Permit CITY OF TIGARD
BUILDING PERMIT
%�, � DEVW LOPMEN R SERVICES DATE ISSUED: 07,2 -0109 11. 13125
PARCEL: 25110CD -00114
SITE ADDRESS...: 11755 SW QUEEN ELIZABETH ST
SUBDIVISION • KING CITY NO. 2 ZONING:
BLOCK • LOT • JURISDICTION:KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:NEW FIRST • 4000 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.:B TOTAL 4000 sf ROOF CONST:BFIRE RET ?:N
OCCUPANCY LOAD: 57 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 15 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?:N MEZZ ?:N REQD SETBACKS REQUIRED
FLOOR LOAD • 60 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:N PARKING: 0
VALUE. $ : 251656
Remarks : Construct a new 4800 square foot dental clinic.
Owner: FEES
KIM MOOKI type amount by date recpt
11870 SW KING JAMES PLCK $ 411.25 GEO 03/02/98 98- 303748
KING CITY OR 97224 FIRE $ 253.20 GEO 03/02/98 98- 303748
PRMT $ 813.00 DLH 07/28/98 98- 307754
Phone #: 5PCT $ 40.65 DLH 07/28/98 98- 307754
PLCK $ 117.00 DLH 07/28/98 98- 307754
Contractor: FIRE $ 72.00 DLH 07/28/98 98- 307754
LANDMARK CONSTRUCTION
15075 SW KOLL PARKWAY
BEAVERTON OR 97006
Phone #: 646 -3016 $ 1707.10 TOTAL
Reg #..: 001215
-- 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 Footing Drain
applicable laws. All work will be done in accordance with Re i n f Steel Insp
approved plans. This permit will expire if work is not started Slab Insp
within 180 days of issuance, or if work is suspended for more Framing Insp
than 188 days. ATTENTION: Oregon law requires you to follow the Insulation Insp
rules adopted by the Oregon Utility Notification Center.. Those Shear Wall Insp
rules are set forth in OAR 952- 881 -0010 through OAR 952- 80101987. Gyp Board Insp
You •any obtain a copy of these rules or direct questions to OIJNC S u s p C e i l n g Insp
by calling (583)246 -1987. Appr /sdwlk Insp
Misc. Inspection
Permittee Signature Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD
STOP WORK ORDER
BUILDING DIVISION
13125 SW HALL BLVD., TIGARD, OR 97223
639 -4171
JOB ADDRESS: _ „ PERMIT #:
OWNER: " CONTRACTOR:
YOU ARE IN VIOLATION OF THE FOLLOWING:
,F
AND HEREBY NOTIFIED THIS DAY OF , 19 , AT M,
THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN'
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT REMOVE THIS NOTICE-
BUILDING INSPECTOR
r
r .ITY OF TIGARD Commercial Building Permit Rec'd By 6
. 3125 SW HALL BLVD. Tenant Improvement A /' Date Recd 3-�
" IGAI D, 6R 97223 � Date to P.E.
X03) 639 -4171 VV Date to DST
Permit #64,/ $ – O /
Print or Type �, Related SWR #
Incomplete or illegible applications will not be accepted Called ER ✓o'ca - fM l
Pc 3 - - 63C
Name of Development/Project `` 11^ Existing Building ❑ New Building,
r
i Job v& t 4 LG-vo -
Address Street Address a 3ezo Suite Building
11 - 1SG5c,.1iN Data
Bldg # City /State Zip Existing Use of Building or Property:
Name
Property Proposed Use of Building or Property:
Yhodk %
Owner Mailing Address ' Suite
t18 sc,,K PA • No. Of Stories: `
City/State Zip Phone
V∎ CAy (N c 1-1.24. 46.140 1t(Q Sq. Ft. Of Project:
Occupant Nam 4aZ39
• . _ .rv 061(4 Dare( Lab - - Occupancy Class(es) r -- -
r '
Name
Contractor (,pnAi(par . - 'd vi Type(s) of Construction
Prior to permit Mailing Address Suite Iv
issuance, a copy (co-r-,90-) T Will this project have a Fire Suppressio stem?
of all licenses Yes ❑ No
are required if City/State Zip 47ax, ,P,hlone Americans with Disabilities Act (ADA) C.O.T.
