Permit •
CITY OF TIGARD
..q DEVELOPMENT SERVICES BUILDING PERMIT
!+L 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I ISSUED: 03/29 99-010
3/29 /9 9 99 - 0 i 0
PARCEL: 1S136AD -04301
SITE ADDRESS...: 11475 SW PACIFIC HWY
SUBDIVISION VILLA RIDGE ZONING:C —G
BLOCK • LOT •002 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 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. $ : 1500
Remarks : Adding ADA ramp and 5' accessible bar area. No C of 0 required, no
change in occupant load.
Owner: FEES
LOEHNER, VIRGINIA type amount by date recpt
11475 SW PACIFIC HWY PRMT $ 25.00 GEO 03/23/99 99- 313917
TIGARD OR 97223 5PCT $ 1.25 GEO 03/23/99
99- 313917
PLCK $ 16.25 GEO 03/23/99 99- 313917
Phone #: 293 -0356 FIRE $ 10.00 GEO 03/23/99 99- 313917
Contractor:
OWNER
EMEEMEE
Phone #: $ 52.50 TOTAL
Reg #..:
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with L- r,) E 7-Tiv&)
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.
Permittee Signature: 4�,D
T ��° Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit Application Recd By
1.3125 $W HALL BLVD. Tenant Improvement / , �J(Ja''', Date Recd 3-�� Ff
TIGARD, OR 97223 �° v Date to P.E. 3 %- &RQ
0 Date to DST 1" 4 mV
(503) 6394171 l Permit* l'r / ao2 --
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building g New Building ❑
Job 1 E 014i b
Address Street Address Suite Building
//4'75 i &)7 /c '1c. 14/y Data
Bldg # City/State Zip Existing Use of Building or Property:
l , `G�eO_O,�£ 77, 5
�' E5. E5.- /2a f
Name
Proposed Use of Building or Property:
Property Sl9s.),fii./eo E--z4
Owner Mailing Address Suite
13 0 5£ I_ S - No. Of Stories:
City/State Zip Phone tg 7
,15ziAeva t ltn-t 9rev4, Sq. Ft. Of Project:
Occupant Name .
Ct t& ,v h Occupancy Class(es)
Name
Contractor f vA) .0 �_____ Type(s) of Construction
Prior to permit Mailing Address i _ Suite
issuance, a copy Will this project have a Fire Suppression System?
of all licenses - = Y ' = - SSW Yes ❑ No ❑
are required if City/State / " ', Phone
expired In C.O.T. -.... -"-- Americans with Disabilities Act (ADA)
database Valuation X 25% _ $ Participation
Oregon Const. Cont. :oard Llc.# Exp. Date Complete Accessibility Form
Project $ 7,5-60 . u v
Name Valuation
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City/State 'p Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
Sign re of Owner /Agent Date
Mailing Add s 0. Suite C/ / / ti..-? ...- 3 `023 - 9
Co it • Person N ame Phone
City /State Zip Phone I2Jv,(___N (. 93 'ZJ 3.rgi
FOR OFFICE USE ONLY 59 o � '5'
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: /`9 - ,0/2 /'29 /9 /.
//,7,/ 729 /a- p - /.o co /3-#,‹ -p c' - TIF:
/?. r7dlea. -2
Note: Site Work Permit Application must precede or accompany Building
Permit Application
1: \COMNEWTI.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
sgnature f the supervsrng eJectnciar before plan review will be conducted
After plan revtew approval, Plans PlegmtnAr will contact the applicant to request
additional plan sets for disthbution purposes (Copy for ConfraQtor City
Washington County
Total # of
TYPE OF SUBMflIAL 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
NOTES:
I:\dsts\forms\matrxcom.doc 10/30/98
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: p i 4,,/ D 5 fi f-4, ;ice Am 41
ND e. lo 'wo eat-nit Av.;
CLASS OF WORK: fe/i FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF USE: C•/n FIRST SQ. FT. ' N: S: E: W:
TYPE OF .
4)/J . 4)/J SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 1 THIRD SQ. FT. I N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. i ROOF CONSTR: FIRE RET:
STOR: HT: FT: i BSMNT: SQ. FT. i AREA SEP. RATED:
1 I
BSMNT ?: MEZZ ?: i GARAGE: SQ. FT. i OCCU.SEP.RATED:
I I
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
( �) U'p A�eta...4(e 4444 DiI 61St .4 A-,- �.� �Ilr4 e, ee.a Ale p wg
i
Abe Rog KITO
I COMMERCIAL INSPECTION ACTIONS FEE MENU I
Foot/Found Post/Beam Permit Fee
Masonry -
s ry Framing l �p , $ !f>r plan Review
Insulation Shear Wall l $ I °C.* 5% State Surcharge
Firewall Gyp Board $ /1-' FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Adel FLS Pln
Smoke Detector Approach /Sidewalk b Q $ Inspection
-Ilaneo 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)
is \ovrcntr2.doc (DST) 4/97
6 /30 /99 Activities for Case #: BUP99 -00102
2:35:17 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 3/23/99 GEO RECD DRA 3/29/99
BUPC008 Permit created 3/29/99 DEB DONE DRA 3/29/99
BUPC012 Plans routed to Plans Examiner 3/23/99 GEO DONE DRA 3/29/99
BUPCO24 Plans Approved by CPE 3/23/99 RDP APPR. DRA 3/29/99
BUPCO26 Approved Plans routed to DSTs 3/23/99 ' RDP DONE DRA 3/29/99
BUPC802 Final Inspection • 5/5/99 RC PASS AKJ 5/5/99
BUPC792 Misc. Inspection 3/29/99 _DRA 3/29/99
BUPC090 (F) Ready to issue 3/29/99 DEB DONE DRA 3/29/99 Loehners own building but not
property per Geo. Per Bob P,
UBC recognizes "leasees" as
owners.
BUPC100 (F) Issue permit • 3/29/99 DEB DONE DRA 3/29/99 Per Virginia Loehner issue
permit and mail to Time Out
Pub.
BUPC960 Case Finaled 5/5/99 AKJ DONE No Hold AKJ 5/5/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 7 Dr O
BUP 7
Date Requested AM PM BLD
Location ) /L/ 7S s w 89e-- £as '?/440, Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UILDIN Tenant/Owner ELC
rung Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Framing th /Shear AcCa ,-)-112zeto ![ �J €6e— eo
Insulation s /
Drywall Nailing r 1
Firewall ppp
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
GO PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service 3
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 p
Other D Inspector Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the. job site.