Permit I 111 �
^ DEVELOPMENT SERVICES BUILDING PERMIT
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PERMIT #.......: BUP99-0042
`.9,mg~ 10125 SN/Hall Blv� Tigard, OR 97223 (503)639-4171 DATE ISSUED: 02/09/99
PARCEL: 23113AD-01900
SITE ADDRESS...: 16640 SW 72ND AVE #B-10
SUBDIVISION....: ROSEWOOD ACRE TRACTS ZONING:I—L
BLOCK..........: LOT.............:009 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: 3: E: W:
OCCUPANCY GRP.:S2 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 SPRLY SMOK DEL.:
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.$: 40000
Remarks : Build 1-HR stairway enclosing a 2-HR horizontal exit from the lunch
room exit doorway, landing and ramp to access parking. A fire sprinkler, plumbing .
and electrical permit is required.
Owner: ----------------- ------------- ----- FEES --
PACIFIC REALTY ASSOC LP type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 238.00 B 02/09/99 99-312785
STE 300 5PCT $ 11.90 B 02/09/99 99-312785
TIGARD OR 97224 PLCK $ 154.70 B 02/09/99 99-312785
Phone ,:*: 624-6300 FIRE $ 95.20 B 02/09/99 99-312785
Contractor: • ----- ---
H GREEN, HL CO. INC. .
15350 SW SEQUOIA BLVD
STE 300
TIGARD OR 97224 — • ----------------
Phone #: 624-7717 $ 499.80 TOTAL
Reg #..: 000413
--REQUIRED ACTIONS or INSPECTIONS----
This permit is issued subject to the regulations contained in the Framing Insp _. _______
Tigard Municipal Code State of Ore. Specialty Codes and all other Firewall Insp _
applicable laws. All work will be done in accordance with Gyp Board Insp ________ _
approved plans. This permit will expire if work is not started Susp Ceilng Insp _. ______
within 180 days of issoance or if work is suspended for mnre _ ___ ___________
than 180 days. ATTENTION: Oregon law requires you to follow the _____ _____
rules adopted by the Oregon Utility Notification Center. 7 husn __� __ ______
rules are set forth in DAR 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 Signatu _,. *^___/ Is'.ued By:�� ______
++++++++++++++++++
Call 639-4175 by 7:00 p.m. for an inspection needed the next bus day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
,
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C��TY TIGARD Commercial Building Permit Recd By 6 ;k)
13125 SW HALL BLVD. Tenant Improvement Date Recd z -D ( - 11
• TIGARD, OR 97223 Date t°P.E Z -D �1
(503) 639 -4171 Vf Date to D
Permit*
Print or Type Related *
Incomplete or illegible applications will not be accepted called - 2- 5 1-1
Name of Development/Project Existing Building New Building 0
Job 0 it j/1/ 4-JS//1(1:=7.47119X/(4,Z
Address Street Address I Suite Building
/ 5 7 1 - Data
Bldg a City /State zip Existing Use of Building or Property:
NZ /1/0'1.0 off, o r s — o
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of Budding or Property:
Owner Mailing Address Suite a 7 "t /Q. 4 0 7j A/
15350 SW SEQUOIA PKWY 300 No. Of Stories:
. City /State Zip Phone
PORTLAND, OR 97224 624 -6300 Sq. Ft Of Project
Occupant Name - - • - - -- - - - -- - • -r ��i ��
/`'/ 2 / ?1/ /4/781M/1/4/..-7'— Occupancy Class(es)
Name - . _ - • • .....4 _. /✓
Contractor H. L. GREEN COMPANY Types) o nstruction
Prior to permit Mailing Address Suite
issuance, a copy - Will this project ha e a Fire Suppression System?
of au licenses 15350 SW SEQUOIA PKWY 300 Y No 0
are required if City /State Zip Phone
expired in C.O.T. Americans with Disabilities Act (ADA)
database PORTLAND, OR 97224 624 -7717 - Valuation X 25% = $ /.dI11� Participation
Oregon Const. Cont. Board t.ic.S Exp. Date Complete Accessibility Form
•
•
. 41328 - Project $
Name • Valuation r
Architect JOHN H. ROMISH . Plans Required: See Matrix 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.
Signature of Owner /Agent - 0 to
Mailing Address Suite . / '- �9 G1
Contact Person Nam Phone
City /State Zip Phone /. Z c 1/ / !! 7
- /n3 d .
FOR OFFICE USE ONLY (� 1 Cx
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration .
•
•
Repair 0 Other 0 Notes: - - _
Desc work: ,p
df /!' // -S �e9/e �! /Y'i / °/ 11F: .. -
Parks: Estimated tt of Employees
Note: Site Work Permit Application must precede or accompany Building .
Permit Application
I:\COMNEW.DOC (DST) 8/97
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OVER - THE — COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
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(X. , 4 J. f 1 2 h )1 G .4 free 0'1 , Alf ol o.- G✓ A7 ,, 24 w �„ A n .�l r 4 st p 2
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CLASS OF WORK: AL t FLOOR AREAS: I,(CJ f EXTERIOR WALL CONSTRUCTION
TYPE OF USE: C'OIn, FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: S'N SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: v 4' r' THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: ,Y Gae,, TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
� I
STOR: HT: FT: BSMNT: SQ. FT. i AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. i OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ .AV Permit Fee
7
Masonry )< Framing $ I 5' y Plan Review
9i
Insulation Shear Wall $ J I 5% State Surcharge
20
:" Firewall x Gyp Board $ 9S ' FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'l FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous ,( Final $ MIS F
d
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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
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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] $
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ / 1,
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: &I f a EA-ft $ /e9 Grxr ,
(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
i:\dsts\forms\access.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION s-10405-3
24 -Hour Inspection Line: 639- 4175 Business Line: 639 -4171 1�d�2
' I
Date Requested `7 (0 "9 / AM X PM �i
�� "" �/� .. °i: �li�.-!�a:.%:• =� r., {
Location i/ (4? (cog() 7 2i Suite MEC
Contact Person Ph 351 -2538 PLM
Contractor Ph S WR
L ING en t/Owner P f�C � � ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: N �
S
Slab rcul 1 py � ` ° � 1 �. "FZ�f� SIT
Post & Beam + d�
Ext Sheath /Shear AA t/ C /<X
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
i )LNC.‘
Roof
Misc:
C AD 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Approach /Sidewalk Date //%' /q Inspector Ext
Other
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.