Permit __ , .
CITY OFTIGARD
�r, ,,, � , DEVELOPMENT SERVICES BUILDING PERMIT
�n Jit i l i ' � PERMIT # : BUP98 -0200
. - !- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 05/13/98
PARCEL: 1S136AD -04000
SITE ADDRESS...: 11535 SW PACIFIC HWY
SUBDIVISION • VILLA RIDGE ZONING:C -G
BLOCK • LOT •007 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:ALT FIRST • 5300 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS? •
TYPE OF C0NST. :5i. .... 0 sf N: S: E: W:
OCCUPANCY GRP I`c TOTAL : 5300 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 93 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 50 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 16000
Remarks : Tenant improvement - Billiard Parlor. Need to abtain seperate '
electrical, mechanical and plumbing permits.
Owner: FEES
WOODROW SMITH type amount by date recpt
50 SW PINE PLCK $ 75.73 GEO 05/08/98 98- 305620
STE 200 FIRE $ 46.60 GEO 05/08/98 98- 305620
PORTLAND OR PRMT $ 116.50 DEB 05/13/98 98- 305742
Phone #: SPCT $ 5.83 DEB 05/13/98 98- 305742
Contract or:
HAWK CONSTRUCTION CO
3478 NE BROGDEN
HILLSBORO OR 97124
Phone #: 646 -0686 $ 244.66 TOTAL
Reg #..: 000191
-- REQUIRED ACTIONS or 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 Misc. Inspection
approved plans. This permit will expire if work is not started /�
within 180 days of issuance, or if work is suspended for more . /1•1.6-/..- IAJ) ' / -
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 Signatur :: � ,% / Issued By• k dr ! iii . I .,•
+ + + + + + + + + + + + + + + + + + ++ + + + + + + ++ +++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by :00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit Rec'd By a
Date Rec'd -----• f ,e, r,
13125 SW HALL BLVD. Tenant Improvement Date to P.E.'5 I ri.
TIGARD, OR 97223
(503) 639 -4171 Date to DS 5 f21 ��
Permit # V V r -0,7_0
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called 1 .7 — LI - qR
Name of Dev to ment/Projed Existing Building'. New Building ❑
Job E,i+- LAIZp
Address I S�eetQgdrss � Suite Building
S.v,/, P.aC I FiC� N `/.
Data
Bldg # City /State zip Existing Use of Building or Property:
TI ftot;ftze.
a . mG ; �
Name f 7 223 Ge■.•► t m t`LI vat
Property (,�1(c�� l=,L' c,J �{ r "� Proposed Use of Building or Property:
Owner aline Addre s � ` Suite , 3 (e. O M p— m1Z c... �■--)
7_2u; A n1L .4 ?CC. No. Of Stories: La (LT\
Rty /State Zip Phone -- . Z'O IIL� , V w fit✓ J
I / Lb L. % _ Sq. Ft. Of Project:
Occupant Name - �,q,� c =2.
� 3 0o t ') d'
F 1 1 IS I I L_ Al�C>S Occupanc Class(es) r
Nam / A. —
Contractor / Q,k/ /t✓ c ps / 630.0 Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy 3 ' 73 4/ Br Will this project have a Fire Suppression System?
of all licenses ♦/
are required if City/State 5R Zip Phone Yes ❑ No
expired in C.O.T. t /I &j oy.° 1 7 q7/ ,, 6y64(2 _ 3`78 Americans with Disabilities Act (ADA)
database ! � Valuation X 25% = $ e/ ad 0 Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
GeV 1.57/57 Project $ /Z h COO • `'
Name Valuation ..
Architect JO1 1 tJ t:''• , t " P'•"`5 ' "1::C• Plans Required: See Matrix for number of sets to submit
Mailing Address Suite
on back
8 L(DO S . v..1.
HU &MA K.- g. it.-- 1Z-
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
Meat y 9`72 23 fo2O EdeCo8 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. •
Si-•n' lure of0 ner /Agent n , Date
Mailing Address Suite t; t i 1I".14 . r/ '9,
r • t -, Person Name Phone
City/State Zip Phone
JOLgO14 c Q e � to I 5A3 (PC)3 - q )3 1 7 -7 FOR OFFI ) C E JSE ONLY I 1
Indicate type of work: New 0 Addition 0 Demolition O Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration • / s / 3/r ti J — 0,"C.�,.9 L. _0„
Repair 0 Other 0 Notes:
Description of work: p ig.,1..fc l " Ow c... At>� .
