Permit t
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00459
Y, YI DEVELOPMENT SERVICES DATE ISSUED: 10/22/1999
r � l II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 PARCEL: 2S112DD -01600
SUBDIVISION: 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: 3N : 19.193 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 185 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: - IMP SURFACE: - -.:PRO CORR: PARKING:_,
VALUE: $ 65,000.00
Remarks: TI
Owner: Contractor: •
PACIFIC REALTY ASSOCIATES COMMERCIAL CONTRACTORS INC
15350 SW SEQUOIA PKWY #300 -WMI 25610 SW 41ST AVE
PORTLAND, OR 97224 RIDGEFIELD, WA 98642
Phone: Phone: 227 -4440
Reg #: LAC 123729
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT KJP 10/21/199E $501.25 99- 319257 Gyp Board Insp
Susp Ceiing Insp
PLCK KJP 10/21/199E $325.81 99- 319257 Final Inspection
5PCT KJP 10/21/199E $40.10 99- 319257
FIRE KJP 10/21/199E $200.50 99- 319257 O
Total $1,067.66
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 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe rm itee ro
Signature: Hie1
v /
Issued By: ( / // s..
Call 639 -4175 by 7 p.m. for an inspection the next business day
p(5OF TIGARD Commercial Building Permit Application Recd By
312 S MALL BLVD. New Construction and Additions Date Recd z I q
IGARD, OR 97223 Date to P.E. I -
OE Date to DST 03) 639 -4171 / Per # ( 19 �
permit ?
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called I D -?f -1`",
Name of Development/Project
Job 49tell4W _ Existing Building New Building ❑
Address Street Address Suite
l 10 4vtt � 16 0 Building
"fiN7t City/State Zip Data
. l I AA Og . Q7 Existing Use of Building or Property:
Name `, _- _, � -�
Property i - t 4J5'r `/��PPI
Owner Mailing Address
001 Dl Suite Proposed Use of Building or Property:
Y ' D I e•e
City/State ip Phone
&/rF OK 112'2+ 403-‘1442A0 No Of Stories: I
Occupant N ame
(/Lr/rA''Tifr Sq. Ft. Of Project: Iq lei
Name Occupancy Class(es)
Contractor 401441 (,i■ arstiv **5 We-. e
/
Prior to permit Mailing Address Suite Type(s) of Construction
issuance, a copy n/ �' 0 ili i / 4 1 - Ave. v- 4
of all licenses ff�riit�LL�� I� W
are required if City/State Zip Phone Will this project have a Fire Suppression System?
expired database c�/f `SLY V� in C.O.T. i` h wik 1e 4. 21 4440 Yes X No El
Oregon Const. dont. Board Lic.# Exp. Date Americans with Disabilities Act (ADA) Al IS
I 23721 4p_2w !. gr" Valuation X 25% = $ Participatiore I
Complete Accessibility Form
Name Project $
Architect W E �iAf • % fts 01 Valuation 6
Mailing Address Suite
64.1 4W NI,012gSo$ 125 Plans Required: See Matrix for number of sets to submit
City/State Zip Phone on back
R OK 47245 1:73.403:14
Engineer Name I hereby acknowledge that I have read this application, that the information
Nile given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
Signa r= •f • ner /Ag - , Date
City/State Zip Phone 0'11'161
Con �act Person Name ,/ Phone �J
Indicate type of work: New 0 Addition 0 Demolition 0 v 1I ��/t 1 / r �^ Ph ' 1 . 1 11 6 . 7571
1
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other FOR OFFICE USE ONLY
Description of work: Map/T1# Land Use:
' eA1041 1✓v4 V Gil 'lam Notes:
Parks: Estimated # of Employees TIF:
