15895 SW 72ND AVENUE STE 120 r ' k
ADDRESS:
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7'"C) 3-1/Z'24 GA METAL STUD5 AT IO'Cr'o.c, AREA OF WORK
,,, TO BLD0.STRUCTURE A60VE FOR FIRST FLOOR
Q„ - -----i /= WALLS LONGER THAN 12'•0"
a WITHOUT INTER6ECTINO WALL6 1
WN 72r•D AVENUE '
� -R-II BATT INSULATION W CENTERED OVEF'SOUND r'
\ I ATTENUATION WALL6 -
= .� FINISH ENDS OF CABINET BLOCKING TYP,0 FA5TENING POINTS
\ WITH P-LAM IF NECE55ARY
EXI6TIN0 SUSPENDED CEILING
RAC0 SFS-40 kECESSED
REVEAL HEADER =CONSOLIVA'el
} ` r
OREGON
' l BUSINE��S
PARK III
3.1/2"BATT INSUL. O
IN SUND ATTENUATION WALLS - --
- -`�--- �' f'POJECT 97270 '
- - -- GIN 74TH AVENUE
7'-0" —3.618"MTL.STUDS 4`2a"U.C.
I
-"�`- -- - 5/B"OYP.BRP-BOTH SIDES
1 - -_ -----CENTER LINE OF STUD I Q Q {�
- BACk. SPLASH LOC/ `T IOM V/ \r t 0
�9
SINK
USE E"Al: i LNG END PANEL
'+ + HANG'SINK WITH P-LAM
AEW ABII7„ I 3-1i2"BATTINSUL,INSOUND ATTENUATION WALLS {�{�/�� I /� n rLij
4"RUBBER BASE TVP. I f�lJ�IECT INF�J�Mr11 IDN
(V I \ I ATTACH BOTTOM TRACK TO FLOOR WITH
POWDER DRIVEN ANCHOR.6 AT 24"O,C. U a
—— —� �--FINISH FLOOR BUILDING OWNER: PACIFIC KEALT V A550CIATE5, L.P.
15350 S.W. SEQUU,P, PKWY #300 <
FINISH BASE B OTHERS PORTLAND, OR 97224
r--N�C65INET ELEVATION NOKTH (08 TYPICAL WALL 5ECTION TENANT: PIERRE AMELOTTE INTERNATIONAL rs
E 2 - CPt OFITE HAND IN 107 SCALE I" = I'_0" L
OCCUPANCY: BLUC
-- - -- CONSTRUCTION: V-N
9
—LL ". JJSHEF — - - _— FLOOR AREA: 1,5035F TOTAL I w <ExerING WINDOW WALL7 MULLION-ACTUAL SHAPE
I ' I EXTRUSION 5HOWNAND SIZE MA� VARY FROM l9 O
EQUAL FILLEV,IEACH 516E
EXISTING GLAZING 1
5 I
-= EXISTING TO BE REMOVED/RELOCATED
f'-7 2'-2 3/8" 3'-CN' 4'-0" I' 1/2"
1
N NULtTIOBuAriPe AM EXISTING TO REMAIN II ^
II
^I BACK SPLASH
-- �� NEW CONSTRUCTION I
DEMISING WALL I + I �l �1
N ' SINK
GYP BOARD 51!L =Aca I HOUR PARTITION ;!
N I I I �"e'm Ab I I Ew A� I I PARTITION W/50UND ATTENUATION BATTs
LADJ. HELP-- _ I I SWITCH
L I
RAW TRACK SWITCH WITH RHEOSTAT I 1 �! r-- - -^iT, I ?
— ——— —— — I METAL sTuc PARTIT�JN $3 THREE WAY SWITCH � II F;E.
