Permit .A CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
��� �'I
PERMIT 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 # • BUP97 -0399
DATE ISSUED: 08/18/97
PARCEL: 1S136CC -00100
SITE ADDRESS...: 11765 SW PACIFIC HWY
SUBDIVISION • ZONING:C —P
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 70 sf N: 5: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL . 70 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. $ : 0
R emar ks : Tenant improvement -ADA bathroom upgrade.
Owner : FEES
GENERAL MOTORS INC. type amount by date recpt
11765 SW PACIFIC HWY PRMT $ 44.50 GEO 08/18/97 97- 298357
TIGARD OR 97223 5PCT $ 2.23 GEO 08/18/97 97-298357
PLCK $ 28.93 GEO 08/18/97 97- 98357
Phone #: 639 -6191 FIRE $ 17.80 GEO 08/18/97 97- 298357
Contractor:
CLAYCO CONSTRUCTIO CO INC
2199 INNERBELT BUS CTR DR
ST LOUIS MO 63114
Phone #: 314 -429 -5100 $ 93.46 TOTAL
Reg #.. : 012396
REQUIRED I NSPECTIONS
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
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 OIRIC
by calling (503)245 -1987. X.f.'
F' e r m i t t e e Signature: Issued B y: ., �� i' _,,,____
++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + ++
Call 639 -4175 by 6 :00 p. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Commercial Building Permit Application
City of Tigard 13125 SW Mail Blvd Tigard OR 97223 .L�
11 6-S' sW p,ac i F e Vittiy (503) 639 -4171 (V J !!
Jobsite Address: T } c 2 , '1' 22 3 OFFICE USE ONLY ss r a
Tenant: Suite # .PlanctclR a° r a .�\
Valuation: .$$-0-0-0 a
M
yip a - cep a ♦ \i . y . ...'°'�e�.". - °" _ .'"'w yy
s.
Owner G (NEr.. -Ar rn 0-ro S Cfl > �`
Address: 11 s PAc -IFIC- 141„1Y a � r♦, <a�,. � � .
♦
�
--} ]� Q Q ^ Piar n1ng \ o ? v. J.'i`: ♦ .7 �,�
/ ) I7 I� 1D O rt 1 ! 12_3 < Q . a �'
Telephone: (5o . 5 ( 3 1 — (1 °) J -- as . ; 14' " ; r •
zontractor. GL Pycv C15 sT4ZIA-. -T)444 Co ,
Address: 2 1 1 c l I /4 CR- ELT ISM C1
- S - Ay T La S M. 63 Type of constr:
Telephone: (I 14 4 1-9 -- 333 0 Occupancy Class:
Contractor's License # I A 3 9 4. `1 Sprinkler? Yes No
(attach copy of current Oregon license)
(,J)4) Sq. Ft Of Project:
:ontact name & telephone: I- KDO --6 2 4 - 6 'f 3 3 P441.4
,5 ) - 1g1l.v Story (1st, 2nd, etc.): ) 5 T
Architect & Engineer. 0 5 Mts-r-.E. .en/
Proposed Use: PtT fl d3 --'r) -45e, -
Address: 3 ( ,4r v- _ - 2f3
Previous use: 5 TO it_ N-6t,
5T LDhb h'lo. 6 30/?
Note: Plumbing & mechanical plans must
Telephone: ( Y") 537 2- f'S be submitted at time of building permit
application.
JOB DESCRIPTION: D Y T T a 1 1)A (� i !4 /1-c0 L1�-T s
K (7 ► k) k9 1 b' UO — Z, — 1-3 3
(Applicant Signature & Telephone Number)
( r
Received by: Date Received: \ r(''
, :' DOC (CST) 10196
PERMIT# Account Description Amount Amt Pd. Balance Due
Building Permit (BUILD) s--t•
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
t w State 4 1 - a (TAX)
Bldg.
Plumb.
Mech.
Plan Check (PLANCK) 28 3 _ _ - -_�
Bldg.
Plumb.
Mech.
