Permit CITY OF TIGARD
��. ,., DEVELOPMENT SERVICES BUILDING PERMIT
"'� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE PERMIT ISSUED : 06/17/97
77 -0305
PARCEL: 2611ODC -02200
SITE ADDRESS...: 15570 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING:C -G
BLOCK • LOT :11 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:ALT FIRST • 446 sf N: S: E: W:
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:2N ...• •
0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL 446 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 10 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 :Y 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:N PARKING: 0
VALUE. $ : 60000
Remarks : In -store bank. A separate alar' /sprinkler application and plans
required.
i
Owner:
SAFEWAY STORES INC
FEES
type amount by date recpt
16300 SE EVELYN ST PRMT $ 313.00 JSD 06/17/97 97- 296079
CLACKAMAS OR 97015 PLCK $ 203.45 JSD 06/17/97 97- 296079
FIRE $ 125.20 JSD 06/17/97 97- 296079
Phone #: 656 -1461 5PCT $ 15.65 JSD 06/17/97 97- 296079
Contract or:
MARKET CONTRACTORS LTD
10250 NE MARX ST
PORTLAND OR 97220
Phone #: 255 -0977 $ 657.30 TOTAL
Reg #..: 006283
REQUIRED 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 Gyp Board Insp
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 952-081-N10 10 through OAR 952 - 00101987.
You 'any obtain a copy of these rules or direct questions to OIJNC
by calling (503)246-1987. ir°111°F-;;1411111111f
�/ /i ../F Permittee Signature: _ i /�/�" Q/ Issued By: did II �;
+ + + + + + + + + + + + + + + + + + ++ + + + + + + ++
IF
+ + + + ++ + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. •r- an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++
04/25/97 14:47 $503 884 7297 ()11x ur 11(AIW teluUS/YYO
Commercial Build ,ag Permit Application / /
. of nga a 13125 $ 'WO T15tra. OR 17223 / ,, ✓ (�/ ` G
Jobsite Address: /55'0 / � t 111 , �I E u. 01 , ;i ; ... _ - r [ �. 4 -
,.,� 11i/i �� j•� y'•: � �: i
� �1�;�y���s J . ' . • • a . ' • ' n
4 .
Tenant Suite u . ii�.ui'• T�� . MAY1Kt•..-.=.J'
;i, •tom $1 . ,.' �, ; k�,(•I'.';' i •...
\S' Valuation D a0� • ...,-7 ''. - �W f • S :u:Y;,';�
! � � i . b r :1 F. v . v;�
Owner. c`.} GG7.4' J�lOtes, . i iw Q� ` ..,
Address: /�J99 a� �� /? i7 ,iii n'' . : -: _ K b _ - ; .+ fir,. . - ; 1 . •
' .e )57.r� &P 92o/5" � ` " � ; �' ;Vt '
.I�i� 65 —i :ti��ti' O.:�i7 �:� •1� ♦ ( ... 1 . {2:`, ,. - ,
Telephone: ��� � • ;c�r �;"i�'�a4e� ' �� ..r •
Contractor. 1/. _ _ � , _ A. • 7 - 5°
Address: i5 /4 /!D /X . ?
h l'i l ,%We/ i _e9A 97, 0 Type of constr. 71
Telephone: 52 9 5 - a.e1. - -- D9.77 Occupancy Class:
Contractor's Licensed ����2W Sprinkler? l//es No
(attach copy of current Oregon license)
Sq. Ft. Of Project e_1/4
Contact name & telephone: . 4 °/02 575/ ?4
1/ // - e4"3 - ' - D,72 Story (1st, 2nd, etc.): ,
Architect & Engineer. /1/Ie 1 ca',41,I? '92;9 _ ,, >
Proposed Use: -� ,5" 744 . ir/f"
Address: .k4 c ereix 5,/1
Previous use: coif /� 1 /6
- ,/ ice _ AO' /i- , e /
Note: Plumbing & mechanical plans must
Telephone: %:41- y —. ®,00 be submitted at time of building permit
application.
JOB OESCRIPTtON: W ,..1 ,e r--4
de' ,--
, r ii/, /. /ii T/. .. -AlLi
(App ca S'':f aturs & Telephone Number)
Received by: Date Received:
MOMTI DOC (051) 10195
APR - 25 - 1997 15:10 503 664 729? 95% P.06
04/25/97 14:46 7pl'aua 084 ' t,ia yr ai4ARL myvvH.vvv
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: j' ,5:7 -=
e e q ui z si
CLASS OF WORK ' . FLOOR AREAS: I EXTERIOR WALL CONSTRUCTION
I r
TYPE OF USE: Cb Al _ FIRST 4�'e SQ. FT. N: S: E: W: 4Vex.1
TYPE OF
CONSTR: ?1- ' SECOND SQ. FT. ' PROTECT OPENINGS?:
OCCUPANCY GRP: A THIRD SQ. FT. ' N: S: E: W
I �
OCCUPANCY LOAD: IC TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
I r
I I
STOR: HT: FT: ' BSMNT: SQ. FT. ' AREA SEP. RATED:
BSMNT7: MEZZ ?: I GARAGE: SQ. FT OCCU.SEP RATED:
I I
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
. /. ^. \tit: .'' °s. .... ��.. �•ti•r;;::17..:: .. i•ir.''t �� . •. •. �':
•�:A' :1.v~; 4ii....... .::':�..:s ; ... i't� \.....,.7.:.':. �n;:'• '•' .`: n... w �_�. A •
FOOT/FOUND INSULATION SUSPENDED CEIUNG 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 K.
