Permit M
CITY OF TIGARD BUILDING PERMIT
P ERMIT #: BUP1999 -00491
� j ��j� DEVELOPMENT SERVICES DATE ISSUED: 11/18/99
-=-"" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15350 SW SEQUOIA PKWY 150 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
■
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3 -1 HR 2,368 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 32 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 18,000.00
Remarks: Commercial TI
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 1:04 gZ22 ORIGINAL
Phone: TI Phone:
Reg #: LIC 41328
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT DEB 11/18/99 $198.00 99- 319872 Gyp Board Insp
Susp Ceilng Insp
PLCK DEB 11/18/99 $128.70 99- 319872 Final Inspection
5PCT DEB 11/18/99 $15.84 99- 319872
FIRE DEB 11/18/99 $79.20 99- 319872
Total $421.74
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee
Signature: 7�J jr , jfa, _
Issued By: 7 1. / .- --ek.ArkrtfLyi
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
•
. C, TY pi: TIGARD Commercial Building Permit Recd BC:Leht
• 13 SW HALL BLVD. • Tenant Improvement Date Recd (- 7
TIGARD, OR 97223 Date to P.E.
(503) 6391171 • Date to DST �/ /t? s9
Permit # Au,/ 4 -eiv9V
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building p( New Building
Job e n, / c// - ��iP� /�` ,0 2.7
Addre tAddress uit Building
�PsT '535# .lqi61/110/ / D Data
Bldg # City/State zip Existing Use of Building or Property:
• • /7 7/6/5 , .z °���44:
Name
Property' PACIFIC REALTY ASSOCIATES, L.P. • Proposed Use of Building or Property:
Owner Mailing Address Suite .gr, /°
15350 SW SEQUOIA PKWY 300 No. Of Stories: c.3
•
City /State Zip Phone
PORTLAND, OR 97224 624 -6300 Sq. Ft. Of Project
• Occupant Name ` Si Sfr
.. few . / 1/4 v.. / ,� a ,*4/l/ni �'M • 4 / Occupancy Class(es)
• Name T , _
Contractor H. L. GREEN COMPANY - Type(s) of Construction
Prior to permit Mailing Address Suite - .•- / 4e -
issuance, a copy Will this project have a Fire Suppression System?
of all licenses 15350 SW SEQUOIA PKWY 300 ,,,,(
are required if City /State Zip Phone Yes - No 0
expired in C.O.T. Americans with bisabilities Act (ADA)
database PORTLAND, OR 97224 624 - 7717 Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. at Complete Accessibility Form Z,e,41 4/L3�
. 41328 1 1/ ioo Project $ // •
' Name Valuation / >, ?� /
Architect JOHN H. ROMISH • . Plans Required: See Matrix for nufnber of sets to submit
Mailing Address Suite on back
2216 SE 24Th AVE.
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
PORTLAND, OR 97224 236 -6306 gNen is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
Si nature of Owner /Agent ate
Mailing Address Suite / / /'. /7--- 'f
/ Contact Pe on Na a Phone
City/State Zip Phone /„A �
FOR OFFICE USE ONLY S� n
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 AlterationJ� •
Repair 0 Other 0 �, ` Notes:
Description of work: n
/�d� / /0 /7 0//s ,7 ABe� DU/1ft TIF:
Parks: Estimated # of Employees
•
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I:ICOMNEW.DOC (DST) 8/97
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: flI
•
CLASS OF WORK: fir FLOOR AREAS: — 2:34013 EXTERIOR WALL CONSTRUCTION
TYPE OnSA FIRST SQ. FT. N: S: E: W:
TYPE OF "'
CONSTR: I SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 3'2- TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSPECTION ACTIONS FEE MENU I
Foot/Found Post/Beam $ f Permit Fee
0 •
Masonry Fram g $ f o Plan Review
Insulation Shear Wall $ / 8% State Surcharge
Firewall ■ ∎ p Boars $ ir FLS Plan Review
u ded C ' 'a Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous MO $ 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)
hovrcnt2.doc (DST) 9/99 - -
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP I �' 6-0z /g/
Date Requested a. � d / /3 (q AM PM l BLD
c �/
Location )5350 x ; I Suite /5 MEC ff i
Contact Person a /J�-t 1,-fl •C 1J LCoy — Ph 357) - 3 Z' PLM W, •• �
Contr<.. Ph SWR •
Tenant/Owner ELC
N .ou all ELR
o mg Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Insp�ctie n N o J - r e J � act( L i � / 1�' ``��- SIT
Post & Beam
Ext Sheath /Shear 'eS 4 q
Int /Shear
ramm
ation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fig
- PART FAIL
BING
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 / 2i
Other D 3 Inspector 6 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171 BUP /9 Qg -0-0 q9/
Date Requested / 0?-31 / �, AM BLD
Location 1,3.56 ) [ate Suite MEC
Contact Person A -L(�t/ ci N L �P - Ph 3 - aS3S PLM
Contr. • Ph SWR
BUILDI Tenant/Owner 36-- ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspect ( e 56 Vn-u1
Slab / /(��c //�� SIT
Post & Beam �� `CiK� c/o
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing t I ij I v �- -ttI t ��
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
PLUMBING t{ Is
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 Halt Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA l
Approach/Sidewalk Date 12 ! Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.