Permit 4 CITY OF TIGARD
\ DEVELOPMENT SERVICES BUILDING PERMIT
,, PERMIT T # • BUP97 -03 25
11- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 07/08/97
PARCEL: 1S134BC -00300
SITE ADDRESS...: 12220 SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G PD
BL0CK • 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.:M TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REC!D SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y 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: PARKING: 0
VALUE. $ : 37500
Remarks : Structural beam replacement upgrades to existing
structure. ADA Bathroom space. Need fir sprinkler, plumbing, and electrical � y ,v .)
permit.
Owner: FEES
MERCURY DEVELOPMENT type amount by date recpt
7140 SW FIR LP STE 100 PRMT $ 229. JSD 07/08/97 97- 296869
TIGARD OR 97224 PLCK $ 148.85 JSD 07/02/97 97-296681
FIRE $ 91.60 JSD 07/02/97 97- 296681
Phone #: 968 -1850 5PCT $ 11.45 JSD 07/08/97 97- 296869
Contract or:
COMMERCIAL BUILDING
SERVICE INC
727 WARREN STREET
OREGON CITY OR 97045
Phone #: 557 -3105 $ 480.90 TOTAL
Reg #..: 90798
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 Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
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.
Permittee Signature: it 1 , `► I A ' Issued B �:��'�
r
++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
,
Commercial Building Permit Application
�
� 4.-i ' o Tigard
13125 SW Hal! Blvd.
Tigard, OR 97223
(503) 639 -4171
P 7 7
Jobsite Address: 12220 S.W. SCHOLLS FERRY RD
! -
'Office
XT Bldg (R & P) Suite#
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On
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Valuation: Estimated at $30,000.00
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MERCURY DEVELOPMENT "' ,
Owner: ' » >�:� : .:; `.
1
LOOP SUITE 100
7140 SW FIR L00 SUI
Address: ss
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p q tred
T IGARD OR 97224
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phone:
503 968 -1850
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Contractor: COMMERCIAL I AL U I LD I NG SERVICE I N :> s>:;;;.;>;:;<;_:;::;;;;::; > >:: >:.;:;:;:: < > ::;;;; >.:<: . »; ::,: >:;; :::.:. >;:.:;:.::,;:.:::::.:
COMME BUILDING
Address: 1900 McLOUGHLIN BLVD #81 -137
OREGON CITY, OR. 97045 -1057 Type of const: Frame
Occupancy class: c or"me r r 1 a 1
Phone: (503) 557 -3104
Sprinklered? Yes No
Contractor's License # 90798
(attach copy of current Oregon license) Sq. ft. of project n/a
Contact name & phone: Mark D. Boshears Story (1st, 2nd, etc.)
557 -3104 (pgr790 -4776)
Architect/Engineer: Group Mackenzie Proposed use: No Changg
Address:
0690 SW BANCROFT Previous use No Change
P.O. BOX 69039 Note: Plumbing & mechanical plans
must be submitted at time of
PORTLAND, OR. 97201 -0039 building permit application.
Phone:
(503) 224 -9560
JOB DESCRIPTION: r of existing GLB damaged by water, supporting
of existing tedgetsi joistt, and GLB's, Installation for
support of three zx8x14 soffit juibl, •
(Aot& �5-)- ;J
Applicant Signature Phone number
1
Received by: Date Received: ��
Permit Account Description Amount Amt. Pd. Bal. Due r -
V " Bldg. Permit (BUILD) 2-,i 9 ' G
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 1/. y S
Bldg:
Plumb:
Mech:
pi
Plan Check (PLANCK) / I 3 l V
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (T1F -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -l)
Institutional TIF (TIF -IS)
Office TIF (T1F -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) _ / � / 7 4
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: � 1
4 03-7-1>46-
• 4 O OVER -THE- COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: S 7Au< -71) MA- C19 ni RgillaxarrialAr
op r &Q LS ➢4:5 71 s7;VVG- -_
4 .41.4._ AC A _A1: % • . 1. L/ l.1�4' .
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CLASS OF WORK A Ep FLOOR AREAS: AIM- EXTERIOR WA ONSTRUCTION
TYPE OF C /r1 i i S: E O USE: FIRST SQ. FT. N. S. �: W:
TYPE OF ��`
CONSTR: S ' SECOND SQ. FT. ' PROTECT OPENINGS ?:
I I
OCCUPANCY GRP: /I) i THIRD SQ. FT. N: S: E: W:
I I
OCCUPANCY LOAD: /V //3 � TOTAL SQ. FT. i ROOF CONSTR: FIRE RET:
I I
STOR: 1 HT: FT: i BSMNT: SQ. FT. I AREA SEP. RATED:
BSMNT ?: MEZZ ?: I GARAGE: SQ. FT. i OCCU.SEP.RATED:
FIRE FIRE / SMOKE HANDICAP
SPRINKLER: Y ALARM: /W DETECTOR: 1U ACCESS:
................
: R
�::.CO MM E
ItNS . '�10
PEC N A C Tl N 4T:L
FOOT/FOUND INSULATION SUSPENDED CEILING SMOKE DETECTOR
INSPECTION INSPECTION CEILING INSPECTION
POST/BEAM SHEAR WALL SPRINKLER APPROACH /SIDEWALK
INSPECTION INSPECTION ROUGH -IN INSPECTION
MASONRY FIREWALL SPRINKLER MISCELLANEOUS
INSPECTION INSPECTION FINAL INSPECTION
GYP BOARD / FIRE ALARM FINAL
INSPECTION INSPECTION ,/ INSPECTION INSPECTION 2,.
