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Case File I ' Ir 0 cn E *,� D U7 D C m Z 9 C rn f I r 1 / r �I r — 12l70 SW ASH AVENUE —_ CITY OF TIGARD BUILDING INSPECTION DIVISION VST 24-Hour Inspection Line: 639-41175 Business Line: 639-4171 euP _Date Requested— _AM PM BLD Location—� �- �� C_� ' -- Suite —_— �— MEC - Contact Person C-'t �1__ Ph _-- PLM Contractor Ph Ph --_ SVIFIL _ BUILCING Terant/Over�r EI_C Reraining Wall -- - ELR Footing Access: FPS Foandatior, -- ---- Fty Drai,. SGN Crawl Grain Inspection Nlotes: Slab 3 --► — ------ t t CC '� SIT ,Post 8 Beam _ --------------- Ext Sheath/Shear _- Int Sheath/Shear FramingInsulation Drywall Drywall Nailing Firewall Fire Sprinkler Fire Alarm r J Cf 7I �,v 'We Susp'd Ceiling -- �-` Roof Misc'- I -- - - -- ----- - � in `-- SS PART ^;,sl A Beam �-�' ------------ — ----- -- Under Slab ------ 1 or Out Water Service Sanitary Sewer Rain Drains _- -- Final PASS PART FAIL --- -------------. -- ---- - -------- !MECHANICAL - Post& Beam ---- i Rough In Gas line -- --- - — —f.. -- -• ____ Smoke Dampers Final — - PASS PART FAIL ELECTRICAL --- - ---- -- _- Seivice Rough In UG/Slab _� ---- - — Low Voltage Fire Alarm - Final PASS PART FAIL _-- --_-_ _ ----SITE Backfill/Grading -- - - "-` ------- Sanitary Sewer Storm Drain [ J Reinspection fee of$_ __- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE - j Unable to inspect-no atcoss Fire Supply Line -- --� ---- ADA / Approach/Sidewalk Date o �) Inspector Ext Other - ------- - - --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the lob site. CITYOF TIGARD -- BUILDING PERMIT !_ PERMIT#: BUP2000-00222 DEVELOPMENT SERVICES DATE ISSUED: 6/15/00 13125 SW Hall B,vd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-02900 SITE ADDRESS: 12770 SW ASH AVE SUBDIVISION: BURNHAM TRACTS ZONING: CBD 3LOCK- LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION ,.LASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S. E: W: OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR• HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ R_E_Q_D SETBACKS _ _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKI.. SMOK DET DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,000.00 Remarks: Demolition of a 1000 sq.single family unit Sewer will be capped in the a.m. All debris to be removed. Owner: Contractor: CITY OF TIGARD OWNER 13125 SW HALL TIGARD, OR 97223 Phone: Phone: ORIGINAL Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT KJP 6/15/00 $50.00 HANDRECP'. 5PCT KJP 6/15/00 $4.00 HANDRECP-1 EROS KJP 6/15/00 $2:3.00 HANDRECPT ERPC KJP 6/15100 X8.45 HANDRECPT (additional fees not listed here) Total $9G,90 This permit is issued subject to the regulation,, 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 fellow 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. Pennitee Signature: Issued By: T�� G ill 639-4175 by 7 p.m. for - r irspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check>X___ 13125 SW HALL BLVD. New-GG;w uLcdQn tLAddit+cads --- Recd By -- IGARD, OR 97223 / Date Recd T _—_ TIG 6D, OR 1 fir` C Da,e to P.E. Date to DST Print or Type Permit#_h_ Incomplete or illegible applications will riot be accepted Related SVVR3 Called` — Name of Development/Project Job --- - - --- - ------ Existing Building ❑ New Building Address Street Address Suite V S'if/CG ' Building Bldg# City/State zip _ Data 4-A/10C o eJ/) ?X�2 3 Existing Use of Building or Property: Name Property G�T Owner Mailing Address Suite Proposed Proposed Use of Building or Pro_o.