Permit A. CITY OFTIGARD
�,. ;� DEVELOPMENT SERVICES BUILDING PERMIT
"- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639°4171 PERMIT # • BUP97 -0230
DATE ISSUED: 05/07/97
PARCEL: 1S135BD -01200
SITE ADDRESS...: 09804 SW SHADY LN
SUBDIVISION ZONING:C —G
BLOCK LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:REP FIRST 2500 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N °..° 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 2500 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: 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. $ 2512100
Remarks : Fire repair to truss - reinsulate ceiling - replace t -bar ceiling.
Owner: FEES
NW COMMUNICATIONS type amount by date recpt
9804 SW SHADY LN PRMT $ 170.50 JMH 05/07/97 97- 294225
TIGARD OR 97223 PLCK $ 110.83 JMH 05/07/97 97- 294225
FIRE $ 68.20 JMH 05/07/97 97- 294225
Phone #: 5PCT $ 8.53 JMH 05/07/97 97- 294225
Contract or:
KENNEDY CONSTRUCTION
315 SE 7TH AVE
PORTLAND OR 97214
Phone #: 234 -0509 $ 358.0E TOTAL
Reg #.. : 000034
REQUIRED 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 I n s u l a t i o n Insp
applicable laws. All work will be done in accordance with S u s p ,e ' 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.
Permittee Si ',nature:
Issued By:I�V ir 01
Call for inspection — 639 -4175
• Commercial Building Permit Application
City of Tigard t31 :5 SW Hail Blvd. Tigard, OR 9723
(503) 639 -4171
Jobsite Address: 9' .5 S,uJ L OFFICE USE ONLY
Tenant: N w. GC „,,,, ,, ,o'v1Gci'r`fom Suite # Planck/Rec. #
Valuation. S J a P # ' . . t.'•' .-.: : i s i . . . ... 4
Map &TL# •ti .�.. �..T ^ :.`:
7wner: �c7A/ F. cbc- ; $ < ... .
Approvals Required :.. < ,.:.:..
Plannin ::...,;�.. ., k.c::.;:
9 <'
Telephone: 2__Z E "_ 2/ :: K `. . >,,.. .. .
.• Other , .. . .. , .. ° «° .. > .'• . .
"antractor: e .��, cop (�vvs'7` /i,�-f ,a,/
•
ddress: 3/i S 7 /2i..-
<7 L3 Ore-._ 3 .. Type of constr: '/O _
'elephone: 7_3 y o 5 C 6/ Occupancy Class: 1J / 1k i 1 .
Zontractor's License # n 3 y(s 2 • Sprinkler? Yes 5 o
(attach copy of current Oregon license)
Sq. Ft Of Project
Contact name & telephone:S,, tr - z3 y - ,, c/j
Story (1st, 2nd, etc.): 1
architect & Engineer: 2 % �e S _ i ,• �,_ s � !
Proposed Use: ICJ /m 5h ��/ (.'e
Address: -- 7 7 �.-' R ,K,J y P
Previous use:
P - t /d• me 6 /7 2.0
_ Note: Plumbing & mechanical plans must
Telephone: Z 3 - c '; 7'Yj
be submitted at time of building permit
■
application.
JOB DESCRIPTION: Far r % ?Ej,z,.r 70 7 r ,, fT� /.,..-,. d 1 C F' , /ivy
,)
• 1 i 10 f hiAl
r
(Applicant Signature & Telephone Number) -7
ieceived by: Date Received: Vn7CI •CCtitn.CCC ;CST :cis
■
'ERMITX Account Description Amount Amt Pd. Balance Due
Building Permit (BUILD) f 70 , S
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) 8. 5 3
Bldg.
Plumb.
Mech.
Plan Check (PLANCK) / / 0-,_83
Bldg.
Plumb. _
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (T1F -MT)
Commercial T1F (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (T1F -IS)
Office T1F (T1F -0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) 6f
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 35 81 s O (,
tzcMfi.ccc (es-.110,196 d T 7?-� l �" --s
P 7'
• OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: <A ,),.Q s p , pJ - J - l o R c t/, . r � Cr:ic)\ . n P o.v e
i roc o, /44 %— ter C 1,,,:s ; - r ?�r,I�GC C�,1,�. i� �c <// �f��;,.
s
CLASS OF WORK: Re P FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
.
TYPE OF USE: M FIRST 2 60D SQ. FT. ' N: S: E: W:
TYPE OF • 11 1
CONSTR: SECOND SQ. FT. PROTECT OPENINGS ?:
1_
• OCCUPANCY GRP: a (AA THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. I ROOF CONSTR: FIRE RET:
1
STOR: HT: FT: BSMNT: SQ. FT. 1 AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. I OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
_. SPRINKLER: ALARM: DETECTOR: ACCESS:
"'> COMMERCIAL ........
