Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
' CITY OF TIGARD PERMIT #: BUP2000-00072 DEVELOPMENT SERVICES DATE ISSUED: 04/20/2000 '� '�I BUILDING PERMIT 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15900 SW 116TH AVE PARCEL: 2S110CD -00105 SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 0 sf N: S: E: W: TYPE OF USE: COM SECOND: 0 sf PROJECT OPENINGS? TYPE OF CONST: 5N : 0 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 19 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: $ 10,000.00 Remarks: ADA bathroom Owner: Contractor: UNITED STATES NATIONAL BANK QUADRUS INC REAL ESTATE MGMT DIV -T3 4647 SW HUBER ST PO BOX 8837 PORTLAND, OR 97 PORTL AND, OR 97208 Phone: 293 -8931 on Reg #: LIC 00088404 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK BON 03/01/200C $80.60 0000354 Electrical Permit Required Plumbing Permit Required FIRE BON 03/01/200C $49.60 0000354 Framing Insp PRMT GEO 04/20/200C $124.00 0001570 Gyp Board Insp 5PCT GEO 04/20/200C $8.92 0001570 Susp Ceilng Insp R ' * t `� ^ H Final Inspection Total $263.12 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. Pe rm itee Signature: i e.G+%C Issued By: , /i Call 63' 75 by 7 p.m. for an inspection the next business day CITY eF'TIGARD Commercial Building Permit Application Plan Check# 7 lc 13125 SW HALL BLVD. Tenant Improvement , Rec'd By Bay► TIGARD, OR 97223 Date Recd � — I --- 2101- ) (503) 639 -4171 Date to P.E. ?j '4 -7450 Date to DST 31 i 1 - 1/..Vi:' Print or Type Permit # Nr-zaV -00Z- Related SWR# Incomplete or illegible applications will not be accepted Called ?r-I G -ZOert) Name of Development/Project Existing Building ' New Building ❑ Job �5 R:04\--V--- Address Street Address Suite Building 15900 T \ \La q`- Data Bldg # Cit /State ' Zip Existing Use of Building or Property: ■ Name 4 Property \,tS ) � Proposed Use of Building or Property: Owner Mailing Address Suite O .--) No. Of Stories: City /State Zip Phone T 1 e t G\ 1 2,06 Sq. Ft. Of Project: Occupant Name W S Occupancy Class(es) Name , Contractor � - A '1 U-S ` 6 " Type(s) of Construction Prior to permit Mailing Address Suite issuance, a copy Lito, L - 0 Will this project have a Fire Suppression System? of all licenses 't Yes ❑ No ❑ are required if City /State Zip Phone Americans with Disabilities Act (ADA) expired in C.O.T. ' i7 C (� �� ` I Q 1 2 (Q 1 1 ilk 3 01 S'i 1�4 database r Valuation X 25% = $ Participation Cp Oregon Const. Cont. Board Lic.# Exp. Date / Complete Accessibility Form St) t�,pl� 1 -A Project $ Name Valuation ( b t O() 0 P O Arclhitect 1 '(p (4-y\- NCO \.5O. Plans Required: See Matrix for number of sets to submit ailing Address Suite on back Wk O YY� © O Ci !State Zip Phone I hereby acknowledge that I have read this application, that the information CYA \ {j. CM f °\ given is correct, that I am the owner or authorized agent of the owner, and l that plans submitted are in compliance with Oregon State Laws. Engineer Nam! S ato ne A ent Date Mailing Address Suite I - oo • Contact Person Name (, Phone City /State Zip Phone 1� ( y Lq S - SI FOR OFFICE USE ONLY Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use: Accessory Structure 0 Foundation Only 0 Alteration 0 Repair 0 Other cif, Notes: D scription of work: - I� �� R O M� — � t en'w t- TIF: 0-e_ p„,_.e GOkAA Note: Site Work Permit Application must precede or accompany Building Permit Application 003 9 , P° u°l'cO I: \COMNEWTI.DOC (DST) 5/98 rL — - - COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire &Rescue) Total # of TYPE OF SUBMITTAL Plans KEY: Submitted 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 *B or & M (Alt) 1 *B & M & P (Alt) 3 *B &M & P &E(Alt) 3 *B &M &P &E &F(Alt) 3 NOTES: Shaded areas designate ALT submittals only:,, I: \dsts \forms \matrxcom.doc 11/17/99 . . . 1146( KING CITY 15300 S.W. 116th Avenue, King City, Oregon 97224 -2693 Phone: (503) 639-4082 • FAX (503) 639 -3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible application is received. If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a King City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639 -4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: \ 4L t A located at: /5 904 620 //1 " U.S. 724- - .3-/-601 King City Representative P 1 'DSTSV<CINST. DOC CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 02, 0 0.9 Date Requested — AM / 1M BLD Location 151 O 0 S w // Suite MEC Contact Person Ph .2QJ 693/ PLM Contractor Ph SWR ILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Note � . Lvc,/C �G Slab SIT Post ost &Beam I ■ r Ext Sheath /Shear / ,�, �1 � • Int Sheath /Shear Framing Insulation Drywall Nailing Firewall I / Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: • PART FAIL • • BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL 9 � ) Post & Beam I;,. 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 1 / -k b a Inspector \` ✓` Ext� Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 63P 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested 14 AM PM BLD Location l S1 SO / ( (Q1 fi MEC Contact Person V\ ui, th) Ph ?9 -� ` 3 ( PLM Contractor Ph SWR BUILDING Tenant/Owner C.t S 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 Framing Insulation rywall Nail Fire Fire Sprinkler Fire Alarm /7 � � n �,�1_ Susp'd Ceiling (/�7 �(� ��V � ` Roof Misc: I PART FAIL BING 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk 6 ( 2 . . 9 t 00 InS e ctor Ex Date Inspector PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 07� BUP Zc Date Requested (1/ AM PM BLD Location 15 l 0 0 It l r v Suite MEC Contact Person Ph ? PLM Contractor Ph SWR f)I Tenant/Owner ELC Retains all ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: GY� yy l bt SIT Post & Beam � i U ( ba ` )\ Ext Sheath /Shear l Int Sheath /Shear r etTalli Drywall on FA/in/A& 04_ Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: F P ASS PART FAIL PLU ING & 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 / - , Other J Inspect �' � Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.