Permit CITY OFTIGARD
� -
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT # • BUP97-0083
„JAI- 13125 SN/ Hall �h�i Tigard, /��)����7Y
Blvd., �°—` `'-' DATE ISSUED: 02/26/97
PARCEL: 1S135CB-00600
SITE ADDRESS...: 11530 SW TIEDEMAN AVE
SUBDIVISION..,.: ZONING :I—o
BLOCK • LOT •
__
REISSUE: FLOOR AREAS ----- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST • 1400 sf N: S: E: W:
TYPE OF USE. ..:COM SECOND...: 0 sf PROTECT OPENINGS?----------
TYPE OF CONST.:5N ...: sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL------: 1400 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 14 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:N SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $: 12000
Remarks: Tenant improvement. Will need a mechanical and electrical permit.
Owner: ---- — ---- FEES --------------
MCCALL OIL type amount by date recpt
808 SW 15TH AVE PRMT $ 92.50 B 02/19/97 97-290543
PLCK $ 60.13 B 02/19/97 97-290543
PORTLAND OR 97205 FIRE $ 37.00 B 02/19/97 97-290543
Phone #: 5PCT $ 4.63 B 02/19/97 97-290543
Contractor: — -------- — •
ANOTHER CONSTRUCTION CO
MARK CHESTER BRUNDAGE
22105 SW 78TH
TUALATIN OR 97062 ------------------
Phone #: 648-5310 $ 194.26 TOTAL
Reg #..: 002610
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard likimicipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plars. This permit will expire if work is not started Susp Ceilng Insp
within 100 days of issuance, or if work is suspended for more
than 180 days.
Permittee Sign-* -
„
Issued : y
N�r Call for inspection — 639-4175
e
141 C mm r i I Buil in P rmi Application
Co e c a Building Permit /
City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 i . I
_ ?�rr,, (503) 639.4171
Jobsite Address: 1� S c� iridewctv OFFICE USE ONLY . >, .: < . : : >; :: > . .:
Tenant: /IF fil �� Suite # PfancklRec. # "' 2�-
Valuation: Z ...
/I,, Map &TL #, .:::
l.�
nn-- V
• l_-�.�
Owner:
C
1
�y �.[� 1{-4)<' Approvals R equ irel
Address: 1I �. 3 (-0 1.S ,: > * .: : , ,,. ;:: :::
pc ,„1-6 c ,f, oz Q72-°--- .... to nn g ` > • ...:...:.,......... . .....:„...:::::.:.::::::„..:.::::.....:::::::.„.„....„.:::„.::::..... .. Engineering ' .
Telephone:
Other......... ...........
Contractor: A-V\ vf(Q Cvv4 co
Address: 22 1 U5^ s� $1
r T jal c-41 -1/\ 00 --0 9 7v Type of constr: 6
Telephone: ) -3 _ 6 3 - - 6 4 -( 2- i Occupancy Class: 6 Z
Contractor's License #
62.6/0Z.- Sprinkler? Yeses
(attach copy of current Oregon license)
Contact name & telephone:
AV �.�,Jk- 611"-/—Led'( Sq. Ft. Of Project:
Story (1st, 2nd, etc.): I Sr
Architect & Engineer: //J�
Proposed Use: c c./ t�a,rfil vll (
Address: Eek -vhf
Previous use:
Note: Plumbing & mechanical plans must
Telephone: be submitted at time of building permit
application.
JOB DESCRIPTION:
de j 370 —6 3 s---eqzv (Applicant -'� nature & Telephone Number) Pay-c 2 -� �' �2 (�,'
Received by: g mik.1141,,."—" Date Received: Z _0 11
I:1COMPER.DOC (DST) 10/96
PERMIT# Account Description Amount Amt Pd. Balance Due ,1 ,
6 7 -e C�,�
Building Permit (BUILD) - ‹-f7 6Q q7 _`; - IS --
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) - y 6 3 t) -�—
Bldg.
Plumb.
Mech.
/
Plan Check (PLANCK) 6 Q fit) -2 j
• Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT) -
Commercial TIF (TIF -C)
Industrial TIF (TIF-1)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) 7 0?
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: qq, 241-
I:\COMPER.DOC (DST) 10/96
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW , .
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
APPLICANT: A 4—Le% ( f ( DATE: 2 — iq — 9' 7
SITE ADDRESS: / / 5 SA) %.ei dln,iccLA DEVELOPMENT NAME: 4 in c.,
�
T.'Z=
VALUE: $ I2� v
CLASS OF WORK: /4 L t' FLOOR AREAS: / qOV EXTERIOR WALL CONSTRUCTION
TYPE OF USE: 7'0711 FIRST SQ. FT. ' N: S: E: W:
TYPE OF CONSTR: V/V SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: _ W: _
OCCUPANCY LOAD: / V � TOTAL SQ. FT. , ROOF CONSTR: FIRE RET:
STOR: HT: FT: BASEMENT: SQ. FT. AREA SEP. RATED:
BSMT ?: MEZZ ?: GARAGE SQ. FT. OCCU.SEP.RATED:
FIRE SPRINKLER: 21 d SMOKE DET.:
FIRE ALARM: 91 v HANDICAP. ACC.: y r�
NOTES: 4- V77eci.7ir. a i O e ' e / � - r�" min 7 T / J zRe p 0
F. :: . USE ONLY .
::..:..; ..:.::..
