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Permit I 111 � ^ DEVELOPMENT SERVICES BUILDING PERMIT �� w~ �n�x "�v�om o �� �xn� o �w � �� 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 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ , Z -yoL 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 e OVER - THE — COUNTER (OTC) PERMIT COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: pa,hi /— her tfa► w, 7 t n el��.,r +,,„ °t 7'/f hi ray z_ (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 4 /-1!?e tj7r> - I1? (Y aA, /4c.7�h re" / �ir r T if l'�d Y ler 0'1 A' Alt P I I 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 yy� 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 f ' 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.