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Permit A '- . CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00208 �^c DEVELOPMENT SERVICES n Q r Pd TE ISSUED: 5/20/99 f 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 63b1ATh I V l I Y t SITE ADDRESS: 11680 SW PACIFIC HY PARCEL: 1S136CD -01700 W SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: DEMO OF EXISTING 6100 SQUARE FOOT BUILDING. Owner: • Contractor: T M CONSTUCTION PO BOX 20820 SEATTLE, WA 98102 Phone: Phone: Reg #: LIC 61240 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT GEO 5/20/99 $25.00 99- 315557 5PCT GEO 5/20/99 $1.25 99- 315557 EROS GEO 5/20/99 $26.00 99- 315557 ERPU GEO 5/20/99 $8.45 99- 315557 (additional fees not listed here) Total $69.15 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Permitee S (A.---• ignature: ,><N-- Issued By: ir, Call I 9 , 175 by 7 p.m. for an inspection the next business day • -t�l F TIGARD Commercial Building Permit Application Recd By 3125 SW.HALL BLVD. New Construction and Additions Date Recd —ao r TIGARD, OR 97223 Date to P.E. + Date to DST (503) 639 -4171 Permit # /3 /l44q — 6d Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called P t-t 'F t • Name of Development/Project Job ( (L6v 5,(4) -?Acc. R-^kAN Existing Building New Building ❑ Address Street Address Suite Building Bldg S City/State Zip Data i1 ( U A ZO f C gi0,0 " Existing Use of Building or Property: Name 6///4,P a Property ' 19P-■ /- PZ ("r1 Owner Mailing Address Suite 0 geg — Proposed Use of Building or Property: g3 i4) , 51. C ik∎ Ead9c N 15-4( k.) k<DI -A City /State Zip Phone 5 ©3 No. Of Stories: 'l TvttTt. o OM., '11 J.0 , ga5 -oi .,.,z65/1) 4 -- Occupant � ;, Of Pro d` Name to l b 5 2 � j M 1.TZ C b � 1 V T A l l 0 ../..•,--/../ i _ � / ' ' t • °)Q ' 1' Name Occupancy lass(es) Contractor --- M v Prior to permit Mailing Address Suite Type(s) of Construction issuance, a copy may,, U of all licenses � 0. \.fi �v.: (.� are required if City/State Zip Phone Will this project have a Fire Suppression System? expired in C.O.T. ^ p - Yes ❑ No,K database �jf.A. ll-DA ce lo a Oregon Const. ont. 8 a Ex . Da a Americans with Disabilities Act (ADA) �j e 99 Valuation X 25% = $ Participation IJ A (A g4 r 1 n e ') L Lo..). Complete Accessibility Form / Name ` LI401 Project $ pq Architect Otyntivle_ : ,oL Valuation O f /' �0° Mailing Address Suite l TO I 17 As34, U , Plans Required: See Matrix for number of sets to submit City/State Zip Phone 900 on back i .wA CUSICN _086 - Engineer Name I hereby acknowledge that I have read this application, that the information iv - n is correct, that I am the owner or authorized agent of the owner, and Mailing Address Suite at .tans su.mitt are i t compliance with Oregon State Laws. Si•M ' ne T', i Date City /State Zip Phone �� , I 0 111 5 Dv ' 4 q Conta - Person Name Phone � � ^� Indicate type of work: New 0 Addition 0 - Demolition 17 • ^ ___t - t ("0 - b b - 62 ` Accessory Structure 0 Foundation Only 0 Alteration O Re•air0 Other 0 FOR OFFICE USE ONLY Dbscrlptlon Qi work: �► ` • �i i Map/TL# Land Use: �, �, . - r i -y t" --',, : • - • / Notes: Parks: Estimated # of Employees T1F: If the above figure Is not supplied at the time of application, the city will - calculate the fee based upon the number of parking spaces. A Note: Site Work Permit Application must precede or accompany Building b (-..------- Permit Application I: \COMNEW.DOC (DST) 5/98 I Al L COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX apphcation For an eiecfncal submittal, the appltcathn must contair the ignature of the supeMsing niii§gkrviplgolimylp.y OgElOiiitevidiii:40.0.8041kplohkggoolitiOwilt iiiiiiiidnatitii.Aditet§:71MititatotjamommogiliKgggypojggoglpoligoofrpoppig Wash TYPE OF SUBMTTAL PJans KEY: Subimtted .................................................................................. . 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 02/29/2000 Activities for Case #: BUP1999 -00208 9:48:06 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC007 Application received 05/20/1999 GEO RECD No Hold GEO 05/20/1999 BUPC008 Permit created 05/20/1999 GEO DONE No Hold GEO 05/20/1999 BUPC090 (F) Ready to issue 05/20/1999 GEO PASS No Hold GEO 05/20/1999 BUPA870 Final Inspection 05/20/1999 05/20/1999 09/22/1999 GS PASS No Hold AKJ 09/22/1999 debris is gone, receipt for septic in file BUPC100 (F) Issue permit 05/20/1999 GEO DONE No Hold GEO 05/20/1999 BUPC105 (F) Reprint Permit 09/16/1999 GEO DONE No Hold GEO 09/16/1999 BUPC960 Case Finaled 09/22/1999 AKJ DONE No Hold AKJ 09/22/1999 • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 /,, Business Line: 639 -4171 BUP 1 �q9 — � Od2 / Date Requested J f � ' � /(U / si AM PM B W r qqq— �ZQ� Location [ / 0 010 Wct Suite MEC Contact Person Oet/Ue- Ph ZoD6 — 2x0- - 7/97 PLM Contractor 11(' (7 . Ph SWR BUILDING Tenant/Owner ELC Renaming Wall ELR Footing Acces Foundation Q(0 t 2 1 ��71 O Y1 FPS Ftg Drain ta I J C ( 'rum SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation — ��..pp oo�� � " Drywall Nailing C�,P»ew4 "ix) qiG� Firewall Fire Sprinkler Fire Alarm //' 'V Q Susp'd Ceiling v T � / � L% �� Roof / ex —r" /.l t .t, 01 I i/ l" i •ASS PART FAIL PLUMBING Post & Beam Under Slab /I 7 y 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 9 q o Approach /Sidewalk Da / ' � aJ/ 9 Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.