Permit (190) A CITY OFTIGARD
.. DEVELOPMENT SERVICES BUILDING PERMIT
NI '... 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATI E I SSUED : 12/04/97 7 -.,64
I I PARCEL: 2S11OAB -00200
SITE ADDRESS...: 1440'9" SW PACIFIC HWY
SUBDIVISION • CANTERBURY PLACE ZONING:C -G
BLOCK LOT :1 -3 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. :ALT FIRST • 6667 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. :A3 TOTAL 6667 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 279 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:1HR
BSMT ?: MEZZ ?: 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:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 101500
Remarks : SuperPlay Pizza tenant improvement.
Owner: - - --- FEES
G C KOLVE CO type amount by date recpt
14389 SW PACIFIC HWY PLCK $ 110.83 JSD 07 /23/97 97- 297475
TIGARD OR 97224 FIRE $ 68.20 JSD 07/23/97 97 -297475
PRMT $ 438.00 JSD 12/04/97 97- 301435
Phone #: 620 -8087 5PCT $ 21.90 JSD 12/04/97 97- 301435
PLCK $ 173.87 JSD 12/04/97 97- 301435
Contractor: FIRE $ 107.00 JSD 12/04/97 97- 301435
CENTURY CONSTRUCTION INC
17202 SW SUGAR PLUM CT
ALOHA OR 97007
Phone #: $ 919.80 TOTAL
Reg #..: 010335
REQUI RED 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 I n s u l a t i o n Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Susp Ceilng Insp
within 180 days of issuance, or if work is suspended for lore
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 - 001-010 through OAR 952 -80181 7.
You many obtain a copy of these rules or direct questions to
by calling (503)246 -1987.
1
Permittee Signature: Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
,e 0-12„ ii,, r ' C. m-r i.I = _i1. � • ' - � i 7 °e/: `, ` ,� .
{�� / City of Tigard t31 :3 SW Mail 91vd, Tigard. OR 97;23 23
� � �'
7 (503) (339.11;1
Jobsite Address:114 -( 5(,) gr.:, L
�( � `'� OFFICE USE ONLY ,
` (( c Sui te # Nv4 'enant: . lad Planck/Rec. #t .. e
Valuation: i 1) I- 1 5 0 Permit# ...
• ..._...._ .-e . •; ^ 7 ��
Owner: C I �, 441 > Tt # ' >' 4- v v Map Cr 6:1641.14141.111
�
Address:
h 13 3 c t S �c,< , t�
Approvals Required a
T. c a,c,f c)a 9 1- 1.1 Pl \ "�� "r kr `ti
J Engineering ' ::�° - j ;
Y'elephone: 6 2,(:) --�8-i-
Other
:ontractor: ,,v+4 a -I„e._ .
all ��_ C./ p �.
,address: 1 -` ' S C CuT..A- f 1 )(IA Cam. - � /V�� fl
0 q c?-10-0 Type of constr. I, ce.i 'ON_ 14`
elephone: `J `f + U 91 C Occupancy Class: rc-�
2
":ontractor's License # Sprinkler? R Yes No'
(attach copy of current Oregon license)
Sq. Ft. Of Project: 6&C .
-ntact name & telephone:
Story (1st, 2nd, etc.): I
chitect & Engineer: -a rAk• R (� Proposed Use: c 3� eQ ,,, rc-
ddress: i �,`1 i1- `c) i t) '�7t-tw woLy (� ' (/
Qerh N...) G Previous use: Vt�>a�(
d 9
Z � Note: Plumbing & mechanical plans must
lephone: be submitted at time of building permit
• application.
'O6 DESCRIPTION: - 1 - -e_ \ 1ro,rer..e.-
(Applicant Signature & Telephone Number)
/"' "----- C ---S7--
'eceived by: Date Received:
ccMn.ccc ;cs„ *C
i
1
'ERMIT# Account Description Amount Amt Pd. Balance Oue
Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX)
Bldg.
Plumb.
Mech.
Plan Check (PLANCK) / /v0
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF MF-R)
Mass Transit T1F (TIF -MT
Commercial T1F (T1F -C)
Industrial T1F (TIF-I)
Institutional T1F (TIF- S)
Office T1F (T1F -0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
o
Fire Life Safety (FLS) l g , C
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
r
t:'CCMTi. :CC (CS') 1C196
ti
I+' I Form 5b Project Name: S 4,v‘ P13.... Page:
it , • INTERIOR LIGHTING POWER - Occupancy Method
i
r
i
Retail or ( (b) (c) (d) (e) (f) (g)
Merchan- • Max Lighting
dise Floor Power Power
j' Lighting Group Area Area Allow. Budget
Power (ft (W /ft� ((c- d)xe) +f
If area is less than 2,000 ft
(Group M) enter area in (c), this row 0 3.4 0
i
1 I ' M If area is between 2,000 and 6,000 ft enter 2,000 2.5 6,800
t area in (c), this row
11 If area exceeds 6,000 ft
I enter area in (c), this row 6,000 1.7 16,800
■
J.
