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Permit
I CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00342 III DEVELOPMENT SERVICES DATE ISSUED: 6/10/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AC 02700 SITE ADDRESS: 14650 SW 97TH AVE SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5 BLOCK: LOT: 037 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: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 993 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: $ 4,000,000.00 Remarks: TI: Restroom remodel, roof repair, flooring, emergency lighting. Owner: Contractor: UNION HIGH SCHOOL DISTRICT PAR TECH CONSTRUCTION INC NO. 3 JT 13783 FORSYTHE OREGON CITY, OR 97045 Phone: Phone: 503 - 557 -8300 Reg #: LIC 109451 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 6/10/03 $1,906.80 Electrical Permit Required [TAX] 8% State Tax 6/10/03 $152.54 Fl Permit Required Framing Insp [BUPPLN] Pln Rv 6/10/03 $1,239.42 Gyp Board Insp [FLS] FLS Pln Rv 6/10/03 $762.72 Susp Ceilng Insp Total Final Inspection $4,061.48 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: /�" .I. Permittee / O Signature: tom --» �MC/� S �J O(a/ x f REr • Call 639-!175 by 7 p.m. for an inspection the next business day Building Permit Application FOR OFFICE USE ONLY .. . '. R ece i ve d B u ild in g�_�.� `,�.� Date /By: 6- IO_O'; C (3 Permit No. V..J J ' 0:0 "D--- City of Tigard Planning Approval Other Date /By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By:4 /o4Q3�01p Permit No.: Phone: 503- 639 -4171 Fax 503 -598 -1960 - —411144— Post- Review Land Use �, Internet: www.ci.tigard.or.us Date/By: Case No. Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: T 1� Supplemental Information .;�.,; .-r ,t :~��;,,�,� .� , �;•:. �:.... ��: �.. Y��,E.T�YP : �� _ ..2. ��: „�� °k;� �' �. �.�� ,�� `;�,� �, �_ � t� � � �� ,. ❑ New construction ❑ Demolition x � ; .. `, : .,& 1 . M 4q>. ILY D d i ; ` . ,,, u, „�.., ®, Addition/alteration/replacement ❑ Other: '' : ;a_ : , v #,CATEGORY OE CONSTRUCTION ZA a', "'; Note: Pernut fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling ❑X Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ tri-VA mot JOB. SITEINFO" and EOCANTIONs i '1 No of bedrooms: No of at s: Job site address: 14 450 'JO 11 Avg Total number of floors New dwelling area (sq. ft.) Suite #: fJ A Bldg. /Apt. #: , N A Garage /carport area (sq. ft.) Project Name: - rtjAirvi H .5. Up?. I .EMDvC,L. Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) SW M.C. b oNM.Yj ST. (INA.L. 5t.vt2 To Other structure area (sq. ft.) •t4.6r, To cw T ) . _F WQ,IiIItED -DATA i i nirexi 4” i COMM01:411141j SE CHECKILIST 3 �i " _ a a r _K 7 ., Subdivision: Tax map /parcel #: 25 ill A.G Note: Permit fees* are based on the total value of the work performed. Indicate 01 ". iVAR AQIIMSCRIPTION OF,,W, RK.,s ,:fit 5 7Mla " , the value (rounded to the nearest dollar) of all equipment, materials, labor, 'I sTo BEST KS Cso tAlt arm) .. overhead and profit for the work indicated on this application. CPO ?44.Z + wbor, COURT PLOY[ j (f.A (. Valuation $ 4Oo DOo LoGltS 1 1-IVAG 1 ,If )) ' sautf- -r C l.1GFl1'nr�. Existing building area ( ft.) HA � New building area (sq. ft.) ) >N A, Pot' $ #4i jS • Number of stories ( glyi. PROPERTY;OWNER ,x 3 iii Il fiTENANT s472, ,Aarmili Type of construction • - N �c,im .Y "r1)A tL.A - 170 Sc.1kppl. t:Jtr[. O Existing: $ -t Name: New: E- t Address: ( 1 (A SW secy.. * wiz. zo'C. City /State /Zip: 11&AK.f7 11 012 0 1"7 is NOTICE: All contractors and subcontractors are required to be Phone: Sp3 - 1.�3t -400p Fax: 43 - �p,�` licensed with the Ore on Construction Contractors Board under `. APPLICA&NT ,, ;_ .� °� GONTAGL`PERSON A g licensed in the provisions of ORS 701 and maybe required to be , Business Name: pa(„ - p(„ Sp N • Wweles ,Alta,, jurisdiction where work is being performed. If the applicant is exempt Contact Name: Ub 4+1.600 from licensing, the following reason applies: Address: 3(9 Sw (.40 S? A Zoo City /State /Zip: ikOppert.V»Jr, me e 7 2o Phone: 50'3. zit, - 64So Fax: 21'5 - 9 N 2 � a ;� � " DLJ PE RMIT F EES * t E -mail: v # , f y h .g., � [ �O W( .