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Permit r ' PERMIT #: BUP1999 -00324 �q, win DEVELOPMENT SERVICES D TE ISSUED: 9/14/99 --- t- II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4 SITE ADDRESS: 11735 SW QUEEN ELIZABETH ST O 131 huh1m PARCEL: 2S110CD -00104 SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 4,560 sf N: 1HR S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: B FIRE RET? N OCCUPANCY LOAD: 42 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 16 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE:, 2.32.144Z--- Remarks: New professional office and related facilities Owner: Contractor: JACK MEDAK COLAMETTE CONSTRUCTION 4029 NE SANDY BLVD 8430 SW HUNZIKER #200 PORTLAND, OR 97212 TIGARD, OR 97223 Phone: Phone: 620 -0106 Reg #: LIC 00032233 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required Susp Ceilng Insp PLCK BON 7/15/99 $443.95 99- 317907 Plumbing Permit Required Appr /sdwlk Insp Foot/Found Insp Misc. Inspection FIRE BON 7/15/99 $273.20 99- 317907 Footing Drain Final Inspection PRMT DEB 9/14/99 $780.50 99- 318309 Slab lnsp 5PCT DEB 9/14/99 $54.64 99- 318309 Plumb Top Out Framing Insp (additional fees not listed here) Insulation lnsp Total $1,654.67 Shear Wall Insp Gyp Board Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty Codes and all other applicable law. 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 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe 'iii itee / I Signature: 1 Issued By. .• j k • _ to,,,,,,..,,, Call 639 -4175 by 7 p.m. for an inspection the next business day . CITY OF TIGARD Commercial Building Permit Redd By 13125 SW HALL BLVD. /1 Tenant Improvement Date Reca 7 Date to P.E. 7 TIGARD, OR 97223 46i1 Date to D T 1 114 4 10V (503) 639-4171 f permit* cl y i°I '1 -0p1! Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called 6' -q -11 Name of DevelopmenVProject 11 i Al - Existing Building p New Building Job Kjj\SU Cfl ( Ot C - AWL /K1 Address Street Address Suite Building l Ii QU-64S FUeA } ST Data Bldg # City/State Zip Existing Use of Build' q -Property: Name t Property Ac t � _ Proposed Use oofBuilding or Property: Owner Mailing Address Suite ���j 1 "' vu Z�ef',�- 6 eke) 1 S45 Si—VD No. Of Stories: City/State Zip Phone GC.J6-- f CSC q7 Z IV ma Sq. Ft. Of Project: ->,, Occupant Name �,,,� kefrZleD W 7/1JP S Occupancy Class(es) Name (r %etc i l Contractor ej)1.fAN J 0 t-t-C-'7 Type(s) � of fC C ' onstrucction J f Prior to permit Mailing Address Suite F k.il issuance, a copy S Will this roject have a Fire Suppression stem? of all licenses � v ( p pp ression S y Yes O No x are required if City/State Zip Phone (5233) Americans with Disabilities Act ADA expired in C.O.T. U` ( ) database / // �D {o2j (��S Va luat ion X 25% = $ Participation Oregon Const. Corit. Board Lic.# Exp. Da e Complete Accessibility Form 322-33 3 i p Project $ zC � r.r.� Name el) u. 7--i Valuation t �wr .fit T. r . ( t%I� 5 Plans Required: Se atrix for number of sets to submit g c it sae . Mailing Address Suite on back 7O?a Fig LP Site test) City/State Zip Phone (s3 I hereby acknowledge that I have read this application, that the information 'Pc-OD, ^O VF- u 3 _ given is correct, that I am the owner or authorized agent of the owner, and g / n , cc that ans submitted are in compliance with Oregon State Laws. r Name N0N5G— Li43-31.0 gn Ow er /Agent Date / Mailing Address Suite � / 1 CorJIII( ta ers dL ob. Phone City /State Zip Phone &11;) 622-6 --' / e cr- FOR OFFICE USE ONLY `/J Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use: Accessory Structure 0 Foundation Only 0 Alteration 0 Repair 0 Other 0 Notes: Description fwork: y� 46 (00 Sr St" TV i L Wrie--e� 7 TIF: l 61C L,c Parks: Estimated # of Employees Note: Site Work Permit Application must precede or accompany Building Du ` P� fJ 7 � � 6t PP P P Y 9 C = 1,113... ` � � o � � ! ' ' Permit Application G � � � y' I 1 o ' I: \COMNEW.DOC (DST) 8/97 0 SS uAtiC ,e a'1 1) L lin ' '1-- / I'I e.c essa r if rt° v X77 • `/-- S "{ro »-► a Z )11 94. • _/T i " `'`'%-`7 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST 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 -- -- 3 (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) -- B (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) B:ii ;;apl3; ? ;:<? <'. '::? ' :;mn `[> �;:''; &ilYf'• : k.'..''.;.. ipi pip? i; isi; ii:' isi%::::: i%': a : isi>:: i" isi:. i::: i' i>..'