Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2000 -00341
fi ' � r^ DEVELOPMENT SERVICES DATE ISSUED: 8/21/00
" r�J I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09619 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
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: S2 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: $ 1,800.00
Remarks: Storage shelving ( Note not high pile )
Owner: Contractor:
WINMAR PACIFIC INC. CONTI- HURLEY ASSOC INC
1700 FIFTH AVE, STE 2600 25 EDWARDS COURT
SEATTLE, WA 98104 SUITE 206 q
Phone: 206 - 223 -4500 B PhoneG A 650 =33=3930
10 -2424
Reg #: LIC 128085
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT CTR 8/21/00 $50.00 27200000000 Final Inspection
5PCT CTR 8/21/00 $4.00 27200000000
PLCK RDP 8/18/00 $32.50 0004564
FIRE RDP 8/18/00 $20.00 0004564
Total $106.50
. 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.
Pemtitee -
Signature:
i f = -4 si
Issued By: _AP31.:-
.,
Call 639 -4175 by 7 p.m. for an inspection the next business day
ITY OF - 'fir IGAKU umnaol • ••,• .. r<er;o or
3126 SWJA1.1. BLVD. Tenant Improvement G�, Date Red F 7 — w
IGARD, OR 97223 Date B e
;03) 639.4171 g',_(e a -C_ Date to DST
. • Print or Type permit* *A L d1JU - o� l
Related SWR #
Incomplete or illegible applications will not be accepted Called V / WI a If
• Name of Development/Project PoH / 6A IttJ Existing Building' New Building 0
Job WASif(A &TDN SQUAB - 511M6G Building
Address s�eetA ss suite g
;� - , w morilr4Gra I PI Data
q� ) !� 5 d . R l Existing Use of Building or Property:
` l I Bldg # itYl eta TAP
of( 17281 5TOg E R
Name Proposed Use of Building or Property:
Property W !h im/kg f Zvt C sS F� KaaM
Owner Mailing Address Suite
(7 0 0 r l mn-t iscv5 2 boo No. Of Stories:
City/State 2.
istate Zip S q. Ft. Of Project
_' MT!.6 WA 150+ 04, I ( 341 s •F.
Occupant Name y Occupancy Class(es)
Po w 5)1,1244
Name Type(s) of Construction
A
Contractor C Rwi -e-y I 000(1
Prior to permit Mailing Address Suite
Issuance, a copy 2S (OWA Sills C T ' 'to (, Will this project hav a Fire Suppression System
of all licenses Yes 0
are required if City /State Zip Phone Americans with Disabilities Act (ADA)
expired in C.O.T. o Participation
database �i vv ( � K S�n`''r`,t CA' � o (o toil ' 3 1( • 3 3 0 Val uation X 25 /o = $ p
Oregon Const C Board Uc.# Exp. Date Complete Accessibility Form
(i ' g ° Y F /� /
3 2 0 2 Project $ l S60
Valuation
Name
Architect 1 f hI - � A S� A �� /n �oFA c— Plans Required: on bac Matrix for number of sets to submit
Mailing Address Suite
Rao $1,4 ANT Avt • 550 hcation,thattheinfom,ation
City/State Zip Phone 5-63 „ I hereby acknowledge that I have read this app
Pottictt
1 given is correct, that I am the owner or authorized agent of the owner, and
f 0 227 - S $ �¢ that plans submitted are in compliance with Oregon State Laws.
Engineer Name - • Signature of Owner /Agent Date
- 47.„6„...__ �. � � 172000 �
Mailing Address Suite / `�,_.1._-4 �•' I
Conte • . - erso Name Pho • e
City /State Zip Phone g . - - o M L 50 • 2 - 5; ' ,
•
• • FOR OFFICE USE ONLY
Indicate type of work: New O Addition O Demolition a z , . - : =.
0 Foundation Only 0 Alteration 0 _ ; „ ' ; g`-,�, 3 .= - •'� :- , " ', ''''''Pl. '
Repair 0 Accessory Structure Other b ,^Lees,• . p', 1 s - - :r- ' "•r =,_,
( �gmDvg 0ff(CG, 'rat c.lsr !ZOO ii,
Description of work: '�' - .. - - '-�
pseikl0' Gyci:•oKE t'eNGtr CAE S . 261SrA
Note: Site Work Permit Application must precede or accompany Building
Permit Application k
I:ICOMNEWT1.DOC (DST) 5/98
T00 E O DI,L 30 AZID 096T 965 COS Xtrd 5T : £T HILL 00 /TT /f70
CITY OF TIGARD BUILDING INSPECTION DIVISION .
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 , lJ -z96/(6 fri 1 /3� Date Requested g o C �iIl
0;10, — 00 3 w
Location Q6/4/ C3'w GO - S& I -0 Suite
Contact Person A Ai Ph 91" b2DA ?DC PLM (
Contractor °� / Ph SWR � / '
Tenant/Owner !/, J- R.4 7
L INA [
ELC
Retaining Wall ELR •
Footing Access:
Foundation FPS
Ftg Drain I / SGN
Slab
Crawl Drain Inspection Notes: ) y � n , � , - --
� I/( [�G SIT
Post & Beam � v `� A
Ext Sheath /Shear � � �
Int Sheath /Shear aI + VJ : � - L
Framing (J b (, !
Insulation /vl
Drywall Nailing
Fire wall 1'7e 20®0 - ,.,(� O 34 t X
Fire Sprinkler (C.JJVV 1 (�
Fire Alarm 1 7.-6-0.6 ` 0 ® 1.1 o — V
Susp'd Ceiling
R oof
.u��
in --
' SS PART FAIL
• ' BING ,
Post & Beam
Under Slab
A — 7 v. ) / 9 -1-- ' , ,
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 \ f A i fl
Other Date Inspector v Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.