Permit A:- CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00225
jib DEVELOPMENT SERVICES DATE ISSUED: 6/3/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AD -01800
SITE ADDRESS: 16640 SW 72ND AVE B -10
SUBDIVISION: ZONING: I -L
BLOCK: LOT: 011 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 2.450 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: F1 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 8 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 80,000.00
Remarks: Constructing walls, and converting warehouse area to conditioned spaces. A rack storage permit, lighting budget,
mechanical, fire sprinkler and electrical permit are required.
Owner: Contractor:
PACIFIC REALTY H L. GREEN, HL CO. INC.
15350 SW SEQUOIA PKWY #300 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 RR ggZZ2222
Phone: Tl rhone'. FZ4 7 TI7 4
Reg #: LIC 00041328
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT GEO 6/3/99 $373.00 99- 315876 Insulation Insp
Gyp Board Insp
PLCK GEO 6/3/99 $242.45 99- 315876 ic`Z--
FIRE GEO 6/3/99 $149.20 99- 315876 ORIGINAL
5PCT GEO 6/3/99 $18.65 99- 315876
Total $783.30
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee / '' /
Signature: A 1/I , -`�!//y��
Issued By: `''(
C: 639 -4175 by 7 p.m. for an inspection the next business day
Ct rr *OF TIGARD Commercial Building Permit Recd By 0 '
13125 SW HALL BLVD. Tenant Improvement Date Recd / —
-"`%
TIGARD, Oft 97223 Date to P.E. . —2- (503) 6394171 (NZ:,--- oats to osT i��1i ?
Permit sO4P /109- 60a-75
Print or Type Related SWR it
n �� , g 0 Incomplete or illegible applications will not be accepted Called •
Name of Development/Project Existing Building New Building 0
Job -' '& / e 4 //f/L r n/? �-►
Address Street Address Site Building
04 oS:v/��i O - Data
• Bldg * City /State Zip Existing Use of Building or Property: -
/a 7240,.0 DA' 9i g,2 o ` /(/i �®!J
Name 3 *
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use o Building or Projr j
Owner Mailing Address - Suite 6 /9/1'!"4'
15350 SW SEQUOIA PKWY 300 No. Of Stories: /
CIty /State. Zip Phone
PORTLAND, OR 97224 624 -6300 Sq. Ft. Of Project
Occupant Name. - - - -- . - - -.. .. -_ _ .: - . . / % • / </ 7/Y76/ 9(—ii/1# y��� Occup cy Class(es)
, • • h P,.k - ..r. . •
Contractor H. L. GREEN COMPANY: Ty e(s) of Ca traction
Prior to permit - Mailing Address Suite Y
issuance, a copy Will this project have a Fire Suppression System?
of au licenses. - 15350 SW SEQUOIA PKWY 300
-
are required if City /State Zip Phone Yes NO p
expired in C.O.T. Americans wi I bilities Act (ADA)
database PORTLAND, OR 97224 624 - 7717 Valuation X 25% = $ Participation -
Oregon Const. Cont. Board Uc.# Exp. Date Complete Accessibility Form ,1,0:0A1
. - 41328 - Project . $
Name Valuation . 4 : :7
Architect JOHN H. ROMISH Plans Required: See Matt for number of sets to submit
Mailing Address suite on back
2216 SE 24TH AVE.
City /State Zip Phone I hereby acknowledge that I have read this application. that the information
PORTLAND, OR 97224 236 -6306 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.
S'. nature of Owner /Agent ate
Mailing Address Suite -' , v /_ / q_ 97
C.nta- Pe - . N e Phone i
City/State Zip Phone (� / , _
•
FOR OFFICE USE ONLY • //
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Afteratio -
Repair 0 Other 0 - Notes:
Description of work: /p,,�/
/ /d7f / Wa/� ,- zi ,�� 11F:
Parks: Estimated # of Employees
•
Note: Site Work Permit Application must precede or accompany Building .
PermitApplicadon
1:1COMNEW.DOC (DST) 8197
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OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: e ,nJf'ri,, c T l „-, k' A. /JJ 4 � � /c <o h v <r I s;s
/AA it A r./.€ er� 4 1t,e1 �.7 fd '7til,.J
A #A_cr 1"4-arA;1 f-tr », t t 11 rrj'D_ A- 1 /6 /AY G DA.6 ) ,1
Li o P , .i - , . y
CLASS OF WORK: 4 L. f FLOOR AREAS: , 7 S V EXTERIOR WALL CONSTRUCTION
TYPE OF USE: ( ? , v? FIRST SQ. FT. N: S: E: W:
TYPE OF Ij
CONSTR: Ar SECOND SQ. FT. i PROTECT OPENINGS ?:
OCCUPANCY GRP: F -I THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: P TOTAL SQ. FT. � ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. i OCCU.SEP.RATED:
FIRE / FIRE SMOKE HANDICAP 1._______-- SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL; INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ 31 ' ' Permit Fee
Masonry ra i $ Z Review
I nsulatio Shear Wall $ I ' ( 6 6‘ 5% State Surcharge
Firewall G $ 14110 FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous . $ MIS Fee
FOR OFFICE USE ONLY
TYPE OS USE OPTIONS (COM commercial; CMS =commercial manufactured structure)
CLASS OF WORK OPTIONS FOR PERMITS (NEW =new, Add addition, ALT= alteration; ACS =accessory FND- foundation
OTR other, DEM deiriolition REP=repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
hovrcntr2.doc (DST) 4/97
• 1
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ ?Or 00 a
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ .2 0 , O try
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
•
(d) _ At least one accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $
is \dsu \fortes \access.doc