Permit CITY OF TIGARD
BUILDING PERMIT
4o400, r DEVELOPMENT SERVICES PERMIT # • BUP99 -0057
"'� �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/18/99
PARCEL: 25112DA -00300
SITE ADDRESS...: 15230 SW SEQUOIA PKWY #100
SUBDIVISION • ZONING:I -P
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:ALT FIRST • 7670 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: 5: E: W:
OCCUPANCY GRP.:A3 TOTAL 7670 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 261 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:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 190000
Remarks : Interior remodel, building demising wall. A separate permit is
required for moving the type 1 hoods and 1-HR shafts - provide plans. See
Washington County Health Department Plan Review. A fire sprinkler, plumbing,
electrical and mechanical permits are required.
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 658.00 DLH 02/18/99 99- 313068
SUITE 300 5PCT $ 32.90 DLH 02/18/99 99- 313068
TIGARD OR 97224 PRMT $ 38.50 DLH 02/18/99 99- 313068
Phone #: 624 -7787 PLCK $ 427.70 DLH 02/18/99 99- 313068
PLCK $ 25.03 DLH 02/18/99 99- 313068
Contractor: FIRE $ 263.20 DLH 02/18/99 99- 313068
EAGLE GROUP INC FIRE $ 15.40 DLH 02/18/99 99- 313068
747 ST HELENS
STE 402
TACOMA WA 98402
Phone #: 206- 222 -9071 $ 1460.73 TOTAL
Reg #.. : 000863
-- REQUIRED ACTIONS or 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 Gyp Board Insp
applicable laws. All work will be done in accordance with S u s p C e i i n g Insp
approved plans. This permit will expire if work is not started /5>V4-L. /A/SP - •
within 180 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-081-0010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
/ /
Permittee Signature: V Issued By:
+++++++++++++++++++ A-+++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
0 L, t-1 — c' sq Pct eft 2 -7/C
CITY OF TIGARD Commercial Building Permit Application Rec'd By - -/t
Date Rec'd c2 / /,/ 9 9
13125 SW HALL BLVD. Tenant Improvement
TIGARD, OR 97223 ��� Date to P.E. i 9
• Date to DST �'
(503) 639-4171 Permit # /�u/ — 4057
Print or Type �� j Related SWR #
Incomplete or illegible applications will not be accepted Called
/5230 $wSAVOIA i'irwh
Name of Development/Project Existing Building( New Building ❑
Job' PAM Olw fr 77 1 ,
Address Street Address Suite Building
PAGtp1G 612AP 9r /4 - 6 Data
Bldg # City /State Zip Existing Use of Building or Property:
2 3 T '722_3 rFs- ,,,
Name
Property �A OFUS *1N W(1TA Proposed use of Building or Property:
Owner Mailing Address Suite
15350 Sw 5 4 JD /A 300 No. Of Stories:l
City /State Zip Phone
- • 0 -7757 Sq. Ft. Of Project cp.
- Occupant Name
5PO AG-m ae Occupancy ? Class(es)
Name 1 A - 3
Contractor E 46 r 6M14' //06- Type(s) of
Prior to permit Mailing Address Suite r `� ����NC
.. issuance, a copy 5t- �r" r "` ���Q�/ cv Ay Cl ^ �� U Will this project have a Fire Suppression System?
of all licenses Yes No ❑
are required if City/State Zip - Phone
expired in C.o.T. s Americans with g (ADA)
database /�WQU I: ZZ2 S/3-�/31 Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic. # Exp. Date Complete Accessibility Form -
_ O86382 _ // 6- 477,- Project $ , pro
Name . ) N Valuation
• Architect , L 1` 6l 0, A /!9 Plans Required: See Matrix for number of sets to submit
Mailing Address .. Suite on back
570 pJw Th(p-p flub
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
D p2v� 97 g iw OB IS ® given is correct, that I am the owner or authorized agent of the owner, and
/ /_, ,�' / -- that that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Si. • :ture fOw /.-r /Agent Date
Mailing Address Suite A / Z - 4--19
ontact P- Name C/!/i' Phone '7 P°)9°
City/State Zip Phone /��� E�Vr//t/4N�/f) -
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration
Repair 0 Other 0 Notes:
Description of work: �, / /
/ FV'S'E V /U" /N"` rr/ n Fog- NEi TIF:
Note: Site Work Permit Application must precede or accompany Building
Permit Application
f0' Y�)
/
I: \COMNEWTI.DOC (DST) 5/98 i .