•
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
• Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit T1F (T1F -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF .1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
•
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
I:`.CCMTI.DOC (DST) 10/96
• OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
• COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
V
DESCRIPTION OF PROJECT: IA e i J-7 CA", ' CIL Jet /na TB 2-5 - o / n[ //At c
fkLl - l Ty JN 7 06Z. T O A"DA 6L.k. g IA- L 2£- IA^ -E.OK l 5
CLASS OF WORK Az,-7-- FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF USE: e-om FIRST -7 D SQ. FT. N: S: E: W:
TYPE OF
CONSTR: — SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
I I
I I
STOR: HT: FT: � BSMNT: SQ. FT. AREA SEP. RATED:
I I
BSMNT ?: MEZZ ?: I GARAGE: SQ. FT. I OCCU.SEP.RATED:
I I
I I
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
r :GOMMERCIA:INSPECTION ACTIONS.v.
c..:..: �. xa��.a'::'�. •�. ,.,., . v.; J�a:.,.., � ,•:.,,.,..-:..:.,, � -.::,::_..:.,• :........::.. .:..- .- ::.,w:..:..,..: :: :.. ... .._ ..:;;.::,:\,\:: 3:: w, a;: .�u✓;::r..ia`.::;aK,,......,. - rii::
FOOT/FOUND INSULATION SUSPENDED CEILING SMOKE DETECTOR
INSPECTION INSPECTION CEILING INSPECTION
POST/BEAM SHEAR WALL SPRINKLER APPROACH /SIDEWALK
INSPECTION INSPECTION ROUGH -IN INSPECTION
MASONRY FIREWALL SPRINKLER MISCELLANEOUS
INSPECTION INSPECTION FINAL INSPECTION
GYP BOARD \ / FIRE ALARM FINAL
INSPECTION INSPECTION 7- INSPECTION INSPECTION
TYPE OF USE OPTIONS (COM c omm e rcial • . CMS = commercial ma stricture)
CLASS OF WORK OPTIONS FOR ALL PERMITS ( NEW newj_Add = • addition; ALT = alteration. ACS = accessory FND
=foundation;OTR = other DEM = demob; REP* repair, FPS = freprotec ion system,: NOTE USE OTR FOR
FENCES RETAINING. WALLS. DETACHED DECKS,. SIGNS; AWNINGS,. CANOPIES) ._ .. .:. .-. : -.: :
I: ovrcnt2.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 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 %).
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] $
lnultiply; 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $
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 wamings,
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. $
[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 a stairways].
5. At least one axessible restroom for each sex. $
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 $
iJotc4_doc(DST)
7/26/99 Activities for Case #: BUP97 -00399
1:51:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 8/18/97 DRA RECD DRA 8/18/97
BUPC008 Permit created 8/18/97 DRA PASS DRA 8/18/97
BUPC010 Check for prcl. restrict. 8/18/97 DRA PASS DRA 8/18/97
BUPC012 Plans routed to Plans Examiner 8/18/97 DRA PASS DRA 8/18/97
BUPCO24 Plans Approved by CPE 8/18/97 DRA PASS DRA 8/18/97
BUPCO26 Approved Plans routed to DSTs 8/18/97 DRA PASS DRA 8/18/97
BUPC740 Framing Insp 9/5/97 GS PASS J *H 9/11/97
BUPC760 Gyp Board Insp 9/5/97 GS PASS J *H 9/11/97
BUPC802 Final Inspection 9/22/97 RB FAIL JT 1/6/99 Still needs smoke detector test
from tester. 1/6/99 checked file
for above (none in file) 1/6/99
sent inspection request to Hap
BUPC090 (F) Ready to issue 8/18/97 DRA PASS DRA 8/18/97
BUPC100 (F) Issue permit 8/18/97 GEO PASS DST 8/22/97 Applicant told us to hold on
8/18/97 for pick up. On Friday,
8/22/97 we put into 4 pm
outgoing mail as no one came
to pick up.
BUPC762 Susp Ceilng Insp 9/5/97 GS PASS J *H 9/11/97
BUPC802 Final Inspection 5/9/99 5/9/99 5/5/99 RC PASS No Hold AKJ 5/9/99
BUPC960 Case Finaled 5/9/99 AKJ DONE No Hold AKJ 5/9/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP r i - G 3 c i s
Date Requested AM PM BLD
Location R (0 S P(k4,4_ rit 0 _ Suite MEC
Contact Person Ph PLM " L:2• "
Contractor Ph SWR
BUILDING enan YOwner 1 1 �� ELC
Retaining Wall ELR
Footing Access: ��
Foundation FPS
Ftg Drain U 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
i eji PART FAIL
P ' 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 _ , j ,--� — Ext
Other Date Inspector � 't
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.