^� -�V Or 6 - 25% ( )
expired
Valuat X 25 /o = $ Participation
-• Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form 4,2,41 (411. a I7( r
t Z\ 5 12 8 Project $ .t
Name Valuation — L= –= _ , " ci. usID
Architect Plans Required: See Matrix for number of sets to submi
Mailing Address wte
on back
I 513 t.%.) l'e" 1 9-D 4-
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
P o - \( or 61 # 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
4G00‘S-Q– • ign- . e •f 70. • - • . - nt Date
I 1 Mailing Address • Suite �.j1:� � ,_ - 2t 26 9)
Contact Person Name Phone
City/State Zip Phone --Nc(0,4e.r 2 '-' s
FOR OFFICE USE ONLY
Indicate type of work: Nev yN7 Addition 0 Demolition 0 Accessory Structure 0 Foundation Only 0 Alteration 0 ,r5 /eetep – Da //y Land U " –/
Repair 0 Other 0 I
Description of work: (� l ( � Notes:) / / L iAN I A 0 ` � . ^•/
h A S.1� 6') • TIF: +t�� c X1JC
5 Parks: Estimated # of Employees / '(// ' ' ` ' ' '
11 tj i
4ote: Site Work Permit Application must precede or accompany Building ^
'emit Application CO �G (...6 40 -
1:1COMNEW.DOC (DST) 8/97
1 ‘
•
a
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 ) 2(j,o) __
,o,w 2 ',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)
It
... ....... n......... r :...
... 1
.. .v: x{. } ::: : {,; . +. ;
0:•i} : {?f ?ii } }ii:•i }ii : }:i
;.}: {..... .. : :: «
w. : r::: :: :..... n ..
... .. ...... ... ...... . .
r<:• . 6:: : , ; .... n.: {::: ::�:::. �::..::::: i:: n:::.:'v;: �•}ii:::::::.i.:::::: ::::ii } }':: }:::.:: }ii }i }: }}'.i:•i:Jii :{ {L' { ?+•ii: ? < iYi: ?:.::iii: ?:'::: •: ?i i:i:�•:li:
r :: ?: {:ii ii':F':i:iii:i! ?(, :.:i }i }:::• 4 ' %; :: } r iii ii�. i ii iiii:. J
1 �:::F•��:Ar
ir; �:!; �?•?::$.: i} is ; ^ii {� { ?:;: }:::• }'• }�'': {• }::•: • }i: {:ii:: iij i ^:•.:iii i:ii { }:•:{ :•:
.. .. ... .. .... ........... :......................... .....:r.�..::..:..:.::.. }ir.�.: 1: .. -�. iii }: }::: �' : }: i .. ; :: «
w .... ....... . _.....:...., r..:. }: <: is ••. ; {.: r } >:. ... r.... . ..::::
..:. }iiitigij:ii:::i:•i:•:t : ?i::*: {. : ii i::`: !`. is �:: iv':i::Ciii: • :•:::liie:::::::.::.:.
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f = Fire P = PLM
< } }: { ;; :::.:.. '.i:.::.i:.i ;::.i: {:.::.:..:.;... i: • � « ><::::: , :i {::,:;.;i::i::,:'::«: >:ii: ' >: ?: { i::: i i�:::<:..:< >: {: } }: ?. }i: ?.;: � i :.:;.::. }::.
u =USA E =ELC
is >S = —
........: .: ......:::...:.......r....$�.... .................. �.:.: ..::::.::.:..::::::..:.,....... 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 :Vnatric,Doc
KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224 -2693
Phone: (503) 639.4082 • 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: � ODk C� �O-�
located at: 0 , f _ w a-�. y c.S I - 10-CO . HQ
I l `1- 9 + 4)ueen4(1 .
4 ,_); i(-2..
King City Representativ
I DSTSOKCINST.DOC
1
Fax:5032232630 May 4 '98 15 18 P. 02
CITY OF TIGARD
13125 S.W. Hall Blvd.
Tigard, Oregon 97223
REQUMED FIRE Low
WORK SHEET t
TO BE USED vvri FIRE FLOW CALCULATION INSTRUCTIONS
1 ) Building Name: k� Fire Dept Use Only
FMZ / /
2) Address: —'—
City/Co
3) Type of Strum= (Check I Box) • Date:
IFR,UFR
O II One Hour, M One Hour
O N Heavy Timber, V-One our
0 UN,IIIN • •
•
4 ) Total BuBd)ng a _. _ _ . - .
