Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00227
A 1 — i�,� DEVELOPMENT SERVICES DATE ISSUED: 6/19/00
a 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 1
SITE ADDRESS: 16135 SW 74TH AVE PARCEL: 2S113AB-00800
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 13,500.00
Remarks: Commercial TI
Owner: Contractor:
DUNCAN, JOHN A AND OWNER
JANICE LEE
7060 SW PALMER WAY
BEAVERTON, OR 97007
Phone: Phone: .
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT DEB 6/19/00 $161.00 0003092 Gyp Board Insp
Susp Ceiing Insp
5PCT DEB 6/19/00 $12.88 0003092 Final Inspection
PLCK DEB 6/19/00 $104.65 0003092 OCI
FIRE DEB 6/19/00 $64.40 0003092
4 Ze
Total $342.93
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 Z Signatu • . ,
Issueo By: , • Q1 .:.---, 1 : f
Call by 7 p.m. for an inspection the next business day
- CITY OF TIGARD Commercial Building Permit Application Plan Ch
.,,ial.Wk:
131 HALL BLVD. New Construction and Additions Recd B
TIGARD, OR 97223 Date Recd Ca X3-00
(503) 639 -4171 Date to P.E. 6-(3-0
Date to DST / �3 '�/bi eP
Print or Type �✓ Permit #4L/ Oa -661 227
Incomplete or illegible applications will not b cepted Related SWR#
Called - / ! ' LA ' 4- -
Name of Development/Project , PUN IN /67 00 3- , i
Job T�NANr I MPO.OA/ M V t3yt t iN61 Existing Building Buildin E1 New Building ❑
Address Street Address Suite
( tp1 35 5.1.i 14 Building
Bldg # City /State Zip Data
T j(mAisp DMZ.. 11141 Existing Use of 131k or Property:
Name
Mt''rT - SH5U., otst.4
Property 061-fN It -iNCAM
Owner Mailing Address Suite Proposed Use of Building or Property:
10 (Po pAt-M � t2- WAY arpioe, l wiLfz tious_
City /State Zip Phone
9715c� No. Of Stories:
•
.VI;IZTON4 Dz. • St:ri -113 S 2
Occupant Name / A. t•oWD czti ul.TAN'rto Sq. Ft. Of Project: Itl 4252 WMzI'c Ht1.4 .
kC6 t SV Ii xa I 2,100 ot=ntce. 4r.= 2,0n AF '14.p
Name Occupancy Class(es)
Contractor ''f erT-' 6144 - 112- 15
Prior to permit Mailing Address Suite Type(s) of Construction
issuance, a copy
of all licenses V—
are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T.
•
Yes ❑ No Er'
database Americans with Disabilities Act (ADA)
Oregon Const. Cont. Board Lic.# Exp. Date
Valuation X 25% = $ 3,3 1 5 Participation
Complete Accessibility Form
Name
Project $
Architect Valuation ( ? 5 DU c r0
Mailing Address Suite i
Plans Required: See Matrix for number of sets to submit
City /State Zip Phone on back
Engineer Name I hereby acknowledge that I have read this application, that the information
N I t oLI t.Ulr1/4l fGr> to bi given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
1'.D. i'AX 23181- Signature of Owner /Agent Date
City /State Zip Phone 0
4::::::: 4 4 G-A.A.N.Q...a-V. TI(:Apt) 042 11281 4 2000 tact Person Name Phone
J
Indicate type of work: New 0 Addition 0 Demolition 0 IM AiAp(? 5 1<-1 Lp so - 2,06
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair o Other 0' Teri & r 1 MpasVpf 4T OFFICE USE ONLY
Description of work
1h15rAt 1-lot�► s4WNGt .ri'EIZTItlaN 14-444..i6 Land Use j
• SuyP0r►pF -C It.I rl=
lit: �U 5'C5 ..h1 Notes '4.
n
Parks: Estimated # of Employees
TIF
If the above figure is not supplied at the time of application, the city will
, Iculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application .
