Permit L A CITY
w ,\ DEVELOPMENT SERVICES BUILDING PERMIT
I '� PERMIT # - BUP98 -0284
�"" "w ''`
�.- 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 07/22/98
PARCEL: 2S101DC -03703
SITE ADDRESS...: 13500 SW 72ND AVE
SUBDIVISION ZONING:C —P
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:U1 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. $ : 2000
Remarks : Installation of a 6'4a x 5' permanent freestanding sign. No part of
any freestanding sign shall extend over a property line into public right- of-way
space.
Owner: FEES
ROBERT DUBAL & TOM BECK type amount by date recpt
13500 SW 72ND PLCK $ 21.13 GEO 07/16/98 98- 307410
TIGARD OR 97223 PRMT $ 32.50 B 07/22/98 98- 307577
5PCT $ 1.63 B 07/22/98 98- 307577
Phone #:
Contractor:
WOODCARVER, THE
CLIFFORD BRYSON
525 SE PINE
PORTLAND OR 97214
Phone #: 239 -8950 $ 55.26 TOTAL
Reg #..: 68037
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
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. ATTENTIO+1: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-081-8010 through OAR 95248101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
Permittee Si nature: Issued B : • /W V�
9 Y
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++. a.++..+4.4.4.4.4.4...4.4.4.4.4.... s... k,.. p..{.. .,..+..y.+.`..;.,+...-y.+++ +
IGARD Commercial Building Permit �� ��
_7_754 Rec'd By
HALL BLVD. Tenant Improvement Date Reed - -Q.
TIGARD, OR 97223 Date to P.E. �/ ,
Date to DST ME E'
(503) 6 9 -4171 Permit # 8aP9F —I 22"
Print or Type Related SWR
Incomplete or illegible applications will not be accepted Called 7 24)
Name of
q of Development/Project Existing Building CI New Building ❑
Job 3fo $ q 2
Address sum ddress Suite Building
Dc.A4t/ �3 'I,, Data
Bldg # City/State Zip Existing Use of Building or Property:
- n cl arc.
�' .t1
Name 7
Propo Use of Building or Property:
Property OM x 9SSc. i41e s
Owner Mailing Address Suite
/532o sit) 7z/id No. Of Stories:
City /State Zip Phone
42ct Ono Sq. Ft. Of Project:
Occupant NaKe
Occupancy Class(es)
Name
Contractor—r4_, atc, ai� Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy Sg�S E. R , Will this project have a Fire Suppression ystem?
of all licenses .Q Yes ❑ No
are required if City /State Zip Phone Americans with Disabilities Act (ADA)
expired in C.O.T.
database P ie-d , C1 � 1 2Z /s 23g 8"9so Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
6 $0 7 ? 2) - Project $
Name Valuation 2064(-)
Architect Plans Required: See Matrix for number of sets to submit
Mailing A ss Suite on back
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
Si nature of Ow er /Agent �6ate ,.t
Mailing Address Suite / _ � `
o n P G - , oe 0 S __ hone /
City /State Zip Phone v ,�; _, ■ _ _
/IV
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL I Lancj,Use:
Accessory Structure 0 Foundation Only 0 Alteration O. 0 5/t7f o -63 703 /v N ,{✓
Repair 0 Other 0 Notes:
Description of work:
Nyci v' TIF:
Parks: Estimated # of Employees
Note: Site Work Permit Application must precede or accompany Building
Permit Application
l:1COMNEW.DOC (DST) 8/97
WIP
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Stibti*thff.WOR3Kik*i0:Wtteiti4itit.VObtfiiiitiMittOt of BOTH OlatiOsiiANCCA: PaMPLEIVDON
--. . - ....'... - ...............-':::•:::::::::::::::::::::::::::::::ii::::::::::, ::: ::::::::::•". :::::.' • : : :: :§i:::.:::::i. : , •-•.::::::"::::::::
11:!#45iii el1410110.1!...40I0001: #140.1. 04ji4000104 4h4A P.04009n0YPkg#1010::::ttiggirigl:::i:::::
iiithaideeiitiiiiii*Iiiiiiii.014410:0041. 4411$06iteliilailliiliAiikWiltfittbiki0.00411111111110m
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 — — 3 (j,o,u) — —
B (New or Add) 1 1 — -- 3 (j,o,w) -- —
F (New or Add or Alt.) 3 3 —
— 3 (j,o,f)
M (New or Add. or Alt) 1 1 — — 2 (j,o) — —
B 8: M (New or Add) 1 1 -- -- 3 (j,o,w) — —
. . .. _
P (New, Add. or Alt) 2 — 2 — — 2(j,o) —
B & M & P (New or Add.) 2 1 1 — 3 (j,o,w) 2(j,o) —
B (New, Add, or Alt) 2 — — 2 — -- 2(j,o)
B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
.:iii::iff:!::::::K:a:::::::::;::::::::moini::::::::::.::::::':::g : 16 : ggemigeom
i•iia::0,1:::a 0104tAkkg:::g::::::w:::::::::10E ni ' ':::::.:.::::t.::::::::::::::::::=:
7 :7777:: .: ig:::::: • ,;
a4ii.ivl I.VPIAlt)EgiiiggEM gi:::;::.'::': i' ::::::::;:.:ii.i:i :::c:•'. ::
A..,:.„:,,:......:::,.,:. :::::, eg:iii q vi:iiii:ii:iii:i xim:::: :::::::::::::::2.4poy::,::.::: *:iratrii
P:.EVA14MiAiriti*ipiiblidiiiiikiii:Iiiiiiiig:::::::Ige ligiiiiiiii ::::::::::::::::4:::::61:::::::::::::::::::::::::::, :am.:::: ::::::::::::::: : ...W:::::: ..:::,:. W's. • :::::::::: .§::::::::;:::::..... . i,.......
....m......■
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and o = Office M = MEC
completes, updates and adds actions. f = Fire P = PLM
u = USA E = ELC
.....v,....,„,„,",
06i$K0300 w = Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
1:1matrix.Doc
CITY OF TIGARD BUILDING INSPECTION DIVISION 1 )
PAST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 9 � ,
Date Requested V" AM PM 1 LD
Location / 3500 - 27 -I 4U€ Suite EC
Contact Person -- Ph PLM
Contractor TkL a d c C �J 0--/ c� 4) Ph Z3 — 1 "" 6 a SWR
ILDIN� Tenant/Owner iZ � ' ?
IA—SA -I - � j Zi� i _, ELC
e ainin Wall
g ELR
Footing A NOT REQUESTED
Foundation FOUND DURING RESEARCH FPS
Ftg Drain SGN
Crawl Drain In' NO INSPECTION(s) IN FILE
Slab SIT
Post & Beam
Ext Sheath /Shear I
Ina Sheath /Shear
Framing (16-62(7"1 (1 ` hJ _ �J (3
/` l� / � Qom' 7 Q,t
Insulation
Drywall Nailing �/
Firewall
Fire Sprinkler 1
Fire Alarm ./ •- , 1 1 '� Y ,`
Susp'd Ceiling 4110 A '
Roof g Misc:. Si q(�F
a I I ill I I M Iffli Ir A I •
WIC d ,
PART FAIL
BING a Sait c--4- t/v\s .
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
tilt /./) \ •
PASS PART FAIL 14--.
MECHANICA
Post & Beam
Rough In it'
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 Date Inspector \ v l/ d'i.
` Ext 5
Other l 1 V
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.