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Permit
BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP1999 -00481 A *14 1 I x '' DEVELOPMENT SERVICES DATE ISSUED: 11/15/1999 °' " ,- II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09495 SW LOCUST ST A PARCEL: 1 S126DC -04800 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P BLOCK: LOT: 004 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 600 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: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 6,000.00 Remarks: Modification to interior walls, widening access to a non - accessible restroom. Provide signage NOT AN ACCESSIBLE RESTROOM. A plumbing and electrical permit is required. Owner: Contractor: MBM & ASSOCIATES BNK CONSTRUCTION INC 9495 SW LOCUST STREET 10730 SE HWY 212 SUITE A PO BOX 66 TIkA OR 97223 CRCC e MM 697015 ORIGINAL Reg #: LIC 107555 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing lnsp PRMT KJP 11/15/199E $87.00 99- 319759 Gyp Board lnsp Susp Ceiing lnsp PLCK KJP 11/15/199E $56.55 99- 319759 Final Inspection 5PCT KJP 11/15/199E $6.96 99- 319759 FIRE KJP 11/15/199E $34.80 99- 319759 Total $185.31 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. Permitee / Signature: / ' Issued By: X 2.Q_C./l"_3 Call 639 -4175 by 7 p.m. for an inspection the next business day r CITY OF TIGARD Commercial Building Permit Application Plan Check# 13125 SW PALL BLVD. Tenant Improvement Recd By TIGARD, OR 97223 Date Recd I /� r-�iy Date to P.E. (503) 639 -4171 Date to DST Mie Q'up. Print or Type Permit # c.{ p 1 - O6 i1/ Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project Existing Building y' New Building ❑ Job pert /'Ir4 7000 /y �i54.'G, Address Street Address Suite — Building qj q- 'ti/ L A- Data Bldg # City /State Zip Existing Use of Building or Property: - Kr G1/t1 f7 y7 3 fl 0 .1 f Name Property /4 0 /1 Proposed Use of Building or Property: Owner Mailing Address Suite e-P-rc, G , Nfr 5 ' LQ Lt/S7 A No. Of Stories: City /State Zip Phone - ,14D 97)-1-3 y /c - Sq. Ft. Of Project: 60 Occupant Name P ,/(i41",71 LPL > 4 r el c _ Occupancy Class(es) Name Contractor //', fl ,,,,,c7- Type(s) of Construction /, Prior to permit Mailing Address Suite c f0 ® ,, �'_x 7 /fa`t� e issuance, a copy / / Will this project have a Fire Suppression System? of all licenses f �i' X G G Yes ❑ No ,e- are required if City /Sta e / Zip Phone expired in C.O.T. Americans with Disabilities Ac (ADA) database C1 AG/( , 1t7..f 97t /� �c7 eig 'i Valuation X 25% = $ ,/5 V Participation Oregon Const. Cont. Board Lic.# Exp. Date .' // / ov Complete Accessibility Form /D 7, f 4 - Jk' Project $ /' PLO /� Name Va luat ion V G✓ Architect fU /✓ 7 'z 16 5 Plans Required: See Matrix for number of sets to subm Mailing Address Suite on back / 51- - 5A r I a net/4 c x(10 / City /State Zip Phone I hereby acknowledge that I have read this application, that the information t - 9'i^TQ // Q7 )O / / 9 -/ 77 v given is correct, that I am the owner or authorized agent of the owner, and '/ '7� V b (� G' / that plans submitted are in compliance with Oregon State Laws. Engineer Name /, A - Signature of Ow /A nt Date Mailing Address Suite / / //c /9; Contact Person Name Phone City /State Zip Phone &G L t � 55 g'6'( 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) ( Repair 0 Other 0 Notes: Description of work: TIF: Note: Site Work Permit Application must precede or accompany Building Permit Application I:\COMNEWTI.DOC (DST) 5/98 _ COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is depe upon submittal of BOTH plans AND a COMPLETED .: application. : an electrical ;submittal, the application must contain signature of;the supervising electrician before plan review will be'canduttel, :: >;. After pla review approval, Plans Examiner will 4 applicant #r i est additional plan sets for dtstrtk an purposes (copy far C ntractor, Glut, e;ct e illlashngtanOon�y, TYPE F SEJB IT7AL 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 M & PAlt YS &M & lam &E(At > ::. NOTES: `Shaded areas desgna(e ALT submittals only. I: \dsts \forms \matrxcom.doc 10/30/98 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN 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] $ 6 D 0 multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ / o O 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 $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ Ic ®g 0/4 s9G X//1 E (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall equal line 2 of Value Computation $ (3—t) o i:\dsts\forms\access.doc OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: f Y J U p) f / /. 