Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00313
y , � rn DEVELOPMENT SERVICES DATE ISSUED: 9/12/01
" �� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07298 SW TECH CENTER DR PARCEL: 2S101 DC -01100
SUBDIVISION: ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: U2 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: I D.00. 0
Remarks: Installation of 30' flag pole.
Owner: Contractor:
CIRCLE A W PRODUCTS COMPANY ROSE CITY AWNING
ATTN: PHIL PINGSTERHAUS 1638 NW OVERTON STREET
BY B -LINE SYSTEMS, INC PORTLAND, OR 97209
Hrnone IL 62249 Phone: 226 -2761
Reg #: LIC 48622
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PRMT CTR 8/30/01 $62.50 27200100000 Final Inspection
5PCT CTR 8/30/01 $5.00 27200100000
PLCK CTR 8/30/01 $40.63 27200100000
Total $108.13
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 -6699 or 1- 800 - 332 -2344.
Perm ittee v
Signature: r
Issued By: t 2
7 ' ��� �
Call 639 -4175 by 7 p.m. for an inspection the next business day
_ 171 _ 1)15 -r sof3D/O,)
illr .
` �"`a Building Permit Application � n
Date received , M/ Permit j � -0013 .
ti mi City of Tigard i 23 Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW H all Blvd, l d, T gard O
Phone: (503) 639 - 4171 Date issued: By:t , Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex: ,_�
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory XCommercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: , 9g Sw 7 e, �, Q /L Bldg. no.: Suite no.:
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: 6i T 14 30- ' /:1A6 PM..
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: . 00 p64 ,r - A,,v/_' s y5 2 (Floodplain, septic capacity, solar, etc.) \ p
Mailing address: 7A. 9 64,, 7 ,b, Gc nwTT -,c p( 1 & 2 family dwelling: J
City: P6Lr - ' 'State: p,L (ZIP: 972.z 3 Valuation of work $
Phone: 4 Zp �4 4 3.5 (Fax: G Z) - 7 7 s'/ I E -mail: No. of bedrooms/baths
Owner's representative: Aft ,V,0CK41 / Total number of floors
Phone: le -66 33 Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Covered d porch area (sq. ft.)
Mailing address: 7 g_18 5■ �L-c� e . 2-g. o-. Deck area (sq. ft.)
City: A,LA -9 I State:6,C_ I ZIP: 9? Z 2- 3 Other structure area (sq. ft.)
E-mail:
Commercial /industrial/multi- family:
Phone: e -G 4 3 F ax: C20- 773-/
CONTRACTOR Valuation of work - $ 1 2-00 .
Business name: p �� Existing bldg. area (sq. ft.)
D$.� Cr ry f G4G s -t- F-4.46 /r New bldg. area (sq. ft.)
Address: JG 3g iv 1, 0 Uc-ti #' 5 f
City: State: ZI Number of stories
y: Po,v2.4+v 0 - I_ O L I ' 72.e 9 Type of construction
Phone: ZZ4- Z74 /IFax: zzr - oI E - mail:
Occupancy group(s): Existing:
CCB no.: 4T(oa. T - ' -03 New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to he
ARCIIITECl/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: I ZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: PE ?l ,t-7CNN v-- Contact person: Fees due upon application $
Address: . 00.5 - 5t.0 C.6 reit 5 i Date received:
City: T 64.,4, D IStatez) C IZIP: q'Z Z 3 Amount received $
Phone: e Zd - 2...0-$ 4 I Fax: I 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 provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied wi • hether specif - • herein or not. Credit card number: Ex
Expires
Authorized signature: AEI._ .�/ y Date: 0/ Name of cardholder as shown on credit card
•
Print name: . Z9-44- $ _ . 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 (6100/COM)
(Pi CD
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
•
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
.Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I: \dsts \forms rnatrxcom.doc 10/27/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24- Hour -inspection Line: 639 -4175 Business Line: 639 -4171
' BUP d e l 06:3/3
pate Requested 1 6 J (q AM PM BLD
Location 7 Z &. t2p ir.F'./;t , A Suite MEC
Contact Person Ph 6 2-6 PLM
Contractor Ph SWR
_BUILDING Tenant/Owner 7 09J ELC
taining Wall ELR
Footing Access;
Foundation / FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: C R (( t 7/2_2: ,
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler /�C$ //1/ c�2 + .01/C6 P x-eC Fire Alarm
S
Susp'd Ceiling / ‹ 'e� �/ / v' 6770 Q
Roof : .! Oa/ $ cC �a? / 2'(i s ' CPOh/
_._ 1/
yam PART FAIL
ING
Post & Beam C
Under Slab q ��
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 reins ection RE: [ ] Unable to inspect - no access
ADA
Other oach /Sidewalk Date V Inspector OM - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.