Permit BUILDING PERMIT
4 6, e CITY OF TIGARD PERMIT #: BUP2002 -00420
11 , DEVELOPMENT SERVICES DATE ISSUED: 9/24/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113B0 -00600
SITE ADDRESS: 16060 SW 85TH AVE
SUBDIVISION: SEWER TREATMENT PLANT 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: : 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: $ 2,848.00
Remarks: Installation of suspended ceiling.
Owner: Contractor:
UNIFIED SEWERAGE AGENCY CASCADE ACOUSTICS INC
150 N 1ST AVE PO BOX 23997
HILLSBORO, OR 97123 TIGARD, OR 97223
Phone: Phone: 620 -3908
Reg #: LIC 00039335
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Susp Ceilng Insp
PRMT CTR 9/24/02 $62.50 27200200000 Final Inspection
5PCT CTR 9/24/02 $5.00 27200200000
Total $67.50
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 -6699 or 1- 800 - 332 -2344.
Penn ittee
Signature:
Issued By: n�a ,���u i
Call 639 -4175 by 7 p.m. for an inspection the next business day
.
• / X • •
. . .
_ .
r • • = =Buildin Permit Applicat
� ate received 7 . Permit no.: v
p “ :ii�,�' D
C ity of Tigard �a� Ul �oa� c�
• Piviect/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
• Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ❑ New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement ❑Fire sprinkler /alarm ❑ Other:
4 JOB SITE INFORMATION ,
Job address: 0 0. S hc/ . g -t T a p , / o if 9 7 , 2, Y Bldg. no.: Suite no.:
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.:
Project name: /Ps 4 4. ; - . i e •
Descri?tion and location of work on premises/special conditions: A t
P, , i' - 14e_ , 9 (rr Pr![ a reel's''
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 6 l e , y ,, iv, irr 5t- rv r'e-e S ( Flood plain, septic capacity, solar, etc.)
4 Mailing address: f 6 ( Q S I4 s
$ eve 1 & 2,_ family dwelling:
' City: 1--, ' r o - I State: eN IZIP: 7 7d j/ Valuation of work $
O Phone:S - 'Ito? Fax:4S_h sit - i.1 - mail: No. of bedrooms/baths .
Owner's representative: , o pc oft,' ,,' ,_ _. ) . Total number of floors
Phone: UNIMMI E -mail: New dwelling area (sq. ft.)
APPLICANT Garage /carport area (sq. ft.) •
Name: Covered porch area (sq. ft.)
J Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
-- Phone: Fax: E -mail: Commercial/indastrial/multl- family: to a
1 CO NTRACTOR Valuation of work $ •
_
Business name: q S G th
Address: ` � ! '�. %301( Q q 1 c W 5 4 i t[ 5 --1;14. Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
City 'i', 1 4 t,`,.1 1 State�� I ZIP: /766 c7 2,
of stories
'� Type of construction - • •
Phone: 6. 0 -0/001 Fax: I E -mail: - Occupancy
CCB no.: P y Existing:
39 �-5�(0
. - New:
V City /metro lie, no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
w Name: provisions of ORS 701 and may be.required to be licensed in the
i f P Address: •• . jurisdiction where work is being performed. If the applicant is
or vki City: State: ' � ZIP: exempt from licensing, the following reason applies:
( r-- 4) Contact person: Plan no.:
O Phone: Fax: E -mail: •
� 1 ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received: •
' b City: (State: (ZIP: Amount received $
p - t Phone: IFax: I E -mail: Please refer to fee schedule.
1 I hereby certify I have read and examined this application and the . Not all jurisdictions accept credit cards, please call jurisdiction for more information.
'(•' attached checklist. All provisions of laws and ordinances governing this . ❑ visa ❑ MasterCard
4q work will be complied hether specified herein or not. Credit card number: / /
Expires
Authorized signatu e. Day ?/� y /0) Name of cardholder as shown on credit card
Print name: To e f C. O 'et le r'_s . Cardholder signature $ Amount
•.. Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (600/COM)
/07- 5®
�ai,r Commercial Plan Submittal
A- Aft,
�� Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
• Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities - 2
Building 1*
Fire Protection System 3 **
' ' Mechanical 2
•
Plumbing - Building Fixtures 2
Electrical - 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
•
is \dsts \forms \COM- matrix.doc 9/24/01 •
CITY OF TIGARD 24 -Hour -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP J DO go?Q
Received Date Requested L U 1 / AM :OW BUP
Location Ho v Suite MEC
Contact Person Ph ( ) ff q '7/6 O 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner q3 19 ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes:, r SIT
Post & Beam �' ✓G }°'°v" �+ / �5 rc
Shear Anchors
Ext Sheath/Shear
Ina Sheath/Shear �L 7-U @U ✓� dL Pt 2 6� � �! ' ( .L l�($ '
Framing e /� i sS , Cob
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alar �a' t?fl
us 'd Ceilin l� L 0
oof
Other:
A PART FAIL I
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
-
Sanitary Sewer •
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line r
ADA Approach/Sidewalk Date /6 I ` I ( ) 2 "' — Inspector (3 / Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
— r