Permit CITY OFTIGARD
... m id ,i, DEVELOPMENT SERVICES BUILDING PERMIT
' "' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT # • BUP98 - 0367
DATE ISSUED: 10/01/98
PARCEL: 2S1O2CB- 018@5
SITE ADDRESS...: 10400 SW PARK ST
'SUBDIVISION ZONING:R -3.5
BLOCK LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :OTR FIRST . 630 sf N: 5: E: W:
•
TYPE OF USE... :COM SECOND : 0 sf PROTECT OPENINGS?
TYPE OF CONST. : 5N ...: 0 s f N: S: E: W:
OCCUPANCY GRP. :E3 TOTAL . 630 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 32 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REG!D SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 10500
Remarks : Children's Village Day Care Swimming Pool
Owner: -- FEES
i JUMBO FERNANDO type amount by date recpt
17549 SW OAK MEADOWS LN PLCK $ 56.23 GEO 09/15/98 98- 309149
LAKE OSWEGO OR 97034 PRMT $ 86.50 DEB 10/01/98
98- 30966`
SPCT $ 4.33 DEB 10/01/98 98- 309662
Phone #: 636 -7825 FIRE $ 34.60 DEB 10/01/98 98- 309662
Contractor:
BLUE MOUNTAIN POOLS
14235 SE STEELE
PORTLAND OR 97236
Phone #: 760 -4554 $ 181.66 TOTAL
Reg #..: 000239
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. I n s p e ct i o n
applicable laws. All work will be done in accordance with ,
approved plans. This permit will expire if work is not started . r ntrfiF -
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.
I You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: ..�1si L./ �% SIA if / _
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Pe; CK o f 3a.
Cl Y'O :IGARD Commercial Building Permit Application Rec'd By
Date Rec'd �
13126'SW HALL BLVD. Tenant Improvement ��
/
TIGARD, OR 97223 t Date to P.E. •J . ,
k Date to D •'' - 3e9 - '.14° (503) 639 -4171 / ° '�� � `
Permit ♦ • ,
\13 Print or Type Related SWR # �/
\� / In complete or illegible applications will not be accepted Called XedrK i /oi /98'
Job f me of velopmenUProjed I I . I .P146' Existing ullding El New Building ❑
t c'�tC Thu (/Iteft d `
Address Street Address I p l 101 Suite Building
10 O .vJ ?Nei- - Data
Bldg # City /State Zip uijding or Property:
> ; ete,D Qe. 9/( Pea.- Axon'
Name
� U � e_ Proposed Use of uilding or Property:
Property
Owner Mailing A ess Suite
No. Of Stories:
City /State Zip Phone
Sq. Ft. Of Project: 49V5
Occupant Name
Occupancy Class(es) F
Nam
Contractor 61Ate el-A). Pop (s Type(s) of Construction �. " J'
Prior to permit Mailing Address Suite �
issuance, a copy v , c Will this project have a Fire Suppression System?
of all licenses ' TZJ� S• Z E �� Yes ❑ No ❑
are required if City/ tat Zip Phone Americans with Disabilities Act (ADA)
expired
da a se T 0 C/1 • u `r' T23(' IIQO - V S'LI Valuation X 25% = $ Participation
Oregon Const. Cont. Board Llc.# Exp. Date Complete Accessibility Form
23TS'o 2-I?- l7 z Project $ I 0 �0 Na. .
a ����c /,g Valuation J
Architect `' r "` _ Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back
P 0. Kok 2_/3 1 0 S
City /State Zip Phone' / I hereby acknowledge that I have read this application, that the information
. SJ` "(� given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
Engineer Name Lt- ( e k of Own A ent Date Mailing Address Suite �* / '_ /S
Z/ 4.ca GkbE Contact erson Name Phone
Cit fate Zip Phone 7&o — V65�
ri r , 9 1 1 - 0 i ZZy_ 6,788
FOR OFFICE USE ONLY
indicate type of work: New Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 F ndation Only 0 Alteration 0
Repair 0 Other O Notes: / l
Description of work: U /�
4(U% TIF:
m PA; �1 P190 1
Note: Site Work Permit Application must precede or accompany Building 0 ee• VA 3 1
Permit Application
tut' E 3
A te
I:ICOMNEWTI.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
s ` n ita : of: the =su. ,...., isi ,, " >eIat # rii✓ i before lan renew.... lf..be.rondc c# tl.. ...............
