Permit A CITYOFTIGARD BUILDING PERMIT
% �� � i �� A DEVELOPMENT P � SERVICES DATE 2
PERMIT ISSUED: O8i7 - 03 39
Tigard, (503)639
PARCEL: 1S134BC -00100
SITE ADDRESS...: 12120 SW SCHOLLS FERRY RD
SUBDIVISION ZONING:C —G
BLOCK LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:REP 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.:8 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 ?: REG!D 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. $ : 5000
Remarks : Replace rotted glu -la. °exterior°. No other permits required.
Owner: FEES
BILL SAUNDERS JR. type amount by date recpt
PO BOX 80666 PRMT $ 50.50 DLH 08/27/98 98- 308654
PORTLAND OR 97280 -1666 5PCT $ 2.53 DLH 08/27/98 98- 308654
PLCK $ 32.83 DLH 08/27/98 98- 308654
Phone #: 246 -9694 FIRE $ 20.20 DLH 08/27/98 98- 308654
Contractor:
C EMEIS & CO
2519 N MISSISSIPPI
PORTLAND OR 97227
Phone #: 282 -0931 $ 106.06 TOTAL
Reg #.. 7000
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
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. 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-%101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: S/y//.i1 /; %J/ Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Tan. Fumik t'e_49-Ai 0 . ? - f %
CITY_QE J ? GARD Commercial Building Permit Application Recd By • 4 w/7 i
Date Rec'd / 2 7
131 ?5 SW HALL BLVD. Tenant Improvement Date to P.E. .P Z7.
TIGARD, OR 97223 Ote,_. Date to DST , µF
(503) 639 -4171 Permit # / YP " d 3 3 cl
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building J' New Building ❑
Job Geu1Vltl/4Y Tor,) CF_NT6(
Address Street Address sGl icu 5 1� � Building
/242-() SW fE,Ql2Y f F 1 dl-/ -1 Data
Bldg # City /State Zip Existing Use of Building or Property:
TIC RO, 012 'HD /Q,ETi4/L .
Name
Property 8 /LL SNAJIMS Ie, Proposed Use of Building or Property:
Owner Mailing Address Suite
PD B1 ( So666 No. Of Stories:
City /State Zip Phone
Pope rum/4 oQ R7ZSo -/(( 2y(, -Yl9q Sq. Ft. Of Project: DO
Occupant Name •
Occupancy Class(es)
Name
Contractor 6.1 E/96 6 dl- Go, Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy 5 N fl/33/$//// Will this project have a Fire Suppression System?
of all licenses • Yes ❑ No ❑
are required if City /State Zip 2
Phone
expired in C.O.T. f D,,T/,44) 04 61722.7 _ Z- 09 3/ Americans with Disabilities Act (ADA)
database / Valuation X 25% = $ Participation
Oregon Const. ont. Board Lic.# Exp. Date Complete Accessibility Form
/2.-3/-98 Project $
Name Valuation ���
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
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 _
G/e 4A 1 Q V�S Sign er of Ow)►e` /Agent Date
Mailing Address Suite - i _ �. _.q
/N/ SW F /FT M 4'F• 25 Cdntact • - onName ��J/
City/State Zip Phone / / _ 7
PoRT/ vJ c - / j7 -325/ iiLl� : % ! , IIP
FOR OFFICE USE ONLY
indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair Other 0 Notes:
Description of work:
TACK UP E? T/i/6 GLULAM d BcLT TIF:
Pak/ 6WMM atiTo ExiIsT /A/G -
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I : \COMNEWTI.DOC (DST) 5/98
is - '
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Man::i1Ar1ew1s1d0 :: en4entu: 6:00: 0r00.::.....:, 8� .:::..:.:........ ............................... ........... ....... ....... .................
a
.............. ............................
is :a >` lgeir` an > g:::.:ti i. >`safiN.:.:.::.'�� <..:::g § G §a...ori a€s.. > o ,::a rt.:...:. ::.: <.:::.::....-.::::::::
'. ib i i <df th i ::,.. i isi ' at #i ibta bet 'r::o ar ri w.... r..b §.rte .
Atiii13.iik itoalnt;:: < <:r:. q:: est
iiiiiiiikiitliai1.00figittiiiiiiiiitiON#41660§WOOP:titi#90:.:045tONANCein
Waslin o1C+aijraiTgeiatiri >al R9?0ife.. &.... �s+ oue .........:........:........:..................... ....................... .. ......
o1al :; f <
KEY:
ktt: •
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
<::o :: :;:i:
..;.ii % ?�:r v`.... • .... .. .. �:,:: �.: �`''''°.. �:. :.:::. ... :.�;` >:::;;:
o
NOTES:
.: $.. h : c: �`. gibltttO�$.: Ui.:. 1 ...:::::::::::::::::::::.:::::::::::::.::.8::::::::::::.: _.:::::::::::::::g.::.;::.
I:\dstslmaxtrixl .doc 07/06/98
. OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: „ G, C.e t o (f P� CTL Li -L y Z1174 .p p / 0 r /l p( P
A ) b7W-e - , ea- oral i T) 6- `(
CLASS OF WORK: fA p FLOOR AREAS: 7I4---- EXTERIOR WALL CONSTRUCTION
TYPE OF USE: . FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: 6 SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: g THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 4 TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: i BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: i GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ ,L Permit Fee
Masonry ')` , Framing $ 3 - 2 Plan Review
Insulation Shear Wall $ 0 5% State Surcharge
d
Firewall Gyp Board $ � �
a FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pin
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous X Final $ MIS Fee
e /aG °%
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcnt2.doc (DST) 4/97
‘ Protect V ', {� � B Sheet No.
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C onsulting Engineers
Client Revised Job No.
Portland, Oregon ^ n
Date 1J �►.J
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02/08/2000 Activities for Case #: BUP98 -00339
11:34:35 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 08/27/1998 DLH RECD DLH 08/27/1998
BUPC008 Permit created 08/27/1998 DLH DONE DLH 08/27/1998
BUPC012 Plans routed to Plans Examiner 08/27/1998 DLH OTC DLH 08/27/1998
BUPCO24 Plans Approved by CPE 08/27/1998 JHF APPR DLH 08/27/1998
BUPCO26 Approved Plans routed to DSTs 08/27/1998 JHF OTC DLH 08/27/1998 •
BUPC740 Framing Insp 10/01/1998 GS PASS GES 10/01/1998
BUPC802 Final Inspection 10/01/1998 GS PASS GES 01/21/1999
BUPC100 (F) Issue permit 08/27/1998 DLH DONE DLH 08/27/1998
BUPC005 Application received 01/21/1999 GES 01/21/1999
BUPC960 Case Finaled 10/01/1998 GS PASS GES 01/21/1999
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _ QF .
30 1 Sh,6 Date Requested 1 I . PM i BLD
Location 1. - % 0 I 1 ) —1. di' Suite 4 MEC
' 7 PLM
Contact Person P 3- 4 7
Contractor C` CUM OS C' 0.0 Ph 2 - Q /c3/ SWR
BUILDING Tenant/Owner - ELC
Retaining Wall ELR
Footing Access: A } T �� t Tg0A- l �
Foundation //v of j3e 7 FPS
Ftg Drain J� Q 4fL SGN
Crawl Drain Inspection Notes: �„
Slab r J� / 5/41/OK) �"/!�/�/j �
Post h Beam
(frn�/l I .�/t r/`7'N' ' �� "U
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
■,* & -Q4flt, –.R. / '� ' i
� '
LPASS'3ART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
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 Date / C= 7 – / — 2 0 Inspector, ' - Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
IA