—ert_y - -- Sw Mp A!IV City/State Zip Phune --No. Of Stories: Occupant Name Sq Ft. Of Project. Name Occupancy Class(es) -- Contractor C/ Prior to permit Mailing Address Suite Type(s)of Construction issuance,a copy of all licenses /3111" 5 441are required if City/State Zip Phone Will this project have a File Suppression System? � expired in C.O.T Yes _ No database T/(IfA1��'1_�7 ,� G'S "5'/'l/ -_ Americans with Disabilities Act(ADA) Oregon Const.Cont Hoard Lic# Exp.Date Valuation X 25% = $ _Participation Complete Accessibility Form__ Name Project Architect _ Valuation Mailing Address Suite Plans Required: See Matrix for number of sets to submit City/State zip ('hone on back Engineer Name -- - g I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Melling Address Suite - that plans submitted are in compliance with Oregon State Laws Signa r of OwneVA I gent ate,, City/State zip Phone - .. Cont I Person Name Phone nn (cats type of work: New O Addition O Demolition 01-- � _� /v 3tv, �` ,�?7 Accessory Structure O Foundation Only O Alteration O F� Repair Other o �_— FOR OFFICE USE ONLY _ ascription of work: Map/TL# v-- Land Use: M�11p� O-f` /�G lr,S l� _ Notes: Parks- Estimated#of Employees -- — - TIF: If the above figure Is not supplied at the time of application,the city will Calculate the fee based upon the number of parkin spacos. _ _ Note Site work Permit App!lcalion must precede or accompany Building Perrnl,Application i\fists\forms\comnew.doc 5/10/99 t\► Date Recd. CIYY CF TIGARD Recd By: NEW COMMERCIAL CONSTRUCTION AND ADDITIONS APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME �__ PHONE #: 2. SITE ADDRESS--_—_-- ------_--.-- — FAX# — v — -- 1. SITE PLAN (Fully dimensional, drawn to s;ale) labeled with: ❑ map & tax lot #, ❑ project name, L7 site address, ❑ site r. arl�ar, • zoning, ❑ applicant name, ❑ phor e number. �. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names D. Setbacks E. Parking, including disabled access F. Finished floor elevations 2 Completed and signed traffic impact fee option form. 3. GRADING AND EROSION CONTROL PLANS AND DETAILS (IF NO SITE PERMIT). 4. SEE THE MATRIX ON BACK, OF APPLICATION FOR NUMBER OF PLANS REQUIRED BASED ON SUBMITTAL TYPE (NO REDLINES OR TAPEONS ACCEPTED). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS A. Foundation plan B. Floor plan(s) C. Cross sections D. Reflective ceiling plan E. Seismic bracing detail for suspended ceiling F. Roof plan G. Exterior elevations 11. Structural calculations, plans, details and specifications I. ADA barrier removal worksheet J. Deposit - based on valuation of project 5. ONE EXTRA SET OF THE FOLLOWING. A. Two Site Plans to include vicinity map B. Erosion Control Plan with details C. Fire Department Building Survey, and full set of architecture drawings i.ldstslforms\c0m-8PP.doc 6/6/99 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After pian review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rencue) Total # of TYPE OF SUBMITTAL Plans KEY. Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) F = Fire Protection Systern M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) _ 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Euilding E (New, Add, �r Alt) 2 Add = Addition R & F & M & P & E _ 3+� Alt = Alternation to Existing (New , Add) Building `B or B & M (Alt) 1 `B & M & P (Alt) ..