Use the largest aggregate floor area of all floors inclusive of m
by UBC Section 407 floor area. In �rtiaes as defined
successive floor areas shall I and II FR oonstrut oa only, the three
5) Building Fire Flow (BFF'): fh from
(See Fire Flow lculation Ca Instruction UFC Table A417 Aandout, Pg. 8) .
6 )' a Single Ocaupancy Hazard: •
- --- (BFF) X (Occupancy Factor) = R u•
eq � Fire Flow (fill in line 8)
b Multiple Occupancy Hazard:
Occupancy
— occ sq ft - bldg sq ft = _96BAtt
Occupancy
occ sgft� b id gs4 ft = SBA
Occupancy
occ sgft -— bldg =, %BA
Occupancy
occ s ft j bld sq ft =
7 ) Occupancy X Factor:
% BA X g p m BFF X
% BA X (occ fact) = FFttt
% BA X gpm BFF c X (o fact) = FF
% BA X gpm BFF X (occ fact) = FF
gpm BFF X (ooc fact) 22 FF
(FII in Lute 8) TOTAL
Fax:5032232630 May 4 '98 15:19 P.03
B) kiljaZIELgacaThEMIAZAM _ •
Use the following when a single fire flow area contains m iltiple'occupaney hazards. Each occupancy
will be broken down as a percent of the total fire floor area they occupy. The fire flow for each
occupancy will be calculated by multiplying the occupancy factor, fire flow and the percent of the area
that the occupancy occupies. Add the fire flow of all occupancies together to obtain the required fire
flow for the building.
Determine % Building Area
Occupancy Fire Area 96 of Building
(sq ft) Fire Area
1. Light Hazard Occupancy 4 arwo _ cl=o
2. Ordinary Hazard (Group I)
3. Ordinary Hazard (Group 2)
4. Extra Hazard (Group 1)
5. Extra Hazard (Group 2)
t.
TOTAL 421% r p ' 100%
Calculate Fire Flow
•
Occupancy Factor % Building Ere Flow = Fire Flow
(Instructions Sec 7) Areea (Instructions Sec 6) (gpm)
(Table A- III -A -1)
I. Light Hazard 1.00 X — % X 1 4200 gpm = 1 a
2. Ordinary Hazard (1) 1.20 X % X gpm =
3. Ordinary Hazard (2) 1.30 X % X gpm =
4. Extra Hazard (1) 1.40 X % X gpm =
5. Extra Hazard (2) 1.50 X % X gpm =
REQUIRED FIRE FLOW = t (coC7
C) REDUCTION OF FIRE FLOW (Fite Flow Instructions 5.B.3)
The fire flow from calculations A or B may be reduced by using only one of the following formulas.
The formulas are the reciprocal of instructions from Section 5(B)(3). Please circle the appropriate
formula
•
a_ Multiply Line A or B by 75% for full fire alarm or
b. Multiply Line A or B by 50% for automatic sprinkler protection or
c. Multiply Line A or B by 25% for central station supervised automatic sprinkler protection
• X
Calculated Fire Flow Reduction Factor Total Required Fue Flow
(From A or B above) (Listed Above)
D) AVAILABLE FIRE FLOW TO THE BUILDING: _ P M _ 1
22��, z: � ZZ �p�s
Please provide actual flow test results used in engineering calculations for estimating flows.
GEr_ TeS+
f o Fax:5032232630 May 4 '98 15:19 P.04
Delta F
P.O. Box 4010 Tualatin, Oregon 97062
14795 SW 72nd Avenue Tigard, Oregon 97224
(503) 620 -4020
Far: (503) 620 -1058
FAX TRANSMISSION COVER SHEET
Date: May 4, 1998
To: Case 6z Berman - Caner Case
•
Fax: 223 -2630
Subject: Water Flow Test
Sender: CJ Carole
YOU SHOULD RECEIVE 2 PAGE(S), INCLUDING THIS COVER SHEET. IF
YOU DC) NOT .RECEIVE ALL THE PAGES, PLEASE CALL 503- 620 -4020.
•
7n •A , f1C: A AA. t REV fltnr.GS`f!G: XP a lAT a H I Fall
,
m WATER FLOW TEST SUMMARY SHEET
-4 r" Hydrant Outlet CO. Pilot Press. Flow Residual pate: Time: Cont. No.
J —1 No. _ Inches Psi Wm psi
4D D 1 4 .. •.S 6 , 3 Z e. i 1'1 Cott . Name: M000,2' ` 'Q,it •�tA 6. _
1D 2 Add re s :_..4�1 4 11'1: `; . 4 _ Q E L. .�4 �sRK S'S'.
