Permit CITY OF TIGARD BUILDING PERMIT
" " "���,il, DEVELOPMENT SERVICES DATE ISSUED: 12/04/98 98
2 /0BUPe -0529
' - 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 15136DB -02501
SITE ADDRESS...: 1163E SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT • • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 66 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF C0NST.:3N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:U2 TOTAL • 66 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. $ : 24000
Remarks : Replace existing freestanding sign.
Owner: FEES
WESTSIDE DANCE ACADEMY type amount by date recpt
11632 SW PACIFIC HWY PRMT $ 164.50 GEO 11 /25/98 98- 311090
TIGARD OR SPCT $ 8.23 GEO 11/25/98
98- 311090
PLCK $ 106.93 GEO 11/25/98 98- 311090
Phone #:
Contractor:
HIGHLIGHT SIGN
8430 SW 37TH
PORTLAND OR 97219
Phone #: 499 -5821 $ 279.66 TOTAL
Reg #..: 001045
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Dra i n
applicable laws. 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 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
II Permittee Signatur= ■erYZ% // , 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 *
$ 13125 SW HALL BLVD. New Construction and Additions Date Recd / / g`
Date to P.E. // - 30 1
TIGARD, OR 97223 Date to DST '?-/ 0 V (503) 639 -4171 Permit # GI A 1` b , - �ZQ
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project
Job I (V 5U-/' eA(z (C, 1 Ph Existing Building New Building ❑
Address S treet Address Suite
uAc (j f ?nuc d-
a (6*1 �G Building _
Bldg # City /State Zip Data
I — Ipk1/40 , a2N eill -2.3 Existing Use of Building or Property:
Name tut 9e 12P Qt1•' C / ii4//a.Gt//
Property
Owner Mailing Address Suite Proposed Use of Building or Property:
!Re 561-). PA&Ac-( -kx(
City /State Zip Phone No. Of Stories:
kAy ode ctinl Gir1 "qgS _
Occupant Name Sq. Ft. Of Project:
w€Sfi51 DAV ell Arm
Name Occupancy Class(es)
Contractor Ir140 -41 51"44 GB'
Prior to permit Mailing Address Suite Type(s) of Construction
issuance, a copy 8 9 5c ,, Ru`
of all licenses (!
are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T.., �( _,n� . Yes ❑ No ❑
database !Y'{ Americans with Disabilities Act (ADA)
Oregon on Co Const. Cont. Board Lic.# Exp. Date •
le�sf�
D, a 1 l&O Valuation X 25% = $ Participation
Complete Accessibility Form
Name Project $
Architect Valuation OD 0
Mailing Address Suite
Plans Required: See Matrix for number of sets to submit
City /State Zip Phone on back
Engineer Name .{� I hereby acknowledge that I have read this application, that the information
1/-00)(X/ - et t Tii-iit i given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
I Ij (i(eo 9u) . PANGS ( re of Owne Age' Date
Mir City/State - Zip Phone /1/4 ���
,_e'_L 7f�'Yt� /gyp ry(,,„
�I�A wt A b0 s -goV ontact P -on Name ��1�� Phone �
Indicate type of work: New (/ Addition 0 Demolition 0 S TriJ ( .l,'/ �f'•'t7 60 S• /2 >
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work: Map/TL# Land Use:
. t i" citAl ( oI--) . a? FA 31 tm/v r
N ,ew /97( T
Parks: Estimated # of Employees �/� /4- ` - R � is - 5 / $
TIF: + ,et3Fn tig f4 DE — poc %S Wi
If the above figure is not supplied at the time of-application, the city will / U! u�� �� � �� � •
calculate the fee based upon the number of parking spaces. V
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEW.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is depndent upon submittal of BOTH plans AND a COMPLETED
iNillaiiiiiiiii:Rtattomottiougi§mittippoloPplogoolm§tpRotg€R:lhomplem
signature of the upervsru, eJectnctar before plan review w1! be coridtuted
After plan ::::iiiiptoimplgobaggoiihot
odiiiii610v000#001.701:4100140€100114140064pggimicp.orAfgoigoollifilm
Washington County, Tualatin Valley Fire & Rescue)
- Submitted
KEY:
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:
\dsts\rnaxtrixl.doc 07/06/98
CITY OF TIGARD Date Rec'd:
t NEW COMMERCIAL CONSTRUCTION AND ADDITIONS Rec'd By:
APPLICATION /PLANS SUBMITTAL REQUIREMENTS
Applicants: Please complete
APPLICANT
APPLICANT NAME: 14 S /fA -/ PHONE #: 69020 `Ka i
SITE ADDRESS: R /4 I h FAX # 6ec1-4 -- 7a l'
1. SITE PLAN (Fully dimensional, drawn to scale) labeled with:
❑ map & tax lot #, ❑ project name, ❑ site address ❑ suite number
❑ zoning, ❑ applicant name, ❑ phone number.
A. North Arrow.
B. Scale (Any standard, architectural or engineering only).
C. Street Names.
D. Setbacks.
E. Parking, including disabled access.
F. Finished floor elevations.
2. GRADING AND EROSION CONTROL PLANS AND DETAILS (IF NO SITE PERMIT).
3. SEE THE MATRIX ON BACK OF APPLICATION FOR NUMBER OF PLANS REQUIRED BASED
ON SUBMITTAL TYPE (NO REDLINES OR TAPEONS ACCEPTED). SIZE REQUIREMENTS:
24" X 36." (ROLLED).
ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS
A. FOUNDATION PLAN.
B.. FLOOR PLAN(S).
C. CROSS SECTIONS.
D. REFLECTIVE CEILING PLAN.
E.. SEISMIC BRACING DETAIL FOR SUSPENDED CEILING.
F. ROOF PLAN.
I:SFAPP.DOC (DST) 8/97
G. EXTERIOR ELEVATIONS.
H. STRUCTURAL CALCULATIONS, PLANS, DETAILS AND SPECIFICATIONS.
I. ADA BARRIER REMOVAL WORKSHEET.
J. DEPOSIT - BASED ON VALUATION OF PROJECT._
4. ONE EXTRA SET OF THE (OVER SHEET (VICINITY MAP), SITE PLAN, EROSION CONTROL
PLAN AND DETAILS IS REQUIRED.
I:SFAPP.DOC (DST) 8/97
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 0;1
BUP Date Requested AM L PM BLD
Location Su ite MEC
Contact Person - o Y Ph 24 ga-d� PLM
C ontractor �C C� Ph SWR
BUILDING Tenant/Owner �
ELC
Retainin• Wall ELR
ootin • Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: p �
Slab h ' /11-1944'611%-4%;- SIT
Post & Beam / • C/
Ext Sheath /Shear
Int Sheath /Shear ,y t 0
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 4
Misc: ,
Final
PASS PART I (291
PLUMBING
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
Other Date G r Inspector 4A- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.