Permit r:
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00255
,r^� DEVELOPMENT SERVICES DATE ISSUED: 6/23/99
r � I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16290 SW UPPER BOONES FERRYRD PARCEL: 2S113AB- 01201
SUBDIVISION: SAISItif0 CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 4.500 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 41 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: $ 45,000.00
Remarks: Tenant improvement
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L. GREEN, HL CO. INC.
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 QR gZ22
Phone: Tl �one'. b 4 (!174
Reg #: LIC 00041328
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT BON 6/23/99 $260.50 99- 316370 Gyp Board Insp
PLCK BON 6/23/99 $169.33 99- 316370 Susp C Final Inspection
FIRE BON 6/23/99 $104.20 99- 316370
5PCT BON 6/23/99 $13.03 99- 316370 OR d Y n�
A L
Total $547.06
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 -1987.
Pe rm itee -- % s Al""
Signature: ���� �y • y<i�L
#' /
Issued By: J'
'(V
' L___
Call 639 -4175 by 7 p.m. for an inspection the next business day
C t'Y •OF TIGARD Commercial Building Permit • Rec'd By
• 13125 SI+U HALL BLVD. Tenant Improvement Date Reed
TIGARD, OR 97223 D ate to P.E.
(503) 639-4171 Date to DST v 231
Permit
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called •
Name of Development/Project Existing Building New Building 0
Job /5p•G/" US7 V/ 5 Y le" .
Address Street Address Suite Building
/d; /p VVO,AS ,66- Data
Bldg it /?C%'
City/State Zip 7 Existing Use of Building oror /PPr!�'
Property: --
/ ,c �� X. i 0/7/ e K /f ! i / �IY�/ C/!/r j�
Name
Property PACIFIC REALTY ASSOCIATES, L.P. • Proposed Use of Building or Property:
Owner Mailing Address Suite /11-7 •
15350 SW SEQUOIA PKWY 300 No. Of Stories:
City/State Zip Phone /
PORTLAND,. OR 97224 624 -6300 Sq. Ft. Of Project •
Occupant Name _ _ - . _._.. _ .._.. — - i v4! /
•
A/� SYS /, ' / G � - Occupancy Class(es)
. _ _....
Contractor H. L. GREEN COMPANY . Type(s) of Construction
Prior to permit Mailing Address. Suite
issuance, a copy Will this project have a Fire Suppression System? •
of all licenses 15 SW SEQUOIA PKWY 300 Yes - - No
are required if City /State Zi p Phone
expired in C.O.T. Americans wit isabilities Act (ADA)
database PORTLAND, OR 97224 624 - 7717 Valuation X 25% = $ . - Participation -
Oregon Const. Cont. Board Uc.* Exp. Date , . Complete Accessibility Form
• 41328. • • Project $ _ .e5'"X)
Name • Valuation 54M ,d --
Architect JOHN H. ROMISH Plans Required: See Matrix for number of sets to submit
Mailing Address Suite - on back
2216 SE 24TH AVE. -
• City /State Zip Phone I hereby acknowledge that I have read this application, that the information
PORTLAND, OR 97224 236 -6306 given is correct, that I am the owner or authorized agent of the owner, and
Engineer
Name that plans submitted are in compliance with Oregon State Laws.
Signature of Owner/Agent , D- -
Mailing Address Suite .
Contact Person Name Phone
City /State Zip Phone 10$1/(/ �/ � � /, /_ W' . v �f !�
_ FOR OFFICE USE ONLY '
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration}?
Repair 0 Other 0 , ` Notes:
Description of work:
fl // t// .44 1 7 / S ITI ''9 '' I .
/r. eV ��� ®97 .
Parks: Estimated f E mployees
—
Note: Site Work Permit Application must precede or accompany Building _
Permit Application •
1 :1COMNEW.DOC (DST) 8/97
OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
e t
CLASS OF WORK: {� FLOOR AREAS: � EXTERIOR WALL CONSTRUCTION
TYPE OF USE: 0-6 /1 i FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: 3 i SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: THIRD SQ. FT. N: S: E: W:
'
OCCUPANCY LOAD: `7 L ( TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
I
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:
I COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ °M- Permit Fee
Masonry rami $ 1 W Review
Insulation Shear Wall $ I State Surcharge
Firewall yp Bo $ (6A FLS Plan Review
i ' Su pended Ceilin Sprinkler Rough -in $ Add! Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
• Miscellaneous / F nal $ MIS Fee
_
FOROFFICE 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) 4/97
•
CITY OF TIGARD BUILDING INSPECTION DIVISION • MST
II 24 -Hour Inspection Line: 639 -4175 Business 639 -4171
• 1�
Date Requested /WOO AM PM 19 t 9 -06 •zs s
Location I Co 2 -9 0 tk pp 4 aZDA.11 uite (q rci—Ql) 4/9 7
Contact Person a" ° Ph C-/S -' PLM
Contractor O Ph ,r 0S SWR
•
ILD Tenant/Owner ELC
Retaining Wall ELR
Foun
dation Access: FPS
Ftg Drain SGN
Crawl Drain - Inspection Notes: p yo 0 -
Slab ( l SIT
Post & Beam -
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
M •
PART FAIL
•
BING •
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
•
Rain Drains
Final _
PASS PART FAIL
A
Post & Beam
Rough In
Gas Line
Smoke Dampers •
roar •
PART FAIL
EL w TRICAL
Service
Rough In
UG /Slab • I ) ,
Low Voltage
Fire Alarm
•
Final i
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 /,z// 00 Inspector Ext
Final
PASS PART FAIL ' • DO NOT REMOVE this inspection reco!d from-the job.site.