► G De. a � �,� � Pleas fee schedule � ` t t�°;'°`� grfi Business Name: [5Y . Pim -Tac tf Fees due upon application $ Address: / 3 • 83 Foits V TH F.. City /State /Zip: ©(t &Gpw a MI 04 c ri oafs Amount received $ Phone: 5.p1 sr? $Soo Fax: S SS7 83 as Date received: CCB Lic. #: / 09 -i Authorized r Notice: This permit application expires if a permit is not obtained within Signature: CT Date: 00 6 180 days after it has been accepted as complete. ?7T ( w4"` •A X-C.. 44, *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) is \Dsts\Permit Forms\BldgPermitApp.doc 01/03 �nN Plan Submittal Requirement Matrix A ; IL, Commercial & Multi- Family City of Tigard New, Additions or Alterations spy -, TYPE O SUBMITTALS #Ro Plan (I J ncludes N ew Add tions o ;Al erations) Required at . � Sub Site Work 4' • ; ; (must include location of all accessible parking) • Plumbing - Site Utilities 2 ,. Building 1* • • • Fire Protection System •• • ** •• a • Mechanical 2 • ' - Building Fixtures °2 ` Electrical 2 Plan review is dependent upon submittal of 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 improvement's, submit 2`sets of plans. ** "New" fire protection systems require that plans bear the original: seal of ari Oregon licensed fire suppression engineer, or NICET level "3" techriicians. i:\dsts\forms\PlanSubMatrix.doc 2 /27/03 Accessibility: Barrier Removal Improvement Plan City of Tigard 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] $ 113,000 multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ ,Z5D 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 — e7tty IS AGGEO tr3i f. $ 14b Ct .ts4.S (b) An accessible entrance: — 41 K Tiv t"' $ pc) Gww6tf, (c) An accessible route to the altered area: $ eXZtgtNG- (d) At least one accessible restroom for $ ti 120 b 0 0 each sex or a single unisex restroom: (e) Accessible telephones: $ I N SC.HWI. Deft*. (f) Accessible drinking fountains: and $ NO SC.D% tt (g) When possible, additional accessible elements such as storage and alarms: $ N 0 ()wet TOTAL: Shall equal line 2 of Value Computation $ 120 4 00 is \dsts \forms\Accessibility.doc 06/07/02 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP —.ex)3 ��— Received Date Requested Z AM PM BUP Location / [ Ca S 77 Suite MEC Contact Person Ph ( ) ! p, / -09 70 PLM Contracto Ph ( ) SWR ILDIN Tenant/Owner ELC Fo ndation Access: ELC Ftg Drain r-- � - c--1-72-?;004,G-7, / /9 ,' 7 -2'7 S ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PART FAIL • BING 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 ADA 01 z z � C1 Ext Approach /Sidewalk Date Inspector Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line:. (503) 639 -4171 MST • BUP 3 - vo 3 Via-. Received 7—.71 Date Requested �� AM PM • B I L L Location ! , 77 Pub— Suite MEC Contact Person Ph ( ) C7 S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall ,caala Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fi 7.7 PASS ART FAIL ING 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 ffe of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please'call for fe RE: ❑ Unable to inspect — no access Fire Supply Line ADA 7/2 Approach /Sidewalk Date G Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVIS;ON Business Line: (503) 639 -4171 ) MST BUP � 00 3 Received Date' Requested 7 - - 7 --AM PM BUP Location / 'Pp co g 7 c(- r /`e Suite MEC Contact Person Ql Ph ( ) 730 PLM Contractor Ph ( - ) SWR BUILDING Tenant/Owner __ _ ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Q fit! g_o (f/rywall Nailin�c Firewall — Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Fin A S_ S PART FAIL 11 4 ING 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 0 Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line ADA Date dA Z/ t9 3 Inspector Ext Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour . _ " • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVI Business Line: (503) 639 -4171 ■ MST ' BUP 3- o v 3 4.7t•-- Received D I AM R. PM BUP Location I ` (..co' 77` _ Sure MEC Contact Person a/11k. Ph ( ) ¶3 d — S 7S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner / ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int_� nsulation Drywall Nailing Fi rewall �� Fire Sprinkler i �r/v y � � /� �' Fire Alarm Susp'd Ceiling Roof Other: M pAssPART FAIL BING Post & Beam Under Slab Rough -In Water Service vice / • Sanitary Sewer Rain Drains ` Catch Basin / Manhole t.\) ,� Storm Drain ' Shower Pan Other: Final r PASS PART FAIL i MECHANICAL . s Post & Beam Rough -In Gas Line Smoke Dampers Final • PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Anal 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 n ADA Approach/Sidewalk Date �/ 7/ In spector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL