Permit A y �' BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2002 -00412
^ �I��"
DEVELOPMENT r So RV SERVICES 639 -4171 DATE ISSUED: 9/18/02
SITE ADDRESS: 15353 SW SEQUOIA PKWY PARCEL: 2S112DA -00700
SUBDIVISION: PACIFIC CORPORATE CENTER ZONING: I -P
BLOCK: LOT: 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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Remarks: Demo walls, in -fill a door and add 3 scheduled doors.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES R + H CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 1530 SW TAYLOR
PORTLAND, OR 97224 PORTLAND, OR 97205
Phone: Phone: 228 -7177
Reg #: uC 38304
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 9/18/02 $91.30 27200200000 Electrical Permit Required
5PCT CTR 9/18/02 $7.30 27200200000 Gyp Board Insp
Gyp Board Insp
PLCK CTR 9/18/02 $59.35 27200200000 Susp Ceilng Insp
FIRE CTR 9/18/02 $36.52 27200200000 Final Inspection
Total $194.47
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 "AR 2- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-669 ';'or - :00- 332 -2344.
Pe rm ittee
Signat e: rls■
Issu . d By: - 0 � �, / s ' � l Ali
Call 639 -4175 by 7 p.m. for an inspection the next business day
'' Building Permit Application
S. Datereceived: 4 471/- Permit no.: ,e, r -eD /2
i , City of Citf Tigard
► -- Project/appl.no.:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 �
Phone: (503) 639 -4171 Date issued: 'M Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
O 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi - family O New construction O Demolition
) Il CAddi tion/alteration/replacement O Tenant improvement 0 Fire sprinkler /alarm O Other.
JOB SITE INFORMATION
Job address: I • 3S3 t S6821.)00/ /4 P14.14.) Bldg. no.. Suite no.: '
Lot: Block: Subdivision: fjwa • ►.a fiRriMMIE
Project name: _ '. -r/a r - nor-
Description and location of work on premises/special conditions:
IU -21 • 2 ON ). _ L . .tPI (1 04 ion
I
O1'lNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: qc_ U S (Flood plain, septic capacity, solar, etc.)
Mailing address: 1 Sl) 5.) $ C ', cJ d iA KW - • 3 o G 1& 2 family dwelling:
ZIP: • 7Z2 Valuation of work $
Phone: ,I - (, 3 O 0 IZETPROEMLMMIIIIII No. of bedrooms/baths
Owners representative: • te.k'• t v : - 0 — Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: rtp d MA. /A.Cat•rr_ i a Covered porch area (sq. ft.)
0 ' ' ' ' g • ' ' r ' o ex_ .. D - Deck area (sq. ft.)
MI o It ea 0 /i! ZIP: • 7 Zp ( Other structure area (sq. ft.)
Phone: ZZ -q 5w Cvoommercial/indastriallmalti- family:
(:ONTItACTOR valuation of work $ 5- 000
R, Existing bldg. area (sq. ft.)
Business name: 31, 53 7Z
■ • ^' sue 2tl Gy ` New bldg. area (sq. ft.) N. A .
Address: r5 0 S W T4- � d 2 Number of stories
EtEreMBEENIIIME State: OR ZIP: '17 Se Sy
Type of construction
Phone: 22 -7/7 7 Fax: E -mail: Occupancy group(s): Existing: Z 41
CCB no.: 3 , New: /V.4.
City/metro lic. no.: - Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: C ► .A "v} LIB r.rt.1 c provisions of ORS 701 and may be required to be licensed in the
Address: 12 , • p a- jurisdiction where work is being performed. If the applicant is
State:02 ZIP: 97Z DI exempt from licensing, the following reason applies:
Contact person: 3, / finsei nine Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: C . - s LAL AL, , Z4dr Contact person: Fees due upon application $
Address: S9 E As qe.0o Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards. please call jurisdiction for more information.
attached checklist. All provisi s of laws and ordinances governing this Cl Visa Cl MasterCard
work will be complied '
omplied ether specified herein or not Credit card number: / I
Expires
p
Authorized signature: 1 '1 Date: 1 ( (� 2-- Name of cardholder as shown on credit card
Rdw621a $
Print name: Cardholder signature Amount
Notice: This permit application expires 1 a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6430/cOM)
•
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to
request additional plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
.Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I:\dstslforms\matrxcom.doc 10/27/00
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 %).
VALUATION of all renovation, alteration or modification being done 5o o O
excluding painting, wallpapering. [1] $
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 1 So
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ COQ
Inc )
R.9-49rz- 5 'two G✓ 7 �� J
LAD [.fr'i c ory 5 `Co (,r) C' lJC= /1 (3 ( C. f J
is \dsts \forms\access.doc "C� Ct706 •