73
. _ 3 - —
m Total Flow - -- Static Press: 9Z psfl F1uw @ 20 psi . 7530. 9 gpm
_ , za CYYiW Wii iiWYWIiYNiiYIiW
k15 11■rrr■
110_ IOS I II I1I! 1 :]■r111r w
95 � w
x° 11■rr�r. w
111111111111111111 75 1111111111111M ---..-Im-- m. " ..'" w " ._" NW -MME
o 1111111111111111111111 i ______ „ r .......
35 co
i ui._
. ______ .... 0
_ 20 s li■ r
MEE
's - • DELTA
to S 1111111111111. ___ _ , FIRE INC. ,,, o
I kph C •00 800 II00 1300 7000 7+00 18001 )ZOO MOO eve
Water Flow gpm •
1731)(
Fax:5032232630 Jul 27 '98 11:16 P.02
Ns
•
EASEMENT FOR AUTOMOBILE DRIVEWAY STATE OF OREGON,
County of } ss.
I certify that the within instrument
• • ne " "" was received for record on, the day
of
o'clock .M., ands 19
recorded in
• book /reel /volume No. on page
'n
ONWERESERAM and/or as fee /file /instru-
FeR ment /microfilm /reception No.
RECORDER'S uae Records of said County.
• • • Witness my hand and seal of County
' �, nun to c .raao.sa. a affixed. •
NAME 11TLE
By , Deputy.
•
THIS AGREEMENT made and entered into this day of ,19 , by and
between _. aCbristita _Beaul.i,euzBazta,_L1iffoxcUL Ber ,tr _g012at>i_ILLook Ue_r 1cK, Dreggr
hereinafter called the first party, and lioakte _Kim_atad5sogngp_Kkab_tws4ar er+sLyeife
, hereinafter called the second party, WITNESSETH:
WHEREAS: The first party is the record owner of the following described real property in
County, State of Oregon, to-wit:
SEE EXHIBIT C ATTACHED
and the second party is the record owner of the following described real property in that county and state, to - wit:
• SEE EXHIBIT B ATTACHED
and the two parcels of real estate adjoin one another; and the patties desire to grant to each other an easement and right to use a
certain automobile driveway now existing or about to be constructed along and upon a portion of each parcel;
NOW, THEREFORE, in consideration of each party's granting to the other an easement hereinafter described, and other vale-
able consideration paid to each other, the receipt of which is hereby acknowledged: �
First party conveys to second party a perpetual easement for automobile driveway purposes, along and upon that portion of
first party's property described as follows, to -wit:
SEE EXHIBIT C ATTACHED
•
•
(OVER)
1 . Fax:5032232630 Jul 27 '98 11:16 P.03
•
Second party conveys to first party a perpetual easement for automobile driveway purposes, along and upon that portion of
second party's property described as follows, to -wit:
. NONE
Each party may use the whole automobile driveway in common with the other party, including that portion thereof situated '
on the property of the other party, for ingress and egress of automobiles and uses incidental thereto.
Maintenance and the cost of maintenance of all of the real estate described in this easement, if damaged by natural disasters '
or other events for which all holders of an interest in the easement are blameless, shall be the responsibility of (check one): ❑ both
parties, share and share alike; ® both parties, with the first pally responsible for ____5c..___% and the second party responsible for
.50 _% (If the last alternative is selected, the percentages allocated to each party should total 100).
During the existence of this easement, holders of an interest in the easement who are responsible for damage to the easement
because of negligence or abnormal use shall repair the damage at their sole expense.
In construing this agreement, where the context so requires, the singular includes the plural and all grammatical changes shall
be made so that this agreement shall apply equally to individuals and to corporations. If the undersigned is a corporation, it has caused '
hs name to be signed and its seal, if any, affixed by an officer or other person duly authorized to do so by order of its board of
directors -
IN WITNESS %I/HEREOF, the parties have hereunto set their hands in duplica n . • / • ea i st written above.
Z 1 - .4e ._ fr. dtg o: 4 .,„...„,-e--------.
i
/i ' . �
STATE OF OREGON, County of ____ WASHING 11K
b ent was a owled ed before me on epo s s. - - , 1947_,
This instrument was ackn led before e
by _
as
of
Notary Public for O gon U
My commission e I �' 1 •- •t
;;. / !'� OFFICIAL SEAL f • ' - / :��'±, ° : ROSEMARY DAY /
�
7.472ut _ __ __....... -._... t o; - NOTARYPOBLIC- ORE( ., f / `:,. COMMISSION NO.tw:':' .