� 3 "B & M & P & E(Alt) _._._. 3 'B & M & P & E & f"(Ait)v 3 NOTES: 'Shaded areas designate ALT submittals only. I\dsts\forms\matrxcom doc 10/30/98 L SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shell be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1]$ multiply: 25% Barrier removal requirement. 15 BUDGET FOR BARRIER REMOVAL [2] $ _ In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ b An accessible entrance: (c? An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom (e) Accessible telephones $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms $ TOTAL_ Shall a uai line 2 of Value Compytation $ hdsts\fo ms\acccss doc i i � � � � �, � ( �� n _ _ _ J-.-� �� 1 __---- � _ ,,� '� �� Q� � . � ..� � __ __ -� �� '� � k �.. l CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 63,4 4171 Date Kequested: 1.2 1 J(.M. — P.M. _ MST: Location: 42 BUR Tenant -- Suite:_ -13ldg: __-_— NEC: Contractr:: Phone: _ PLM: Owner: Phone: 77 7 1-?4 4 1;1 ELC: 41 444 1 ELR: ' 1� _ SIT: BUH,DING BLDG(coni) L PLUMBIN MECHANICAL ELECTRICAL SITE Site Post/Beam -?NVPleir Post/Beam Cover/Service Sewer/Storm Footing Roof UndFVSlab Rough-In Ceiling Witter Line Slab Framing I'o Out Gas Line Rough-In UG i Sprinkler Foundation Insulation 1- ewers Hood/Duct Reconnect Vault I3smt Damp Drywall Stom Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Munp Low Volt Approved pprov Approved Approved Approved Appr/Sdwlk Not Approved of Ap rov Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL Z!!F 95— (7 Call for reinspection C3 Reinspection fee of S_ _required before next inspection n Unable to inspect Inspector: _— _ Date: Page L of 1 CITY OF TIGARD DEVELOPMENT SERVICES PLUMPING PERMIT ' . . 13125 SIN Hall Blvd., Tigard,OA,47223 (503)639 4171 PERMIT PERMIT #SSUEI). , . . ..1 .`/12/97 F'I__M97-0527 PARCEL: 2S102AD-02900 ,3I'fE ADDRESS. . . : 1*2770 SW ASH S'I SUBDIVISION. . . . : BURNHAM TRACTS ZONING: CBD BLOCK.. . , . . . . . . . . LOT. . . . . . . . . . . . . ..005 JURISDICTION: TIG CLASS OF WORK. . :AL_T GARBAGE DISPOSALS. : Q1 MOBILE HOME SPACES.: 0 -TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFL(?W PREVN I RS. . : 0 OCCUPANCY GRP. . :R33 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FJXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF= RAIN DRAINS. . . . . : 0 SINES. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 L..AVATORIES. . . . : 0 (_)THER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 100 WATER CLOSETS. : 0 WATER LINE: (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Rl.in 60' new sewer line Owner: - - ___ - --- - - --- - - --- - - -- ____- _--_____ ____-- FEES ------ - - ---- - MARION KEEFER type amni.int by date recpt ( 12555 SW HART RD PRMT $ 30. 00 JSD 12/12/97 97--301683 BEAVERTON OR 97001 5PCT $ 1.. 50 JSD 12/12/97 97-30161.33 Phone #: Contractor- ------------------------------•----- I CHRISTIAN PLUMBING 23172 SW STAFFORD RD. TUALATIN OR 97062 __.____..._-------.__...--_--_--._____.____....__.------------ Phone -------_-- Phone #: 503-638-8231 t 31. 50 TOTAL Reg #. . : 000426 - --- --- REQUIRED INSPECTIONS --This permit is issued subject to the requlations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for sore than 188 days. ATTENTION: Oregon law requires you to follow rules _ adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-8NI 018 through OAA 952-8881-88A8. You may obtain copies of these rules or direct questions to OUNC by calling _ (503)246-1987. -- - --_---- _-- - lssf_ied By : / c` Permittee Si gnatUre :"' l- ++++++++++.