Permit A. CITY OFTIGARD
� ;,/ DEVELOPMENT SERVICES BTILDING PERMIT
0ni����'�� PERMIT # • BUF'97 -0548
'� �.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 12/18/97
PARCEL: 291O2CB -02300
SITE ADDRESS...: 13200 SW PACIFIC HWY
SUBDIVISION : FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK • LOT •008 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
' CLASS OF WORK.:ALT FIRST • 0 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.:U2 TOTAL 0 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. $ : 7000
Remarks : Installing a permanent 52 sq. ft. awning sign - Engineering of File
Owner: FEES
MULLIKIN MEDICAL CENTER type amount by date recpt
13200 SW PACIFIC HWY PLCK $ 40.63 DRA 12/10/97 97- 301597
TIGARD OR 97223 FIRE $ 25.00 DRA 12/10/97 97- 301597
PRMT $ 62.50 JSD 12/18/97 97- 301884
Phone #: 5PCT $ 3.13 JSD 12/18/97 97- 301884
Contract or:
VANCOUVER SIGN COMPANY INC
6615 SW HWY 99
VANCOUVER WA 98665
Phone #: 360 - 693 -4773 $ 131.26 TOTAL
Reg #..: 000639
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
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 (583)246 -1987.
Permittee Signature: Issued By:
++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•.
a ITY O F TIGARD Commercial Building Permit Recd By 0dn
13125 SW -HALL BLVD. Tenant Improvement 1
TIGARD, OR 97223 � � Date Recd M-�f'�
' Date to P.E. 2 2
- -
' �1
:503) 639 -4171 000,.e,\\. D ate to DST t :l a
Pem,k # (UQq ?'175 I
Print or Type • Related SWR #
Incomplete or illegible applications will not be accepted Called
- Name of Development/Project Existing Building 'New Building ❑
Job MULL! k/ w /Vi et) lc:.lA L. CEN 'reg...
Address • Street Address Suite Building
13?0o sw PAOI le_ /-tw — Data
Bldg # City/State Zip Existing Use of Building or Property:
Name
Property 5Jmr-nh Proposed Use of Building or Property:
Owner Mailing Address Suite
No. Of Stories:
City/State Zip Phone
Sq. Ft Of Project
Occupant Name
Occupancy Class(es) •
/'VI Ua-1)i1 hi / Ce
Name
Contractor \f}7VCoLAep • Si&Ai (. Type(s) of Construction
Prior to permit Mailing Address Suite -
issuance, a copy Q Will this project have a Fire Suppression System?
of all licenses ( OG% / S 41,01 1 / Yes ❑ No ❑
are required if City/State Zip Phone 36;0 Americans with Disabilities Act (ADA) in C.O.T. �^' ( )
database VitiVt - W44 - 9 $(&5" 0-3 Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
Lo 3/S 1 Project $
Name Valuation
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
K g.joi-rjtela 6.ebi -Lean Signature of Owner/Ag nt Date
Mailing Address Suite i��R 1 ' ( Q
Lipp /
CAI,"
nta
oG� Person Name Phone
City/State Zip Phone 3(dp b1 L)L ttek I c.- 1--1Eig_ . 3CpC , C= 3 cf 773
V i c- k- qg t (43- /cal
FOR OFFICE USE ONLY
Indicate type of work: New O Addition 0 Demolition 0 Map/TL# �1 L nd Use:
Accessory Structure 0 Foundation Only 0 Alteration 0 . Z=)( ZCrj-L 2�r� L;oditJg -GI 73 erve
Repair 0 Other I f` Notes:
Description of work: (R ;, •a•E_ p `C ON
-'L ST/ N `
& i .0 1�) t f* TIF: •
Parks: Estimated # of Employees pnt
Note: Site Work Permit Application must precede or accompany Building �� � z
Permit Application ✓ iy '/ C r ' J
J
1: \COMNEW.DOC (DST) 8/97 6 6 1
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- --
P (New, Add. or Alt) 2 -- 2 -- -- 2(j, --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) --
B (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
......................:........:.:......:......:.. ...........................
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NOTES: - KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f = Fire P = PLM
u =USA E =ELC
::des
................ ....
.�.:irt�:;o�:: �<><:<<::':«:::::::>::;:>< �: : >: >: >:::: >::r::: >:::::<::::::: w Wa sh. County = ........ r.. Y.:::::::.::.::.:.:::.:::: :::::.:::i.::: }:: ?.;;:.::4:. };: ty F FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h:Unatric.Doc
Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0548
MULLIKIN MEDICAL CENTER
13200 SW PACIFIC HWY
03/04/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- -- - - - - -- - --
BUPC005 Application received / / / / 12/10/97 RECD DRA 12/12/97 BON
BUPC008 Permit created / / / / 12/12/97 DONE B 12/12/97 BON
BUPC010 Check for prcl. restrict. / / / / 12/12/97 PASS B 12/12/97 BON
BUPC012 Plans routed to Plans Examiner / / / / 12/12/97 SENT B 12/12/97 BON
BUPCO26 Approved Plans routed to DSTS / / / / 12/17/97 APPR RDP 12/17/97 RDP
BUPCO29 DST Post Review Completed / / / / 12/18/97 DONE B 12/18/97 BON
BUPC090 (F) Ready to issue / / / / 12/18/97 PASS B 12/18/97 BON
BUPC100 (F) Issue permit / / / / 12/18/97 PASS JSD 12/18/97 JSD
BUPC792 Misc. Inspection 12/17/97 / / 03/16/98 sign mounting /awning PASS TLP 03/16/98 J *H
BUPC802 Final Inspection 12/17/97 / / / / 12/17/97 RDP
BUPC960 Case Finaled / / / / 05/28/98 05/28/98 JT