Permit A. CITY OF TIGARD
BUILDING PERMIT
DEVELOPMENT SERVI PERMIT # • BUP97 -0091
DATE ISSUED: 02/26/97
PARCEL: 15135DD- -03301
SITE ADDRESS...: 11945 SW PACIFIC HWY #210
SUBDIVISION - HOFFARBER TRACTS NO.1 ZONING:C —G
BLOCK • LOT •2
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
r CLASS OF WORK.: ALT FIRST 4675 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 : 4675 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 115 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT?: MEZ Z? : REQD SETBACKS - -- REQUIRED - - - --
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 22000
Remarks: Restoom ADA upgrade = 25% of valuation. Note: check exit path through
adjoining business. Mechanical permit required.
Owner: FEES --
MILTON BROWN type amount by date recpt
MURRY RD PRMT $ 152.50 B 02/25/97 97- 290823
PLCK $ 99.13 B 02/25/97 97- 290823
PORTLAND OR FIRE $ 61.00 B 02/25/97 97- 290823
Phone #: 5PCT $ 7.63 B 02/25/97 97- 290823
Contractor:
NORTHWEST CONSTRUCTORS, INC
10180 SW PARK WAY
PORTLAND OR 97225
Phone #: 292 -7644 $ 320.26 TOTAL
Reg #..: 000469
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 Misc. I n s pe ct i o n
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.
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Permittee Signature: ai �,�
if Call for inspection — 639 -4175
'� 1 Commercial Building Permit Application
r City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 // V\7-4
(503) 39 -4171 ('4 Z1 LS
Jobsite Address: //9 '/ S (.5 pa e , c, w 1 OFFICE USE ONLY;;:::: ><:::.; . >::;::: >: >::: ... >:: > <: >> ' << n <;::.
Tenant: lie 6Q--/,,,/- e uit # � / ; :>'; ` : �':: :::. :.:::.:y >::.:;. :;:;.:::<.� .• >;:
•Valuation: S e PlancklRec. #... ;: : :
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P erm s ��� .....
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Address:
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Ian i < .. : . ::: > ` >; > : , < ,. �' _`< ` �' >� +'.>` �'` »<
2/7 0 n
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Engineering .
Telephone:
:
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Other €' .... ... ........ ...............................
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Contractor: N "� o
Address: /o/ IrO S w ,Q -L 14 - /eh
g ) , - qL /.-J C?/\ 97 2 (- Type of constr: V A/
Telephone: 1 -- 76 17 I Occupancy Class:
Contractor's License # 0 6 2 7 7, Sprinkler? Yes
(attach copy of current Oregon license)
c/
l Sq. Ft. Of Project: �(G 7 S'
Contact name telephone: C � �u
.0 , Story (1st, 2nd, etc.): D") e
Architect & Engineer: •
Proposed Use:
Address:
Previous use:
Note: Plumbing & mechanical plans must
Telephone: be submitted at time of building permit
application.
JOB DESCRIPTION: i iL 6 1 ' - 5'6 e .1" le-4 /-. �� , � K /t or
2 .e..1 /, /� oc9 o i .:k 45 / `� / / �/.t e / - Q r �Pi L ft
X 2 9 - 7 64
(A nt Signature & Telephone Number)
Received by: , b' i- D ate Received: Z " Z 5 '��
I: \COMPER.DOC (DST) 10/96
7
PERMIT# Account Description Amount Amt Pd. Balance Due
1 OM I Building Permit (BUILD) ( - 2 / j S .s° $-
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) 7 7, 1, - -8-
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 (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) 6 / °%-- p °° ` -"..
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �j?-O
I: \COMPER.DOC (DST) 10/96
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
APPLICANT: 77 Al / f DATE: 2 , 2s-, f 7
( ri r tw
SITE ADDRESS: DEVELOPMENT NAME:
// 7 y S s 7 . 7 /A- ( a7/4-
VALUE: $ 2, O vv
CLASS OF WORK: Al �' FLOOR AREAS: y 6 7 EXTERIOR WALL CONSTRUCTION
TYPE OF USE: (d 7 FIRST SQ. FT. N: S: E: W:
TYPE OF CONSTR: l/A/ SECOND SQ. FT. I PROTECT OPENINGS ?:
OCCUPANCY GRP: 7,7 . THIRD SQ. FT. I N: S: E: W:
OCCUPANCY LOAD: /> TOTAL SQ. FT. I ROOF CONSTR: FIRE RET:
STOR: HT: FT: BASEMENT: SQ. FT. AREA SEP. RATED: 0,
BSMT ?: MEZZ ?: GARAGE SQ. FT. OCCU.SEP.RATED:
FIRE SPRINKLER: // ) SMOKE DET.: G7J�
FIRE ALARM: 27 HANDICAP. ACC.:
NOTES: 0(r/ ? ).' !IP." , 140 af4 2. - 2 r 'do G mil, /a a Ti v t,
c C°.e) 7 7" M IA; I e 1 to
717.i e/a 2//e4 fr� 7 I Rt
: .:.::
: .; CLASS OF WORK OPT IONS FOR L PERmOsi.: NEW1f ne Add :;.' addition, ALT alteration AC -. accessory, FIND >;
= €oundat n; OTR;= ;other, DEM:<.:::demolt ar ; :REP;.. =: �e atr.FPS .= ' ire rotection s ste 'NOTE USE`OTF °' .FOR
>? F
ENCE �:
S TAt NIN
RE `WAS ' 5 <: €:b 'i`A ° H ': < , I GN SAW
O L E C ED .b1 =CKS N PtE : < :>< i :><::'<:>>><<:><><: :: >: : ::: >::< > ; <: > >< ' < : >: > : > > > >: :>
............. :
I :lovrcntr2.doc (DST) 12/96
•
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Inspection Permit Fee
Post/Beam Inspection 9 /
(C)Plan Rev.Structure $
Masonry Inspection
Framing Inspection (C) Plan Rev. Fire $
Insulation Inspection
(C) 5% State Surchrg $ 7 %
Shear Wall Inspection
Firewall Inspection Add'I Permit Fee $
Gyp Board Inspection
Add'I Plan Rev Strctr $
Suspended Ceiling Inspection
Add'I Plan Rev. Fire $
Sprinkler Rough -In
Add'I 5% State Srchg $
Sprinkler Final
Miscellaneous Fee $
Fire Alarm Inspection
Smoke Detector Inspection USA Erosion Permit $
Approach /Sidewalk Inspection
Erosion Plan Ck -USA $
Miscellaneous Inspection
e ' Final Inspection Erosion Plan Ck -COT $
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I:lovrcntr2.doc (DST) 12/96
Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0091
MILT BROWN
11945 SW PACIFIC HWY Unit: 210
09/23/98
i pction Description Req/ Schd/ End/ Action Notes Disp By Update Upd
,Code Sent Done Done Date By
- --- - -- -- - - - --- - --
BUPC005 Application received / / / / 02/25/97 PASS B 02/25/97 BON
BUPC008 Permit created / / / / 02/25/97 PASS B 02/25/97 BON
BUPC010 Check for prcl. restrict. / / / / 02/25/97 PASS B 02/25/97 BON
BUPCO24 Plans Approved /Routed to DST5 / / / / 02/25/97 APPR JHF 02/25/97 BON
BUPCO29 DST Post Review Completed / / / / 02/25/97 PASS B 02/25/97 BON
BUPC090 (F) Ready to issue / / / / 02/25/97 Need business license info before MEMO B 02/26/97 DST
issuing.
REC'D 022697
BUPC100 (F) Issue permit / / / / 02/26/97 PASS JMH 02/26/97 DST
BUPC740 Framing Insp / / / / 04/09/97 PASS TLP 04/09/97 TLP
BUPC760 Gyp Board Inap / / / / 04/11/97 pending- protect plumbing; maintain PASS RB 04/14/97 RB
attachment as per screws
BUPC762 Susp Ceilng Inap / / / / 04/11/97 sway brace where lacking- 3rd row from FAIL RB 04/14/97 RB
front; exhaust fan req'd in bathrm;
electrical cover; support main runner
along SE plane; support flex
4'intervals; seal joints of ductwork
BUPC762 Susp Ceilng Inap / / / / 04/22/97 pending- secure heat registers to T -grid PASS RB 04/22/97 RB
BUPC792 Misc. Inspection 02/25/97 / / 04/11/97 mechanical- issues (see suspended FAIL RB 04/14/97 RB
ceiling this date)
BUPC792 Misc. Inspection / / / / 04/22/97 seal joint of metal duct in rear room at PEND RB 04/22/97 RB
heat register
exhaust venting must be ran to exterior
NO MECH PERMIT OF RECORD- CONNECTION TO
EXISTING ONLY- NEW EXHAUST VENT
BUPC802 Final Inspection / / / / 04/30/97 electrical final FAIL RB 04/16/98 JT
plumbing final
open ceiling for viewing exhaust venting
to exterior
elc97 -0208 was approved by mjr on
4/22/97, but not entered until May 1997,
so Rick was not aware of electrical
final.
BUPC802 Final Inspection / / / / 07/31/98 7/31/98 sent inspection request to 07/31/98 JT
hap /search
Page No. 2 CASE HISTORY FOR CASE NO.: BUP97 -0091
MILT BROWN
11945 SW PACIFIC HWY Unit: 210
09/23/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC802 Final Inspection / / / / 09/08/98 See misc insp 4/22/97 where existing PASS RB 09/10/98 DGW
non - complying exhaust vent was made to
comply....new fan housing attached and
vented properly to existing
duct....permit not obtained...not
required at this late date...OK to issue
c /o...RB 09 -09 -98
// /Reviewed and approved
09- 10- 98...hap / ///
BUPC950 (F) Issue Cert. of Occupancy / / / / 09/08/98 09/23/98 JT
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