Uses Other (a) (b) (c) (d) (e) ` ":. (! < € < (g)
Max 1 Than Ceiling Floor Power L o
Group M Hei Area All Budget
Group Occupancy Use g
' i (W/ft2) (ft (W /ft d x e
: See p. 5 -11 for
• i
instructions. under 15 feet 7 g 1.s 1 y .2�
f t more
O�eh 1 f r
5 feet o
° ' ' under 15 feet 'so 1, ( ''> /6 y 5
' 1 v
/� 1'Yt �� 15 feet or l� C 5 eet o more
i under 15 feet
rI 6 o c) 1.
Q
n
/ 1►1e t
'� rQ 15 feet or more_
�
1 1. Total Interior Lighting Power Budget (Watts . Add amounts in column (g). 311 0
i2. ' Sum the page total(s) from Worksheet 5b. .1 1 -11 i
3. Total linear feet of track lighting.
4. Multiply line 3 by 50.
0
5. Total Interior Lighting Power. Add lines 2 and 4. -3 - .
t 1 6. Total Control Credit from Worksheet 5c. _
se
i
7. Total Adjusted Lighting Power (W). Subtract line 6 from line 5. J)
8. Does design meet the budget? Enter "Y" if line 7 is less than line 1, otherwise redesign. >(
,
,
; .
CA to c.47 t . /4r o 1
a
1
11
t', ■ 5 -2 Lighting (6/96)
Form 5c Project Name: „PL, (),,.Pa
INTERIOR LIGHTING POWER — SPACE -BY -SPACE METHOD
Deemed -to- Maximum Number of Luminaires Luminaire Description Areas Where Used
,Satisfy (a) (b) (c) (d) (e) (f) (g) (h)
Approach Luminaire Minimum Luminaires Lamp Ballast N/A
Space Types Pattern Spacing or per ft # Type # Type (J) Space /Room #(s)
See p. 5 - 13 for
instructions. Grid 6'x8' MY 0.021 2 F32T8 1 M
Grid 6'x8' 0.021 2 F40T12 1 E
Ballast types used Classrooms Grid 8'x8' kl 0.016 3 F32T8 1 E
in this form are:
Cont. rows 6' apart 0.042 1 F32T8 1 E
M. Magnetic
Cont. rows 10' apart < 0.025 2 F32T8 1 E
energy efficient
E = Electronic Corridor(s) Single row 6' o.c. N/A 1 F32T8 1 E
Single row 10' o.c. SEi N/A 2 F32T8 1 E
Grid 6' x 8' 0.021 2 F32T8 1 M
Office(s), private Grid 6' x 8' 0.021 2 F40T12 1 E
Grid 6' x 6' IN 0.028 2 F17T8 1 E
Grid 6' x 8' 0.021 2 F32T8 1 E
011icu(s), open Grid 8' x 10' 0.013 3 F32T8 1 E
Grid 8' x 10' lilgr 0.013 3 F40T12 1 E
W = Rest room(s) Grid 6' x 8' le 0.021 1 F32T8 1 E or M
&I-- Grid 8'x10' 0.013 2 F32T8 1 EorM
Reception area(s) Grid 6' x 8' 0.021 2 F32T8 1 M _
Storeroom(s) Grid 6' x 8' 0.021 1 F32T8 1 E or M
Grid 8' x 10' 0.013 2 F32T8 1 E or M
v
Calculation (a) (b) (c) (d) (e) f (t) (g) (h)
Approach Max. Power Lamp Ballast Connected Budget
Room ID/ Area Density Luminaire # of Load (b) x (c)
Space Types (ft (W /ft # Type # Type Power Luminaires (e) x (f) (Watts)
Identify and c�
describe luminaires a PW - l1 >+1g
1 � st \ 66F 6 b 9 21-2.
in plans. _ Q q s:<>::<:::::»
o \ e - R os s. 3bg b ' 1 Total 2 �-7,, ?, r f ,.:: `
1 P(OT aMft 192,. 3 si-6
K., Ac 360 a, 0 Total S' 3- ,,0
Total
Lighting
Power Li Power Lighting Power
Density Density
Densities - Space (Watts per) Space (Watts per f?)
