Permit CITY OFTIGARD
.,„, ,, DEVELOPMENT SERVICES BUILDING PERMIT
��'��„ i PERMIT # PUF'9A -0304
'-__.. 13125 SW Hall Blvd.,Tigard,OR97223 (503)639.4171 DATE ISSUED: 08/03/98
PARCEL: 25112DD -01600
SITE ADDRESS...: 15575 SW SEQUOIA PKWY #P -18
SUBDIVISION • ZONING:I —P
BLOCK • LOT JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 2880 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 2880 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 32 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. $ : 21495
Remarks : American Facsimile TI work. Construct new tenant separation wall,
remove walls (1) sink. Need: fire alarm permit, sprklr permit, elec and plbg
permit.
Owner: FEES
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA PKWY #300 PRMT $ 152.50 JSD 08/03/98 98- 307932
TIGARD OR 97224 5PCT $ 7.63 JSD 08/03/98 98- 307932
PLCK $ 99.13 JSD 08/03/98 98- 307932
Phone #: 624 -6300 FIRE $ 61.00 JSD 08/03/98 98- 307932
Contractor:
COMMERCIAL CONTRACTORS INC
25610 SW 41ST AVE
RIDGEFIELD WA 98642
Phone #: 227 -4440 $ 320.26 TOTAL
Reg #..: 123729
-- 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 Ce i 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. 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 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
I
I I �.
Permittee Signature: ! L bL - � ssued B �'
++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +.- +++++++++++ + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. fo inspection needed the next business day
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF fiGARD Commercial Building Permit Application Recd By /A.)
Date Recd 1-50
13125 SW4 -TALL BLVD. Tenant Improvement Date to P.E. If' _
TIGARD, OR 97223 & f Date to DST • • .7 j =
(503) 639 -4171 - Permit # Eia. ' , -030y
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
BLP -4 L
Name of Development/Project Existing Building Vew Building ❑
Job An Fe i(A s/ r`1
Address Street Address 5 Suite Building
/S'S 5 Somas /4-Pity te O Data
Bldg # City /State Zip Existing Use of Building or Property:
o v 7? J 0/2. PFjC, r,
Name
Property / R i;eT' Proposed Use of Building or Property:
Owner Mailing Address Suite 3DD '/ -/ G
1 S �544k #Z► r y W No. Of Stories:
City /State Zip Phone / � �� U
et- 6 '4/ L3 Sq. Ft. Of Project: -rF.
Occupant N a e 'd / /ay 2 —
�,4 7 * C ` Occupancy Classes) /3
Name
Contractor C'om,nfrto,,ea f ,,.,., , 0- Type(s) of Construction S
Prior to permit Mailing Address Suite
issuance, a copy 2-9‘/D Na' *f• 4Y Will this project have a Fire Suppression System?
of all licenses Yes X No ❑
are required if City /State Zip Phone
expired in C.O.T. �''4 X0,3 Americans with Disab ities Act (ADA)
database X /04 �
C 9i6`f . ¥'/ Valuation X 25% = $ Participation oil ------
Oregon Const. Cont. Board Lic.# Exp. D to Complete Accessibility Form 5 37 /
/z 3 7 Z9 r(D (l' L Project $ a
Name (/' V ��/�''X g ✓
Architect 4,41 Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back L x
0 'IV .ko/'r. s...._ / 3-5
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
/ ,.. f�/ . J 17 1..95 Z S 1,7/ given is correct, that I am the owner or authorized agent of the owner, and
/ that pla Niuubmitted are in compliance with Oregon State Laws.
Engineer Name
Sig Lure of OwnO /Age Date
Mailing Address Suite `7/'34 //
y�
,� _� 66
Contact Person Name Phone
City/State Zip Phone 227 — lA/L/Q
A At oNL`
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration if
Repair 0 Other 0 Notes:
Description of work: l
,S /40..r1 v VGA •e•-•.-1- TIF:
A. 7J- se Glif.2 LtQD //=/ 44 #.t
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
K . •
r
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
.:.. ...::.::
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•
�? I�� �.:.::..:.: :.:.< .:.:.:::. u �n s�t�ratt�� �t �:.:.:::...:. :.:::.:..: :::..:.::;::.:.::
: : >::> Lion > Fi rigan : <: »::: ri c ::::R :.: ::: : : :::1.:.:;,,..:_. >l : :: .: :: :.::.. : : :4 >: ica �.:> 1:i ..: : ;s; . „ ; `a rt t : ` >< < `` '« � < :
�::: > ... Kcal`i ,. � ... . submi th� rrtust eont � h :::::;:;
sign ;:o f : t he::> s t ru s e : >: e le r c n:::befor:.e:: l >;rev[s w:w ll: > :be: conduc d: < »:::::;<;::
After a.::..::..:e.:::::.:;.:.::::.:: rov Plan Exami will c the a licant >to: re� est ..
a ditior al:: lan: :se >for.d ::ractori <.: . : ::: >• ;:: > : <:: >:
. d ........................................... :::.:..:.::.:.. :;:::..:e :> ttsr. : ...:... .....::.::..... . .... .. .. :.:.....: :.:.:.......:
t ta0l n0t:. :::n C 9nty, Tuaiatir Vaggt. Fire g..# �escue1........:>:::::;::::::::::>::: >:: >.