- - - -" "- MY COMMISSION EXPIRES AUG. 0'. X90 / ,
�� �- ttti�t tititit1titit`t` • ti »!
• STATE OF OREGON, County of kifilllinIQN ) ss.
Tstrument was acknowledged before me on 41 , 19 9$_,
by — I� his in t - -t _ --- -�,t4"'`' - --
This instrument was ac ledged before me on , 19 ,
by
4 i =�•, OFF I jAL SEAL
C :''..4-1:40,; ROSEMARY DAY
NOTARY PUBLIC - OREGON
'' `` . : ∎ COMMISSION NO.044254 / _ ___
MY COMMISSION EXPIRES AUG. x6,1999 � Notary Public for Oreg
ti`t titi 1titi tititi �titittitil�ti _.
My commission expires __A8..86.,99.
• , Fax:5032232630 Jul 27 '98 11:17 P.04
EXHIBIT B
The following described trat of land in the Southwest one - quarter of
Section 10, Township 2 South, range ..1. West, Willamette Meridian, in
the City of King City, County of Washington and State of Oregon:
•
Beginning at a point located on the South line of Parcel 2 as described
in Deed Book 863, page 516, said point being South 31 32' 32" East 65.78
feet and South 66 10'East 158.25 feet from the most Easterly corner of Lot
1. Block 5, ZINC CITY N8. 2, thence South 23 50' West 130.00feet along the
West line of that tract Of land described in deed to Northridge Investors,
a partnership, recorded September 7, 1983, Fee No. 83032688 to the
Southwest corner of said Northridge Investors tract; thence North 66'10' 00"
Vest 116.32 feet along the Northerly line of that tract of land described
deed to Larry L. Draper, et al, recorded December 28, 1984. Pee No. 84050020,
to a point; thence along the Easterly line of said Draper tract, along the
arc of a 170.47 foot radius curve having a central angle of 28 57' 10"
(the chord of which bears North 38 18' 22" East 85.23 feet) an arc distance
of 86.14 feet to a point; thence continuing along the Easterly line of said
Draper tract North 23 50' 00" East 47.48 feet to the most Northeasterly
corner of said Draper tract; thence South 66 10' East co the point of be-
ginning.
•
• Fax:5032232630 Jul 27 '98 11:18 P.05
EXHIBIT C
Beginning at the point located as follows from the most Easterly cornet
of Lot 1, Block 5 of the duly recorded plat of King City No. 2, as
recorded in Plat Book 23, page 20 -A. Washington County Plat Records,
South 31 ° 32'30" East 64.78 feet and South 66 ° 10'00" East 47.24 feet,
being the true point of beginning; thence along the center line of a
32.00 foot wide strip of land being 16.00 feet on each side of said
center line when measured at right angles thereto, South 23 ° 50'00"
West 47.48 feet, thence along the arc of a 154.47 foot radius curve to
the right having a central angle of 34 °37'30 ", the chord of which
bears South 41 ° 08'45" West 91.94 feet (an arc distance of 93.3S).
thence South 58 ° 27'30" West 60.00 feet to the terminus of this easement.
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0109
MOOKI DENTAL LAB
11755 SW QUEEN ELIZABETH ST
03/02/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
-- -- - -- -- - - -- -- - --
BUPAl25 Stop Work Order Placed / / / / 10/09/98 PER RC: Plumbing done without permit. STOP RC 10/09/98 J *H
Plan review will possibly determine that
corrections will need to be made.
BUPA730 Insulation Insp / / / / 10/09/98 PASS RC 10/13/98 J *H
BUPC005 Application received / / / / 03/02/98 RECD GEO 03/06/98 GEO
BUPCO05 Application received / / / / _02/05/99 02/05/99 ROC
BUPC008 Permit created / / / / 03/06/98 DONE GEO 03/06/98 GEO
BUPCO10 Check for prcl. restrict. / / / / 03/06/98 PASS GEO 03/06/98 GEO
BUPC012 Plans routed to Plans Examiner / / / / 03/06/98 PASS GEO 03/06/98 GEO
BUPCO26 Approved Plans routed to DST5 / / / / 07/27/98 APPR RDP 07/27/98 RDP
BUPCO29 DST Post Review Completed / / / / 07/28/98 DONE DLH 07/28/98 DLH
BUPC070 HOLD FOR (Note in Action Memo) / / / / 08/05/98 NO INPSECTIONS UNTIL HOLD RELEASE. 08/05/98 JT
ACCOUNT CLOSED CHECK RETURNED TO
ACCOUNTING DEPT., QUESTIONS? CALL
PHYLLIS EXT 353
BUPC070 HOLD FOR (Note in Action Memo) / / / / 08/21/98 check returned to Accounting. No HOLD JMT 08/21/98 JT
inspections until this hold is released.
