Permit CITY OFTIGARD
ia ,,,. ,, , �� DEVELOPMENT SERVICES BUILDING PERMIT
. �u'� 13125 SW Hall Blvd., T OR 97223 (503) 639 -4171 P ERMIT # : BUP98 -0177
DATE ISSUED: 05 /28/98
PARCEL: 25115BA -00600
SITE ADDRESS...: 16105 SW PACIFIC HWY
SUBDIVISION • ZONING:R -12
BLOCK • LOT • JURISDICTION:KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 660 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:POOL .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R1 TOTAL : 660 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 75 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REOD 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. $ : 32000
Remarks : Swilling pool and spa for Best Western Motel.
Owner: FEES
KCM ASSOCIATES LLC type amount by date recpt
10895 SW FIFTH PLCK $ 131.30 DEB 04 /21/98 98- 305151
BEAVERTON OR 97005 FIRE $ 80.80 DEB 04/21/98 98- 305151
PRMT $ 202.00 DLH 05 /28/98 98- 306108
Phone #: 643 -5721 5PCT $ 10.10 DLH 05/28/98 98- 306108
Contractor:
THE OASIS POOL ,1
9975 SW TAYLOR
PORTLAND OR 97225
Phone #: 297 -0998 $ 424.20 TOTAL
Reg #..: 000606
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Re i n f Steel Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
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 sore
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 952-0 0101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
1 d Permittee Signature: , • �_ Issued By:
+ + + + + + + + + + + + + + + + + + + + ++ ++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit f� � LRec'd By J
13125 SW HALL BLVD. New Construction and Additions I Date Recd "1/3
TIGARD, OR 97223 Date to P.E. a "et •4;(7‘ •
Date to DST s
(503)• 639 -4171 (3 Permit # 86C.P9�eP— O/ 7 7
Print or Type /-c/j> l Related SWR #
Incomplete or illegible applications will not be accepted Called 1 1 - 7--7
rA_P 92 -0 5 1 4 /
Name of Development/Projec Existing Building ❑ New Building fir
Job ?eq Q
el
Address Street A dress el.? Building
,�/�L5 S W /gt. 4 , Data
Bldg # C' /State Zip Existing Use of Building or Property:
k.
Name
Property /14 Proposed Use of Building or Property:
Owner Mailing Add ss Suite 7
lllll!//LV / .
/e -0 S a S7 No. Of Stories:
City/State Zip Phone
AQ sf ele '270615 /� —�j Sq. Ft. Of Project:
Occupant Name
Occupancy Class(es)
Nani9
Contractor -- 45`sl a .0-a . 7;.:(e. ) Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy q., + �y . nn �'' >oz Will this project have a Fire Suppression System?
of all licenses / / !S c� Gam -
are required if C'ty/State Zip Phone Yes ❑ NO ❑
expired in C.O.T. r � Americans with Disabilities Act (ADA)
database mJo�8 Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
6O&W /9 Project $
Name Valuation 6 wee,
Architect /U
Mailing Address Suite Plans Required: See Matrix for number of sets to submit
on back
City/State Zip Phone
I hereby acknowledge that I have read this application, that the information
N ame given is correct, that I am the owner or authorized agent of the owner, and
Engineer that pl- s submitted are in compliance with Oregon State Laws.
Mailing Address Suite ;ign - t y f 09 r /A nt Date
. 6/,s—a? s 4 4'4 f '' I, I ' I y, 2�
xl Ci /St a Zip 1 Phone • n Person Name Phone
4 .moo( y veC L eL e' o? r ? ?,E1
Indicate type of work: New 0 Addition 0 Demolition 0 FOR OFFICE USE ONLY
Accessory Structure 0 Foundation Only 0 Alteration 0 Land Use:
Map/T
Repair 0 Other 0 c{� Note i- S //5 QA — C
Description of work: Atedi 4/l s:
S(.).,r4c,r,C Q— S�a / I/1) /el TIF:
Parks: Estimated f Employees
Note: Site Work Permit Application must precede or accompany Building .Elt u.FSTED Cc/ aF C c.6 CV,/ cfr c . 0/7S / Peo
Permit Application 4//Z , / , ay
I:\COMNEW.DOC (DST) 8/97
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
: ......::::....: .:::.::.:::: :
Subtrade Plan:.Revre± •. is dependent u .:on::submittal::of:EOTH..: : .. g o> :: :.:. >::::: >o:
.:::.> ::.:;:.::.::. �;::::;. �:::::.::.. �..................:...:: ::.....:....................... (ans.AN�D..a. CO1�lP�,ETE�.:::::::.
:::::..:.:..: 'a.;.: e:; appli For >an: >:elec:tric .: u . ..
a�t.:�ub�nt�ttal.:.the;.a I�Ca >::. .::<: >;;:; >: ><:.«: ><::::
::> s gnatu �.of thc:: su ., : nsi n electiricia .:> �/� :::::::: »:::<::: >:< ::: »::::: >:::::.:; :
:.::: :
: .......... :: ,.::..:::.::.:,:.....:;:.:.::.: ::�::::::.::::::::::::::::.:. �a:: �`cre::. �a:.nr.:ev��w: < N�.: �e.:ovndu'�w}t� :::::::. :::::::::::::::.::.::.::::::
DISTRIBUTION TO PLANS OUT TO D
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 — -- S (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,o) --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) —
E (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)
:?:`.:.
