Permit At. _ _ .,, CI ®F TIGARD PERMIT
PERMIT #: BUP2002 -00152
-tw DEVELOPMENT SERVICES D AT E ISSUED: 6/18/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08015 SW HUNZIKER ST PARCEL: 2S101 BD 00300
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD 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: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 150 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: $ 301,000.00
Remarks: Tenant improvement - expanding existing office space into warehouse space.
Owner: Contractor:
PERFORMANCE CONTRACTING INC OWNER
8015 SW HUNZIKER ST
TIGARD, OR 97223
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Firewall lnsp
PRMT CTR 4/29/02 $101.06 27200200000 Electrical Permit Required Gyp Board Insp
Sprinkler Permit Required SMRF welds final report
PLCK CTR 4/29/02 $864.05 27200200000 Fire Alarm Permit Requirec Structural observ. final repr
FIRE CTR 4/29/02 $531.72 27200200000 Plumbing Permit Required Final Inspection
PRM2 CTR 6/18/02 $1,424.59 27200200000 Foot/Found lnsp
Struc Steel Insp
(additional fees not listed here) Framing Insp
Framing Insp
Total
$3,249.63 Shear Wall Insp
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.
Pemiittee t'�
Signature: 7 t / :
Issued By: 4 .4 ,,AL,_ /;
■
Call 639-4175 by 7 p.m. for an inspection the next business day
/7 `S 41
B ng Permit Application
Date received: ti :A9 o Qi��B
Permit no.: ��OI g
City of Tigard
.41111161'‘ Project/appl. no.: Ex ire date:
Ciry9fTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: y: Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type: k -N.
Land use approval: l &2 family: Simple Complex:
NJ
• TYPE OF PERMIT"
❑ I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
. • JOB SITE INFORMATION '
Job address: SO /S 5 G J i 1,C/ Z 4/(02 /'D.; 7 °/ .2Aq 5 Bldg. no.: Suite no.:
`), Lot: I Block: ISubdivision: I Tax map /tax lot/account no.:
Project name: Fel of /C1 j<eit -?. E�L-
Description and location of work on premises /special conditions: /4eMdb�� - tJ��Y' �/�r
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: ,P Ji_.M/ 'Ge doN 7 -7A-4 i ZA✓G, (Floodplain, septic capacity, solar, etc.)
Mailing address: {D /S 5A) f /A/Z // eR gb 1 & 2 family dwelling:
City: - 774A - 76) State: ey< IZIP: 97a 3 Valuation of work $
Phone: ‘g€ Fax:,6.V.34,A7IE -mail: No. of bedrooms /baths
Owner's representative: {o/A -- / _ /'-f, fir ! .Total number of floors ,� /
Phone:b.y/ 5.533 Fax:($ .360- E -mail: - New dwelling area (sq. ft.) .. /v/�
---
Garage /carport area s t.)
Name: — DGJA/t — Covered porch .. a (sq. ft.) C
Mailing address: Deck are. q. ft.)
City: I State: I ZIP: 0 P • structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi - family:
'•"CONTRACTOR ` . Valuation of work .fin i - '
•
Existing bldg. area (sq. ft.) 3i,717' 5
Business name: DZt)ti/L?Z — New bldg. area (sq. ft.) 3S1 fa O SF
4 Address: N f /dEA-et - A) a
Number of stories
City: I State: IZIP:
Type of construction �Fyct� SPg /A/kezt�j,) v
.
Phone: I Fax: I E -mail: sj
Occupancy group(s) Existing:
CCB no.: >fi; Ate". eaV, D&Jy, New: 36)
8 City/metro lic. no.: - Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: . i ?Z/ .PeCA/ ,SuL-j,l// A-65bc , provisions of ORS 701 and may be required to be licensed in the
Address: e erA)A/eR , jurisdiction where work being performed. If the applicant is
City: State: I ZIP: exempt from licensing, the following reason applies: • Contact person:
Phone: Fax:
Plan no.:
E -mail:
ENGINE
I
•
NameJJJdi/ /D tSU Aif u- ASS&C. Contact person: 7), e3 A// Fees due upon application $
Address: -S 0,2,‘„S se Ko - ej/hs _1-• /Pip . Date received:
y �s >cft (State: 976
City: State: ZIP: Amount received $
Phone: 6,30-35,04„, I Fax:b3p -3S ? (E -mail: Please refer to fee schedule.
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
work will be compliEaNt=f specified he in or t. Credit card number: Ex p ir/
�,,.„ r
A, _
Authorized signature: r Date: � , JI/L { T Name of cardholder as shown on credit card
Print name: MffiE /� e 947 7 7 - 44— Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM)
Ilk ,
4410, ,
Commercial Plan Submittal
.�- 1- ea. Requirement Matrix
City of Tigard
, 7, Y PE O F SUBMITTAL p ,..r:,,:,‘''''', ' r- of� Plans `
, (1Includes ; New FAdd Or,Alteration), R #` wired at
g _ e _ e E
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 TIGA'RD ` 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
411110 '
'
INSPECTION DIVISION ' B sines' s Line: (503) 639 -4171 MST
BUP —06 l 5:9..
Received Date Requested 3 - D-- 4 . AM PM BUP
Location '3 /5 Suite MEC
Contact Person 96-Al Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
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 Nailing
Firewall
Fire Sprinkler /// /
Fire Alarm /
h d ,. eiling /
rfili ,' R INGRT FAIL e(1- �c-V, D62_ 1 • � j ' 11119
I�
Post & Beam
Under Slab
Rough -In 1.
Water Service / Sew:
Rain Drains , '
Catch Basin / Manhole I- r 2-- v � » Z / 9 1
Storm Drai /
Shower Pa
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam f /
Rough-In / \
Gas Line
Smoke Dampers
Final a,
PASS PART FAIL
ELECTRICAL _
Service \
Rough -In
UG /Slab �_
Low Voltage i
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 3/0t) 6 /U 3 Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL