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Permit CITY OF TIGARD ,<<�� DEVELOPMENT SERVICES BUILDING PERMIT i( PERMIT # : BUP97 -0467 �!+ -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 10 / 14 / 97 PARCEL: 1S126DC -04800 SITE ADDRESS...: 09495 SW LOCUST ST #E SUBDIVISION • LEHMANN ACRE TRACT ZONING:C —P BLOCK LOT •004 JURISDICTION:TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION — CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W: TYPE OF USE...:COM SECOND...: 1080 sf PROTECT OPENINGS? TYPE OF CONST.:5N .... 0 sf N: S: E: W: OCCUPANCY GRP.:8 TOTAL 1080 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 15 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 35000 Remarks : Tenant improvement Owner: FEES MBM MEDICAL CENTER type amount by date recpt 9495 SW LOCUST PRMT $ 215.50 DRA 10/14/97 97- 300045 TIGARD OR 97223 SPCT $ 10.78 DRA 10/14/97 97- 300045 PLCK $ 140.08 DRA 10/14/97 97- 300045 Phone #: 245 -2415 FIRE $ 86.20 DRA 10/14/97 97- 300045 Contractor: BNK CONSTRUCTION INC PO BOX 66 CLACKAMAS OR 97015 Phone #: 503 - 557 -0866 $ 452.56 TOTAL Reg #..: 001075 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 Gyp Board Insp applicable laws. All work will be done in accordance with r) 1►3 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 OUNC by calling (503)246 -1987. 1 , Permittee Signature. 40_, / %' Issue By: Q/ +++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ • Commercial Building Permit Application City of Tigard \ 13125 SW Hall Blvd. �6 Tigard, OR 97223 (503) 639 -4171 Jobsite Address: 1495 S_W_ T.ncust Office. Use Only Tenant: Clincal Research Suite # I / Valuation: 35,000 Planck/Rec # /61 Pemiit # ( D91 Owner: MBM MEDICAL CENTER Map & TL # Address: 9495 S.W. Locust Approvals Required Planning Phone: 245 -24154 Engineering . Other Contractor: BnR Construction Address: 10730 S.E. Hwy. 212 Type of const: S■ Clackamas, OR Occupancy class: B2 Phone: 557 -0866 Sprinklered? Yes No Contractor's License # I 07555 (attach copy of current Oregon license) Sq. ft. of project: 1080 Contact name & phone: Bill Ludwig - 557 -0866 Story (1st, 2nd, etc.) 2nd Proposed use: Medical Office Architect/Engineer: Jon R. Jurgens & Assoc. , Inc. Previous use: Medical Office Address: 15455 N.W. Greenbrier Pkwy. Suite 260 Note: Plumbing & mechanical plans Beaverton, OR 97006 must be submitted at time of Phone: (503) 690 -1779 building permit application. JOB DESCRIPTION: Tenant Improvement (Non - Structural) �M.i.v.. Ryt...q 690. 117 9 -- pplicant Sir ature Phone number Receive by: , - _ Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due .. Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) 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 (T1F-1) Institutional TIF (TIF -IS) Office T1F (TIF -0) Water Quality (WQUAL) • Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntri Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: - OVER - THE - COUNTER (OTC) PERMIT • COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: -r-/ CLASS OF WORK: 4-1 FLOOR AREAS: EXTERIOR WALL CONSTRUCTION TYPE OF USE: COQ FIRST SQ. FT. i N: S: E: W: TYPE OF CONSTR: SECOND La° SQ FT PROTECT OP NGS ?: OCCUPANCY GRP: Ig THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: 1 TOTAL SQ. FT. I ROOF CONS FIRE RET: I I STOR: HT: FT: BSMNT: SQ. FT. AREA :EP. RATED: BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE FIRE SMOKE HANDICAP SPRINKLER: ALARM: ' ETE TOR: ACCESS: I COMMERCIAL INSPECTION ACTIONS . FEE MENU L g tp Foot/Found Post/Beam 5 a — Permit Fee Masonry Framing $ 14 °S Plan Review Insulation Shear Wall • • t�(0 �$ 5% State Surcharge Firewall Gyp Board ly� FLS Plan Review Suspended Ceiling Sprinkler Rough -in 5 Add'I Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pln Smoke Detector Approach /Sidewalk $ Inspection Miscellaneous Final $ MIS Fee 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) 4/97 • OVER THE COUNTER (OTC) • (attachment to Submittal Criteria) 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 insurehhat 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 %). THEREFORE; Each submittal for a building permit shall include this form providing the following information. [Excluding re- roofing, mechanical and electrical permit applications] VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1] $ .2.5 � 000 multiply: 25% Barrier removal requirement _ .25 BUDGET FOR BARRIER REMOVAL [ $ 6 , 2 50 The dollar amount of the BUDGET established on line (2) in the computation above shall be spent providing the accessible elements in the following order. 1. An accessible route connecting the building to accessible pedestrian walkways, and the public way. $ (including but not limited to curb ramps, detectable warnings, marked crossings, ramps handrails and landings). 2. Not less than one accessible parking space. $ (including but not limited to adjacent access aisle, signs and curb ramp connecting with the accessible route). 3. Accessible entry or entries. $ 8 5 0 (including but not limited to ramps, handrails, landings, door sill height, door width and door hardware). 4. An accessible interior route to the altered area. $ (including but not limited to door -ways, maneuvering • clearances, door hardware and stairways). 5. At least one accessible restroom for each sex. $ 7 , 6 50 6. At least one accessible telephone where public phones are provided. $ 7. When drinking fountains are required, fifty per -cent but not less than one shall be accessible. $ 8. Additional accessible elements such as storage, reach ranges, alarms, etc.. $ TOTAL` Shall equal line 2 of Value Computation $ . 8,500 is /otc4.doc(DST) 2/10/00 Activities for Case #: BUP97 -00467 4:16:53 PM • • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC005 Application received 10/9/97 DRA RECD BON 10/9/97 BUPC008 Permit created 10/9/97 • B • DONE BON 10/9/97 BUPC010 Check for prd. restrict. 10/9/97 DRA DONE BON 10/9/97 BUPC012 Plans routed to Plans Examiner - 10/9/97 DRA DONE BON 10/9/97 BUPCO26 Approved Plans routed to DSTs 10/9/97 RDP APPR BON 10/9/97 . BUPC740 Framing Insp 11/3/97 GS PASS GES 2/19/98 BUPC760 Gyp Board Insp 11/10/97 GS PASS GES 2/19/98 BUPC802 Final Inspection 1/26/00 RB PASS AKJ 1/26/00 BUPCO29 DST Post Review Completed 10/14/97 B DONE BON 10/14/97 BUPC090 (F) Ready to issue 10/14/97 B PASS BON 10/14/97 BUPC100 (F) Issue permit 10/14/97 DRA PASS DRA 10/14/97 BUPC762 Susp Ceilng Insp 11/24/97 GS FAIL J *H 11/24/97 1. Electrical inspection required . for low voltage; permit and inspection. 2. Need ladder on site for electrical inspector and ceiling cover inspection /approval. BUPA865 Request inspection research 1/24/00 JMT DONE No Hold JMT 1/24/00 BUPC960 Case Finaled 1/26/00 AKJ DONE No Hold AKJ 1/26/00 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 9 _7 d o v �o Date Requested // ,m,, pg/C50 AM PM BLD Location qy CXJ Suit f 9 7'CO Contact Person Ph PLM Contractor Ph SWR (UILDIN5 Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes Slab SIT Post Beam �I n ..�,�� _ , „ ,411/ Ext Sheath/Shear (� � Int Sheath /Shear Framing INA — 00 A / 6 YsA- Insulation Drywall Nailing V (- _ 1 . 0 Firewall /` Fire Sprinkler i 9 (7_ QU �q Fire Alarm Susp'd Ceiling Roof Misc: � 1 - ART FAIL - ING ' Post & Beam Under Slab Top Out � Water Service Sanitary Sewer Rain Drains Final RT FAIL CA M ANICAr Post 8 Be � Rough Li I Gas Line \ Smoke Dampers na PART FAIL TRICAL 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 f Approach /Sidewalk Date U Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.