Any questions, contact Phyllis x353
BUPC070 HOLD FOR (Note in Action Memo) / / / / 10/07/98 Per Hap, hold framing inspection and HOLD JMH 10/07/98, J *H
further until plumbing and sewer permits
are paid and issued (double fee plumbing
permit fee).
BUPC075 Hold Release to issued Status / / / / 08/18/98 no permit issued for temporary HOLD CD 10/05/98 GES
electrical service
THIS IS A WACO PERMIT
BUPC075 Hold Release to Issued Status / / / / 09/01/98 fees paid at Finance Dept on 8/31/98. JMT 09/01/98 JT
Inspection requests for 9/1/98 will be
honored, however, if this check is
returned Hap W. will place a SWO on •
project. Hap is conveying this
information to Charles Kim, 209 -1606.
Jeanne T.
BUPC075 Hold Release to Issued Status / / / / 10/19/98 plumbing & USA permits PASS JMH 10/19/98 J *H
obtained /paid /issued.
BUPC090 (F) Ready to issue / / / / 07/28/98 Need copy of general contractor's PASS DLH 07/28/98 DLH
current CCB.
BUPC100 (F) Issue permit / / / / 07/28/98 DONE DLH 07/28/98 DLH
•
Page No. 2 CASE HISTORY FOR CASE NO.: BUP98 -0109
MOOKI DENTAL LAB
11755 SW QUEEN ELIZABETH ST
03/02/99 •
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
--- --- -- -- -- -- - --
BUPC465 «REINSPECTION» / / / -/ 10/13/98 hold -downs not installed 100998/RC PAID GEO 11/04/98 J *H
paid re- inspection fee of $15.00 on
10/13/98, receipt #98- 309932.
BUPC465 «REINSPECTION» / / / / 10/19/98 3RD FAILED SHEAR WALL INSP. PAID RC 11/05/98 DST
Paid 98- 310577 11/05/98 jsd
BUPC465 « REINSPECTION» 11/04/98 / / 11/04/98 Paid 98- 310577 11/05/98 jsd PAID RC 11/05/98 DST
BUPC465 «REINSPECTION» / / / / 02/05/99 2ND FAILED SUSP. CEILING 1500 RC 02/05/99 ROC
BUPC520 Mechanical Permit Required 07/27/98 / / / / MEC98 -0399 HAS 10/27/98 J *H
BUPC530 Electrical Permit Required 07/27/98 / / / / WACO 10/27/98 J *H
BUPC565 Plumbing Permit Required • 07/27/98 / / / / HAS 10/27/98 J *H
BUPC705 Foot /Found Insp 07/27/98 / / 08/14/98 # -1 submit plot plan with correction FAIL KS 08/19/98 KBS
dimensions
BUPC705 Foot /Found Insp / / / / 08/19/98 Exterior foundation walls only. PASS WDJ 08/20/98 WDJ
Finish installation of hold downs
(straps) per plan.
BUPC707 Footing Drain 07/27/98 / / 09/01/98 UNDERFLOOR CRAWL DRAIN PASS TLP 09/01/98 TLP
BUPC710 Post /Beam Insp / / / / 09/01/98 PASS TLP 09/01/98 TLP
BUPC716 Reinf Steel Insp 07/27/98 / / / / 07/27/98 RDP
BUPC725 Slab Insp 07/27/98 / / / / 07/27/98 RDP
BUPC725 Slab Insp / / / / 01/22/99 INT.SIDEWALK FOR HANDICAP AT REAR OF PASS RC 01/22/99 ROC
HOLES •
BUPC740 Framing Insp 07/27/98 / / / / HOLD THIS INSPECTION, PLUMBING INSTALLED HOLD 10/20/98 DGW
WITHOUT PERMIT AS OF 090198.
•
UPDATE ACTION AS SOON AS PLUMBING PERMIT
IS ISSUED.