Calculation
Approach Accessory spaces 0.9 Medical exam rooms 1.9
Auditoriums 1.5 Offices (open) 1.4
Classrooms 1.5 Private offices 1.5
Conference rooms 2.0 Reception areas 1.5
Corridors 0.9 Retail 1.9
Eating areas 1.2 Storage rooms 0.9
Grocery 1.9 Toilet rooms 0.9
Gyms 1.5 Warehouses 0.7
Kitchens 2.0 Wholesale showrooms 1.7
Lobbies 1.5
(6/96) Forms & Worksheets 5 -3
Worksheet 5a
' LIGHTING SCHEDULE
'Enter the number
and type of lamps In (a) (b) (C) Project Name. e� P; }Page:
(d) (e) (1)
the luminaire. See Lamp' Ballast2
I Table 5b for typical L um. Fixture p
lamp codes. Luminaire Tab
i ID
Description Power 5b
2 Enter the number No. Description No. Description
and type of ballasts �
in the luminaire. For /�
2 / a 7 ( )
fluorescent and �" par. s ° r 1 - ma rV c-- d" X f l e' 2. I STD q ,6
', high intensity l'A 8 2 T.,6
discharge lamps, ^ a f3 4,, g,. •- IY,7 / 2 F I' T 1 /io/ES I 4-(7' S 2 ¥ T
typical ballast _ . � , alb / 9 .54) L 4 1moo r%-e_ - 4--C
abbreviations are: /
MAG STD for �� Si r w1t Z 1 ��--^^ - I u 07 I St ( C E E. p A
8 Magnetic Standard
WAG EE for
magnetic energy -
efficient
't •ELECT for
electronic
See Table 5b for
other ballast
abbreviations.
! i
1 .
i ,'
•
i
1
d
1 5 -4
t ' Lighting (6/96)
Worksheet 5b Project Name: . '�y.
INTERIOR LIGHTING POWER
'Enter the quantity
for every non- (a) (b) (c) (d) (e) (f)
exempt luminaire. Lighting
Do not consider Room or Room or Plans Designatior Luminaire IC Quantity of Luminaire Power
track lighting on this Sheet No. Luminaires Power (d) x (e)
form. Track lighting
is Form 5b. nted for on // F + floor - (2 o_ A / 9 / 51-4
If Ceee..fripor - o 4 S cu, `tzo
I / f .,116.,- -e-IJ 4, C I "i-s a-5'
1 d en Area._ E 1 2- 20'13
,.
1. Page Total. Total the amounts in column (f). -1 1 19
(6 /96) Forms & Worksheets 5 -5
p
>-• CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3- ac).- °S A.M. P.M. ems: -/ 7 C rum
Location: / . f P� BUP: 97-C2 3C'/
Tenant: -�., .,a , -AC. t/ _ _,. V Suite: Bldg: MEC: 9g-c) /o„5`"
Contractor: / Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING 't) PLUMBING ELECTRICAL SITE
Site Post/Beam Post/Beam o s eam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing 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 Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
proved Approved rov Approved Approved
Appr /Sdwlk No pproved Not Approved Not Approved Not Approved Not Approved
FIl FINAL `7 FINAL FINAL
•
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: „�� c Date: 3-3 41 Page of
i
Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0364
G C KOLVE CO
14411 SW PACIFIC HWY
•
06/12/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
BUPC005 Application received / / / / 07/23/97 PASS JSD 07/28/97 JD
BUPC008 Permit created / / / / 07/28/97 PASS JSD 07/28/97 JD
BUPC010 Check for prcl. restrict. / / / / 07/28/97 via Julia PASS JSD 07/28/97 JD
BUPC012 Plans routed to Plans Examiner / / / / 07/29/97 PASS JSD 07/29/97 JD
BUPCO26 Approved Plans routed to DSTs / / / / 11/18/97 APPR RDP 11/24/97 RDP
BUPCO29 DST Post Review Completed / / / / 12/03/97 PASS JSD 12/03/97 JD
BUPC070 HOLD FOR (Note in Action Memo) / '/ / / 02/26/98 century no longer contractor. called 03/04/98 J *H
Kolve Co. they referred me to the
manager at Superplay Pizza, Ed Green,
591 -7199, (who hired the contractor). I
left message on voice mail, we need to
know who contractor is. Jeanne
030498: Contacted by Ed & Troy Schmit,
they are GC. Will send CCB to Jeanne by
fax or stop by. - JMH
BUPC075 Hold Release to Issued Status / / / / 03/18/98 contractor info received 03/18/98 JT
BUPC090 (F) Ready to issue / / / / 12/03/97 "Issued" to Ed Green on 12/04/97 at PASS JSD 12/04/97 DST
1213pm but unable to move to "issued"
status as printer was inoperable. Okey
to perform inspections.