'fi e t L. .'T it. M . #, IL UE R r a.l 1 i-1 TIF:
Parks: Estimated # of Employees -
Note: Site Work Permit Application must precede or accompany Building .
)
Permit Application
I: \COMNEW.DOC (DST) 8/97
/A
s .
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
:: a trade:Pla eview.is dependentiuponstibmitta of 60T ':plans:AND < af'COMPLE:T E D
.... .;:<: ....
;;::.s trade::a cation. For an<:electrical su ::must::co.ntain: :::: ; _ : <:>
> <'si nature c >.
� e:`s
::.... 9 ::..... :.:::::.: >:: <:e(ec#ncraitbefvre<: darta'eview :::wild >be: <:: >:::: .
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- — 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3 — -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 — — 2 (j,o) — --
B & M (New or Add) 1 1 — -- 3 (j,o,w) — —
P (New, Add. or Alt) 2 — 2 — -- 2(j,o) --
B M & P (New or Add.) 2 1 1 — 3 (j,o,w) 2(j,o) --
E (New, Add, or Alt) 2 -- -- 2 -- — 2(j,o)
B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
':-ws ,
.::.::::.
..:.:::.: ; :..:.::::::..: ::.:::.:..: .
:.::.::
. • . .:::.:...:.
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and o = Office M = MEC
completes, updates and adds actions. f = Fire P = PLM
u =USA E =ELC
.b : %: : •�'a ea s::desi hate: LT ': > : >: > ::: ::;:::<:: ::�: w =
................:.....::..::::....,.:::.::::::....... 9.:::.::ub:::,:.. �:::::._.,::: : :. .::.:.�..;:..::::;.;:.: >:: Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
1:lmatrix. Doc
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0200
JASON SEGUI
11535 SW PACIFIC HWY
08 /05/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Cole Sent Done Done Date By
- - -- - -- -- - - ---- - --
BUPC005 Application received / / / / 05/08/98 RECD GEO 05/11/98 BON
BUPC008 Permit created / / / / 05/11/98 DONE B 05/11/98 BON
BUPC012 Plans routed to Plans Examiner / / / / 05/11/98 • SENT B 05/11/98 BON
BUPCO26 Approved Plans routed to DSTS / / / / 05/12/98 APPR RDP 05/12/98 RDP
BUPC090 (F) Ready to issue / / / / 05/13/98 Need general contractor CCB lic PASS GEO 05/13/98 GEO
information.
BUPC100 (F) Issue permit / / / / 05/13/98 DONE DEB 05/13/98 DST
BUPC520 Mechanical Permit Required 05/12/98 / / / / 0214 07/21/98 J *H
BUPC530 Electrical Permit Required 05/12/98 / / / / 0272 07/21/98 J *H
BUPC565 Plumbing Permit Required 05/12/98 / / / / 0149 07/21/98 J *H
BUPC740 Framing Insp 05/12/98 / / 06/03/98 AM PASS TLP 06/10/98 J *H
Wall
BUPC760 Gyp Board Insp 05/12/98 / / 06/03/98 PM PASS TLP 06/10/98 J *H
BUPC802 Final Inspection 05/12/98 / / 07/24/98 Ready to go, All subtrades approved. - FAIL TLP 07/31/98 J *H
Jean H.
...not open 11:30...sja
BUPC802 Final Inspection / / / / 08/03/98 All work completed. PASS TLP 08/03/98 J *H
BUPC950 (F) Issue Cert. of Occupancy / / / / 08/03/98 08/05/98 JT
CITY OF TIGARD BUILDING INSPECTION DIVI
3 . Z 44_Ho (, ur llnpection Line: 639 -4175 Business Line: 639 -4171 MST 9 01 �
� Date Requested S/3/ ( Q
AM A PM t< BLD
Location //5 ‘7 O iF} G � Aa■ / Suite MEC
(:ontact Person / Ph 60 3 3 - 9/77 PLM
('ontrac or Ph SWR
UILDIN Tenant/Owner 776-126€.0 'cm,/ i/ l ELC
Re airing Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulat
D ywal on / /, // ! -i 0 v fa /� y7
Drywall Nailing /�- � •
Firewall U
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
M •
•. PART FAIL
P . = ING
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 7�J ?
Approach /Sidewalk Date U J /9�/ Insp C Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.