Permit .......
.. - / CITY OF TIGARD
a , DEVELOPMENT SERVICES BUILDING PERMIT
� � � 1 PERMIT #.......: BUP98 -0230
- � ! +� ' -- 13125 SW Hall Blvd., Tigard, 0R97223 (503)639.4171 DATE ISSUED: 06/11/98
PARCEL: 25112AA -01000
SITE ADDRESS...: 14100 SW 72ND AVE
SUBDIVISION....: PP1992 -007 ZONING :I —H
BLOCK........... LOT ............. :001 JURISDICTION:TIG
REISSUE: FLOOR AREAS--- -- -- - - - - -- EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT 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. :F2 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 ?: REDD 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. $: j g75v 0
Remarks L. Provide structural eleoents in preparation of the placeoent of 261411
oechanical unit. No increase in occupant load.
Owner: -- FEES
JOHNSON ACOUSTICAL & SUPPLY type amount by date recpt
2001 NW 19TH PRMT $ 134.50 DLH 06/11/98 98- 306455
PORTLAND OR 5PCT $ 6.73 DLH 06/11/98 98- 306455
PLCK $ 87.43 DLH 06/11/98 98- 306455
Phone #: 226 -2.100
Contractor:
JOHNSON ACOUSTICAL & SUPPLY CO
2001 NW 19TH
PORTLAND OR 97209
Phone #: 226 -2100 $ 228.66 TOTAL
Reg #..: 95
-- REQUIRED ACTIONS or INSPECTIONS--- -
This perait is issued subject to the regulations contained in the Framing Ins p
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started _
within 180 days of issuance, or if work is suspended for Dore _ _
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- rA10 through OAR 952- 00101987.
You aany obtain a copy of these rules or direct questions to OUNC _
by calling (503)246 -1987.
Permittee Signature: A ` /' k. s�_red By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + ++
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++±++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit Rec'd By .,. 1 -
13125 SW;HALL BLVD. Tenant Improvement Date Rec'd /i
TIGARD, OR 97223 Date to P.E.
6394171 Date to DST
�
503 Permit* 3 u t ?l - oa 3 a
Print or Type Related SWR it
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building New Building Cl
Job W 11\i 5 CO Are 5
Address Street Address i Suite Building
11 1( 0 0 SW )2°4 Data
Bldg # City/State Zip Existing Use of Building or Property:
�c i S ((
Name d A�
e , I' n Proposed Use of Building or Property:
Property rt y w 4.1` apt S `a rej
,,,e = ailing A dress Suit 9 4 kt. , t,___
- / 14 (6C) S (k) a No. Of Stories:
City/State Zip Phone
` k S y ik k `t` zzLi Sq. Ft. Of Project
Occupant N
,qe Occupancy Class(es)
Name :50 H-t J S O rJ o - u_s r i �. -
Contractor
C
co c 0 p S-u$ PL./ Type(s) of Construction
Prior to permit Mailing Address Suite //
issuance, a copy ...„ fit_ Will this project have a Fire Suppression System?
of all licenses (00 ( A) WE ilk Yes ❑ No ❑
are required if City/State Zip Phone A mericans with Disabilities Act ADA
expired in C.O.T. y A! ( )
database R0 Qd Z Z6 - 41 d0 Valuation X 25% _ $ 0 Participation
Oregon Const. Cont. Board Licit Exp. Date Complete Accessibility Form
TS" 67/.5/pr Project $
Name Valuation (e3' 1 s`Q
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City/State Zip Phone 1 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
that plans submitted are in compliance with Oregon State Laws.
Engineer Na e
1•1/44..A U Pol ` CO NC.12.ric- r Si a e of Owner /Ag t Date
Mailing Address Suite f '+ .:C / Cito 4 9 Q
i o w % \,` ( 27j Contact Person Name Phone
City/State Zip Phone 64I0 QS-t Ettct Z Z 4- Z 1 d C)
'' k-\ + _ q 2,5 2 -9,c(K) FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other Notes:
Description of work:
I (; j� ( (TIF:
■lCT iA)c0cc of l�Uv?~
Parks: Estimated # of Employees
Note: Site Work Permit Application must precede or accompany Building ■ //ff /9'C77/0//.S • / /S / 1�_
Permit Application
I:ICOMNEW.DOC (DST) 8/97 fi� / T e t 2E �A(i9'�
L icl 6 issue PER_ 7 F .
,
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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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 & 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) —
E (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)
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}SS::
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
.ALT :su w
b�tit� �:.i'1��� '' Wash. ........... .. � ........... ....:.,.:::.:�.:::.:;.:�:.i: +.: as . Coun 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.
I: matrix.Doc
CFt QE'TIGARD Date Rec'd:
COMMERCIAL TENANT IMPROVEMENT Rec'd By:
APPLICATION /PLANS SUBMITTAL REQUIREMENTS
Applicants: Please complete
APPLICANT
APPLICANT NAME: IR \ c sJ t - C to c! PHONE #: 12h - Z( 0 0
SITE ADDRESS: 19 (0 0 L) 12 ' /�t T9 ccttc( FAX # 22‘, - 08 3 Z
1. A. SITE PLAN (Fully dimensional, drawn to scale) labeled with:
❑ map & tax lot #, ❑ project name, ❑ site address, ❑ suite number
❑ zoning, ❑ applicant name, ❑ phone number.
B. North Arrow.
C. Scale (Any standard, architectural or engineering only).
D. Street Names.
2. See Matrix on back of Application for number of plans required based on submittal type.
AL D . S IS D BELOW _ BE NCO - PO - • ED IN 0 T P . NS
A. FLOOR PLAN(S).
B. WALL DETAIL.
C. REFLECTIVE CEILING PLAN.
D. SEISMIC BRACING DETAIL FOR SUSPENDED CEILING.
•
E. SPECIFICATIONS & CALCULATIONS.
F. ADA BARRIER REMOVAL WORKSHEET.
G. DEPOSIT - BASED ON VALUATION OF PROJECT.
CITY OF TIGARD
I:SFAPP.DOC (DST) 8/97
OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: r. galifflOPP4 Zan. C JTti LP,gt
1'1 pasfoleans4 i /2 264 Mar e4A*I+Glt
. J _ nla .71 ceiw ,4 DcavpAiJ? £ i
CLASS OF WORK: ACC � FLOOR AREAS: EXTERIOR WALL CONSTRUC ION
TYPE OF USE: gSVA FIRST . FT. N: S: E: W:
TYPE OF
CONSTR: '34 SECOND SQ. FT. PROTECT NINGS ?:
OCCUPANCY GRP: rZ THIRD SQ. FT. N: S* E: W:
OCCUPANCY LOAD: `---_ TO AL SQ. FT. ROOF CO STR: FIRE RET:
S T OR:_ HT: FT: SMNT: SQ. FT. AR SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE ° • c- AP
SPRINKLER: ALARM: DET_ . -- : ACCESS:
I Ci MERCIAL INSPECTION ACTIONS FEE MENU J
Foot/Found Post/Beam $ /.3 Permit Fee
Masonry darig, $ F9.'1 Plan Review
Insulation Shear Wall $ . 73 5% State Surcharge
Firewall Gyp Board $ FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'l Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pin
Smoke Detector Approach /Sidewalk $ . Inspection / i"
Miscellaneous $ MIS Fee / / " , ( ,..Q y
6'
;
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I : \ovrcntr2.doc (DST) 4/97