3-/ i9 r , J-J ' y » - 4 r w' ot )Of. IN ► t t, > 11, I rsJ f _ A - a rJ , 1 4 ii1 4 r a v . . / ■ do J ):1 .r • Mod... An I(€v rf J% die Pee )— V# r- ,q-, /1)J_ -rn 11 -Z . , 4 n/ e to 491rt[h( p rn,t+' 1C f'ti1i. r41 CLASS OF WORK: At /-4 FLOOR AREAS: 6G U EXTERIOR WALL CONSTRUCTION TYPE OF USE: FIRST ✓ SQ. FT. N: S: E: W: TYPE OF CONSTR: V SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: 17 THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: 11 r e L ,- 1,(- , I TOTAL SQ. FT. ROOF CONSTR: FIRE RET: STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE FIRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: I COMMERCIAL INSPECTION ACTIONS FEE MENU Foot/Found Post/Beam $ 7 � -- Permit Fee Masonry Framing $ > fi - Plan Review Insulation Shear Wall $ / 1 /- 6 - 8% State Surcharge a Firewall _ Gyp Board $ 3 `I —FLS Plan Review 1.V Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pln Smoke Detector Approach /Sidewalk $ Inspection Miscellaneous ✓ Final $ MIS Fee .U1 pc 2 7) . „-- FOR OFFICE USE ONLY: TYPE OS USE OPTIONS (COM= commercial; CMS= commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS= accessory;FND- foundation; OTR= other; DEM= demolition; REP = repair; FPS-fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) I: \ovrcntr2.doc (DST) 9/99 1/31/00 Activities for Case #: BUP1999 -00481 1 :43:26 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC005 Application received 11/15/99 KJP RECD No Hold KJP 11/15/99 BUPC008 Permit created 11/15/99 KJP DONE No Hold KJP 11/15/99 BUPC012 Plans routed to Plans Examiner 11/15/99 KJP DONE No Hold KJP 11/15/99 BUPCO26 Approved Plans routed to DSTs 11/15/99 JF DONE No Hold KJP 11/15/99 BUPC762 Susp Ceilng Insp 11/15/99 11/15/99 12/22/99 RB FAIL No Hold RB 12/22/99 1. ELC1999 -00716 2. Light fixture need slack wires at each end. 3. Secure mechanical duct registers to T -grid . 4. Slack wires missed on cross runners. NOTE: PLM1999 -00185 NEEDS TO BE SIGNED -OFF. BUPC740 Framing Insp 11/15/99 11/15/99 12/7/99 RB FAIL No Hold RB 12/7/99 1. Outstanding Permits: ELC1999- 00716 -(TI) PLM1999- 00185- (Water Heater Replacement) PLM1999- 00481- (Cap off- 2 Lays, 2- Showers, 1 -W /C). PLM98- 00453- (Water Heater Alteration) SWR1999- 00254- (Dummy Permit) -(Cap Off) 2. Brace wall w/ Pocket door. 3. Electrical (ELC1999- 00716) needs wall cover approval. BUPC760 Gyp Board lnsp 11/15/99 11/15/99 12/9/99 RB FAIL No Hold RB 12/10/99 Nail as per specs. BUPC799 Final Inspection 1/19/00 RB PASS No Hold AKJ 1/19/00 BUPC100 (F) Issue permit 11/15/99 KJP DONE No Hold KJP 11/15/99 BUPC740 Framing lnsp 12/9/99 12/9/99 12/9/99 RB PART No Hold RB 12/9/99 "Outstanding Permits" to be either completed at Top -out or at Final; Case depending. Contingent to ELC1999 -00716 approval. Once approved- OK to drywall. BUPC740 Framing Insp 12/10/99 12/10/99 12/10/99 RB PASS No Hold RB 12/10/99 BUPA740 Gyp Board Insp 12/13/99 12/13/99 12/13/99 RB PASS No Hold RB 12/13/99 BUPC762 Susp Ceilng Insp 12/29/99 12/29/99 12/29/99 GS PASS No Hold AKJ 12/29/99 BUPC960 Case Finaled 1/19/00 AKJ DONE No Hold AKJ 1/19/00 BUPA990 (F) Issue Cert. of Occupancy 1/19/00 RB DONE No Hold ST 1/31/00 1 /31 /00- mailed to owner /te n a n t/TV F D /file Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP�( Q' © ®q&I Date Requested 1 9 AM .O PM BLD Location 1 / 5 L 00 Suit MEC Contact Person Ph 31 3 -1. PLM Contractor Ph SWR ILDI�t'J - . /Owner 111111114611111111 ELC Retaining Wall ELR Footing Access: Foundation a te ��Un (Y , ' FPS Ftg Drain ► SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 4 A PAS 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA ]� `� Approach /Sidewalk t 6 V Ins pector " C/A Ex 1 C ( Other Date Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.