Permit A CITY OF TIGARD' . BUILDING PERMIT
PERMIT #: BUP2001 -00338
,�, DEVELOPMENT SERVICES DATE ISSUED; 9/20/01
13125 SW Hall Blv Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S101 DB -00901
SITE ADDRESS: 07145 SW VARNS ST
SUBDIVISION: VARNS ACRES ZONING: C -P
BLOCK: LOT: 012 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: $ 10,000.00
Remarks: Commercial tenant improvement. No change in occupant load
Owner: Contractor:
ASCOT CENTER ASSOCIATES CR CONSTRUCTION
7145 SW YARNS ST CHAD NORMAN HUNSUCKER
- TIGARD, OR 97223 41 RD
O l4ion
Phone: 503 - 244 -7094 O e N 5d3-ti'49 7T13
Reg #: LIC 120140
FEES REQUIRED INSPECTIONS
Type By - Date Amount Receipt Mechanical Permit Require
PRMT CTR 9/17/01 $129.70 27200100000 Electrical Permit Required
Framing Insp
5PCT CTR 9/17/01 $10.38 27200100000 Gyp Board Insp
PLCK CTR 9/17/01 $84.31 27200100000 Susp Ceilng Insp
FIRE CTR 9/17/01 $51.88 27200100000 Final Inspection
Total $276.27
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 -444.
Pemiittee !/ /
Signature: , 1 ji - `".
Issued By: _ ,/ 1 , � ■
Call 639 -4175 by 7 p.m. for an inspection the next business day
4C7Z 94--
Building Permit Application
.
Date received: / 7 6 / Permit no.:Zue� - •0.338 O
^, City ty of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ProjecUappl. no.: Expire date: •
City of Tigard Date issued: By: Receipt Phone: (503) 639 -4171 y P _!
Fax: (503) 5984960 Case file no.: Payment type: Ia.
Land use approval: l &2 family: Simple Complex:
11 PE OF PERMIT
❑ 1 & 2 family dwelling or accessory ICommercial/industrial ❑ Multi - family ❑ New construction fp Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION ` }
Job address: 7 S (K, • —'� _ Bldg. no.: Suite no.:
•. • : - --� _
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name:
• Description and location of work on premises/special conditions: ea.,w.e1..Zaa.1 t1 - T- edA/4. Wcyt...l� Q�_piaLt?
CQAA& ( tom•
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: As c_cr'k- - reu.frola. A� e�,e,; (Flootlplain, septic capacity, solar, etc.)
Mailing address: y _ 6 :_••■� r 1 & 2 family dwelling:
State: 25 ZIP: - ), Valuation of work $
Phone: A N l I • No. of bedrooms/baths
Owner's representative: i - tr.. L Total number of floors
Phone: , - / I. Fax: -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
CONTRACI.OR Valuation of work $ /O. COD• 00
�j f Existing bldg. area (sq. ft.)
" ` `` - ,- New bldg. area (sq. ft.)
Address: y- II C ` �.Ve4cv
.
City: O Q,� Cr I State:e I ZIP: f e y,— Number of stories
v Type of construction
Phone: ,1 /p Pax: f t/ �; E -mail: Occupancy group(s): Existing:
CCB no.: , ,�� Icy Q New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIFI I C1 licensed with the Oregon Construction Contractors Board under
Name: rim • _ P ._. provisions of ORS 701 and may be required to be licensed in the
- - -
Address: S 70 Svc 4,e1puY jurisdiction where work is being performed. If the applicant is
City: State:p� ZIP: exempt from licensing, the following reason applies:
Contact person:( - A . , •lan no.: Zp
Phone:, .J - Oq7 Fax:. MEM E -mail: -
ENGINEI R
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: (ZIP: Amount received $
Phone: 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 ❑ Visa ❑ MasterCard
work will be complied with whethe specified herein or not. Credit card number: az
Expires /
y
Authorized st ure: Date: 9 -a/ Name of cardholder as shown on credit card
Print name: 4C 1 (Aug r 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 (6/00/COM)
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 sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
TYPE OF SUBMITTAL Total # of
(Includes New, Additions .or ..Plans
Alterations): Submitted
Site Work (must include location of 4
all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
*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.
