9520 SW CORAL STREET R
9520 SW Cora! q!roet
CITY OF TIGARQ BUILDING PERMIT
1 — —
PEFth11T#: BUP1999-00391
DEVELOPMENT SERVICES DATE ISSUED: 09/07/1999
13125 SW Hall Blvd.,Tigard, OR 97227 (503) 639-4171 PARCEL: 1S126DC-04500
SITE ADDRESS: 09520 SW CORAL ST
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P
BLOCK: LOT: 007 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CONST: 5N sf N• S: E W:
OCCUPANCY GRP. R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT'7: 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:
Remarks: Demo and removal of an existing single family dwelling. Cap existing sewer.
Owner: Contractor:
VIP MOTOR INNS INC SUPER ONE INC
29757 SW BOONES FERRY RD 10950 SW 5TH
WILSONVILLE, OR 97070 STEEq 150
Phone: 503682-9284 BPlione T , 197005
Reg#: LIC 000571
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Cap Sewer Line Insp
EROS GEO 09/07/1990 $26.00 99-318139 Final Inspection
ERPC GEO 09/07/1990 $8.45 99-318139
ERP2 GEO 09/07/199 $8.45 99-318139
PRMT GEC) 09/07/1990 $25.00 99-318139
(additional fees not listed here) OPOGNAL
Total $69.66
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 mi iter
Signature:
Issued By:
/Call 639-4175 by p.m. for an inspection the next business day
I�
��rl>T
CITY OF TIGARD Commercial Building Permit Application Plan Check# —
13125 SW HALL BLVD. Recd By_
TIGARD, OR 97223 Date Recd_^
(543) 939-4171 Date to P.E.
Date to DST
Print or ype Permit III, 39/
Incomplete or illegible applic tions wilt not be accepted Related SWR#^�
Ev
� p #� 99 rJo3 � 7 �St�T' �[ �"O��Y� Called -----
Name of Development/Project
Job V AGTQ�S 1�N Cr✓�.E. FAQ Existing Buildin New Building [:1Address Street Address Suite
gs7a'a ',;� GORE 5—1 . Building
Bldg# City/State Zip Data
_��6 Existing Use of Building or—Property:
Name V 1 P S rkV Q,o N J.1-AJS i
Property STEU E,1,3 .Jp k .,M Sce kj
Owner Mailing Address a,9 7 S-.%7 Suite Proposed Use of Building or Property:
C-5 FIS p --_ N A
City/State Zip it int) Phone
No. Of Stories: —
tE 0 rRE
Occupant Name —
Sq. Ft. Of Project: 0 /
Name S V ,Q E r -w Occupancy Classes)
Contractor C L) -'t'J A y X.-
Prior
Prior to permit Mailing Address r-0 suite
Issuance,a copy Type(s)of Constn Iction
of all licenses S W Ty ��lrii S• S� _ 1 _w O
are required If City/state zip q 166 57,Phone Will this project have a Fire Suppression Systerrj?
expired In C.O.T. __ Yes EJ No No
database �_f.R'CO�I (V Al S Americans with Disabilities Act(ADA)Oregon Const.Cunt Board LIc.# Exp.Date
Valuation X 25°0 =
3 (� aOOU $----Participation �14
Complete Accessibtl;r/ Form
Name Project $ --- --
Architect JV
�_ ValLration �1 'A
Mailing Address Suite
_ Plans Required See Matrix for number of sets to submit
Clty/§tato `Zip Phone >� on back
Engineer Name — I hereby acknowledge that I have read this application,Char the information
given is correct,that I am tha owner or authorized agent of the owner,and
Mailing Address _ Suite that plans submitted ar it r. mpliance with Oregon State Laws.
Sig` lure of C. ner/Ag i _ � Date
City/State -- Zip !� Phone
Contact Person Name Phcne
Indicate type of work: New O Addition O Demolition�'� L_�-_I���1 V S� �j l�a- C? O
Accessory Structure O Foundation Only O Alteration O
Re air O _ _ Other O _ FOR OFFICE USE ONLY
Description of work: 0RVk�1h1- OF S. Map/TL# I Land se'
'5 1 N to 4 E. R-StH IFS t`e C4.Pt I A `
c.•%*-uC:T4R f- l.�J S Ti-�e$ �"n SC U Notes-[�L.�-
Parks: Estimated 0 o mployees
If the above figureTs noott�sTlpplled at the time of application,the city will
calculate the fee bead upon the number of pan rq spaces.-_
Note: SIM Work Permit Application must precede or accompany Building
Permit Application
is ldstsvurmslcomnew doc 5/10/99
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 pan review will be conducted.
!After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
lash ngton County, Tualatin Valley Fire & Rescue)
fatal #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) 3 F = Fire Protection System
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 & F' (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
*B or B & M (Alt) 1
*B &. M & P (Alt) ._..�.....3 �..
