Permit / L 1 CITY O F TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00348
. .,,I DEVELOPMENT SERVICES DATE ISSUED: 9/26/01
"•-� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102BD -02600
SITE ADDRESS: 12965 SW PACIFIC HWY
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C -G
BLOCK: LOT: 037 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 8 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: Commercial tenant improvement
Owner: Contractor:
KIM, ROBERT + HAE LIM JOHN WRIGHT DBA: JPC ENTERPRISE
1360 SW WOODWARD WAY 3625 HWY 138
PORTLAND, OR 97225 PINON HILLS, CA 141973
Phone: Phone: 760- 868 -2530
Reg #: LIC 141973
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
5PCT CTR 9/24/01 $11.14 27200100000 Electrical Permit Required
Plumbing Permit Required
PLCK CTR 9/24/01 $90.55 27200100000 Framing Insp
FIRE CTR 9/24/01 $55.72 27200100000 Gyp Board Insp EXPIRED
PRMT CTR 9/24/01 $139.30 27200100000 Susp Ceilng Insp
Final Inspection
Total $296.71
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 -6699 or 1- 800 - 332 -2344.
Penn ittee /�
Signature: / i %g
gi l !Tn
Issued By: / - p4 ° :{-Z
Call 639 -4175 by 7 p.m. for an inspection the next business day
C) C )16 .
. ��' Building �'ermit Application e�
• ,�
aa ,
City of Tlgalru Date received: 9 ,qq IPc b Permit no.: / f_ o 3 SA �
1l- __.. Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 - 1960 01 Case file no.: Payment type: .
Land use approval: l &2 family: Simple Complex:
•
0 1 & 2 family dwelling or accessory U Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition /alteration/replacement f e ant improvement , 0 Fire sprinkler /alarm • 0 Other: ,
JOB SITE INFORMATION
Job address: 3 'Z qt.'s ) Pte- t c , ( 1441, Bldg. no.: Suite no.: '
Lot: Block: Subdivision: 'Tax map /tax lot/account no.:
Project name: pu,( Cilr,tt c t}
•
Description and location of work on premises/special conditions: l'` 101-"ert.y t....i a.t s / cm- b.•..4 up G-rnrA / el e4Awk. ;
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: ACr C" 71-k EXneS5 (Floodplain, septic capacity,solar,etc.)
Mailing address: 1 & 2 family dwelling:
City: a_ 'State: I ZIP: Valuation of work $
Phone.:[? f 7S3 _nu, I Fax: 1E-mail: No. of bedrooms/baths
Owner's representative: 1 ,4 (jA d �p4.W t ft4 ti r Total number of floors
Phone. (Ire -( So Fax: E-mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.) 4
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: 'State: 'ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
CONTRACTOR —
V of work // 6' ■ �
Existing bldg. area (sq. ft.)
Business name: "r (, ei.rf• Q(t
�, o New bldg. area (sq. ft.)
Address: ?�� " r�, 1 ✓ Number of stories
City: p g ..pt.) 14, i l State: CA I ZIP: ch..; L1 Type of construction
7(>, ' Phone: CG 8 - Z S 3 Fax: 9 .. l j E -mail: � - kE)
CCB no.: 1 i4 X9 7 3 Occupancy group(s): Existing: I
New:
...
City /metro tic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under \
Name: •AE -,,•.0 IN-4. provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: 'ZIP:
exempt from licensing, the following reason applies:
Contact person: Plan no.: EXPIRED
Phone: Fax: E -mail: •
Name: Contact person: Fees due upon application $
- Address: qA Date received:
City: 'State: 'ZIP: Amount received $
Phone: I Fax: 1E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa Cl MasterCard
work will be complied ether specified herein or not Credit card number: Expires /
q
Authorized signatur ' Date: 0 G( Name of cardholder as shown on credit card
' 'nt name: 0t.4t - t ..t A SA , .r $
/' Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6/00 /COM)
0 8616/0 ' C t - 6[0 5v
-4 .�
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
TYPE OF SUBMITTAL Total # of
(Includes New, Additions or Plans
Alterations) Submitted
Site Work (must include location of 4
all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \dsts \forms \COM- matrix.doc 9/4/01
CI. - If- TIGARD BUILDING INSPECTION. DIVISION ` -
24 -Hour Inspection Line: 6 4175 Business Line: 639- M T ry
B n4o( 0 O 3 q/T
Date Requested /D — 11 AM PM BLD
Location _
_ i _ _ • • Suite MEC
Contact Person 9_..4 41_, Ph d 9 - 3 /gy- PLM
Contractor /1,/�II�� / Ph i _ ( S O p.D SWR
BUILDING Tenant/Owner i466 i( 1— .S /7 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: eXPI ED
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear /�'/J ) )n C A 'I q , l min (�(J x. �/Y (� /�" J e cit-e__.A.i c-
Insulation � / n
ry wa ailing \\1,k ✓� J ✓ Y� S irewall - „ , � i� Fire Sprinkler /1
Fire Alarm
Susp'd Ceiling
Roof /� ..j�J�
1/1.. / �. 6.-y - / / �LQ ef J"/ na
Misc:
F /) 1 /� / . n -
PAinal S S RT FAIL (Et” e" / qg q - v J �� v!�' /�
PLUM N Cr"... l
-
Post & Beam
Under Slab /''� N -
Top Out t
Water Service ed '0 - N d 6/9 ` `-- -" v
Sanitary Sewer ��
Rain Drains 1.i) f-r _t' a C C , -J c_:,�,
Final ■
. D
PASS PART FAIL vim
MECHANICAL
Post & Beam -
Rough In e6tiet Gi jl / 62Pv? f � �. e Gas Line 'y'��
Smoke Dampers Zt 1 5" - t e ` , �R
Final / _ "�1
PASS PART FAIL A S
ELECTRICAL /
Service !2 i C-Q C /
ti°t.iC .( .
Rough In [� L /
UG /Slab 3 1 r l S ( --0.1/1 I e✓ pZ
Low Voltage J" �;� erwrl c- -.(/v\ � . •
Fire Alarm /'/
Final � .,�, �I
Pal _ / ) J/7-\..e _ / / 4��. -�� Jli✓
PASS PART FAIL Ci /
SITE 11 /Grading -b ?f W / v v.
Sanitary Sewer 1° .. 6 17 -A---1.e......-1 �....-e -
Storm Drain [ ] Reinspe ion fee of $ required before next inspection. Pay at City all, 13125 SW H Blvtl
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk p
Other Date I I/I VO 1 Inspector , (.....R.
Ext 7 / 7
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.