Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00395
jIll 4 ,,, , --
DEVELOPMENT SERVICES DATE ISSUED: 9/11/02
AvIL c=-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07291 SW TECH CENTER DR PARCEL: 2S101 DC 04602
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 11,780.00
Remarks: Teanant improvement, creating 3 office spaces.
Owner: Contractor: •
MCCORMACK, WILLIAM L + DARLENE B J. CUMMINGS COMPANY
7190 SW SANDBURG ST 2330 SE CLATSOP ST
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: Phone: 235 - 1282
Reg #: uC 203230
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 9/11/02 $158.50 27200200000 Electrical Permit Required
Framing Insp
5PCT CTR 9/11/02 $12.68 27200200000 Insulation Insp
PLCK CTR 9/11/02 $103.03 27200200000 Gyp Board Insp
FIRE CTR 9/11/02 $63.40 27200200000 Susp Ceilng Insp
Final Inspection
Total $337.61
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- or ,800- 332 -2344.
._ _ r
Permittee / Sig nsture: ( -_ /\ ....._
Issued
"
� u ed By: K , “ l
Call 639 -4175 by 7 p.m. for an inspection the next business day
'w, _ _ _ . .
• Building Permit Application
Date received: • // D Permit no.:. i 155'
1 1 / 1 j ` i City of Tigard
^ :_ Project/appl. no.: ' Expi • date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: ' Byn JI �i
. Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
"
,, -. .... < ..; Y ' < , ' ' TYPE OF PERMIT " :
•
❑ 1 & 2 family dwelling or accessory gCommercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm ❑ Other:
{, ,,, ,, ' JOB' SITE INFORMATION: '
Job address: .72`9 I 5‘tv TFCt-I Gil'," prz.ivl Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: - • • CnQ ECG( G • ] ( . _
Description and location of work on premises /special conditions: TNT / MdV EMEM T
An0 1710k.) of oPF' c t=s
° „; s!' ; . el , ; ::, t , k A +,OWNER . , r" , ._ ' ` s_t , • ' ' . -V i..*' ' t -
. FOR SPECIAL INFORMATION,' USE CHECKLIST
Name: \Nil L , A/` 'c * AG‹ „ . , - (Floodplain, septic capacity, solar, etc)
_►Lk71tR MR _iaTirfp �n `ft_j _ ii=la 1 & 2 family dwelling:
City: I e or MEM ZIP: ' 72.23 Valuation of work $
Phone: '(ti ■ /52C, Fax: E -mail: No. of bedrooms/baths
Owner's representative: . Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
' '":' "? i `,. t ; . -APPLICANT • - - ' Garage /carport area (sq. ft)
. Covered porch area (sq. ft.)
Mailing address: 2. .. E-. G(•..ek E- -... Deck area (sq. ft.)
City: E• - __ c, State: ZIP: — 7 2,02- Other structure area (sq. ft.)
Phone: 235 I28Z Fax: 235.043;. E -mail: Commercial/industrial /multi - family:
ti:; - '-'-' : -" H - "'CONTRACTOR . `` ., Valuation of work $ /6 749c7
Business name: j J , CUMM (Ivy 7 C . _ Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Address: GL.Ac s'
Number of stories
City: ''',,ip I - r) • - 71 ZIP: 17 w s.
Jr Z Fax: -/ 2. � 3 E -mail: Type of construction
Phone:
Occupancy group(s): Existing:
CCB no.: 2 Q New:
City /metro lie. no.: Notice: All contractors and subcontractors are required to be
- : ARCHITECT/DESIGNER
_ ;.,, � . • licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.: '
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: . Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All ..visions of laws and ordinances governing this ❑ visa ❑ MasterCard
work will be compli: i w tha e -r specii d herein or not. credit card number: Expires
Z. Au signatur='_ AA-0 • „i , 9 Date: 9 O Yi Name of cardholder as shown on credit card
$
Print name: PiC� O / Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6 /OO /COM)
A lt' Commercial Plan Submittal
101:1 Requirement Matrix
City of Tigard
TYPE 'OF SUBMITTAL s #1of Plans:
(Includes New, Additions or Alterations) £ R eq u ired a
Submi
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \dsts \forms \COM- matrix.doc 9/24/01
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 66 3 5
Received .,:Date. Requested 1 AM PM BUP
Location c / ' 7 _ -A 0-2.44. Suite MEC
Contact Person Ph ( ) 3 l R -- 0 t +3 PLM
Contr. • Ph ( ) SWR
sue
� iLDING)) Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
S PART FAIL }
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer •
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: r �,
Final �
C/Y
PASS PART FAIL J �/ •
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA j
Z16 /
Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST - D�3 I�
BUP
Received , Requested AM PM iP
Location �7 l T AU ez4f11 . J Suite MEC
Contact Person / Ph ( ) 3/j ' a Lt3 D PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner �`�vl �-l� T�' ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
ra •
Firewa
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fina
ART FAIL
I'' ING
Post & Beam
Under Slab
Rough -In
Water Service `
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date / 1 7/° 4 — .1 " -- Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL