Permit A CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
_ 1 .1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 PERMIT S 5/988 -0024
DATE ISSUED: 01/15/98
PARCEL: 1S134BC -00200
SITE ADDRESS...: 12186 SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 1600 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: 9: E: W:
OCCUPANCY GRP. :B TOTAL 1600 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 DER..:
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. $ : 12650
Remarks: POE TI - adding walls for offices. No C of 0 required. No change in
occ load
Owner: FEES
PGE type amount by date recpt
121 SW SALMON PRMT $ 98.50 JSD 01/15/98 98- 302506
PORTLAND OR 97201 SPCT $ 4.93 JSD 01/15/98 98- 302506
PLCK $ 64.03 JSD 01/15/98 98- 302506
Phone #: 464 -8000 FIRE $ 39.40 JSD 01/15/98 98- 302506
Contractor:
REIMERS & JOLIVETTE INC
2344 NW 24TH AVE
PORTLAND OR 97210
Phone #: 228 -7641 $ 206.86 TOTAL
Reg #.. : 011614
REQUIRED 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 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
...0
Permittee Signature: r ( /L� = � Issued By:
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
0G
CIf TIGARD Commercial Building Permit Recd By
O I
Date Re cd _ $
S
13125. SW MALL BLVD. New Construction and Additions Date to P.E. o I S`/ ` - i
TIGARD, OR 97223
(503) 639 -4171 / Date to D T _
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called 0— -
Name of Development/Project Existing Building`] ' New Building ❑
Job P .t . J��
Address Street Address - Suite Building
12.1$6 Sa• s101\ccofti Data
Bldg # City /State , Zip Existing Use of Building or Property:
114/ Ok . `1111.3 OS cc c Lt
Name
Property p,(,
Proposed Use of Building or Property:
Owner Mailing Address Suite
O cIcc
\Z-\ S • sa\•.o.... No. Of Stories:
City/State Zip Phone 1
&AU . 0, `fflQ AA -8000 Sq. Ft. Of Project / 1
Occupant Name ILO() sc� }
Occupancy Class(es) 1
Name
Contractor c - k 3cAIN l Type(s) of Construction
Prior to permit Mailing Address Suite -
issuance, a copy �., Will this project have a Fire Suppression System?
of all licenses 644 N,11/41. 2.4 Yes ❑ No`s'
are required if City /State Zip Phone
expired in C.O.T. Americans with Disabilities Act (ADA)
database kr ov t • Ok c • \ll\ 0 ZZg - Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
Name L 1 9 51 1�1laX $
Valuation
Architect it 1 ‘S0 0
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
Engineer Name 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.
Mailing Address Suite Sign r ofer/ t Date
•
------------ • v \ i IS 1 g
City /State Zip Phone Contact Pe Name Phone
1'f1 ay \e... gtC\ v 1 2..2.8 -1 V`1\
•
Indicate type of work: New 0 Addition 0 Demolition 0 FOR OFFICE USE ONLY
Accessory Structure 0 Foundation Only 0 Alteration MapITL# Land Use:
Repair 0 Other 0
Description of work: \ -
�t eOPAN : yLY,••0 LA Notes:
1-V.tcvivr 0vA1 , TIF:
Parks: Estimated # of Employees
Note: Site Work Permit Application must precede or accompany Building
Permit Application
•
l: \COMNEW.DOC (DST) 8/97
j ,..
„,•. , :.. 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)
: 10 '.1 :&. ..1......: .......... ...I » >`::: : :: :' : :' € : :: :::: : ::: : :::` 20, i :i : ::: ".; ' >< »..::::::..,,.