// /Permit issued - Released for framing
inspection and beyond - hap... ///
BUPC740 Framing Insp 10/27/98 / / 10/27/98 Mechanical room not shown on plans - FAIL RC 10/27/98 J *H
resubmit plans for revision and
approval.
BUPC740 Framing Insp 10/27/98 / / 10/30/98 no plans on site FAIL RC 11/02/98 J *H
Page No. 3 CASE HISTORY FOR CASE NO.: BUP98 -0109
MOOKI DENTAL LAB
11755 SW QUEEN ELIZABETH ST
03/02/99 •
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- --- -- - - - --- - --
BUPC740 Framing Insp / / / / 11/03/98 1. Place hurrican clips where missing. FAIL RC 11/04/98 J *H
2. Provide fireblocks where missing in
tall walls.
3. Strap wall where plates do not
overlap. .
BUPC740 Framing Insp 11/04/98 / / 11/04/98 1. Strap walls where plates do not FAIL RC 11/04/98 J *H
overlap (2nd notice) marked.
• 2. Place hurrican clips where missed
(2nd notice) Hip trusses.
BUPC740 Framing Insp 11/04/98 / / 11/12/98 PASS RC 11/15/98 J *H
BUPC750 Insulation Insp 07/27/98 / / 11/12/98 PASS RC 11/15/98 J *H
BUPC757 Shear Wall Insp 07/27/98 / / 10/05/98 SHEAR NAILS TOO DEEP 80% FAIL GS 10/07/98 GES
WEST CENTER PANEL 2 STUDS MISSING [MORE
THAN 16 "0C
HOLD DOWNS MISSING, OR IN WRONG PLACE OR
WRONG TYPE HAVE ENGINEER REVIEW COMPLETE
INSTALLATION AND SUBMIT STAMPED
CORRECTIONS OR ACCEPTANCE DOCUMENTS _
letter of corrections in file
BUPC757 Shear Wall Insp / / / / 10/09/98 1. Holddowns not installed as per plan FAIL RC 10/13/98 J *H
and revisions. Don not cover. 2nd
notice. $15.00 reinspection fee
assessed.
STOP WORK PLACED AT SITE UNTIL PLUMBING
PERMIT IS ISSUED AS PER HAP WATKINS.
NOTE: Expoxy placed bolts will need to
• be inspected by special inspector.
BUPC757 Shear Wall Insp / / / / 10/19/98 PLAJNS CALL FOR 2 CS16 AT AIR COMPRESSOR FAIL RC 10/20/98 DGW
ROOM
BUPC757 Shear.Wall Insp / / / / 10/20/98 PASS RC 10/20/98 ROC
BUPC760 Gyp Board Insp 07/27/98 / / 11/30/98 1. NOT COMPLETE FAIL RC 11/30/98 ROC
2. RENAIL WHERE LESS THAN 3/8 IN FROM
EDGE OF SHEETROCK.
BUPC760 Gyp Board Insp / / / / 12/02/98 PASS RC 12/02/98 ROC
BUPC762 Susp Ceilng Insp 07/27/98 / / 02/02/99 1. NEED STRUTS AND SPLAYS IN ROOMS FAIL RC 02/03/99 ROC
EXCEEDING 144 SQ. FT.
2. NEED ELEC APP. BEFORE CEILING INSP.
•
Page No. 4 CASE HISTORY FOR CASE NO.: BUP98 -0109
MOOKI DENTAL LAB
11755 SW QUEEN ELIZABETH ST
03/02/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
' Code' Sent Done Done Date By
BUPC762 Susp Ceilng Insp / / / / 02/05/99 STRUTS AND SPLAYS MUST BE WITHIN 6 FT. FAIL RC 02/05/99 ROC
OF EA WALL
OK TO SET TILES IN RMS LESS THAN 144
SQ.FT. IN AREA •
BUPC762 Susp Ceilng Insp / / / / 02/17/99 PASS RC 02/17/99 ROC
BUPC790 Appr /sdwlk Insp 07/27/98 / / / / 07/27/98 RDP
BUPC792 Misc. Inspection 07/27/98 / / / / 07/27/98 RDP
BUPC792 Misc. Inspection / / / / 10/07/98 Per GES 100598: NOTE 10/07/98 J *H
Have engineer review complete
installation and submit stamped
corrections, or acceptance documents as
requested at shear inspection .
BUPC792 Misc. Inspection / / / / 01/14/99 HANDICAP ACCESS TO BE AT REAR. OF CONE RC 01/14/99 ROC
BUILDING WITH DIRECTIONAL SIGNS FROM
FRONT TO H/C ACCESS.
