Permit A. CITY OF TIGARD
DEVELOPMENT BUILDING PERMIT
~��~=�~u~��" "°"=~"�" SERVICES PERMIT # ^ BUP97-0044
e�d■ 1J 13125 SW Hall Blvd., Tigard, ~��-' '� DATE ISSUED: 01/30/97
PARCEL: 2S116AD-29900
SITE ADDRESS. 16800 SW 126TH AVE
ZONING:
BLOCK..........: LOT.............:
REISSUE: FLOOR AREAS -- EXTERIOR WALL CONSTRUCTION-
"^4� `
CLASS OF WORK. :��/ FIRST....: ''2268 sf N: S: E:. W
•
�
TYPE OF USE. .. : COM SECOND... : 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5hlt '~ ` ^ ' � .. : ~` 0.sf• ' N: S: E W:
OCCUPANCY GRP.:A3 TOTAL : 2268 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: • 45 ''..^ BASEMENT:�,` 0'sf AREA SEP. RATED:
STOR. : 0 HT: 10 ft GARAGE... : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?:,'x REQD.SETBACKG REQUIRED -
FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:
DWELLING UNITS:, .0 ' FRNT�g. 0'.ft REAR.:. ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $:, • 45000
• Re-narks: Installation -of- swim-miig pool•!cover� .
..
Owner: - - - - -- FEES ' ---
KING CITY CIVIC ASSOC type amount by date recpt
15245 SW 116TH PLCK $ 169.33 DRA 01/27/97 KING CITY
PRMT $ 260.50 DRA 01/30/97 97-289731
KING CITY OR 97224 FIRE $ 104.20 DRA 01/30/97 97-289731
Phone #: 639-6565 �. .• 5PCT $ 13.03 DRA 01/30/97 97-289731
Contractor:
DGS GENERAL CONSTRUCTION INC' •,'
1640 E LINCOLN RD
WOODBURN OR 97071 ` ---
Phone #: 800-585-0933 $ 547.06 TOTAL
Reg #'.: 059476
REQUIRED 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- Misc.' Inspection
applicable laws. All work will be'done in-accordance with ' ^
approved plans. This permit will.expire-if work •not`started -, •
within 180 days of issuance, or if quark suspended: for. more. /�' � ` �-v
than 180 days.. ` - '• • — • ' • :• ' • ` ' • .. , . •
Permitte Sig tureg
Issued B
' ^_ _~, for'inspecti - 639-4175
' -'- ' ' . . ` , . . • ~ • ^ . • ' ' ' '
Commercial Building Permit Application 1 1
,
City of Tigard 13125 SW 6 H 3 a11 Blvd. . Tigard, OR 97223
(503) 94
i&ir i
Jobsite Address: / 1, - ' OFFICE USE ONLY . ,.
Tenant: d d2./ Suite # PlanCk/Rec. # /-/ 1 C •
Valuation: P .271-5 /V(42(0
itit.# 1 - • . - .
I4ap iTL# A5' ./ ' i eto 144-
Owner: Av c c f
Address: Approvals .... - . - . .. ..:: ., ....
iaffillirgd.-.
464 ,14..0 i /4 C7L
Planning . ' •• . -: .-
Telephone: ...Engineering'. •-• : , - . - — - . - . ,.
d.9.-- &s
Other
Contractor: 0 C X -&,1 CG'457
i 17 C dxg6.e,0 /-,30 -17 ..3-,' Clai2
Address: / y d E- z_i4c..e,/,,, Al
7 7/ Type of constr:
Telephone: / k --- G / 1 6 .-- D 9 5 5 Occupancy Class: A
Contractors License # of 1 ' <( - I ( - prinkler? Yes --No----,
. x (attach copy of current Oregog Ic:nsz ./ i
NO coioi (Alp iv "if 1 iik q. Ft. Of Project: i'ocrc Aze...4 CAI 2270
7ontact name & elephone: ir,(9/44/5" /1 p GI e
5 • 4 e A r e As i 45 e Story (1st, 2nd, etc.): /
Architect & Engineer: fi re5A
Address:
Proposed Use:
d o 04._ 7 G
Previous use: ,d/d 4 e
4 , ,,,, to ,'" of q
Note: Plumbing & mechanical plans must
elephone: 7 i a r- ,.. 1 cz be submitted at time of building permit
application.
-S//ai.4, .,
.0B DESCRIPTION: / , .%'..' /
(Applicant Signature & Telephone Number)
r eceived by: •••_614 Date Received: /
PERMIT# • ... Account Description Amount Amt Pd. Balance Due
* `,Building Permit (BUILD) ;46, SO ,2.1,00,a)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) 13.03 /3,03
Bldg.
Plumb.
Mech.
Plan Check (PLANCK) 166.5.3 110
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 74 4. /6 - 1,83
3 a3
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CITY OF TIGARD BUILDING INSPECTION NOTICE K
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drai Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -i Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: ig •
Date: / A.M. P.M.nt
Address: 1e R ®o / a 6 j�
Tenant: p Ste: MST:
on/Own: /Own: Ou , z 5 gs-O 33 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
C /d6C776X
Inspector: A ppy Date:?