€B.. . 1. € &P €` 3... .L: :: :2: :::
:::: :l `''j ��: ` �.: ` < r : ? ?2? ' < <r`? <: <` :: :;::::::::::::::::::::::::::::::::::::1::::::: ` % #` < ' = s' r< ? `2 : : :i) < : 1::: `6 :: :t �` . <S
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
e..: _ =
ad . t :: >: is :: i :: w Wash. County F — FP
b::.�� ...d.�r�as::d�s at�::A�......subm�t� s.a�.: i::>:::<::<:>:::>:: >: <::«<::<�<::: >: >: >::: <<: >:... S
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
je
OVER THE COUNTER (OTC) s uo sal t
(attachment to Submittal Criteria) 1 84
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities, unless
such alterations are disproportionate to the overall alterations in terms of cost and scope
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
THEREFORE; Each submittal for a building permit shall include this form providing the following
information. [Excluding re- roofing, mechanical and electrical permit applications]
VALUATION of all renovation, alteration or modification being done mo
excluding painting, wallpapering. [1] $ CS0.
multiply: 25% Barrier removal requirement. _ .25_
BUDGET FOR BARRIER REMOVAL [2] $ ?i I L
The dollar amount of the BUDGET established on line (2) in the computation above shall be spent
_. providing the accessible elements in the following order.
1. An accessible route connecting the building to accessible pedestrian
walkways, and the public way. $ ��» r_ 4 N.
(including but not limited to curb ramps, detectable warnings,
marked crossings, ramps handrails and landings).
2. Not less than one accessible parking space. a $ tom r \A -c. rA
(including but not limited to adjacent access aisle, signs and curb ramp
connecting with the accessible route).
3. Accessible entry or entries. (a $ C nv-
(including but not limited to ramps, handrails, landings,
door sill height, door width and door hardware).
4. An accessible interior route to the altered area. $
(including but not limited to door -ways, maneuvering
clearances, door hardware and stairways).
c_
5. At least one accessible restroom for each sex. $ V Ic
6. At least one accessible telephone where public phones
are provided. $
7. When drinking fountains are required, fifty per -cent but
not less than one shall be accessible. $
8. Additional accessible elements such as storage, reach ranges,
alarms, etc.. $
.1Q1 A1.1 Shall equal line 2 of Value Computation $
i:/otc4.doc(DST)
- OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: - A-vowel voskt.is -t 0 ,e
jia c lb 0 '24. No c- & ,.4 bac. r >A
CLASS OF WORK: ICT FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF USE: e..Vit • FIRST 1409 . FT. N: S: E: . W:
TYPE OF
CONSTR: SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: . 3 THIRD SQ. FT. N: S: E W:
OCCUPANCY LOAD: ----" TOT SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: NT: SQ. FT. i AREA SEP ATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ 18 , Permit Fee
Masonry Framing $" Plan Review
Insulation Shear Wall $ 4 13 5% State Surcharge
Firewall Gyp Board $ ?j 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 $ MIS Fee
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:lovrcntr2.doc (DST) 4/97
G /L ggos
•
• CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: A.M. P.M. MST:
• / Gl - ) I oa
Location: • .;� iL: _ �/ _ J J
Tenant: P 6- S S e: Bldg: MEC: _
Contractor. Phone: PLM:
Owner. Phone: ELC:
�L . v� _i►2_ - – D — - 4(� SIT:
BUILDING BLDG (con' 17 'L I: ING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Nof Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
i _„,i 0 / / 1 1.9 / / 77)1242 (--e -/-e--1" ( -(iI/ •
4it -..7 ( -411.6“- ° 1 -- Et e-e)1CY_A
` .7, ' fi-et.,;( (d / j
„ o r 0_...7 er ev--- ,/....4,-..--0---/ 41.-:-...r
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: /,?..-91
Page of
h. r —
,--
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
_ ry
BUP 2 y
p
Date Requested D itO AM PM BLD
Location / 6 Suite MEC
Contact Person �Ph 2-2- 6v PLM
Contractor Ph SWR
BUILDING agr t/Owner PG- ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain inspection Notes
SIT
Post & Beam �..,,¢¢.� VI
Ext Sheath /Shear ,. .S®,(,,t~SL % — I ' � ,�
h i 1► '
Ina Sheath /Shear r . n ?:00
Framing l,Cf -x..(i
Insulation
Drywall Nailing A L�4 �1 ' • - 1 %1 it
Fire wall � u J A I
Fire Sprinkler e .S / ��Js
Fire Alarm
Susp'd Ceiling ?
Roof
0144-e c..9-1.0e40
. 9 sec d7'"'O ✓► 4 C,L f✓
M' •
PART FAIL
PL BING /g ' • ,3e 7 ..7 —.9-ce C
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date � "/ 7- 9? Inspe E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.