GARDEN type amount by date recpt
981 POWELL AVE SW PRMT $ 25.00 DLH 11/20/98 98- 310987
RENTON WA 98055 5PCT $ 1.25 DLH 11/20/98
98- 310987
EROS $ 26.00 DLH 11/20/98 98- 310987
Phone #: 425 -227 -5740 ERPC $ 8.45 DLH 11/20/98 98- 310987
ERPC $ 8.45 DLH 11/20/98 98- 310987
Contractor: PRMT $ 25.00 B 02/17/99 99- 312997
NORTHWEST DEMOLITION /DISMANTLI
BRIAN H SMITH
PO BOX 390
WILSONVILLE OR 97070
Phone #: 638 -6900 $ 94.15 TOTAL
Reg #..: 000482
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Cap sewer line
Tigard Municipal Code, State of Ore. Specialty Codes and all other M }• sc Inspection
applicable laws. All work will be done in accordance with f- mttt LAS feettm
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 many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: Issued By: 6
+ + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF T.M,D Commercial Building Permit Application Recd By L#
13125 SW.L BLVD. Tenant Improvement Date Recd //A?: a.G
I
TIGARD, OR 97223 ,� Date to P.E.
(503) 639 -4171 2) PER /(/ i 7 Date to DST
Permit # .6 ' j ., 2? r- - a S',2 ?
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building ❑ New Building ❑
Job AG(. H4 ■3¢.owAtt>6 k- Gp►9-0E1
Address Street Address Suite Building •
ISLAS SA). ?2 "? Data
Bldg # City /State Zip Existing Use of Building or Property:
Name
Property Proposed Use of Building or Property:
ro
P rh/ EA&La F{,q ,p/1E
Owner Mailing Address Suite
'8t gtri ELL MJE.,$ M No. Of Stories:
City /State Zip Phone te2,5'
144440, t j 980 %5 227-57110 Sq. Ft. Of Project:
I.
Occupant Name
Occupancy Class(es)
Name
Contractor 7 Be_ SELELT Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy Will this project have a Fire Suppression System?
of all licenses Yes ❑ No ❑
are required if City /State Zip Phone Americans with Disabilities Act ADA
expired in C.O.T. ( )
database Valuation X 25% = $ Participation
Oregon Const. Cont. Board Uc.# Exp. Date Complete Accessibility Form
-
Project $
Name
Architect c NZv HAS.. A Aig 5. ■ iv' S ee Matrix for number of sets to submit
Mailing Addres Suite O n back
17? -net At//4 ttl. e. /e 4
City/State Zip Phone , �2_ #► / / d' t I have read this application, that the information
B�EVs(C( /A 7 t r 1 (� Qjt/� ' the owner or authorized agent of the owner, and
/N 1 �� compliance with Oregon State Laws.
Engineer Name 2 /,7.1
..1 IA_ .3. axi Csl NEE(L. t_ Date f I — Zo— QS
Mailing Address Suite _- .
281b C1,Estf2wAim- X Zee) ( Contact erson Name Phone
City/State Zip Phone 509 JI111 ¢tzYAUv y yss - -32
KEivMEwicg L44 ??33(.. 1B3- 21f y
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition Map/TL.# I Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 N otes: p r�
Description of work: /29� ���0 /'�1 �� ���
"w TIF:
/.$00 5e2Fr SC4cr, L 13L0 (10
Note: Site Work Permit Application must precede or accompany Building
Permit Application 6 u r L ctro
%Ax 1.25
esi6•.7 24 .oti
I:\COMNEWTI.DOC (DST) 5/98 . Ells . "Lek 154 d'. YS
Exs, itzjc . .e7 -- k• 95
(/. is
4
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
ftlmivpwAgiopp.nogromp:99;§
#...pggpMpairgtoggigOngOtimOOntfontticiiii:Okatigkiagiaditiagik$111111111111
signature of the supervtsing eIecricar before plan review will be ccrducted.
mgtiolog to request
410.10500t01450015fRIMON:411:01110iiiiiiiiiiiid:00t41.014.64.6fit iii10111111
WApbmgoNopplygggoggito.
motatitt bfar
TYPE Off SUBMflTAL Plans KEY:
iitigigNMENIMENEMENIE:11::::
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
OgigigirkeilagfailNiNgrgi
IffigiMiggEggiergnailelE
.............................
NOTES:
lAdsts\maxtrixtdoc 07/06/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 4$$
Date Requested Z / - 3 1- 91 AM PM B , Q -5Ddf
Location IO S ? �° -11JQ. Suite ' qe— 5/
Contact Person ItY16t1 4C_ Ph 20R-094 -094 PLM
Contractor Ph SWR
03Ulb[i' Tenant/Owner PI/(; l ( ,&(,O/ S Sdltae ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
SAS ) 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA �/ 9
Approach /Sidewalk Date / - 9 / Inspector Ins ector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP _ o _S
Date Requested s / s19 AM PM BLD D Old e.
Location / /,5 7 .izat Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING T &t/ Airtitd.60-71A ELC
Retaining Wall ELR
Footing AC Ss:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof � Misc:
Final
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 r
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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