KEY:
•
tattted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
NOTES:
MSNdk. >: agg:::is1.60WAT::: s ib# �. s.. �.:.. �
I:\dsts\maxtrixl .doc 07/06/98
8/8/99 Activities for Case #: BUP98 -00367 .
3:18:07 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received . 9/15/98 GEO PASS JSD 9/15/98 .
BUPC008 Permit created 9/15/98 JSD PASS JSD 9/15/98
BUPC012 Plans routed to Plans Examiner 9/15/98 JSD . PASS JSD 9/15/98 .
BUPCO24 Plans Approved by CPE 9/30/98 RDP APPR RDP 9/30/98
BUPCO26 Approved Plans routed to DSTs 9/30/98 RDP • APPR RDP 9/30/98
• BUPC520 Mechanical Permit Required 9/30/98 J *H 12/15/98 •
BUPC530 Electrical Permit Required 9/30/98 J'H 12/15/98 121598: Temp has been
issued, will need electrical •
permit and plan review for
. • service at day care center and
possibly separate permit for
work at pool area.
B UPC550 Fire Alarm Permit Required 9/30/98 RDP 9/30/98
BUPC565 Plumbing Permit Required 9/30/98 RDP 9/30/98
BUPC705 Foot/Found lnsp 9/30/98 . 12/10/98 LN FAIL J *H 12/10/98 NOTE: Structural Steel only
(RDP093098) INSPECTION
1121098: Unable to perform •
inspection, no plans on site and
unable to contact the contact
person. LP2A
B UPC792 Misc. Inspection 9/30/98 9/30/98 . RDP NOTE RDP 9/30/98 Make sure the handicap lift is in
before final.
BUPC802 Final Inspection 9/30/98 12/29/98 NOTE RB 12/29/98 Check for tempered glazing
adjacent to pool walking
surface.
BUPCO29 DST Post Review Completed 10/1/98 DLH DONE DLH 10/1/98
•
BUPC090 (F) Ready to issue 10/1/98 DLH PASS DLH 10/1/98
BUPC100 (F) Issue permit 10/1/98 - DEB DONE DST 10/1/98
BUPC705 Foot/Found lnsp 12/15/98 12/15/98 RC FAIL J'H 12/15/98 No electrical permit. Bonding
inspection must be performed
before rebar inspection. 1. •
Water must be removed from
pour area prior to inspection. 2. •
Rebar must be bonded and
inspected by electrical inspector
before approval for concrete.
BUPC705 Foot/Found Insp 12/29/98 12/29/98 RB FAIL RB 12/29/98 See notes RE- INFORCED
STEEL this date.
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8/8/99 Activities fo Case #: BUP98 -00367
3:18:07 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC716 Reinf Steel lnsp 12/29/98 12/29/98 RB FAIL RB 12/29/98 Elecrical bonding approval
req'd. Rebar shall be rust free.
Rebar under water at time of
inspection (1336 pm). Rust
noted thru out. Be prepared to
back -fill w/ either sand or
gravel. Once gunite has been
placed, provide testing report .
for strength (3000#)- 28 days.
•
NOTE: Tempered glazing req'd
•w /in 5 -feet. Check at framing
and /or final.
BUPC802 Final Inspection 12/29/98 RB 12/29/98
BUPC716 Reinf Steel lnsp 12/30/98 • 12/30/98 RB PASS RB 12/30/98 Inspection for rebar as per
report dtd. 12 -29-98 RB- ok.
Before gunite, remove water
• from pool area and follow
instructions as per approved
plan detailing.
BUPC705 Foot/Found lnsp 12/30/98 12/30/98 RB • PART RB 12/30/98 See Re- inforced steel
inspection this date.
•
BUPC799 Final Inspection 5/6/99 RC FAIL No Hold AKJ 5/6/99 See BUP98 -00167 final
BUPC802 Final Inspection 5/24/99 5/24/99 5/24/99 HAP PASS No Hold AKJ 5/24/99 •
BUPC960 Case Finaled 5/24/99 AKJ DONE No Hold AKJ 5/24/99
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