:TYPE;:OF>USE!;OPTIONS: COEVI:= commercial:`:: CMS ::= commercial:man ifactured
CLASS.OE:WORK OPTIONS: FOR:: AL PERMITS: NE if ;new; A : =.. addition ALT::.= alteration; ACS:. =.::acre -;FND::;
rotecfian..
:`:FEN : ES:'RET I D T ..:
C AEIV N >WA ' LS EACH ' I N "
fs L ED DE K S G S AWN � `N PEE :::
. ..............:................
I: \ovrcntr2.doc (DST) 12/96
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Inspection Permit Fee
S �
Post/Beam Inspection
(C)Plan Rev.Structure $ G U
Masonry Inspection
v
Framing Inspection (C) Plan Rev. Fire $ 2 7
Insulation Inspection
(C) 5% State Surchrg $ ti 6 3
Shear Wall Inspection
Firewall Inspection Add'I Permit Fee $
Gyp Board Inspection
Add'I Plan Rev Strctr $
Suspended Ceiling Inspection
Add'I Plan Rev. Fire $
Sprinkler Rough -In
Add'I 5% State Srchg $
Sprinkler Final
Miscellaneous Fee $
Fire Alarm Inspection
Smoke Detector Inspection USA Erosion Permit $
Approach /Sidewalk Inspection
Erosion Plan Ck - USA $
Miscellaneous Inspection
Z' Final Inspection Erosion Plan Ck - COT $
11.J
I
I:lovrcntr2.doc (DST) 12/96
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line • - . 7/ , `,� � - Plumb.
Post/Beam Mech. Shear /Sheath Framing N � -Mech.
Plbg.Und/FIr/Slab Plbg. Top Out Insulation -I- r Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwl Reins.
Other:
Date: 1 1 /3 / A.M. P.M. Entry:
Address:
Tenant: f --f ry\ Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
�C�- r�iCwlir�✓c�
i
_
� L. .I J L _ -� J �
)
/
C4 114 - --
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Inspector: Date: 3 7 7
_APPROVED %DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: 79/
Date: , ? /Z4 7 A•M• . P.M. Entry:
Address: ` / 530
Tenant: it" Fir i Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspe or: Date: 3-2; 7
f! APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
O
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. • g.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: 4 /
(ii Date: 1 A.M. P. I1 E try.
Address: 4 ' /
Tenant: PrP 41 1 Ste: MST:
BUP:
/
Con /Own: C' 3 S f MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
/_D 5 / /tl0 f/7)A,40/Ce?
^
.S' /...� l . ,e /!
/'7 ,"1/ ram
Inspector: Date: r..f.„7 APPROVED ISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath 41111W1 -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out nsu a io - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
t
Other: _ • _' 4 '
Date: A. ...�}� P.M. Entry:
Address: I I S 16
Tenant: Ste: MST: 3
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
- .. .. 411 __ - . /.
Inspector: Date:
_APPROVED 4. DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
BUP G? 7
Date Requested AM PM BLD
Location //530 .6e/ 77todiffiew / , . Suite MEC
Contact Person � / Ph PLM
Contractor H77lh Cpl lcc/ » ( i- • Ph (y V(- SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation A FPS
Ftg Drain NOT REQUESTED/ — SGN
Crawl Drain In FOUND DURING
Slab
Post & Beam 4N0 INSPECTION s IN FILE — SIT
Ext Sheath /Shear
Int Sheath /Shear .0 ' , IN
.� . .�L•_._ �7 � ��
Framing CIL-
Insulation /
Drywall Nailing �. .- • � �,. ; I ., I • F' � ,
Firewall ff �
Fire Sprinkler A _ . ��� � ' .: _ � c
Fire Alarm I •
Susp'd Ceiling
• ..� �A . t�� _ .. .M V . _ � . .
Roof ' Amimsw'
Final �
PASS PART FAIL
PLUMBING
Post & Beam / C� /�
Under Slab C 1- ' "IC — 1 7 d/10 _ ®--,
Top Out /
Water Service
Sanitary Sewer FRain Drains ��� • F� ` •
Final '�
PASS PART FAIL 4 FYI D —t�/� C •
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 reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk �i
Other Date / 'f b " 9 Z� Inspector E
Final
PASS PART . FAIL DO NOT REMOVE this inspection record from the job site.