Permit • CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00394
Alec DEVELOPMENT SERVICES DATE ISSUED: 09/08/1999
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09735 SW SHADY LN 101 PARCEL: 1S135BD -00300
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 4,200 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: 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: N SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 28,000.00
Remarks: Tenant improvement. No C of 0 required no change in occupant load
Owner: Contractor:
HAZEL INTERNATIONAL, INC AND PACIFIC CREST STRUCTURES INC
HIGASHIYAMA HIGHLANDS CO, LTD 7301 SW KABLE LANE STE 700
BY + STEVENS g REALTORS PORTLAND, OR 97224
P 9h - orie N 5 p 059 R 0 9 1 � Phone: 503 - 968 -8949
Reg #: LIC 006691
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT GEO 09/08/199E $283.00 99- 318175 Gyp Board Insp
Susp Ceiing lnsp
5PCT GEO 09/08/199E $19.81 99- 318175 Final Inspection
FIRE GEO 09/08/199E $113.20 99-318175 . OR[Gf.NAL
` PLC K GEO 09/08/199E $183.95 99- 318175
Total $599.96
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 F
Si /�I�/kZi ,/ / per
Issued By: //A
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Recd By
t3125 SW HALL BLVD. Tenant Improvement Date Recd
Date to P.E.
TIGARD, OR 97223 Date to DST c(( 43 t Rol RP
(503) 639 -4171 (9T Permit# ficfo /4gt-6039y
Print or Type v Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building ,New Building ❑
Job T7(AD MW%CAL 6A,41.1_
L
Address Street Address Suite Building
9135 SW 5HAbY Abe& 101 Data .
Bldg # City/State Zip Existing Use of Building or Property:
1i ., r't
O d ot UI - ll • T�+•10%4T ---
Name 1G#41.- 1 4494,0_ O f C-
Property Nic - i Si - Proposed Use of Building or Property:
Owner Mailing Address Suite fie,
S 20 ' w av t AVE # 46)0 No. Of Stories:
12a49. Clty/State Zip Phone _ a
J}�pP.'[3.A 4E) o t2. 1-72 o.1- - � Sq. Ft. Of Project:
Occupant Name �e PAMlI.y 4200
GLIJ (c. 4 F Fp&t - cEJTF--s- Occupancy Class(es)
Name e
Contractor { clP (C. Gt ' 1" affigt Type(s) of Construction
Prior to permit Mailing Address Suite -
issuance, a copy -7 � ^^ f# Will this project have a Fire Suppression System?
of all licenses ! ,y4 F �'� 70c,
Yes ❑ NO Fl
are required if City/State Zip Phone
expired in C.O.T. Americans with Disabilities Act (ADA)
database PTI .2, O1 2 - 't7Z24 ci6a8- 949 Valuation X 25% = $, _
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
&6 to . 1d. f1:00 Project $
Name Valuation
Architect f%N et15toess Av t+. P . Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
52o -vot fo M) *I L W
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
1 W211 ,t� �� G � . 4 . 41 given is correct, that I am the owner or authorized agent of the owner, and
1 "r_ Lam"' 1 that plans submitted are in compliance with Oregon State Laws.
Engineer Name
NI , 4 . -.nature f ner /Agent Date
Mailing Address Suite / -81
Contact Pe n Name Phone
City/State Zip Phone 11► Your J& , 603 •22& 9141 .
FOR OFFICEE USE ONLY ''1T 11
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:
Description of work:
1t A+4T tt 'P:w a M*IT TIF:
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
•
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
` COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: T1
b c dbo P q u t eA,C rJ Cu+�.g i
0 eta) p 4-..1 -I Lo 4))
CLASS OF WORK: FLOOR AREAS: A 264 EXTERIOR WALL CONSTRUCTION
TYPE OFUS FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: 11• SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 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: 4 b ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU • I
Foot/Found Post/Beam $ 1 -8 /, ' Permit Fee
Masonry alp $ IB3 Plan Review
Insulation Shear Wall $ 10 7% State Surcharge
Firewall Gyp o 1 $ 1112449 FLS Plan Review
Suspended C-• g Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Fin $ MIS Fee
J l F
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)
NOPIES)
I:\ovrcntr2.doc (DST) 4/97
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 percent
(25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1 ] $ ZaiODO
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 1
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 $ 9. - .