.`TYPE. USE OF. OPTIONS COM t ° :CM
c ommercra .:: mme taa ied � a ::<;:� < > ><� > :<��� >�:< >?�' :i•�' �::
� .. S co rrlal rt . tr factti strrictur) .:: :...:::: •.'
..::.. ;.. ..:: . :.;:;........::
:.. CLASS: OE WORK.OPTIONS:. FOR At L PERMITS (NEW iiew;. Add addition; ALT alteration; :ACS : = accessory FND: :
foirndatiosit OTR = r attier.: DEM, == derriolitiori . REP = repair FPS = fire system.: NOTE: USE OTR FOR . ::: ;- .:..::. :;
.: FENCES ;RETAL ING : WALLS. DETACHED: DECKS, SIGNS; AWNINGS .CANOPIES ..., ° : : :. :: < : :: .,: <> < ; : :: <>'< : >:> : °'` :; ' : : : : <. > :. : :<' :•. : :.:
I:1ovrcntR.doc (DST) 4/97
OVER THE COUNTER (OTC)
(attachment to Submittal Criteria)
•
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
excluding painting, wallpapering. [1] $ ? o d d
multiply; 25% Barrier removal requirement _ .25
BUDGET FOR BARRIER REMOVAL [2] $ ,
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. $
[including but not limited to curb ramps, detectable warnings,
marked crossings, ramps handrails and landings].
2. Not less than one accessible parking space. $
[including but not limited to adjacent access aisle, signs and curb ramp
• connecting with the accessible route).
3. Accessible entry or entries. $
[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].
5. At least one accessible restroom for each sex. $ S a 0
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.. •
•
TOTAL: shall equal line 2 of Value Computation 5
p A R E5-1-0.00,„, o p g rtAIQSZ Q sPac.a_ 11.
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3/8/00 Activities for Case #: BUP97 -00325
3:00:11 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 7/8/97 JSD PASS JD 7/8/97
BUPC008 Permit created 7/8/97 JSD PASS JD 7/8/97
BUPC010 Check for prcl. restrict. 7/8/97 JSD PASS JD 7/8/97
BUPC012 Plans routed to Plans Examiner 7/8/97 JSD • OTC JD 7/8/97
BUPCO24 Plans Approved by CPE 7/8/97 JHF OTC JD 7/8/97
BUPCO26 Approved Plans routed to DSTs 7/8/97 JHF OTC JD 7/8/97
BUPC802 Final Inspection 11/21/97 GS PASS • JT 5/11/98 Inspections were performed by
Group MacKenzie, report
attached: 5/11/98 to jill for do
approval
BUPC100 (F) Issue permit ' 7/8/97 JSD PASS JD 7/8/97
BUPC776 Structural observ. final reprt 11/21/97 GS REC. GES 11/21/97 final letter of acceptance rec.
• from Group Mackenzie,
Laurence B. Oeth P.E. see file
p. Final letter of approval rec.
• from Group Mackenzie,
Laurence B. Oeth P.E. see file
BUPC950 (F) Issue Cert. of Occupancy 11/21/97 VN MAIL VLN 6/18/98 MAILED 6/18/98
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Page 1 of 1 •
Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0325
MERCURY DEVELOPMENT
12220 SW SCHOLLS FERRY RD
06/05/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
BUPC005 Application received / / / / 07/08/97 PASS JSD 07/08/97 JD
BUPC008 Permit created / / / / 07/08/97 PASS JSD 07/08/97 JD
BUPCO10 Check for prcl. restrict. / / / / 07/08/97 PASS JSD 07/08/97 JD
BUPC012 Plans routed to Plans Examiner / / / / 07/08/97 OTC JSD 07/08/97 JD
BUPCO24 Plans Approved by CPR / / / / 07/08/97 OTC JHF 07/08/97 JD
BUPCO26 Approved Plans routed to DSTs / / / / 07/08/97 OTC JHF 07/08/97 JD
BUPC100 (F) Issue permit / / / / 07/08/97 PASS JSD 07/08/97 JD
BUPC776 Structural observ. final reprt / / / / 11/21/97 final letter of acceptance rec. from REC. GS 11/21/97 GES
Group Mackenzie, Laurence B. Oeth
P.E. see file
•
•
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Page No. 3 CASE HISTORY FOR CASE NO.: BUP97 -0325
MERCURY DEVELOPMENT
12220 SW SCHOLLS FERRY RD
06/05/98 •
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
Final letter of approval rec. from Group
Mackenzie, Laurence B. Oeth P.E. see
file
BUPC802 Final Inspection / / / / 11/21/97 Inspections were performed by Group PASS GS 05/11/98 JT
MacKenzie, report attached.
5/11/98 to jill for c/o approval
BUPC950 (F) Issue Cert. of Occupancy / / / ./ 11/21/97 06/05/98 JT
1
1i -5v
1 ,5‹77-7
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: G l 0 6 -9 7 -— ■ .
A.M. P.M. ∎ MST:
Location: _.. ,_ 0 � � : 4 , • 1 = / _ / �✓ �� BUP • .� a5
r�
Tenant: ,-
A v Lk _ /A � r . ∎ Suite: / Bldg: MEC:
Contractor: ,/. _ .IP/J I/ Phone: 790 -41776 PLM:
Owner: • / . _ .4 2 Phone: P ELC:
I / //l/ :. // _ #1. ■f Ce/rl7� ELR:
SIT:
BUILDING ; LDG (con t) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/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
• pprov i.. Approved Approved Approved Approved
Appr /Sdwlk • . - y . - . ved Not Approved Not Approved Not Approved Not Approved
I FINAL FINAL FINAL FINAL
.. V L.i k/
% ! 1
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: Page of
•