Permit 7 w
CITY OF TIGARD
DE VELOPMENT SERVICES BUILDING PERMIT
�I�'i PERMIT # • BUP98 -0504
I' IL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 11/18/98
PARCEL: 25112AD -00900
SITE ADDRESS...: 14800 SW SEQUOIA PKWY
SUBDIVISION • ZONING:I —P
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 81 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:SN ...• 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL 81 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:Y 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. $: 1200
Remarks : Installation of canopy.
Owner: FEES
THE HOME DEPOT USA, INC. type amount by date recpt
601 SOUTH PLACENTIA PRMT $ 25.00 DEB 11/17/98 98- 310879
FULLERTON CA 92631 -0039 SPCT $ 1.25 DEB 11/17/98
98- 310879
PLCK $ 16.25 DEB 11/17/98 98- 310879
Phone #: 714- 738 -5200 FIRE $ 10.00 DEB 11/17/98 98- 310879
Contractor:
C NICOLI CONSTRUCTION INC
19600 SW CIPOLE RD
TUALATIN OR 97062
Phone #: 639 -2983 $ 52.50 TOTAL
Reg #.. : 000517
-- 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 Framing Insp
applicable laws. All work will be done in accordance with Roof n a i l n g 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: .de . / Issued By: ,5
+ + + + + + + + + + + + + + + + + + ++ ++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
MI 'w
Commercial l� n � — Rec B / �.
• •CITY OF TIGARD Building Permit App at
Date Rec'd ` sf
:
13125 SW BLVD. Tenant Improvement „ ,�
# Date to P.E. ,eP
(1 TIGARD, OR 97223 � Date to DST Oh ( A (yg P.P.
(503) 6394171 Permit # 8I4/ 9c O . , O f
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of pevelopment/Project Existing Building ❑ New Building ❑
Job f ; , /4 �'=` 6 / l 0 / •
Address stree ss � O �site Building
C Data
•
Bldg # City /State Zip Existing Use of Building or Property:
// G ➢A 0 ,� 17\91 Na f ��
Property i � J Proposed Use of Building or Property:
Owner Mailing Address Suite j r aI, / ;- C ,� 6' y e S .,�,6"
No. Of Stories:
City/State Zip Phone
Sq. Ft. Of Project:
Occupant Name
D Al. % f j:4 ` 7 Occupancy Class(es)
Name • 105 u�C�
i � r • 0. Type(s) of Construction Ai
Contractor YP s ()
Prior to permit Mailing Address Suite - •
issuance, a copy x Will this project have a Fire Suppression System?
of all licenses l Yes ❑ No ❑
are required if City/State Zip Phone
expired in C.O.T. n Americans with Disabilities Act (ADA
database ,C ,'1 77 G 02I / l Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
6 /;-/--9Y ✓ Project $ l �, u `� ,
„[
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 ,�
��� � / V - C' �L� l Signatur f /Agent Date
Mailing Address Suite 2 ,�/ l � � I / 2 — ci
, ontact Person Name Phone
City/State Zip Phone C J �i 7- ) `/ 8 3
FOR OFFICE USE ONLY J
Indicate type of work: New 0 Addition 0 Demolition 0 • • Map/TL# - Land Use:
Accessory Structure 0 Foundation Only 0 Alteration .
Repair 0 Other 0 Notes:
Desch ption of work: l /j,� l p .
• if 5/ D/ ) D 0 tfA/0/ Y TIF:
-� -- ov
tdt-L Lb 4 2 5 •
Note: Site Work Permit Application must precede or accompany Building t P Pt` ,J I tP '
Permit Application e v
X1,5 ! S
I: \COMNEWTI.DOC (DST) 5/98 ��)6
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Mpg. Regggpoi
iijiiiiiiiailifilitiftiolgotatmittfillmilm04014yoggkogigkgprop01w10111101
signature f the supennsing f.$6#16:41:4)4004.0140111**rojt:M000mOilip
After plan evtew approval, Plans Examiner will contact the applicant to request
WhitiiihgliliiloboolfooittiitatfookfigglgolcppypfonggogotgoiRsoglimull
wotj.i.6ot
Total # of
TYPE OF SUBMFtTAL Plans KEY:
1:1211111111111111.11111111111111Httibfilitiaal •
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
1.$4.0)t itgM112.11.1:111111:111111211
NOTES:
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DAN HAN i�irlfilawj•iYiiaii
N - CONCESSION STAND and Construction Services Inc.
�° z 9025 S.W. Center St.
12050 S.E. 122nd AT HOME DEPOT P.O. BOX 23784
0o PORTLAND, OR. 97236 Tigard, Oregon - 97223
PHONE: 698 -7799 14800 S.W. SEQUOIA PARKWAY Phone: (503) 620 -2086
'TIGARD, OREGON Fax: (503) 684 -3636
■
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested 3.,30 7 9 AM PM Bup LAC,- 0S
Location I "I OD Se9 RADI'O— pY. 4e)V Suite MEC
Contact Person 0 Ph PLM
Contractor Ph SWR
011ILDIW Tenant/Owner Q ELC
Retaining Wall ELR
Footing Access:
Foundation f .� FPS
Ftg Drain /l ,Ci (014 -p &e
Crawl Drain Inspection otes:
SGN
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: ‘_/
=ASS PART FAIL
:ING
Post & Beam �(�
Op
Under Slab / 1
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 0 /�
Approach /Sidewalk ' ?? Other Date 3/3 Inspe �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .