Permit ,CITY OF TIGARD
�a I DEVELOPMENT SERVICES BUILDING PERMIT
�`"' K �3' ( � ' PERMIT # • BUP97 -0050
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 02/04/97
0 410 ' PARCEL: 2S110CA -01701
SITE ADDRESS...: 15300 SW ROYALTY PKWY ® � el) SUBDIVISION ZONING:
BLOCK LOT °
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 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.:53 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 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: 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. $ : 11500
Remarks: TEAR OFF AND RE —ROOF, CLASS A
Owner: FEES
#1175 ARCO AM /PM type amount by date recpt
15300 SW ROYALTY PKWY PRMT $ 92.50 J *H 02/04/97 KING CITY
PLCK $ 60.13 J *H 02/04/97 KING CITY
KING CITY OR 97224 -0000 SPCT $ 4.63 J *H 02/04/97 KING CITY
Phone #: 000- 000 - 0000
Contractor:
MENG— HANNAN
5906 SE 122ND AVE
PORTLAND OR 97236 -4607
Phone #: $ 157.26 TOTAL
Reg #..: 004728
.REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the ..4_41.4_. ' dl
Tigard Municipal Code, State of Ore. Specialty Codes and all other 4}OWILu.
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.
Permittee Signature: fdeke2,42.4.4.4"N
Issued By: _ .
41% i �!i
'., A i .1 41.. '.
Call for inspection — 639 -4175
__._._ _.. ..... .FEB- 05 —'97 WED 00:19 ID: FAX N0: vela P02
Comm e rcial Building Permit Redd B tom)
CITY OF TIO�tRD Date Recd `l ti 1
13125 SW HALL BLVD. New Construction bate to P.E.
TIGARD, OR 97223 Date to DST A,- q —5/
(503) 639 -4171 Permit 0
Print or Type Related SWR 0
Incomplete or illegible applications will not be accepted called_
A.) In existing building (3 New Building ❑
Name of Development/Project
Job B.) Commercial (j Residential ❑
Address Street Address Suite
i 5300 s0) R'I"°1 No. Of stories
Bldg a City/State Tip Building
0 „ C f 4 z t Data
Name /41 Rtc (f ',../ Sq. Ft. of project
Owner Mailing Address Suite
4 fie., - " �' Occupancy Class(es)
csca(4[� C4 Zip Phone
0 23 "Type(s) of Construction
Name ,A�� �
K -e - t -O Will this project have a F IRE i
Occupant Maimn�Adoo - Suite SUPPRESSION SYSTEM? Yes I No
^ City /State ` Zip Pnona ❑
Xt� city cr 12 4 tigto
Name �/
+"! Ii,,,i,....
Contractor Mailing Address Suite '
.5 - '104 •„S da 12.2 - hereby aclmowledge that I have read this application, that the information
/ State Zip P110110 given is correct, that I em the owner or authorized agent of the owner, and
Ci r, *I v O 1'12.14 that plans submitted are in compliance with Oregon State Laws,
Oregon Const. Cont. Board Lic.# Exp. Date
Attach Copy et Signature of Owner /Agent 1 Date
Current Oregon Cont. Cont. Board Lic.# ate
Llosrtess a l 7 2 a3 . ? Phone
COT Business Tax or Metro s - gitp. D to tad Person Name
Name
Architect
Mailing
Address
Suite
or FOR OFFICE USE ON
Cit yl state Z"ip Phone , Ni9prGF�N'.,.: _ � :(:: _ .,. �'�•;��?t,
Engineer ;:: _� �; , , :; p ; ! . ,.. i ; „. ' -
e work to be dome : ,:..•': ;, ••�` ':..
Describ 0 Not ' 1�� .r �”
r� � •: r � :.M :. •„t• r' •1M,[ • j e w. }yK.. • . _
New 0 Addition 0 Alteration 0 Repe / ,a . : , ' r,. ' ¢ . ' i. *'' • "= .
..1..,i a � ':Y ,C'• • : , Ya p', ' � _ t� . �R : :4' , u .: i i : .np•.:t4 4.11 . . ! , '•' ,.� ry! •. ":'
• �dihonal description of work .g- .. r, ' ' . '..1s; - ox ti )i .440:,, x:, /. •. •. ;. ,., •
IW eaetp :C �I : Y p � � • y �. I.- . p.� q ., � ,,,,y; ,• _ Y v m • t . :,. .
• , , ail(µ'',. . e4 -,: "..- '''X: i°� ; y 1 ' c : ♦ . F?.,�' ' ,
r�i f' :...g:'' $ ��e:� _:( y': j • �,. d' `:r M .�::H�-,.is , :fJ fig., �...
" .d.� r ';;, '�1.:.. :;g�. at• :, n '::;���c'�'.• � S tt : a te , - ^ ' .