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submatar of BOTH plans AND a COMPLETED
opplotmoprONolootriolpiii4000404411giopaltgotionimmgtimfAmi%4gfoupop
ti§.000!:Olt!r#100010019140
Affolgtoosoiggiopproggook:emoottmloomwkoppprgomfoggogui
4$01000100001011g00104140100ffiggilingtitOlIPONNOIPRIMENIII
VagiomodowgiamommosskfifENIMORIMEMBEIBEIMIIE
Total #of
TYPE OF SUBMLTTAL Plans KEY:
1.11.1111111112111111111446fitial
......................................................................................................................
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
gatitaiklYRAMBEMEMEMENEE
MINIMARKARENEEMINEMEMiiiin
4:11 OggitOlVadididtkidaSONO
• •
1 0". 111 111 111
NOTES:
StOttg§Nnagtateatabitatilititalli:ENNERIPIEUESIIIIII
lAdstsVorms \matrxcom.doc 11 /10/98
4 -tht71 flan le, ! Aar wae/t mod,, '' /v a' {r.•i) f-er )' 5 c.e4A c ")
Oe n .,.
. OVER- THE - COUNTER (OTC) PERMIT 2,
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
vESCRIPTION OF PROJECT: AJ, ' r o ,, . Z 6y i t ' Gds , ' I
n l iA
" R t1 rr 0,0 1- /"1 fry'd /..- a-Aev )), 4-4., tide 0) 4c of 4A4
do le c 4, -J (. (+ 7 4 eA 11 k )a.,,, ./,► 4-, 0 (new ► ` E+rt "A A P- f - Fr ✓vd o p hmr.
A. "%Ike 5,,. )at (119 c%47 -,i, 1 .f .4../ a)P -e,f.,,e;,) cred,,,,i 'a r ,-
CLASS OF WORK: ,4 L 4- FLOOR AREAS: . 7L 7 !7 EXTERIOR WALL CONSTRUCTION
TYPE OF USE: e Yr\ FIRST ESQ. FT. N: S: E: W:
TYPE OF
CONSTR: Al SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: A- --7 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 26 I TOTAL SQ. FT.. ROOF CONSTR: FIRE RET:
STOR: HT: FT: i BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE / FIRE SMOKE HANDICAP
SPRINKLER: l/ ALARM: DETECTOR: ACCESS: ✓ .
COMMERCIAL INSPECTION ACTIONS FEE MENU . I
Foot/Found Post/Beam $ G.7P Permit Fee
2
Masonry -/ Framing $ LI 2 - ? 'Nan Review .
V--
Insulation Shear Wall $ 3 2 / State Surcharge
24
Firewall X Gyp Board $ AZ? — FLS Plan Review
J
X Suspended Ceiling Sprinkler Rough -in $ 3 P f 'Add'I Permit Fee
Sprinkler Final Fire Alarm $ / C 90 Add'I FLS Pln
,t 3 ` IP r n.1,7 0) +r' I1 .
Smoke Detector Approach /Sidewalk Inspection
Miscellaneous )i Final $ MIS Fee
s 73
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: \ovrcntr2.doc (DST) 4/97
6/6/99 • Activities for Case #: BUP99 -00057
9:26:14 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 APPlication received 2/18/99 DLH RECD DLH 2/18/99
BUPC008 Permit created 2/18/99 DLH DONE DLH 2/18/99 _
BUPC012 Plans routed to Plans Examiner 2/18/99 DLH 'OTC DLH 2/18/99
BUPCO24 Plans Approved by CPE 2/18/99 JF APPR DLH 2/18/99
BUPCO26 APProved Plans routed to DSTs 2/18/99 JF OTC DLH 2/18/99 Additional fees for work done
without permit. Per David Scott
charge for work done on
. $2,500. JF
BUPC740 Framing lnsp 3/17/99 RB PART RB 3/17/99 Electrical cover approval req'd.