(b) An accessible entrance: $ 6'1q
t s,soI tot- yrap iar; acleur.
1�-MF Ov -. , F - edit -o &We- 11E4ao
(c) An aoee route to the altered area: $ [b?D
( N(p01- extsT ut. Pooh To l rt
(d) At least one ac 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 $ 170
1/25/00 Activities for Case #: BUP1999 -00394
3:15:47 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 9/8/99 BON DONE No Hold GEO 9/8/99
BUPC008 Permit created 9/8/99 GEO DONE No Hold GEO 9/8/99 -
BUPC012 Plans routed to Plans Examiner 9/8/99 BON DONE No Hold GEO 9/8/99
BUPCO24 Plans Approved by CPE 9/8/99 RP PASS No Hold GEO 9/8/99
BUPCO29 DST Post Review Completed 9/8/99 GEO DONE No Hold - GEO 9/8/99
BUPC740 Framing Insp 9/8/99 9/8/99 10/5/99 TLP PASS No Hold AKJ 10/5/99 contingent upon any elec
BUPC760 Gyp Board Insp 9/8/99 9/8/99 10/5/99 TLP PASS No Hold AKJ 10/5/99
BUPC762 Susp Ceilng Insp 9/8/99 9/8/99 No Hold GEO 9/8/99
BUPC799 Final Inspection 10/21/99 RB FAIL No Hold JS 10/21/99 Centigent to: >
PLM 1999 -00322
> ELC1999 -00572
> (10/21/99 BRP)
Relocate dead end exit sigh to
an entrance direction.
Place sigh and @ fire
exteguitors and extenguitors
where lacking.
BUPC100 (F) Issue permit 9/8/99 GEO DONE No Hold GEO 9/8/99
BUPC802 Final Inspection 12/2/99 12/2/99 12/2/99 GS No Hold GES 12/2/99 plm and elec finals have been
done per corr by RB, exit sign
- was removed but it is not
known if it was relocated. also •
there is no lever hardware
installed or what other he
requirements were required [no
plans on site]
BUPC802 Final Inspection 1/19/00 1/19/00 1/19/00 RB PASS No Hold AKJ 1/19/00
BUPC960 Case Finaled 1/19/00 AKJ DONE No Hold AKJ 1/19/00
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISI Ms
24 -Hour Inspection Line: 639 -4175 Q Business Line•P 9-41 i99 9 q
q
Date Requested r I / �0 AM,�PM
BLD
Location ? 3S S VIA (44_. Suite l,tDll MEC
Contact Person CYA,l ( Ph 3/f —s (0 7 PLM
Contractor Ph SWR
ILDI Tenant/Owner 1) ��4d�t 1 [�. G1_ vt4 e ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes .4
P ost `` SIT
Post & Beam
Ext Sheath /Shear Imo
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
BING
Post & Beam
Under Slab ey6. /
/
Top Out
Water Service (((�
Sanitary Sewer
•
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam 11
Rough In
Gas Line i
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 Date 1 1 /0 Q Inspector EXt I
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST IA
24 -Hour Inspection Line: 6394175 Business Line: 6394171
BUP 6 0391
Date Requested AM PM BLD
Location Q23) 5 w °S'l a Suite ,' 0 / MEC
Contact Person Ph 3/6 5 4 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear J� D
Framing �/ / 9 -� / �4 40-e- nie•-4
Insulation
Drywall Nailing ' �� ; 1 -
Firewall / _ i - -
Fire Sprinkler • Aire _
Fire Alarm
Susp'd Ceiling Ar
Roof
Misc:
crt/ L7 C.
�----
• /
PART FAIL - r.. _ ,0��`�� e
PLUMBING
• 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 Date /?t ri Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.