.�j p '�.l • �1:.. �� � .. d,�,� • �I.,!::.i71. :V:t '�� ,�� N,..S:r. .,0 _ �� i :;
E xisting use of ! N .: r.•r1iM.• ?� . 4 i •r'r. ,rt';i ' . ,•f• .....7.412,-......,..,•::..... •
• building or property - 71 : ..c• x ° :, ;. W . . ` _ ;' :' �.: • Proposed use of •':y ; qx ad' ; y , ; : : • building or property ' r' ;-•i • ' :`: '
i :idatslcommapp.aoc 8/96
5/24/00 Activities for Case #: BUP97 -00050
2:41:02 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 2/4/97 JMH OTC J'H 2/4/97
BUPC008 Permit created 2/4/97 JMH KC J *H 2/4/97 SENT TO KING CITY FOR
PAYMENT AND ROSIE'S
APPROVAL
BUPC012 Plans routed to Plans Examiner 2/4/97 JMH JF J *H 2/4/97 OTC APPROVED BY JIM F, UL
SPECS STAMPED
BUPCO24 Plans Approved /Routed to DSTs 2/4/97 JF J'H 2/4/97
BUPC802 Final Inspection 2/4/97 J *H 2/4/97
BUPC100 (F) Issue permit 2/4/97 JMH PAID DST 2/4/97
BUPC160 Expired by limitation 4/30/00 HAP DONE No Hold AKJ 4/30/00
•
Page 1 of 1
FEB- 05 —'97 WED 00:22 ID: FAX NO: #704 P06
• . „
OVER THE COUNTER COMMERCIAL ( STRUCTURAL) BUILDING' PERMIT CHECKLIST
PERMITTEE: ( A th",„„let GoK • DATE: • ' Fes Y•
,. IT??
•
SITE ADDRESS: j 53 pb S . R o y 4,h ? , pA DEVELOPMENT NAME: .
•
REISSUE:• FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: /f L 1 FIRST SQ. FT. N: ' S: E: • W:
TYPE OF USE: P o ,fi SECOND.. • • SO. FT PROTECT OPENINGS ?: . . •
TYPE OF CONTR.: if A/ THIRD . . . SQ. FT. N: S: E: W
OCCUPANCY GRP: 3 TOTAL— SQ. FT. ROOF CONT: FIRE RET:
OCCUPANCY LOAD: BASEMENT: AREA SEP. RATED: • •
STOR: HT:_ . FT: GARAGE OCCU.SEP.RATED: • • •
BSMT?: MEZZ ?: REVD SETBACKS . REQUIRED
FLR LOAD: • : P5F LEFT: • FT RIGHT: FT FIRE SPKL: SMOK DET:
DWELLING UNIT: FRONT: FT REAR: FT . FIRE ALRM: HNDICP ACC:_
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
NOTES: •
VALUE$ kj;a . • . •
•
•
•
•
•
I:►dsttevrentr2
•
05 -' 97 WED 00:20 I D: FAX NO: _ 14704 P03 • A .:
� . .� ;0' 98 1 17 '1lt$ 684 729? `'` CITY OF 'IICARD. :' 0003/010
;•+ -.._. �: \�•" '.: din A t.:. ..
Permit 3 Account Description Amount Amt Pd. Sal. DUO
�__ Bldg. Permit (BUILD) g liP11.1)
Plumb. Permit (PLUMB) ,I , 1 — _ •
•
Mach. Permit (MSCH) 4
/
State Tat (TAX) � 3 `�` . —
Bldg:
Plumb:
Stem:
Plan Check (PLANCK) [Oa (3 ( ,1
w
Bldg:
Plumb:
Mech:
Sewer Connection (5WUSA)
•
Sewer Inspection (SWINSP)
Parks Der Charge (PK50C) ►
•
Residential TIF (IF
Mass Transit TIP (TIR•MT) _��∎ ■..
Commercial TIF (TIF -C)
•
•
Industrial TIME (T1Fa)
Institutional TIP (TiF -1S)
Office TIP (TIF
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fite Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion PlancidUSA (ERPLAN) -
Erosion PlanekJCOT (EROSN) _
TOTALS: 15 7.2 t 5 7.