T ' o
':�. ` ,i :::� : > : :::,: i >: €i' > i >i:i > KEY:
>rte
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
:> ::: &::: & :::: P ::: & :: : : }fit :::>:::>:: <:>::::>:, - - - -' 3< : :: < : : : : : ; :::
NOTES:
Shadit".t :a.:e s t . ::::A .-fsu.f c .r a. o :.::.:...::::::.:.:::::.;::::::::.::::::::::::.::::::::..::::::. ::::.::<: <:::::::::.:;.::.
I: \dsts\rnaxtrixl .doc 07/06/98
OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: T.- w d r /c t e4,/ 7Z-r r F 21 e yr f n 4n i`
feir ,- ?` 0 I I 1 v lca -
J se oclit Pe ,.h7, C/< c_ , , 6 Z
CLASS OF WORK: 4i 7 FLOOR AREAS: 44454,Ci i EXTERIOR WALL CONSTRUCTION
TYPE OF USE: l /71 FIRST -- ----
- SQ. FT. N: S: E: W:
TYPE OF
CONSTR: c — A/ SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: ,5 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 7 • TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR:_ HT: FT: i BSMNT: SQ. FT. i AREA SEP. RATED:
I I
BSMNT ?: MEZZ ?: i GARAGE: SQ. FT. i OCCU.SEP.RATED:
I I
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
51 Foot/Found Post/Beam $ /5) Permit Fee
Masonry Framing $ cj 9 a Plan Review
Insulation Shear Wall $ 2 45- 5% State Surcharge
Firewall 'Gyp Board $ Z/ FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous i./Final o $ 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)
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 �� S .
excluding painting, wallpapering. . [1] $
multiply: 25% Barrier removal requirement. _ .25_
BUDGET FOR BARRIER REMOVAL [2] $ 53 7 3 ' °=
The dollar amount of the BUDGET established on line (2) in the computation above shall be spent
providing the accessible elements in the following order:
1. '' An accessible route connecting the building to accessible pedestrian
tiwalkways, and the public way. $
(including but not limited to curb ramps, detectable warnings,
marked crossings, ramps handrails and landings).
2. Not less than one accessible parking space. $ 2 5 C/% 1
(including but not limited to adjacent access aisle, signs and curb ramp
connecting with the accessible route).
3. Accessible entry or entries. $
(including but not limited to ramps, handrails, landings,
door sill height, door width and door hardware).
4. An accessible interior route to the altered area. $
(including but not limited to door -ways, maneuvering
clearances, door hardware and stairways).
5. At least one accessible restroom for each sex. $
6. At least one accessible telephone where public phones
are provided. $
7. When drinking fountains are required, fifty per -cent but
not less than one shall be accessible. $
8. Additional accessible elements such as storage, reach ranges, 5—DO
alarms, etc. $
TOTAL: Shall equal line 2 of Value Computation $
•
S /TG /1 /3' o/- €(9)--A)7 l 1 �►
is /otc4.doc(DST)
7/27/99 Activities for Case #: BUP98 -00304
5:16:56 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 APPlication received 8/3/98 GEO PASS JSD 8/3/98
BUPC008 Permit created 8/3/98 JSD PASS JSD 8/3/98
BUPC012 Plans routed to Plans Examiner 8/3/98 .GEO PASS JSD 8/3/98
BUPCO24 Plans Approved by CPE 8/3/98 JHF PASS JSD 8/3/98
BUPCO26 Approved Plans routed to DSTs 8/3/98 JHF OTC JSD 8/3/98
BUPC740 Framing lnsp 8/13/98 TLP PASS TLP 8/18/98
BUPC760 Gyp Board Insp 8/19/98 TLP PASS TLP 8/19/98
BUPC762 Susp Ceilng lnsp 9/2/98 GS PASS ' - J'H 9/2/98 Repair existing roof insulation
as needed - falling down in "two
places.
