Permit v
CITY OFTIGARD
� w, , , DEVELOPMENT SERVICES BUILDING PERMIT
�R1, PERMIT # • BUP97 -0274
1.- ?` � -.
� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05 / 28 / 97
PARCEL: 2S1O3DD -00500
SITE ADDRESS...: 13701 SW PACIFIC HWY #BLD.
SUBDIVISION • ZONING:C —G
BLOCK • LOT • 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.:B 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. $ : 0
Remarks : Amendment to permit 8 BllP97 -0848. Adding office /closet & short wall.
Owner: FEES
CENTRAL PROPERTIES type amount by date recpt
1815 NW 169TH PL PRMT $ 50.50 DRA 05/28/97 97- 295139
STE 1060 SPCT $ 2.53 DRA 05/28/97 97- 295139
BEAVERTON OR 97006 PLCK $ 32.83 B 05/20/97 97- 294806
Phone #: 645 -7660 FIRE $ 20.20 B 05/20/97 97- 294806
Contractor:
CHAMPIONS CONTRACTORS
JOHN R MILLER
2120 NE 136TH
PORTLAND OR 97230 -0000
Phone #: 257 -8457 $ 106.06 TOTAL
Reg #..: 005298
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other c I is r
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 188 days.
Permittee S tore: /a L
Issued By: •
Call for inspection — 639 -4175
Commercial Building Permit Application
/ IF
Clty of Tigard 13123 SW Hall Blvd. TWI.191R ?Mr cb
(503) 533-4171 $ V • t 1 VOL(' /at.
•
Jodsite Address: OFFICE USE ONLY .;;- •
•
- ••••" 's"
Tenant: A fkrn Lo "T t e re IS s I CW6 Suite # 1 ,PlaliddRec:IP:>.4;
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Valuation: -) 1 0
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utfum "k
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Owner sit‘ktt \swc
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AgarzakEesuricssiy
Address: ISIS 14) - 4 - 11 - Ple.ce.SL■A-e_10(eNCI 14
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r-kesr.... OR. q 700(0
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Elms _ ng 4*. • • s. ■4
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Telephone: 4- - C.C-AN ,
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.:Aotue .
•
ontractor:
-
7;dress:
Type of constr:
• -
Telephone: Occupancy Class: rrl
Contractor's License # Sprinkler? Yes No
(attach copy of current Oregon license) •
Sq. Ft. Of Project 12-S -c --
1
'ontact name & telephone:
Story (1st, 2nd, etc.):
Architect & Engineer V( rose rec • ,(1 ,
•
Proposed Use: A,..0 es.p.pe.
Address: I3'
Previous use: A'‘...Ar-c3 Re r L 4-
ci,„eielf pa )90:5S'. •
Note: Plumbing & mechanical plans must
Telephone: (2-15 '61 - be submitted at time of building permit
application.
• t •
JOB DESCRIPTION: 6--it t C Sk4 L f:o `-
1 1.e vv. kA-S s -
(Applicant Signature & Telephone Number)
Received by: )ef(d Date Received:
1-...comnooc (DST) 1046
PERMiTS Account Description Amount Amt Pd. Balance Due .
Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH) n
State Tax (TAX) pS - S-3
Bldg.
Plumb.
Mech.
Plan Check (PLANCK) 7S -3 d 72. O
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
• Parks Dev Charge (PKSDC)
Residential 71F (TiF -R) -
Mass Transit TiF (T1F -MT)
Commercial TIF (TIF -C)
Industrial TiF (TiF -l)
Institutional TiF (TiF -IS)
Office TIF (TiF -0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) c O .9/ 2D •
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) _
TOTALS: O fD .06 5 1o3 3,0
L•ICOMm.DOC (051) 10/96
r il‘ .OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) • BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: A1h in 64 T Tb ti q--/ --pe
Ali A e)4 /Cr Z Sa152 t( ¢-
CLASS OF WORK: it,--r- FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF USE: CoM FIRST •. FT. N: S: E: .
TYPE OF t —�
CONSTR: -- v im-- SECOND SQ. FT. PROTECT OPE 'GS?:
OCCUPANCY GRP: $ THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOT • L SQ. FT. ROOF CONST FIRE RET:
I I
STOR: HT: FT: = MNT: SQ. FT. AREA S' P. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
:: .. ::::.; :;.:::::.: <:. ,.., :::„ .,........ >:: >: :> :::....: „: ;.: ::11 SPEC 'iE3t `AGTI
NS > > < > > >< < `< >:::: <':_<:
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
FRAMING ` / GYP BOARD FIRE ALARM FINAL v .......