INSPECTION 1/4 INSPECTION INSPECTION INSPECTION J`
•' �..q. ;;fY ..X1 'rY;'�:; ♦" ♦ti! �:•�'�:.K..�,.... �.., J �•�;j'' Tet'Y.:�"l.lL• y�•� } y •
`� •� .. �'eti f ' ; • .. *'7 far • i ,! i w a.. u : �.� .: e' tit :..b" •
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,�• , 'JAQ� t
t-J • •
•
I:lwratlYLdoc (051) 4147 f
APR -25 -1997 15:09 503 684 7297 90
04/25/97 14:48 12'5 U3 134 3 7n11 k.l a a . - aaannU
OVER THE COUNTER (gira •
(attachment to SubmiUsi Criteria)
SUBJECT' ACCESSIBIUTY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 147.241.
(1) Every protect for renovadon. Aeration or nhodillCatlon to sltbaeed btid i4$ and related bates shall be
maw to insure that the path of trivet lathe Meted on and the range. telephones and &Wog
fountains are mealy accessible to itdlvkivele veldt diubnaee, unless allot alterations we deprepatbonlde
to the overall seerabons m terms of oust and scope
(2) Alterations made to the path of bevel to en mitered saes may be deemed disotopor0onaee to the overall
aRSrsbon whorl the cost exceeds twenty per ( )•
THEREFORE; Each submittal for a building permit shall include this form providing the following
information. (Excluding re- roofing, mechanical and electrical permit applications]
yALUATION of all renovation, alteration or modification being done . 4949
excluding painting, wallpapering.
multiply; 25% Berner removal requirement .25
BUDGET FOR BARRIER REMOVAL (2) S
The dollar amount of the gUDS,ET established on One (2) in the computation above shall be spent
providing the accessible elements in the following order
1- An accessible route connecting the budding to accessible pedestrian
walkways. and the public way. S
(Including but not Ilmeed to cwb nmp% detectable warnings.
monied crossings. ramps nantesis and landngaj.
2. Not less than one accessible parking space. S
(including but not limited to adtacent aoo sa sole. signs and curb ramp
cannecbng with the accessible route).
, 00
3. Accessible entry or entries. S d' ®DD
(Inducting but not I%Mted to ramps. handrails. !endings,
door sell height door wdth and door hardware).
4. An accessible tntenor route to the altered area. S
(including but not lirTbted to doorways. maneuvereng
dearenaes, door hardware and stairways).
s. At least one axsssible restroom for each sex. $ .
8. At least one accessible telephone where public phones
are provided.
7. When drinking fountains are required. fifty percent but
not less than one shat be accessible. _
8. Additional accessible elements such as storage. reach ranges.
alarms. etc.
TIOTAL:
iJotc4.doc(DST) P. ea
APR -25 -199? 15 :08 684 7297 9
1/21/00 Activities for Case #: BUP97 -00305
4:17:38 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received - 6/17/97 DRA PASS JD 6/17/97 OTC permit
BUPC008 Permit created 6/17/97 .JSD PASS JD 6/17/97
BUPC010 Check for prcl. restrict. 6/17/97 JSD PASS JD 6/17/97
BUPC012 Plans routed to Plans Examiner 6/17/97 DRA PASS JD 6/17/97 OTC review
BUPCO26 Approved Plans routed to DSTs 6/17/97 RDP PASS JD 6/17/97
BUPC740 Framing Insp 7/28/97 GS PASS J *H 7/31/97 1. Submit Engineer's stamped
revision of radius soffit detail
from 1 on A2 to as- built.
Approval subject to above.
Wall cover approved except
soffit noted above.
BUPC760 Gyp Board Insp 8/1/97 TLP PASS J *H 8/3/97
BUPC802 •Final Inspection 8/25/97 RC PASS JT 1/30/98 per ron this date, all permits
Have been inspected and
approved 1/30/98 to Jill for C/O •
approval
BUPC100 (F) Issue permit 6/17/97 JSD PASS JD 6/17/97
' BUPC760 Gyp Board Insp 7/31/97 TLP PASS J *H 8/13/97 drywall /screw
BUPC762 Susp Ceilng Insp 8/22/97 RC PASS J *H 8/22/97
BUPC070 HOLD FOR 9/12/97 JT HOLD JT 9/12/97 E -MAIL TO RON C ON 9/5/97.
YOU APPROVED BUIDING
FINAL ON 8/25, DID YOU
ALSO REINSPECT THE
MECH? 9/12/97 STILL NO
RESPONSE. HOLD C/O UNTIL
MECH & ELR HAVE HAD AN
APPROVED FINAL
INSPECTION AND FPS FINAL
BUPC075 Hold Release to Issued Status 1/30/98 JT 1/30/98
BUPC950 (F) Issue Cert. of Occupancy 8/25/97 VN MAIL VLN 6/11/98 MAILED 6/11/98
. Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ? ^ as_ ` 1 A.M. P.M. MST: q
Location: 15 5 r 0 S-60 Pa -_ . hi BUP: / 7 —Q 3 0 S
1 A
Tenant: �u� F cO Suite: Bldg: MEC:
Contractor: C,,ujj Z Aid er Phone: a 55 - 09 7 7 , 4 / PLM:
Owner: Phone: P1 / Q 3- 7'3 y ELC:
ELR:
SIT:
BUILDING BLD (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site o st/Beam Post/Beam Post/Beam 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
Approved Approved Approved Approved Approved
Appr /Sdwlk roved Not Approved Not Approved Not Approved Not Approved
IN FINAL FINAL FINAL FINAL
O Call for re' tion 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
n
Inspector: v - Date: A a5 -91 Page of