ED _ DISAPPROVED /CALL FOR REINSP. • CF CO ��
CITY OF TIGARD BUILDING INSPECTION N
Inspection Line: 639 -4175 Business Phone: 6 9 -4 1 1
Footing Rain Drain Cover /Service t
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect..
Post/Beam Struct. Mech. Rough -in Gyp. Bd. BI
San. Sewer lab
Line Appr /Sdwlk `�
Ot r: -"g.Y4
Date: / A.M. P.M. En ry:
Address: 7 fn g 6 Q / e ( / Q/ , "v
Tenant: Ste: MST'
BUP.
Con /Own: J 7, ;S fr MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
L 1 Cv.v c.lcY j.4.--v-f Z7° v7 7 654/"-e
- .cow ` / I Dater / � , PROVED DISAPPROVED /CALL FOR REINSP. CF CO
4111- LAAA--
r
CITY OF TIGARD BUILDIN INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171 `dam
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. :..
San. Sewer Gas Line Appr /Sdwlk +
Other: �
Date: d l A.M. PP.11. Entry:
c
Address: goo TT'-(
Tenant: Ste: MST:
Con /Own: — 5 0 �f 3 ■EC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
•
tT e2 t -bc-P
'Cl,�
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL: i
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. �Bld
San. Sewer Gas Line Appr /Sdwlk Reins.
• Other: Q duAA�_ ^.0 �l •Qf� 4C,/
Date: I I B f A.M. ntry:
Address: / c� F0 0 �, 6� �1f 2
Tenant: Ste: MST:
BUP:
Con /Own: Z) U % 33 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
v 3,4 >l ✓r —ae---<-- .cam - ice Tt'
Inspector: AMMO& Date: L ��
APPROVED * *BfS 6VED /CALL FOR : Ariar CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FI'
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
Plbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -: dg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: , 'C Sa-A-A-6--(44
Date: I A.M. PO. ` ntry:
ZOO /0-6 (D ' /
Address: Q a � u �
Tenant: Ste: MST:
Con /: " SS 1 3 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
IA , / ,
I i/.[ i i , . 1 _4/
/
Inspector: ,11111/, Date: 7
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
IMPIPIPEw'
A,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINV
Foundation Water Line Ceiling -Plu
Post/Beam Mech. Shear /Sheath ami g -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk dal
Other:
Date: A.M. P.M. Entry: �, l
Address:
Tenant: Ste: MST:
q BUP:
Con /Own: /S� U -5 /3 .3 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS. ARE REQUIRED: ELR:
■ , 7 44-C 1■e6 -4 7_
A "-E7-1" d ,0C-7-6/ 24 5" /7-4. eve
(-7 :3c5 �.0 /2-S
Inspec r: Date: .3/2/4
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath dist ag101111 0 -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: A.M. 31///97
P.M. _ Entry:
Address: /6(26 / .76 .4Vc
Tenant: Ste: MST:
BUP:97 . Ooyy
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
„ft_e4, e
Inspector:. ■ Date: .
APPROVED DISAPPROVED /CALL R REINSP. '° CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE ...7 <e______ ,
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINA
Foundation Water Line Ceiling - Plum. I
Post/Beam Mech. Shear /Sheath rams -Mec'
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: h /�
Date: /q A.M. P.M. 4 Entry:
Address: I � 8 / ,--63 ,--63 )
Tenant: Ste: MST:
BUP:
Con /Own: --- -mod ?3 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ,I ELR:
a) . • / //fi� mil . A tia. : i3'7 .�f&4X., Gc./1
AZ"' (.21 44, fal yr Td4.> - Z,--,.-e..
[...J cw i - 7%/ - lci%LS e /1 Sipes
Inspector: Date: _.r-•
_APPROVED _ DISAPPROVED /CALL FO NS CF-"'CO
satAte;LJ M
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
•o 'n. Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: a l q A.M. P.M. Qom' Entry:
Address: / eg 30 D / a r�i � �V— ---'
Tenant: Ste: MST:
`— B OCK ,SJcs d f�' MEC:
on Own:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
ex
Alf
Ins ctor: 4 7_ Date /lY
APPROVED DISAPPROVED /CALL FOR REINSP. C CO
CITY OF TIGARD BUILDING INSPECTION NOTICE ( i.
Inspection Line: 639 -4175 Business Phone: 639 -4171
ooti i. Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
/._ ':,
Other: u.r .s ra.`,� r
Date: . - j ( ( pp A.M. P.M. Entry: i ta"' `�' ', '‹i'
Address: lCo Zoe) /cam&
Tenant: sOo Ste: MST:
BUP:
Con /Owr J g-5 - 0 c3 "; MEC:
PLM:
ELC:
T OLLOWING CORRECTIONS ARE REQUIRED: ELR:
L iA ALk ‘r ALA \
/ � / Inspector: � I C6 Date:
APPROVED kDISAPPROVED/CALL FOR REINSP. CF CO