BUPC100 (F) Issue permit / / / / 12/04/97 PASS JSD 12/05/97 JD
BUPC105 (F) Reprint Permit / / / / 01/30/98 Bob Poskins amended plans on 1- 29 -98, DONE DRA 01/30/98 DRA
per request of Ed Green revised copy of
permit printed and faxed to him on this
•
date.
BUPC740 Framing Insp / / / / 02/25/98 There has been a construction detail PASS GS 02/27/98 J *H
change to the mezz. The amended detail
dated 1/27/98 changes the CMU wall to a
framed wall, as well as other changes.
The amended plans include sheets 1
through 4 and affect details B /S -7,
A /1.2, B /1.2, and A /1.3 - Bob P 1/29/98
. Note for inspection: Kitchen floor
framing approved subject to plumbing
approval. OK to cover demizing wall
• after plumbing approval.
•
Page No. 2 CASE HISTORY FOR CASE NO.: BUP97 -0364
G C KOLVE CO
14411 SW PACIFIC HWY
06/12/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC740 Framing Insp / / / / 02/12/98 DRAFTSTOP KIT FLOOR,;-RESUPPORT NOTCHED PART GS 02/12/98 GES
FLOOR JOISTS; BLOCK STUDS AT CEILING
LINE
OK TO COVER KIT FLOOR FOR 12' AT FRONT
AND THE SO. 50% UP TO DRAFTSTOP;;
BIRTHDAY RMS AND MEZZ OK TO COVER Al
ELEC APPROVAL
BUPC740 Framing Insp / / / / 03/04/98 Approved as noted: Nail plate plumbing PASS RB 03/04/98 J *H
and low voltage conduit. Add blocking
for handicap bathrooms - grab bars.
BUPC760 Gyp Board Insp / / / / 03/04/98 Approved as noted: Provide 7 -inch center PASS RB 03/04/98 J *H
nailing for 1 -hour wall.
BUPC762 Susp Ceilng Insp / / / / / / N/A 03/24/98 GES
BUPC802 Final Inspection / / / / 03/30/98 Final inspection approved, includes play PASS GS 03/30/98 J *H
structure and engineering received and
attached to this report of 033098.
Note for inspector:
(1) The playground equipment shall be
secured to the floor with metal straps,
anchored with lags epoxied a minimum 4"
(2) The playground equipment has been
certified to have a smoke density of 50
and flame of 450, copies of same on
file. ?s see Bob P
3/18/98 final inspection request. HELD
inspection, still do not have contractor
information. Called Kolve Co., left
message. Jerry Kolve called back "can't
be reached, I'll call again ", called
second time, left # to call him at
"voice mail not set up ".
3/18/98 updated contractor info. GEO
3/18 received contractor info. ok to
inspect. jeanne t.
•
Page No. 3 CASE HISTORY FOR CASE NO.: BUP97 -0364
G C KOLVE CO
14411 SW PACIFIC HWY
06/12/98
Action Description Req/ Schd/ End/ Action Notes 'Disp By Update Upd
Code Sent Done Done Date By
BUPC802 Final Inspection / / / / 03/20/98 Beam replacement approved on BUP97 -0455. FAIL GS 03/20/98 J *H
Building final is approved with the
exception of the playground equipment, I
need to know how the equipment is to be
anchored. No occupancy until this is
resolved.
BUPC802 Final Inspection / / / / 03/19/98 1. Strip HC parking stalls and aisle. FAIL GS 03/20/98 J *H
2. Van signage.
3. Handicap bathroom signage.
4. 4 -foot high wainscot within 2 -feet of
water closets and urinals.
5. New gas pipe has been run (no permit
or inspection)
6. No suspended ceiling inspection or
mechanical rough in inspection (susp.
ceiling n /a).
7. Exit signage in wrong places.
8. Handrail to mezzanine.
9. No inspections done on permit
BUP97 -0455.
10. No inspections done on playground
equipment installation.
BUPC950 (F) Issue Cert. of Occupancy / / / / 03/30/98 Mailed 6/11/98 MAIL VN 06/11/98 VLN
•