If the above figure Is not supplied at the time of application, the city will
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEW.DOC (DST) 5/98
° \r •
COMMERCIAL PLAN SUBMITTAL -
REQUIREMENT MATRIX
lay l evies is aepenttent uport subr.tr441 cif Bt0TFt plans AND 0 cGOMP .ETt:
p an review approval, Plans. aminer will contact the applicant to request >:: :
a:
::.;::; E�:::::.. �;:;;::: �► �::<.;:.;:.;::.;:.::.;:.;:.: .::P���s.;:.;;::.:;.:;.;:.;:.:: KEY:
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
.kk
NOTES:
I:\dsts \forms\matrxcom.doc 10/30/98
'OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF WORK: ne-TT FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF I,SE: FIRST SQ. FT. N: S: E: W:
Gain
TYPE OF
CONSTR: 3 D SECOND SQ. FT. PROTECT OPENINGS ?:
r�
OCCUPANCY GRP: • THIRD SQ. FT. N: S: E: W:
S5 J
OCCUPANCY LOAD: I 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: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ SOI; Permit Fee
Masonry F ng $ 32$ Plan Review
Insulation Shear Wall $ A 0 8% State Surcharge
Firewall yp Board $ go FLS Plan Review
spended Ceilinn Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector A roach /Sidewalk $ " Inspection
Miscellaneous Final $ 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) 9/99 - - -
2 /22 /00 Activities for Case #: BUP1999 -00459
4:43:46 PM .
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 10/21/99 KJP RECD No Hold KJP 10/21/99
BUPC008 Permit created 10/21/99 KJP DONE No Hold KJP 10/21/99
BUPC012 Plans routed to Plans Examiner 10/21/99 KJP DONE No Hold KJP 10/21/99
BUPCO22 Plans Approved /Routed to DSTs 10/21/99 RDP DONE No Hold KJP 10/21/99
BUPC762 Susp Ceiing Insp • 10/21/99 10/21/99 11/30/99 TLP PASS No Hold TLP 12/1/99
BUPC740 Framing Insp 10/21/99 10/21/99 11/9/99 TLP PASS No Hold VT 11/12/99
BUPC760 Gyp Board Insp 10/21/99 10/21/99 11/12/99 LN PASS No Hold VT 11/12/99 CMA, approved; okay to cover
BUPC799 Final Inspection 2/1/00 TLP PASS No Hold AKJ 2/1/00
BUPC100 (F) Issue permit 10/21/99 KJP DONE No Hold KJP 10/21/99
BUPC117 Return to Ready 10/22/99 KJP DONE No Hold KJP 10/22/99
BUPC100 (F) Issue permit 10/22/99 DST DONE No Hold DST 10/22/99
BUPC740 Framing Insp 12/15/99 12/15/99 12/15/99 TLP PASS No Hold TLP 12/15/99
BUPC760 Gyp Board Insp 12/17/99 12/17/99 12/17/99 TLP PASS No Hold TLP - 12/17/99
BUPA990 (F) Issue Cert. of Occupancy 2/1/00 . TLP DONE No Hold ST 2/22/00 2/23/00- mailed to
owner /tenant/fVFD /file
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BU iggq — :t.)
Date Requested (� AM PM - WI /_ 36
Location �� Ite -Q05/
157 S''nn S �r ,c>> ��$ - - -- /
Contact Person Il/( Ph 710e1-52?) PLM
Contractor Ph , SWR
iI DIN
Tenant/Owner _i 6174*- A a V • -- - m,c��i C
Retaining Wall All' C tAKEPc PPM( ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: . q _ /� i
Post & Beam
CCU() '� !/ �X SIT C fir' p�
Ext Sheath/Shear C
th /Shear "UC fY?OI i q ! p 1 — co 3L 0
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
r ASS. PART FAIL
- LUMBING
Post & Beam
Under Slab
Top out
Water Service
Sanitary Sewer
Rain Drains
Final
_ A SS P RT FAIL
IECHANIC)L
Post & Beam
Rough In
Gas Line
Smoke Dampers
Vr PART FAIL
RICAL
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 ( + v Ins ® } Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.