----------- • FEB -05 -' 97 WED 00:20 ID: FAX NO: #704 PO4
CITY OF ;TIGARD COMMERCIAL Permit #:
13125 SW FIALL BLVD. Date Rec'd:
TIGARD OR 97223 OE- ROOFING PERMIT APPLICATION Bldg: $
V- 503 - 6394171 X304 n Plan Chk: $
F -503 -684 -7297 C I or ille illegible applications will not be accepted Sur, Chrs:$
� �`� 1 Incomplete 9� PPl
�
Name of Development/Business
Date work is to begin: 714 Date Completed
JOB Addr NEW ROOFING ASSEMBLY
SITE S . (�o
3cUU fuyG /�y ft
B uilding Use
Name • #2 . New Roofing Material Documentation (UBC Appendix 15)
_A9-1. 4A .4 /( all 1. ! J / Please Fill Out Applicable Sections &
OWNER Mailing Address Attach Copy Of Roofing Specifications
,y 4'91 i< y.:3:oi t 1Y1
City/ t Phone
1.a d� CK Zip PU
Name �v ?,-/u4‘ Listed Assembly:
III. eh A-I1 Jqj t Pt all I A
ROOFING Mailin r- 1. Specification #: cvu A a
CONTRACTOR 5 e s, /1.1-
(Ali licenses qty/State Zip Phone Manufacturer C. f. / ! a
U •(
have to be 1 p i-/ 4 md G, / l)
current at State Constr.Contr. Board # Exp Date UL Classification: 'd-// 'r °pa
time of r / ?Z,.3 % y/, 7
issuance) COT Bus. Tax or Mcctro Lie # Exp.Date (or) Warnock Hersey:
Describe ne: (circle one) Listed UL Building Materials Directory Page #:
Listed Warnock Hersey Directory Page #:
RE -ROOF REPAIR
(PROVIDE COPY OF ASSEMBLY)
C - PROCEED to SECTION W.
2. ICBO Research #:
Dated:
LPROVIDE COPY OF ASSEMBLY )
B. Existing roof covering to REMAIN:
(NOTE: AN ENGINEERS REVIEW OF STRUCTURAL MATERIAL. SPECIAL PURPOSE ROOFING: WOOD SHAKES*
IS REQUIRED PROCEED TO SECTION #2)
*REVIEW REQUIRED BY PLANS EXAMINER
VALUATION OF PROJECT: $ //, ? ?e
Existing Deck Type:
I NEARBY STATE THAT THE ABOVE INFORMATION IS
TRUE AND ACCURATE .
Combustible ( <)
SIGNED £L ikeilf.A.4.-
Non - Combustible ( ) _
DATE: \ a cI - '1 7
1:lrvofcod 1/97 (DST)
CQMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Inspection CDC Review /Building $
Post/Beam inspection
Structure Steel Inspection CDC Review /Planning $
Reinforce Steel Inspection
Slab Inspection (C) Water Quantity Fee $
Tilt - Up Panel Inspection
Masonry Inspection (C) Water Quantity Fee $
Framing Inspection 5 -d
Roof Nailing Inspection (C) Permit Fee $ 9 -
Insulation Inspection
Shear Wall Inspection (C) Plan Rev.Structure $ 61) J3
Firewall Inspection
Gyp Board Inspection (C) Plan Rev.Fire $
Suspended Ceiling Inspection
Reinforced concrete final report (C) 5% State Surcharge $ 4 3
Bolts in concrete final report
Prestressed concrete final report (C) Dev. Charge - Parks $
SMRF concrete final report
SMRF welds final report Add'l Permit Fee $
Structural welding final report
High strengths bolts final report Add'I Plan Rev - Struc $
Structural Masonry final report
Fire - proofing final report Add'I Plan Rev - Fire $
Piles /caissons final report
Shotcrete final report Misc. Fee $
Engineered grading final report
Lic.fabricated steel final report USA Erosion Permit $
Structural observ. Final report
•
Sprinkler Underslab Inspection Erosion Plan Ck - USA $
Sprinkler Rough -In
Sprinkler Final Erosion Plan Ck - COT $
Fire Alarm Inspection
Smoke detector inspection Inspection Fee $
Pump /Fill septic tank
Structural observation final report
Sprinkler Underslab Inspection
Sprinkler Rough -In
Sprinkler Final
Fire alarm Inspection
Smoke detector inspection
Pump /fill septic tank
Cap sewer line
Appr /sdwlk Inspection
Misc. Inspection
Ponding before tear -off
Dryout after tear -off
Final inspection
OVER THE COUNTER COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
PERMITTEE: Merl f c „hK Gc�;l`' DATE: ,P `/ J ( VI?
SITE ADDRESS: J S3 oc9 ,5 j R PA DEVELOPMENT NAME:
REISSUE: FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: /ft- � FIRST SQ. FT. N: S: E: W:
TYPE OF USE: (0 //'' SECOND.. SQ. FT. PROTECT OPENINGS ?:
TYPE OF CONTR.: V A/ THIRD SQ. FT. N: S: E: W:
OCCUPANCY GRP: L- 3 TOTAL SQ. FT. ROOF CONT: FIRE RET:
OCCUPANCY LOAD: BASEMENT: AREA SEP. RATED:
STOR: HT: FT: GARAGE OCCU.SEP.RATED:
BSMT ?: MEZZ ?: REQ'D SETBACKS - - -- -- - REQUIRED- ---- -- ------- -___ -_
FLR LOAD: : PSF LEFT: FT RIGHT: FT FIRE SPKL: SMOK DET:
DWELLING UNIT: FRONT: FT REAR: FT FIRE ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: . PRO CORR: PARKING:
NOTES:
VALUE $ //) 3 ;l>
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