#-+++++++++++++++++++++++a-+++++++-1-+++++++++++++++++++++++++++++++'++++ Call E,39-41.75 by 7:00 p. m. for- an inspection needed the next bl_isiness day ++.++++++++++-r+•+++++++++++++++++++++++++++++f•+++++++++++4•++++++++++++++++++++++ I( :,'ITY OF TIGARD Plumbing Application Recd By- 13125 S4'ti►► HALL BLVD. Commercial and Residential nate Recd r 1 Date to P.E. TIGARD, OR 97223 Date to OST '503) 639-4171 Permit* Print or Type Related SWR# Incomplete or illegible applications will not be accepted called— —�— Name of Development/Project --� �On back Indicate Work Performed by fixture. Job FIXTURES (individual) QTY PRICE AMT Address Street Address Suite Sink — 9.00 G. Y Lavatory 9.00 Bldg# Cl�tate Lip Tub or Tub/Shower Comb. 9.00 I– -- r J r 7 Z• Name e-) Shower Only 9.00 _ Water Closet 900 Owner Mailing Address Suite Dishwasher 9.00 Garbago Disposal 9 UO City/State Zip Phone -- !,t ;,•.t<.l t• �j'�Cr' ( /j i, l •_ Washing Machine _ _9.00 Name Y Floor Drain 2' 9.00 3' 9.00 Occupant Mailing Addrsss — Suite 4' 9.00 Water Heater V conversion O like kind 9.00 City/Slate Zip Phone _ Laundry Room Tray 9.00 Nemo Urinal 9.00 (_�1,.,111 _1 1 vv rf Other Fixtures(Specify)� 900 Contractor Mailing Address Suite 900 Prior to permit City/State / Zip Phone 9.00 Issuance,a copy �u ,. or`r•,• 1 7 -'.2 -' l 9 y C/ 9.00 of all licenses are Oregon Const Cont.Board Lic.0 Exp.Date 9.00 required if %y � 4,-7 / / y lr Sewer- 1 St 100" 30.00 :� __ expired In COT Plumbing Lic.# Exp.Date Sewer-each additional 1 UO' 25.00 database !. - �Cr j_' 13 �^ 9� - Name Water Service- tst 100' 30.00 Water Service-each additional 200' 25.00 Architect - Or Mailing Address Suite Storm&Rain Drain-1st 100' 30,00 Storm&Rain Drain-each additional 100' 25.00 Engineer City/State Lip Phone Mobile Home Space — 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Des cnbo work NewA Addition O Alteration O Repair O Pollution Device to be done Residl�ntial 0 Non-residential O Residential backflow Prevention Device' i 15.00 Additional description of work+ Any Trap or Waste Not Connected to a Fixture 900 Catch Basin 9.00 Insp of Existing Plumbing 40,00 per/hr Existing use of Spiecially Requested Inspections 4000 building or property ef,_C3 ,_ per/hr —_ Rain Drain,single family dwelling 3000 Proposed use of Grease Traps 900 ,uilding or property QUANTITY TOTAL 'rereby acknowledge that I have read this appucabon,that the information Isometric or nsr•diagram is required d Quanity Total is >9 ens correct.that I am the owner or authorized agent of the owner.and i *SUBTOTAL j s submitted are in compliance with Oregon Stale Laws J f Owner/Agent Date 5%SURCHARGE :on _ Phone PLAN REVIEW 26% OF SUBTOTAL 1 /f ?enuit only d nixture qty total is 0 Pl AS-E Q0AP_l._ETEi. Fixture, Type Quantity by 'Work Performed Capped / Removed r Moved Replaced Sink__--. - -� ----- — - - Lavatorj Tub or Tub/Shower Combination — - Shower Only — ------ ---- — — Water Closet -- --_—_ _-_ — --.-----___ ---- --___ -- - � DishwasherGarbage Disposal Disposal Wr shiny Machine -- Floor Drain — 2" .--- -- --- -- - — — dater I leater Laundry Room Tray — U ri n a I Other Fixtures (Specify) — — _- — COMMENTS REGARDING ABOVE: I td$,s�imeoo Coc 5/97