*n & M& P & E(Alt) 3 r
*8 & M & P & E & F(Alt)----�_ 3
NOTES:
'Shaded areas designate ALT submittals only: ,
1Adsts\forris\matrxcom doc 10/30198
all
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour inspection Line: 639-4175 Business Line: 639-4171 MST
Qate Requested �G �' ��`/� AM— pM BUP
Location___ C1_5 (� brti Q _ - BLD
-�� Suite MEC
Contact Person �1 ('jVLv - Ph PLM —
Contractor Ph
''-"� _ _ SWR
UILRP, Tenant/Owner
Retaining WELCall — --
Footing
Foundation Access: ELR
L1;
IF,,Drain (� 'cS L C,�`; �C7 FPS
Crawl Drain Inspection Notes: SGN
Slab �P,I,Ltf'./l t� �'� -------�—
Post&Beam - ---- SIT
Ext Sheath/Shear ------- —_
Int Sheath/Shear
Framing --`------
Insulation ---
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm -/
Susp'd Ceiling
Roof
Mise
Final
PASSPART FAIL TU
PLUMBING
Post& Beam -
Under Slab
Top Out —
Water Service -
Sanitary Sewer - — - —
Rain Drains --- —
Final - —-
PASS PART FAIL — — --
MECHANICAL -
Post 8 Beam -- - --- •--------.--_-_
Rough In - - -- - --__
Gas Line _ _ —
Smoke Dampers — —
Final
PASS PART FAIL
ELECTRICAL -- - -- -
------- -
Service --
Rough Ir ----- --.
lUG/Slao -
Low Voltage -
Fire Alarm
Final --
PASS PART FAIL ----
SITE -
Backfill/Grading - --- ---- _
Sanitary Sewer ---------
Storrn Drain ( ] Pemspection fee of$ !required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Rasin
Fire Supply Line ) )Please call for reinspection RE:
ADA )Unable to inspect-no access
Approach/Sidewalk
Other _ _ Cate Inspector
Final --- Ext
PASS PART FAIL_ 00 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
_ Date Requested /! �O 'y�- ' CI q AM _PM _ _ BLD
`
Location_ s zo ��rLt� ,s 1 Suite — MEC
Contact Person 4— Ph 7y�3'" � PLM
Contractor Ph SWR
UIL Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: �,� �/, � FPS —
Ftg Drain Sf N
Crawl Drain Inspectiin Notes: � I// �
Slab _ -h V ] SIT
Post&Beam --
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation ��—�----------- ---
Drywall Nailing
Firewall
Fire Sprinkler -----------.----_-.u__ — __---
Fire Alarm
Susp'd Ceiling
Roof - — -- --------
Misc: --- -
PASS PART AIL -- ---
PLUMBING
Post& Beam - - -!-
Under Slab
Top Out
Water Service
Sanitary Sewer - --- - —---
Pain Drains
Final -- - -
PASS PARI FAIL
MECHANICAL ---- ---�----
Post& BearTl ------
Rough In
Gas Line -- ------------- - - --
Smoke Damp(-r�
Final -_._---
PASS PART FAIL
ELECTRICAL — - -- -.—_.._-..._..- --- - --------- -- ---
Service _
Rough In —
UG/Slab
Low Voltage
Fire Alarm ----- - -------- -- --
Final
PASS PART FAIT_
SITE
Backfill/Girading ----._-------.._-_--__---__---
Sanitary Sewer
Storm Prain [ 1 Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
Catch Basin [ ]Please call for reinspection RF _ — [ Unable to inspect-no access
Fir^Supply Line
ADA
ApproOther Date
DateInspector/ Ext
Final
PASS PART _ FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF TIGARD -- ENGINEERING PERMIT _
PERMIT#: ENG1999-00050
DEVELOPMENT SERVICES PRIM. PERMIT#: SDR99-00002
13125 SW;call Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/18/1999
SITE ADDRESS: 09520 SW CORAL ST PARCEL: 1S126DC-04500
SUBDIVISION: LEHMANN ACRE TRACT "ZONING: C-P
BLOCK: LOT: 007 JURISDICTION: TIG
PERMIT TYPE: SOP _PUBLIC IMPRV QUANTITY LIN FT VALUE
AGREEMENT GATE: GRA/EROS:
ASSURANCE EXPIRATION STREET: "
-- �- "
PERFORMANCE: SAN SEW:
STM SEW: "
MAINTENANCE: STM
"
ALL OTHER: `""` $2.4,328.00
TOTAL: $2.1,32.8.00
R marks. STREET OPENING; TO INSTALL STREET, UTILITY, SANITARY AND STORM SEWER IMPROVEMENTS.
Owner: FEES _ 1
Type By Date Amount Receipt
OPEN BON 0/18/1999 $97312 99-31912.5
_--
Total v$973.12
Phone:
Engineer:Engineer: - --� --
TRT ENGINEERING, INC.
2636 S.E MARKET ST
PORTLAND, OR 97214
Phone: REQUIRED INSPECTIONS
_STM/SAN SEWER STREET
Permittee/Applicant: —MH/CB/CO CRB LINE & GRADE _
VIP'S MOTOR INNS, INC. PIPE LN & GRD SUBGRADE
29757 S W. BOONES FERRY RD BCKFLL & CMPCT BASE ROCK
WILSONVILLE, OR 97070 AIR &TV TEST LEVEL COURSE
WEARING COURSE
Phone: _ GRADING TRAFF & PED CONT
CONTOURS MONUMENTATION
DRAINAGE STREETLIGHTING
Permit e41__ EROSION CNTL. WALK/APRON/RAMP
Applica
Signature. _V_
n� — REPR'SIADJ'S PATHWAYS
Issu^d By �/lk�'��' ---- —FOR INSPFCTIONS, CONTACT THE CITY OF rIGARD,
SPECIfi. CONDITIONS: (SEE ATTACHED) ENGINEERING DEPARTMENT, AT: (503) 639.4171
C -00 r 71(