-BUPC802 Final Inspection 11/30/98 TLP PASS TLP 11/30/98 need fire /spklr /elec/plumbing
• permits. check before doing a
building final
BUPC100 (F) Issue permit 8/3/98 JSD PASS JSD 8/3/98
BUPC784 Sprinkler Final 11/30/98 TLP PASS J *H 12/6/98
BUPC070 HOLD FOR (Note in Action Memo) 12/28/98 JMT NOTE JT 12/28/98 hold on CIO until e1r98 -0231
has been inspected. e-mail to
Tom /Jean /Hap /Chuck
BUPC950 (F) Issue Cert. of Occupancy 11/30/98 JMT MAIL JT 3/11/99 3/11/99
•
•
Page 1 of 1 -
2/22/00 Activities for Case #: BUP98 -00304
4:47:13 PM
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 APPlication received 8/3/98 GEO PASS JSD 8/3/98
BUPC008 Permit created 8/3/98 JSD PASS JSD 8/3/98
BUPC012 Plans routed to Plans Examiner 8/3/98 GEO PASS JSD 8/3/98
BUPCO24 Plans Approved by CPE • 8/3/98 JHF PASS JSD 8/3/98
BUPCO26 Approved Plans routed to DSTs 8/3/98 JHF OTC JSD 8/3/98
BUPC740 Framing Insp 8/13/98 TLP PASS TLP 8/18/98
BUPC760 Gyp Board Insp 8/19/98 TLP PASS TLP • 8/19/98
BUPC762 Susp Ceilng Insp 9/2/98 GS PASS J'H 9/2/98 Repair existing roof insulation
as needed - falling down in two
places.
BUPC802 Final Inspection 11/30/98 TLP PASS TLP 11/30/98 need fire /spklr /elec/plumbing
permits. check before doing a
building final
BUPC100 (F) Issue permit 8/3/98 JSD PASS JSD 8/3/98
BUPC784 Sprinkler Final 11/30/98 TLP PASS J *H 12/6/98
BUPC070 HOLD FOR (Note in Action Memo) 12/28/98 JMT NOTE JT 12/28/98 hold on C/O until e1r98 -0231
' has been inspected. e-mail to
Tom /Jean /Hap /Chuck
BUPC950 (F) Issue Cert. of Occupancy 11/30/98 JMT MAIL JT 3/11/99 3/11/99
Page 1 of 1
•
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0304
•
PACIFIC REALTY ASSOCIATES
•
15575 SW SEQUOIA PKWY Unit 180
•
01/20/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
•
BUPC005 Application received / / / / 08/03/98 PASS GEO 08/03/98 JSD
BUPC008 Permit created / / / / 08/03/98 PASS JSD 08/03/98 JSD
BUPC012 Plans routed to Plans Examiner / / / / 08/03/98 PASS GEO 08/03/98 JSD
BUPCO24 Plans Approved by CPE / / / / 08/03/98 PASS JHF 08/03/98 JSD
BUPCO26 Approved Plans • routed to DSTs / / / / 08/03/98 OTC JHF 08/03/98 JSD
BUPC070 HOLD FOR (Note in Action Memo) / / / / 12/28/98 hold on C/O until e1r98 -0231 has been NOTE JMT 12/28/98 JT
inspected. e-mail to Tom /Jean /Hap /Chuck
BUPC100 (F) Issue permit / / / / 08/03/98 PASS JSD 08/03/98 JSD
BUPC740 Framing Insp / / / / 08/13/98 PASS TLP 08/18/98 TLP
BUPC760 Gyp Board Inap / -/ / / 08/19/98 PASS TLP TLP
BUPC762 Susp Ceilng Insp / / / / 09/02/98 Repair existing roof insulation as PASS GS 09/02/98 J *H
needed - falling down in two places.
BUPC784. Sprinkler Final / / / /. 11/30/98 PASS TLP 12/06/98 J *H
BUPC802 Final Inspection / / / / 11/30/98 need fire /spklr /elec /plumbing permits. PASS TLP 11/30/98 TLP
check before doing a building final
BUPC950 (F) Issue Cert. of Occupancy / / / / 11/30/98 01/20/99 JT
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c
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST gq./
24-Hour Inspection Line: 639 -4175 Business Line: 39 1 1 do 1
0 �S 1 Date Requested 11 3Q ` w p AM PM BLD
Location /5575 S / Suite l V r — / X
Ph
Contact Person Q� ; J � .a07 —.� �9� PLM �� /JO
Contractor Ph SWR
BUILDI Tenant/Owner C64/1/14/E36- /a/117-1 ELC
Retaining Wall ELR
Footing Access: % vv O
Foundation
Ftg Drain SGN / 1 Air
Crawl Drain Inspection Notes: ,np ,,,,�,C
Slab P < - �(/K SIT ' ' 1K/�
Post & Beam /� /�
�ls
Ext Sheath /Shear IP- ��c:a C Q kVA Ct /"'CJ
Ina Sheath /Shear C? ,� ,, `�� A , l�
Framing �{/�'� vK.C. (� eyreW i
Insulation
Drywall Nailing
Fir
e Sprinkler
Fire Alarm
Susp'd Ceiling ,/� _
Roof
Misr
F l %/TS c //�
iOIF: . ► PART FAIL
"f BING _
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS FAIL
ECHANICAL
Po steam
Rough In
Gas Line
Dampers
Fi
PART FAIL
CTRICAL ed. � /f �
Service aL/ („ � '
Rough In /. — ; _ `
UG /Slab CZ" �1`�— / O� � l +
Low Voltage � P'" D� /3 � / /7.
Fire Alarm / pQ
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA / Approach /Sidewalk -- 3 � - - � I
Other D a t e � I ° - ` Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.