FOOT /FOUND INSULATION SUSPENDED CEILING SMOKE DETECTOR
INSPECTION INSPECTION CEILING INSPECTION
POST /BEAM SHEAR WALL SPRINKLER APPROACH /SIDEWALK
INSPECTION INSPECTION ROUGH -IN INSPECTION
MASONRY FIREWALL SPRINKLER MISCELLANEOUS
INSPECTION INSPECTION FINAL INSPECTION
FRAMING GYP BOARD FIRE ALARM FINAL
INSPECTION INSPECTION INSPECTION INSPECTION
CLASS: OF :WORK;OPTIONS:> =OR ALL':PERMITS: NEW =:new Add =. add tior+� A T> =alte ration; ACS . = > acce
:. =foundation: OTR! :-: other DEM >. -- :demoliition; REP::=:`re ir: FPS = fire rotection s stein. NOTE USE OTR :FOR`> < > =:'
FENC
ES .RETAINING WALLS'DETACHED::DEC
KS SIGNS :' W iNGS'> NOPIE
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05/02/97 FRI 07:47 FAX 503 624 3746 KINKOS- TIGARU II002
VANDER STOEP ELECTRIC
23765 TRIRD'ST. N.E.
AURORA, OR.
97002
C.C.B. # 89417
To: Kennedy Construction Co.
Attention: Vince Stanick
315 S.E. 7th Ave.
Portland, Or. 97214
Vince,
This is to inform you that on Monday, January 28, 1997, I went to Nentel at
9804 S.W. Shady Ln. in Tigard to inspect damage caused by a fire.
•
At that time, I checked the service and circuits for fire damage.
I also disconnected any circuits that showed any sign of damage. I then turned
the power back on and further checked the circuits with the necessary meters.
At this time the there are only a few circuits capable of being used without
reconnection in the breaker panel. The circuits we are now using test out to
be safe.
Thank You,
Al Vander Stoep
3972S
Page No. of Pages "
/ (�ontrart \
-. BUCKAROO- THERMOSEAL, INC.
OR. CCB #454 P. O. Box 20188 5410 N.E. 109th Avenue WA. BUCKAT *33407
PORTLAND, OREGON Mlle- 97,29- D /Y'
Phone 254 -5581 FAX (503) 257 -6007
PROPOSAL MITTED TO PHONE DATE
STREE JOB NAME- / 7
CITY, STATE AND ZIP CODE JOB LOCATION
5t/l) �/�`
9O/ 1 114 COX',
We hereby submit specifications and estimates for: ��JJ _
Specifications: 11
•
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!da 7 4/I i ...4e,- I--/e._,‘,..,-pei, __
I1 e (Agree to furnish material and labor — complete in accordance with above specifications, and the provisions set forth below, for the sum of:
dollars ($ / 0 , 0 , )•
•
Payment to be made as follows:
Note: This contract may be Authori , j Jr
withdrawn by us if not accepted within days. Signature .1i
ADDITIONAL PROVISIONS: Buckarpo-Thermoseal, Inc. (hereinafter Buckaroo)
1. All material furnished under this contract shall conform to specifications above set out, and all work shall be performed in a workmanlike manner in ac-
cordance with standard practices.
2. An' change in the above specifications resulting in additional costs shall become an extra charge over and above the contract price herein, to the extent
thereof.
3. The Acceptor named below shall carry fire, tornado and all other necessary insurance. Buckaroo shall provide Workmen's Compensation Insurance (or
equivalent) on all Buckaroo employees used on the job.
4. If default occurs in making payment or payments on this contract, Acceptor named below promises and agrees to pay the reasonable collection costs of
Buckaroo; however, if suit or action is filed for the purpose of enforcing any of the provisions hereof, the prevailing party in such suit or action shall be en-
titled to such sum as the Court may determine just and reasonable as attorney's fees in addition to the prevailing party's costs and disbursements in such suit
or action including costs and attorney's fees in any appellate Court proceedings.
5. A reasonable delinquency charge shall be made by Buckaroo on all unanticipated delinquent payments falling due on this Contract.
6. If accepted, please sign and return one copy. Thank You /
cceptance of QIoritract — The above prices, specifications and condi-
ions are satisfactory and are hereby accepted. You are authorized to do the Signature
work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature —/
—
APR -30 -1997 10 54 JASCO CONSTR. SVCS P.01
• uasco
CONSTRUCTION SERVICES DIVISION
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srr•►OR}1...OREUON IMF&i 6f!
. 1000
A • CgR^�l�pn Managelna •DOOM Frames i4'C.als
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+ •Taub Wear! • Chives Sr+vms • Ace= nears
... �� • Won Synnns . vpOyp Dimip�al
503 / 226 -2100
�ro• " �` . w s'v'1 f
FAX 503 / 226 -0832
% - :; �=- Y' `' l ALAN HALSTEAD
c:.� , O , l ,� Digital Pager 503 / 795.2317
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Estimate Attached. Na � \ c a .
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NUMBER OF PAGES INCLUDING TRANSMITTAL SHEET: (
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A DIVISION OF JOHNSON ACOUSTICAL & SUPPLY CO. !!!
TOTAL P.01
•