Permit CITY OF TIGARD
BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #..... ° .: BUP97 -0249
__.. 13125 SW HaII Blvd., Tigard, OR 97223 503) 639 -4171 DATE ISSUED: 12/23/97
PARCEL: 25110CD -00107
SITE ADDRESS...: 15905 SW 116TH AVE
SUBDIVISION....: KING CITY NO. 2 ZONING:
BLOCK LOT ° JURISDICTION:KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N: 5: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B 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 ?: RECD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNTTS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:.
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 2100
Remarks : Bank of America 56 square foot awning over teller area. - Engineering
on file
Owner: -- FEES ---
COMPASS MANAGEMENT type amount by date recpt
600 A ST PLCK $ 25.03 BON 10/22/97 97- 300309
LAKE OSWEGO OR FIRE $ 15.40 BON 10/22/97 97- 300309
PRMT $ 38.50 GEO 12/23/97 97- 302005
Phone #: 275 -1311 5PCT $ 1.93 GEO 12/23/97 97- 302005
Contractor:
MARTIN BROS INC
3165 COMMERCIAL ST SE
SALEM OR 97302
Phone #: 364 -2211 $ 80.86 TOTAL
Reg #..: 006476
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 - 00101987. •
You many obtain a copy of these rules or direct questions to OIJIC
by calling (503)246 -1987.
+ 4 /1 A/ 1(/ /7,
Permittee Signature: Issued By: L/
+ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-i-
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+ ++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
.. . se _ r i i Y . Aggilk
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CITY.DF TIGARD Commercial Building Permit Recd By
3125 SW HALL BLVD. Tenant Improvement
Date Rec'd I 0 11 79
TIGARD, OR 97223 Date to P.E. 1 b Z - 397 -
(503) 639 -4171 Date to DST 1zkniell riCr
� 5 0 () Permit #6r 69'
4 Print or Type Related SWR #
� � .� Incomplete or illegible applications will not be accepted Called IZ %-h7
vv
Name of Development/Project Existing Building a New Building ❑
Job C eti /n k 4 OBI I e- a--
Address Street Address , Building
/6 -� // 4 ' Data
Bldg # City /State y
Zip ip Existing Use of Building or Property:
It t
Name Ii^ a I l ez i „ -'� IV ' `
Property �j�f'j Proposed Use of Building or Property:
Owner ,, Mailing Address Suite \60/11-1- !T
5 No. Of stories:
City /State Zip Phone C!/
-Q C c X - aT Sq. Ft. Of Project:
Occupant Name
Occupancy Class(es)
Name
Contractor ;yr;•' Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy �� , f..S E Will this project have a Fire Suppression System?
of all licenses ° "�
Yes ❑ No ❑
are required if City /State Zip Phon
expired in C.O.T. � 97�da Americans with Disabilities Act (ADA)
database t3(o' c7ce // Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
6'y 76/ W Project $ ,n ,�J�
Name Valuation Q, / �U • a
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
. ' 3 City /State Zip Phone I hereby acknowledge that I have read this application. that the information
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.
Si ature of Owner /A ent / /�, ,, Date �1
Mailing Address Suite .C/��gt GL��- C.�`�` /x/.7.2
ontact Person Name Phone
City/State Zip Phone , Vy , f /en e--- 673 - - ,7,P //
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O Maprr Land Use:
, Accessory Structure `X Foundation Only 0 Alteration 0
( ;/�� /0C-))-06/b- G/
Repair 0 Other 0 Notes:
Description of work ��//�� „Q
ri o /7. ra_z c�- TIF:
Parks: Estimated # of Employees
Note: Site Work Permit Application must precede or accompany Building
Permit Application
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I: \COMNEW.DOC (DST) 8/97
•
,,.. ,-, COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) .
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & M (New or Add) 1 • 1 -- -- 3 (j,o,w) -- --
P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) --
E (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B & M & P E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o) pD
<B> .Sri:....::..: :E::. 1 .::::::::.:::::gi!i!...::::::::!i ii! :.. : .:.. : ...::lti ::.::::.: giii.1 . ;:: : : 41 : !ii...:.::::: :::::::.....2 . o .............2::. c ::: : : :I :::2.. c .:::
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f = Fire P = PLM
u =USA E =ELC
b aded ar ., >de €` ate:::A1= T: : mittals::onl:: <::::>:>;:<::: :«<::: >:: >:<::::::;::.:.:: »:;:; ;::<:>:: >: w = Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h:\matric.Doc
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CITY OF TIGARD BUILDING INSPECTION DI VISION r
. 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 a
�
Date Requested: c� S 2-
�p Ci G
� L1 y A.M. P.M. MST: . f d q
Location: / < ! 0 , • / / `l
BUP: [ 7 Q 4 {
Tenant: `..c.Z _JI ;,, kitAi _LA _ ' _ 0 - _ Suite: Bldg: MEC:
Contractor: Phone: PLM:
Owner: = Phone: , ELC:
-:4411MIMIF
F .
SIT:
BUIL n't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing - Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC. ,
Masonry Ceiling Rain Drain A/C UG-Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr . Heat Pump Low Volt '
. Approve ■ Approved .Approved Approved Approved . •
Appr /Sdwlk TM • • • 4 ved Not Approved • . Not Approved Not.Approved Not Approved .
FIN . FINAL FINAL FINAL FINAL
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El Call for reinspec • n O Reinspection fee of $ required before next inspection O Unable to inspect •
Inspector: • /
Date. , �" i v Page of
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