Permit I\
- CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
" "" j °' I' � PERMIT # : BUP98-0121
13125 SW HaII Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 03/ 17 / 98
PARCEL: 2S112DC -00100
SITE ADDRESS...: 15705 SW 72ND AVE
SUBDIVISION : SOUTHERN PACIFIC TIGARD INDUST ZONING:I —L
BLOCK • LOT •002 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.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP. :F1 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. $ : 12890
Remarks: Equipment installation, seismic inspections only.
Owner: FEES
TETRA PLASTICS type amount by date recpt
15705 SW 72ND AVEE PRMT $ 98.50 DEB 03/17/98 98- 304170
TIGARD OR 97224 5PCT $ 4.93 DEB 03/17/98 98- 304170
PLCK $ 64.03 DEB 03/17/98 98- 304170
Phone #: FIRE $ 39.40 DEB 03/17/98 98- 304170
Contract or:
MATRIX INDUSTRIES
HURFORD INDUSTRIES INC
PO BOX 6323
BEAVERTON OR 97007
Phone #: 642 -4441 $ 206.86 TOTAL
Reg #..: 006537
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other f i n ny-t . 1, . P ,.
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. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952401-0010 through OAR 95240101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
411!!
Permittee Signature: . /'f _ ue By: _ . _ / i// /i
+ + + + + + + + + + + + + ++ ++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
I1
OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: (1 t r OA
1'P 1 I Ph ► 'L t a+A!®. 0 ^ )�
14
CLASS OF WORK: /. L FLOOR AREAS: AA_ EXTERIOR WALL CONSTRUCTION
TYPE OF USE: (260." FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: ' N SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: ^/ i THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: N//.}- 1 TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
1
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam v Permit Fee
Masonry Framing $ °)- 19 - an Review
Insulation Shear Wall $ L/ 1 ,---5% State Surcharge
Gyp $ 3 9 y - FLS Plan Review
Firewall G Board
Suspended Ceiling Sprinkler Rough -in $ Add'l Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous � inal $ MIS Fee
06 4.
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:lovrcntr2.doc (DST) 4/97
G -- -. '2/08/97 MON 12:25 FAX 503 598 1960 CITY OF TIGARD
- ' Y 003
Cab,
CITY OF TIGARD Commercial Building Permit ..., Date Recd � - 1 ?
Recd B
13125 SW HALL BLVD. Tenant Improvement Date to P.E.
TIGARD, OR 97223 Date to 0
(503) 6394171 Patna # a1
Print or Type Related SWR O
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building New Building 0
Job - rei P &Ss I'C s t ie{
Address Street Address Suite Building
IS Tos" S w 1 Z'' -�Je Data
Bldg* I City /State Zip Existing Use of Building or Property:
1 411-2.2q I 1
fog— � -2.21 Pia Name vt -t. C C- (i`11 °
Property So.,wN 2 Proposed Use of Building G Property:
Owner Mailing Address Suite 5�.441
No. Of Stories:
City/State Zip Phone
Sq. Ft Of Project:
Occupant Name
sa�m Occupancy Class(es)
Name r-1
Contractor M piTQtX = 1 5 Type(s) of Construction 5-)
Prior to permit Mailing Address Suite
issuance, a copy / Will this project have a Fire Suppression System.
at at licenses j CO10 5Q SvJ Sit / Yes fl No y4
are required if City /State Zip Phone
expired in C.O.T. Americans with Disabilities Act (ADA)
database AI n I A. f eit c 1 i (yet 2 - -( 4141 Valuation X a% = $ Participation
Oregon Const. Cont Board tic.* Exp. Date Complete Accessibility Form
OO S39 3ja (z Project $ o o it
Name Valuation I U , $ O ' --t-- 2 , OSD `" T std(
Architect Plans Required: See Ma "x for number of sets io submit eo
Mailing Address Suite on back l Zile
City/State ZIP Phone I hereby acknowledge that I have read this application, that the Information
given is correct, that 1 am the owner or authorized agent of the owner. and
that plans submitted are in compliance with Oregon State Laws.
G745,,,�` ' � n eers Name
P e.-42.-f S r \i1•1 S, Signature of Owner /Agent Date
Mailing Address Suite S+1l+a -- C ^ • /1-1.7e-- 7.--20-1%
t, Z z C N P.e., � r _ , Contac rson Name Phone
City/State Zip Phone Sa 5 y51_
a w4t1 er CA ci tZA? 8 IS -C t -2 FOR OFFICE USE ONLY
indicate typo of work: New 0 Addition 0 Demolition 0 MapiTL# :J , C l a a:769 Land Use:
Accessory Structure'$ Foundation Only 0 Aiteration 0
Reps 0 / �Other 0 Notes: •
Description of work: ,, �/�ile4)•• c.lr Cd'o.ine_
11 n,f� TIF: "
5�5.�r^ °I , oe" ,h Sty c r
Parks: Estimated # of Employees
Note: Site Work Permit Application must precedo or accompany Building
Permit Application �.vt 5
I: \COMNEW.DOC (DST) 8/97 �1.
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Q , \ c . Y 0 § 1
3 " PJL04tGait ,fir' s7 / t�ni c h
CITY OF TIGARD BUILDING INSPECTION DIVISI ` r v �
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3/2-6 iie A.M. gip, MST: %
Location: 15 70 5 SW 7 Z h� J C L U B - CLUB 01 Z 1
Tenant: Suite: Bldg: MEC:
Contractor. Pia (• ' Pho - R 60 3 — 5300 PLM:
Owner: ! I L' le ALAI ` Phone: , ELC:
Ai ' 6 l I f��t . /i [ _ /1._ L �� ai i .. ��`/ I ELR:
. fitmfgaifignviri__ % %� Sir:
BUILDING B LDG . n' PLUMBING f MECHANICAL • ' CTRICAL SITE
Site 'T; 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 Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MLSC.
Masonry • • . Rain Drain A/C UG Slab
Shear /Sheath i jj ; f E' Crawl/Found Dr Heat Pump Low Volt
•proyed. Approved Approved Approved Approved
Appr /Sdwlk • • • .proved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL /
. '
_ _' f At ! mil.. — A- 4 a C./ // ./ ,1 f . , t.Ai1 ‘"1
1 , / I rirepirj . 11, 7 _ . ,
1 0�� 70 r & / P � - ,
eVFit) TAO in Pei it Foie Al E.0
_. i ,r /�: • t 1 % II/ . I � _.i i/ � 9 A -.
v r - - __
7 4 ",
I
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4(..).0 _R. # el c....7 _
O Call for reas � O Reinspection fee of $ required befo next ' don O Unable to inspect
Inspector: W. Date: 57Z, 0 Page of