INSPECTION 7` INSPECTION INSPECTION INSPECTION
:a >i ;:',; a:;:;:: >;:: i' xisisii::;:';;.:: L i::. i��;:.':;: d' iii5%' rS:> R:;:::: i;:;:;ar:;iii;5.;:;ib?i= }FS:;$$
:::. < si :: FUSE OPTEQ€VS::COM:- >: cotn a i;CM$ -: commer manu factur ed : snuff e :::::::::::.::...::.: .................... .... ...... . ....................
S . tfiEW = .. :Aiid addit tors ::Ai T::;t*ratimi AC S_: -: atxessc FY .::: ; : 9:1 :< i
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: CLASS:. O� WORKORTL.ON�:: .. :� :. .:. ::..:. . 3. ..:;;;;.......::....:::. �.::::.:.: :.:�::::.:.:..;::: <: <.: ;.:�..:.; >;..:.�:
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;::-fourtdatlon, QTR. >:: n# her .:�EM> .:<re ; : .. Pa :r• .. .. >::.
:...... ...Y .; ...�:.;:;:;::.;;:.;>:;.:;::.;:<.;;;;:.;: . :::; >;;:..:
: FENCES;: RETAINING WALLS, DETACHED DECKS, S €GNS:AWNiPiGS;:.GA ...... ,..,.. ..< :....
I:\ovrcntr2.doc (DST) 4/97
OVER -THE COUNTER [OTCPI
SUBMITTAL CRITERIA
For an OTC PERMIT plan review the applicant shall submit the following material and information:
1. A,ermit application properly completed:
Applications must be signed, dated & COMPLETED the address including suite number if
applicable, owner information, etc. sections.
6 . Applicant must provide 1 copy of each CURRENT license** applicable:
f Oregon Construction Contractor's Board license
Sub -trade licenses (if applicable)
Metro Business license (OR)
City of Tigard Business Tax
2. Applicant must submit three sets of plans that include:
A. a site plan
B. a parking lot plan
/ C'.? a floor plan showing existing walls, etc..
/ a floor plan showing the revisions
a sh of details showing accessible parking stalls, access aisle, signage, curb ramp, interior
?AC F. wall cotruc etc.
4
manufacture ns cut tion sheets for components in the system, i.e.: fire alarm, sprinklers, mechanical
equipment, etc.,
G. accessibility [see number 3 below]
- An amount equal to 25% of the valuation of the work being done "' shall be budgeted for removal of existing architectural
barriers within the site and building (tenant space).
3. Submit the Barrier Removal Plan form showing the Budget for Barrier Removal.**** .
Start at the public way and describe each existing barrier and the cost for its removal.
The plans being submitted must show the accessible route, building interior and construction
details for.
A. Sidewalks, curb ramps, accessible parking with adjacent access aisle, signage, ramp, handrails
and a building/facility accessible entrance and:
B. Door hardware, doorway width, drinking fountain, sink accessibility in common use areas,
i.e. (lunch room, classrooms) stairways when no elevator is provided, receptionist area,
counter space, reach ranges and restroom facilities.
Applicant must have funds to pay for the permit,
A Permit Fee schedule is included for your convenience.
NOTE: * address verification - if address is King City applicant's should start process at King City City Hall
applicant can have license information faxed to us PRIOR to appointment - fax # 639 -7297;
applicant can telephone us PRIOR to appointment to verify whether license information exists
&/or is current - telephone # 639 -4171 x304.
"' The requirement for accessibility upgrades is applicable to every permit
EXCEPTION: re- roofing and changes to mechanical systems unless they effect the usability of
the building or facility.
"" A form is included in the Commercial Application Packet for your convenience
iJotc4.doc(DST)
CITY OF TIGARD BUILDING INSPECTION DIVISION
r 24 -Hour Inspection Line: 639-4175 Business Phone: 639 -4171
Date Requested: / - / (0 - % 7 A.M. P.M. MST:
/ _ 1
�/ A . A'. BUP: (.1�7
Location: i
Tenant: .a j/ I �� :rL • i _ 3 Suite: Bldg: MEC: ' —00 a - 4 ' 1
Contractor: �� P....... ( % ) (jh e/ /,� Phone: � X 26 ' 7 PLM:
Owner: ✓✓✓✓ '���"'' Phone: �i 35 - 3 ,t0e;- --' ELC:
ELR:
SIT:
BUILDING ,CIILDG. a' PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing R., UndFl/Slab Rough -In Ceiling Water Line
Slab O Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk ►”..- ,ved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
Cl Call for r, 6 , Cl Reinspection fee of $ req ed before - ext inspection Cl Unable to inspect
Inspector: `. f� Date: . v Page of