i : \dsts \forms \COM- matrix.doc 9/4/01
CITY OF,TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection`Line: 639 -4175 Business Line: 639 -4171 MS T
G� BUP DD/ 06 33 g
Date Requested ( � AM PM BLD
Location 7 / 7 5 UG�-1'1/'14_I ST Suite MEC
Contact Person Q .cLA Ph ' tf 9 6e 7/ d PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
all Nailina�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
PART FAIL
• BING
Post & Beam
Under Slab
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 reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date Inspector Ext
Final
PASS PART FAIL D O
Other T REMOVE this inspection record from the job site.
CITY d TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST,
BUPd2.00/
Date Requested /b —( AM PM BLD
Location 7 /' f 4 Suite MEC
Contact Person 0/(AO Ph Y G 7/ O PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear /) [ f
Framing V l/U �L4 `i } �liy) f e t �tir --s-- c
Insulation 0
Drywall Nailing �—+•----A � 4 6 �Y R •
Firewall Fire Sprinkler
Fire Alarm
s Ce"
Roof
Misc:
Fin I
P S A T
LUMBING
Post & Beam
Under Slab
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 reinspection RE: [ ] Unable to inspect - no access
ADA
A roach/Sidewalk " /
Ot her Date U U` Inspector `� LR Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
244-lour Inspection Line: 639 -4175 Business Line: 639 -4171
• BUP MoD/ n0338
Date Requested lb _ � AM PM BLD
Location 7/ y. V 0/lA Suite MEC
Contact Person Ph 7 L i ? PLM
Contractor Ph SWR
BUILDINGy Tenant/Owner ELC
all ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
, s';) PART FAIL
PL I MBING
Post & Beam
Under Slab
Top Out f 1
Water Service / I
Sanitary Sewer QQQ
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 reinspection RE: [ ] Unable to inspect - no access
ADA / /3 / /l
Approach/Sidewalk C/
Other Date Inspector Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
G,TY OF TIGARD BUILDING INSPECTION DIVISION MST
24- ur Inspection Line: 639-4175 Business Line: 639 -4171
•
BUP 00 33 j
Date Requested l b — Z AM PM BLD
Location 7 I cis V«/L.,Q _,, Suite MEC
Contact Person o/, Ph c q 7 / v PLM
Contractor Ph SWR
___ Tenant/Owner ELC
all
Footing ELR
Foundation Access:
FPS
Cn SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam _ __ _
Ext Sheath /Shear —
Int Sheath /Shear
Framing
Drywall on
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling /464 it 1 /57C
Roof uGEh
Misc:
-Kk'
7•
7 71 PART FAIL �
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service �LU C Ce fz V, / Ai - ; /cc
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 reinspection RE: [ ] Unable to inspect - no access
ADA
Other h/Sidewalk D ate /d Z / U /
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP .2-04 / 64 33
Date Requested ,l d Z AM PM BLD
Location - ] / ./S VQ /L.4'LD _ Suite MEC
Contact Person , 4 Ph Cf f 9 4 7 / v PLM
Contractor Ph SWR
airsam Tenant/Owner ELC
all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm A�
Susp'd Ceiling /� � Y / C(11-6e4 i2 / /3 c="
Roof
Misc: a .- h
7a1 PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service AIL) C et FL frd /[C
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 reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk C
Other L
pproach/Sidewalk Date ' / /& / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUI' r)ING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 63S .7S . - Business Line: 639 -4' \
BUP p?Od( O 3.3 ,
Date Requested a AM PM BLD
Location 7 / LiS" VQi) iVla., ` + Suite MEC
Contact Person CAI '7 .4 4 Ph y C/ (, 7/ 0 PLM
Contractor Ph SWR •
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
QIIP
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
l N PART FAIL
•emu' :ING
Post & Beam
Under Slab
Top
Top Out
1 /1"
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 reinspection RE: [ ] Unable to inspect - no access
ADA Q�
Approach/Sidewalk / Z
11 7
Other Date ( L I Insp Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.