..: i'.: c::: E`: i.;:;' Yi%%:': i> isi::';?: ii ::i:i:i %' .:::.::.:::.:::::::... :.:::. ..::.:�::.:::... . NOTES: KEY: a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f = Fire P = PLM u =USA E =ELC 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. h:lmatric.Doc to f A f, use SANITARY* D o eerage 1 55 N. Firsst Ave., S H ro, or., 9 ,24 SURFACE WATER _ _ _ _ _ 503 648-8621 SITE PERMIT ISSUE DATE 091499 EXPIRATION DATE 091301 PERMIT 117639 STRUCTURE ADDRESS 11725 PROJECT 8379 STRUCTURE STREET SW QUEEN ELIZABETH TYPE OCCUPANCY - (4 ) COMMERCIAL PARCEL 281 10CD 104 KING CITY OFFICES OWNER COLAMETTE CONSTRUCTI ADDRESS 13990 SW GALBREATH DR SHERWOOD OR 97140 PHONE 625 -1625 SITE FEES SYSTEM DEVEL..OPEMENT FEES IMPERVIOUS AREA 5191.00 WATER QUALITY 420.00 ACREAGE • 1.00 LESS CREDIT •ti 420.00:: WATER QUANTITY 580.00 LESS CREDIT < 0.00 PLAN CHECK -SANI 0.00 $ PLAN CHECK -SWM 448.50 EROSION CONTROL LSI ADMIN 0.00 INSPECTION 80.00 PLAN CHECK 52.00 LINE TAP INSP 200.00 TOTAL 1360.50 APPL NAME KEVIN PHONE AFFILLIATION REP REMARKS SITE PERMIT FOR KING CITY OFFICES PROJ 8379 *24 HOUR NOTICE FOR EROSION CONTROL INSPECTION REQUIRED * * * ** Number to call for INSPECTION- -844 -8444 * * * * ** CREDIT AVA A LE- F PERMIT ISSUED- CREDIT DISTRIBUTED EQUALLY AMONG LOTS J , SIGNATURE _ __ _. ISSUED BY ANDERSONL. SITE PERMIT ONLY NOT FOR CONNECTIO PERMITS Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency, including those regarding erosion control. A 24-hour notice is required for erosion control inspections. The inspection request number is 844 -8444. When calling for an Inspection, please refer to the permit, project and lot numbers. The permit expires one hundred eighty (180) days from the date of issuance. The Agency does not guarantee the accuracy of the location of side sewer lateral. ii 7193 WHITE - USA, BLUE - Accounting, GREEN - Inspection, YELLOW - Customer • 01/05/2000 Activities for Case #: BUP1999 -00324 . 11:13:51 AM _ . • • Assigned . Hold Updated Activity Description Date 1 Date 2 Date 3 To • Done By Disp. Level By Updated Notes BUPC105 (F) Reprint Permit • 12/08/1999 GEO DONE No Hold GEO 12/08/1999 BUPC008 Permit created 07/28/1999 BON DONE No Hold . BON 07/28/1999 BUPA005 Application received • 07/15/1999 BON RECD No Hold BON 07/28/1999 . BUPC012 Plans routed to Plans Examiner 07/28/1999 BON DONE No Hold .BON 07/28/1999 • BUPC015 Plan Review Ltr. to Ofc. Svcs. 07/30/1999 RDP . No Hold RDP 07/30/1999 BUPC018 Revised Plans Received 09/02/1999 RDP DONE No Hold RDP 09/02/1999 BUPCO24 Plans Approved by CPE 09/02/1999 RDP DONE No Hold RDP 09/02/1999 BUPCO22 Plans Approved /Routed to DSTs 09/02/1999 RDP DONE No Hold RDP 09/02/1999 BUPC705 FootFound lnsp . 09/02/1999 09/02/1999 10/19/1999 GS PASS No Hold JS 10/19/1999 BUPC725 Slab Insp 09/02/1999 09/02/1999 10/19/1999 GS PASS No Hold JS 10/19/1999 Subject to electrical approval. BUPC740 Framing Insp 09/02/1999 09/02/1999 No Hold . RB 12/09/1999 See BUP1999 -00449 BUPC750 Insulation Insp 09/02/1999 09/02/1999 No Hold RB 12/09/1999 See BUP1999-00449 BUPC757 Shear Wall Insp 09/02/1999 09/02/1999 No Hold RB 12/09/1999 See BUP1999 -00449 BUPC760 Gyp Board lnsp 09/02/1999 09/02/1999 12/09/1999 RB PART No Hold RB 12/09/1999 See BUP1999 -00449 Inspection record. Interior only in Unit 101. BUPC762 Susp Ceilng Insp 09/02/1999 09/02/1999 No Hold RB 01/03/2000 See BUP1999 -00449 • BUPC790 Appr /sdwlk Insp 09/02/1999 09/02/1999 No Hold RDP 09/02/1999 BUPC799 Final Inspection 12/30/1999 RB FAIL .No Hold AKJ 01/02/2000 outstanding permits BUPCO29 DST Post Review Completed 09/09/1999 BON DONE No Hold BON 09/09/1999 BUPC090 (F) Ready to issue 09/09/1999 BON DONE No Hold BON 09/09/1999 SIT1999 -00051 must be issued before issuing this permit. • BUPC100 (F) Issue permit 09/14/1999 DEB DONE No Hold DEB 09/14/1999 BUPC799 Final Inspection 01/03/2000 RB FAIL No Hold RB 01/03/2000 See BUP1999 -00449 BUPC802 Final Inspection 01/04/2000 01/04/2000 01/04/2000 RB PASS No Hold AKJ 01/04/2000 BUPC950 (F) Issue Cert. of Occupancy 01/04/2000 RB DONE No Hold JMT 01/05/2000 • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION ST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP / Date Requested I Li AM PM Bkp 1899_ 00 3 ZLI Location I 1 - 7 2' 5 Q cAizabeitte MEC mg ,00 Z 7k) Contact Person (ij) in 1 Ph g OS - qS / / PLM Contractor Ph SWR t;BUILDIM. Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: /�'� Slab SIT �/ Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler • Fire Alarm xt Q.) S ( z usp'd Ceiling Roof Misc: PART FAIL e( ING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL ?CHANIC Post &Beam Rough In Gas Line Smoke Dampers Gra PART FAIL TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL T ckfill /Grading - S. itary Sewe 0 Sto Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catc Basi Fire S •p Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA A•.ro ch l a b 1 _4 L Oth Date In spector V Ext PART FAIL DO NOT REMOVE this inspection record from the job site.