Gas line approval req'd- lines in
2 -walls noted to be inspected.
Do not cover lids before
sprinkler system can be
approved. Contingent to
• mechanical above lid /ceiling.
BUPC760 Gyp Board Insp - 3/23/99 RC FAIL AKJ 3/23/99 - 1) Rescrew where screws are
• closer than 3/8 in from edge 2)
Where taped without insp. •
exposed top and bottom of ea
joint snap a line for joint
location and rescrew. Do not
. tape.
BUPC762 Susp Ceilng lnsp 4/19/99 RC FAIL AKJ 4/19/99 Several splays missing
Do not set tiles
BUPC802 Final Inspection 5/6/99 RC FAIL AKJ 5/6/99 Need protective boots on sink,
drain and hot water service
BUPC100 (F) Issue permit • 2/18/99 • DLH PASS DLH 2/18/99
BUPC750 Insulation Insp 3/17/99 RB PASS RB 3/17/99 Exterior walls- OK
BUPC760 Gyp Board. Insp 3/24/99 RC FAIL AKJ 3/24/99 Screws must be 3/8 in from
edge of joint $15.00 reinsp. fee
BUPC760 Gyp Board lnsp 3/25/99 RC • PASS AKJ 3/25/99 Interior of Damon's
BUPC740 Framing Insp 3/30/99 RC PART AKJ 3/30/99 Kitchen and fireplace walls
BUPC760 Gyp Board Insp 4/6/99 4/6/99 4/6/99 AKJ DONE No Hold AKJ • 4/6/99 1 hour shafts, misc sheetrock
fireblocking completed over .
fireplace Pass TLP
BUPC762 Susp Ceilng Insp 4/21/99 4/21/99 4/21/99 • TLP PASS No Hold AKJ 4/21/99
BUPC799 Final Inspection 5/10/99 TLP PASS No Hold AKJ 5/10/99
BUPC960 Case Finaled 5/10/99 AKJ DONE No Hold AKJ 5/10/99
BUPC950 (F) Issue Cert. of Occupancy 5/21/99 TIG TLP DONE No Hold JT 5/28/99 5/28/99 mailed
•
Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
q BUP 9g-cDS7
Date Requested 5 9l 1 AM PM Blip C. - (O - Q i
Location 1SZ 5€4 /AA b&-' Suite I MEC Q9 0/ d /
Contact Person �� --e-u€ Ph 2.-CY 1 PLM
Contractor Ph SWR
= UILD ;Tr ena wner 06(41/1w11 S ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab
SIT
Post & Beam ! '
Ext Sheath /Shear ! ; '' --CO) `7 e
Int Sheath /Shear ° � G �p 2
Framing —v `^ - -' / i�,�� ��1 �'i' tA GC. q l -�1 > S IP
Drywall d U) 1° ? _ e5 9
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof SVP f CEO 5 7 _ �7 l
PASS PAR FAIL � .h 60g e> A) .5 kJ/L.
PLUMB
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
HAN
Post & Beam
Rough In
Gas Line
0 11‘
Sm • - Dampers
PART FAIL
WiliV TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ I Please call for reinspection RE: [ I Unable to inspect - no access
ADA
Approach /Sidewalk !�
Other Dat v Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 6c4s9 ici°lq-DolL{p
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�
p�/ BUP 9'9 -co S7
Date Requested 5 _ ` 1 AM PM Bup 9 ' b'7C
2 � ,
Location 1 SZ �v SJq f r c- Suite l or) MEC
Contact Person yAtA)- Ph 2-( -oipgy PLM
Contractor Ph SWR
LDING rewner DaJ'YI Dp) & ELC
detaining Wall ELR
Footing Access:
Foundation I — ' ? fin n 5- c FPS
Ftg Drain ol SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm J
Susp'd Ceiling Co 5 '`
Roof
Misc:
40 PART FAIL
PL 1 ' BING
Post & Beam
Under Slab
Top Out
Water Service
14
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
Other Date _5 /0/79 Inspector 8 101 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.