....:.
.::::..:.:
:. y: =:::
:
:: " .:: °:: : :: :: : :'' :: .::::::: : :: :: :` :` :::::: : : : : :: :_ : :: : : � :: : :
M & ACt ....... ......3:.:.::: : :. :::: :.. ; •
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and o = Office M = MEC
completes, updates and adds actions. f = Fire P = PLM
u =USA E =ELC
< S€6adec aromas desi0at , .0:440 :011,10 14#1111.1 1111111 w = Wash. County 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.
I:Vnatrix.Doc
- APR -21 —' 98 TUE 16:46 ID: FAX NO: 1#254 1 '
--74i KING CITY
16300 SW. 116th Avenue, King City, Oregon 97224 -2693
Phone: (503) 639 -40$2 • FAX (503) 639-3771
•
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
for projects in King City are issued and inspected by the City of Tigard.
If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the
appropriate application legibly and submit it to the King City staff. The King City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create
the permit, issue the permit, and perform inspections. Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is ready for issuance or
whether you prefer it to be mailed without any notification. Any incomplete or illegible
application will be returned to King City staff for correction and no processing will occur until a
complete, legible application is received. •
`' If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a
King City staff person. King City staff will simply sign this form indicating land use approval.
Take this signed form to the City of Tigard Development Services Counter located at 13125 SW
Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are
available at 639 -4171 Ext. 304 should you have any questions concerning submittal
requirements. All permit fees will be assessed and collected at the City of Tigard.
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project: 190-e cS,/
located at: i Jl,/DCS Arc/4"V
King City Representati e
I 'IJSYS XCINST.DOC
•
•
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0177 •
KCM ASSOCIATES LLC
16105 SW PACIFIC HWY
01/08/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- -- -- -- - - - - --
BUPC005 Application received / / / / 04/21/98 RECD DEB 04/22/98 DLH
BUPO008 Permit created / / / / 04/22/98 DONE DLH 04/22/98 DLH
BUPC012 Plans routed to Plans Examiner / / / / 04/22/98 Note: PLM97 -0442 does not include any SENT DLH 04/23/98 J *H
pool related plumbing. Electrical permit .
approval from Washington County required
prior to first inspection (for pool
bonding).
BUPCO26 Approved Plans routed to DSTS / / / / 04/27/98 Do not issues until a copy of the APPR RDP 04/27/98 RDP
required Washington County Health
Department Permit has been supplied.
BUPCO29 DST Post Review Completed - / / / / 04/27/98 DONE B 04/27/98 BON
BUPC070 HOLD FOR (Note in Action Memo) / / / / 04/27/98 OK to release hold, when we receive HOLD RDP 04/27/98 RDP
required WACO Health Department Pool
Permit Application receipt.
BUPC090 (F) Ready to issue / / / / 04/27/98 PASS B 04/27/98 BON
BUPC100 (F) Issue permit / / / / 05/28/98 DONE DLH 05/28/98 DLH
BUPC520 Mechanical Permit Required 04/27/98 / / / / 04/27/98 RDP
BUPC530 Electrical Permit Required 04/27/98 / / / / 04/27/98 RDP
BUPC565 Plumbing Permit Required 04/27/98 / / / / 04/27/98 RDP
BUPC716 Reinf Steel Insp 04/27/98 / / 05/29/98 Steel prior to Gunite application PASS RC 05/31/98 J *H
052998: This inspection for Pool and Spa
Rebar - approved 052998/RC
BUPC792 Misc. Inspection 04/27/98 / / / / 04/27/98 RDP
BUPC802 Final Inspection 04/27/98 / / 01/08/99 PASS GS 01/08/99 GES
BUPC960 Case Finaled / / / / 01/08/99 01/08/99 JT
•
•
I .
CITY OF TIGARD BUILDING INSPECTION DIVISION , /.1 MST
24 -Hour Inspection Line: 639 -4175 - L Business Line: 639 -4171 q UP U �`
/
l
Date Requested / ( 8161, l AM 4 PM " . 7 8, b t_ G s
Location 1 io (0 L 94-1 Suite MEC 7 -O 9 2 6
Qv
Contact Person Ph 109oD -gp �P M 9 �- n / 7 7
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT 9 7- c36 y /
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation • Drywall Nailing AO
Firewall / l„
Fire Sprinkler . 1
Fire Alarm
S
or
usp'd Ceiling / - •
Roof /
Misc:
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
+OkECHANI
Post & Beam
Rough In
Gas Line
Smoke Dampers
AS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
A� PART FAIL
Te
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /
Approach /Sidewalk Date / !' `l 9 Inspector � l
I Other Ex t
Ass PART FAIL DO NOT REMOVE this inspection record from the job site.