HANDICAP ACCES MUST BE PROVIDED TO THE
PUBLIC WAY.
BUPC792 Misc. Inspection / / / / 02/12/99 need to change male adapters on shower PASS MS 02/12/99 MRS
valve
BUPC802 Final Inspection 07/27/98 / / 02/24/99 The shower shall be accessible - See FAIL RC 02/25/99 ROC
OSSC, Section 1108.2.1, Exception 1,
• which does not apply. I have advised the
Architect of same. ?s see Bob P
1. GLASS IN FOYOR MUST BE INSTALLED
-TEMP GLASS IN ALL AREAS MUST BE
INSTALLED
2. ALL [B] DOORS MUST BE INSTALLED WITH
SELF CLOSING - LATCHING MECHANISMS
3. DRAIN UNDER KITCHEN SINK MUST BE
PROTECTED
• 4. EXTERIOR DOORS MUST BE WEATHER TIGHT
5. NEED [2] FIRE EXTING. AS PER PLAN
BUPC802 Final Inspection / / / / 02/26/99 tempered glass relites are on site and PASS GS 02/26/99 GES
aer beeing installed by contr
previous corr on final dated 2 -24 -99 by
rc pass
BUPC950 (F) Issue Cert. of Occupancy / / / / 02/26/99 - 03/02/99 JT
• • .
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G BUP : L%, 0'
2-6/07c ,Date Requested i -27 " 0 x PM BLD 4 8W ,
Location / 5 �► / _ � � 4_/ ,/ j r 4 . uite / / MEC MIN
Person / Ph 20 —/606 PLM -
Contractor Ph SWR
f r � � ELC
UILDI Tenant/Owner • •�. 4 1
Ant-
Retaining Wall ELR
Footing Access:
Fou dation FPS
pp SGN
Crawl 'rain Inspection Notes: (died GcJ / :3 ` pe SIT
Slab �/f ,,
Post h Beam Cdl d 470 �� ilri'' Q- . Ili - �� I .
Ext Sheath /Shear l�L
Int Sheath /Shear
Framing
Drywall on \
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 'V."1 �� —_ -�
Roof ���� LAT I Uri \�
Misc:
Final FM. _� /r i���
,PASS FART FAIL
;eL,UMBING
Po51$13eam
Under Slab
Top Out
Water Service Ara ���` =�,. ��
ewer y, ATii� ` — IT1 _
i r PART FAIL
NICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL -
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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
Other Date C/ 2 / Inspector ��i Ext
Other
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
. BUP 9, — � /O 9
�1As 4 IVP Date Requested �� , AM .‹.- PM BLD
Location // 7S$ c::Zl_zoiX) Suite MEC g/�� Vd1 ,'
Contact Person Ph o /(Q /o7-- PLM
Contractor Ph SWR
UI Tenant/Owner ELC
Retaining Wall ELR
Footing Access: •
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab (410e) ,/�� j/ (.e 1 SIT 9,-f DOD,
Post & Beam /° JJJ
Ext Sheath /Shear •
Int Sheath /Shear _
Framing C� /' �� �-1��� . /A.� , r11i ��r�b
Insulation ,--
— / �J f
Drywall Nailing -n - __..t -ceit te,.. efe-e s ' . ,��' e- - • -,4
Firewall
Fire Sprinkler �.o- -C -.et_ V
Fire Alarm ` ,2 9 e
Susp'd Ceiling � `� 1.��,,.�rM^f�?i� -� � -.P-L! � � ��.� e. frt , t ,
Roof /
ina
i j
PART FAIL
PLUMBING
Post & Beam
Under Slab �„-- P.A , �,,t�_4 ,-.01_.,- �.tiCVa c „..,--,-- /J.� i
Top Out
Water Service 7. ...,--Z7 r ' ic.a y � it:ele
Rain Drains Sewer �� �, /G �O��Q/ -! C a'
Rain Drains 1;
Final
PASS PART FAIL
CHANICa) 1 41-f -e e.2 vi- 'c —7, t ,,,- Q �
Post & Beam
Rough In �_ ? r'_ 9 j ! I
e Dampers
/� P P
Gas
Smoke D
' ASS A RT FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PART FAIL
SIT
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 7 — ‘ --? 7 Inspector Ext
C AI' PART . FAIL DO NOT REMOVE this inspection record from the job site.
P 1