is \dsts \forms \comnew.doc 5/10/99
•
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
;:: Rewei dip :0.00 r 0pon su0 o BpT itgr s AI a pylptiEO"E :::: >:::;:
pp cati n Ftir are eIe hcaI s€ bmittat, the apptiopppr must contain #hg >:::::» :;::::: >:: >:::
1 :.;:. ;:.;: n0 elootr 9.06 botr�r tai r row €tl be .0nd uo1 :::;:::::::<.:;.;:.::.:
.Ater::, , :.< .. ::.:.:.::. `' >' <`.> » >:' ::: : >: : � :: <: «.::: >:: : ,_:;>»::;:::>:»:::_<:�:: >:;; :: ::;: . >: >::::; •' >
:
A ter pla < revi approval,, Rlans,Ex .0mirter zdt € ontact the hcant t rn uest
fi t, .1 - Oi.Otioli f tipiotnkoi, inn u...r:...:...:oggf o .; :if r.:t✓or tr.. o :. :i...:::.;:.;.::::::::.:.: :::i
: ......................................... ...............................
: :P���s:. »::::;:: >:::: »::::;::: KEY:
tnittetl....
.............................................::.::::::.:.:..:.::..:.:::::::::.: ::::::::::::.:::: ::::. ::::::.:
S (Private) 1 • S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
NOTES:
I: \dsts \forms \matrxcom.doc 10/29/98
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: -
CLASS OF WORK: iiegi AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF Udi tiiii FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: 11 j SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: e THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSP ECTIION ACTIONS 0r :'':,''':= 414r, WflEPF,IRENPM.:. pia
Foot/Found Post/Beam $ UO Permit Fee
Masonry ing $ t Review
Insulation Shear Wall $ l ' 8% State Surcharge
Firewall yp. and $ ts�� FLS Plan Review
Suspended Cei • Sprinkler Rough -in $ Add'l Permit Fee
Sprinkler Final Fire Alarm $ Add'l FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous $ MIS Fee
FOR OFFICE USE ON
TYPE OS USE OPTIONS (COM comrer CMS commercial manufactured s tructure
CLASS OF WORK OPTIONS FOR A,LL PERMITS (NEW — new; Add addition; ALT alteration, ACS =accessory,FND foundation,
OTR ot D E M d emolrt ro � n; R rep air , FPS -f pro r t
onsy NOTE USE #OTR FOR F ENC E S , RETAI
WALL DETACHED, DECK SIGNS;; AWNINGS; CAN , , „
I: \ovrcntr2.doc (DST) 9/99
•
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] $ 1
multiply: 25% Barrier removal requirement. :25
BUDGET FOR BARRIER REMOVAL [ $ 3 - n 5
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: $ S DO
Acc. 1 IS - t &f e_pkt0i2e. 3 ark
(c) An accessible route to the altered area: $
71 w_te , g%1 raertcN coat-4.
(d) At least one accessible restroom for $ 35o0
each sex or a single unisex restroom:
(e) Accessible telephones: $ 3 oo
Ktramii 8x.,41= or,H s► t�1k5 4100
(f) Accessible $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $
is \dsts \forms \access. doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 6394175 Business Line: 6394171
BUP WO O
Z2`7
Date Requested (0/2#00 AM PM BLD
Location. 1 Co I 3S 1 )kO Suite MEC
Contact Person Y\ Ph g o PLM
Contractor Ph SWR
DULL` °Dllsk0 , ' . Tenant/Owner
ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
r�. ••
Fire -
Fire Sprinkler
Fire Alarm
sfl d CeiTTh
Reof
Misc:
Fi...
't- 1, PART FAIL
MBING
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 —�
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT - EMOVE this inspection record from t e job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -HoUt Inspection Line: 639 -4175 Business Line: 639 -4171
Cl3UP
Date Requested AM PM BLD WIMP
Location / (� �� �vV Suite MEC ■. ►�
Contact Person Ph PLM
Contractor P SWR
"Mr BUILDING . Tenant/Owner L ° 41;s
ELC
Retaining Wall ELR
Footing Acces� 47A/#47L eolb Foundation / Ftg Drain t FPS
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof e,2 S la c./
MM;_ •
_ PART FAIL
PTU ING ,Z7525 ti` C •
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, 131 W Hall Blvd
Catch Basin ect - no access
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to
ADA
Approach /Sidewalk Ext
Other
Date Z l y Z1 / Inspector � 1�
Final 143 site.
PASS PART FAIL DO NOT REMOVE this inspection record from