II A GIGNAL OUTLET
FINISH BASE BY OTHERS v II I I r
DEDICATED OUTLET ISOLATED GROUND bA II L' I C
I
CAB_I N ET E _> V,AT ID N 50 U T H ID�o T (D DUPLEX RECEPTACLE I I ' -
PARTITION Al WINDOW MULLION mil � �
�i
FOURPLEX RECEPTACLE
-- - -- - -- ---- (D SPECIAL OUTLET
i'
_ 47 1/4"`_ 3w 33" 30 I/4" FLOOR ANDlUR ROOF STRUCTURE TELEPHONE OUTLET — JIB ---�I I I I ! Ii 1I
- - Lij
5TABILIZER 5AR BETWEEN J L II
MAINS AT PERIMETER RC1® FLOOR MONUMENT WITH SERVICES SHOWN
--- ---`I �•--- -- -- -' E� EXISTING TELEPHONE/ELECTRICAL
—/ ——7 I —__ +I ADDITIONAL HANGERS AT ALL MAINS
/ WITHIN 8«OF THE PERIMETER I •--
' I' 4c/w C INE I I I I I EXISTING 2 x 4 FLUORESCENT FIXTURE / II I I ~ i–� —, ' ? it
_ \ __ _ APPROVED VERTICAL 51 RUT AT 12'-G'O.C.EA WAY -L J r I
( AB. FINISHES Iz' `s=�C _ —�� EQUAL FLLER WITH 4 WAY LATERAL BRACING FROM THE MAIN NEW 2 c 4 FLUOR. FIXT.W/ ACRYLIC LENSE II r
FL I WILSONART b \ � I — —`— r �r�-
EACH SIDE RUNNER TO THE STRUCTURE OVER BEGIN WITHIN 6'0" ___ I 1 3
BLUE NUBULA ;� �A J. SHELF OF THE PERIMETER 6 2"FROM A CRO55 MEMBER INCANDESCENT DOWN LIGHT * I L H �I 'J I L►
4626-6
PL 2 WIL50NART I I O SMOKE DETECTOR
ii
A5PEN �� I ` Y SPRINKLER HEAD
-I - - - - --) -- - --I a
D324-6 - -- - BUILDING STANDARD SUPPLY VENT `
� BUILDING STANDARD RETURN VENT �,��,
1'-7 u2" 1'-41/2" I'-41/2" 3'-6" 2'-2" 2'-2" :�
101 ROOM NUM5ER/DOOR NUMBER 1 ' ;� _
_ BACK PLASH e" CRO55 MEMBERS BETWEEN
d MAX. MAIN RUNNERS h
S,O„MAX ( MAIN RUNNERS AT 41-0"O.C. I \ " I Lu z
i
! Lu
SUPPORT WITH 912 WIRE AT 4'-0"O.C. �, v i
/ OR WITH 910 WIRE AT 6-0"O.C, / �� N,` / I Q
o,
+ + + .MEW BIN I COUNTERSLOPE HANGERS IF MORE ` Cn
i i I I THAN 1:6 OUT OF PLUMB �. /�-� I
�. ADJ. 5 ELF =_ 1 SECURE ALL HANGERS TO BLDG. GENE A L N D T E 5 / 1 � °
+ 1 ESTRUCTURE OR A TRAPEZE FOR
<<� — tea, f
— I �'" DUCT AND/OR PIPE WORK I `�/ �II >a2 p
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- I —— - —— — ——— - NOTE: ALL CONNECTION DEVICES TO BE UBC ALL CONSTRUCTION WORK SHALL BE DONE INCOMPLIANCE / I� w p J
APPROVED TYPE AND HAVE 100# CAPACITY WITH THE LATEST EDITION OF THE UNIFORM BUILDING CODE. 1 U c5 0`)
FIN15H BA5E Ear OTHERS A5 AMENDED DY THE STATE OF OREGON AND ALL OTHER STATE // O q
OR LOCAL CODE REQUIREMENTS THAT APPLY,
CABI NET ELEVATION N D f�T H 106 51 J 5 P E N DEE D C E I L I N G 51,AC N G 2. THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND
SCALE
CONDITIONS SHOWN ON DRAWINGS AND AT THE EXISTING s /
NOT TO SC.A�' BUILDING AND NOTIFY ARCHITECT OF ANY DISCREPANCIES °`/ NOI-E:
PRIOR TO STARTING THE WORK. 1, -IAL31NETS 'WITH LETTER$ARE TO BE U3FG
/ iN LOCATIONS SHOWN ON THE CABINET
RACO HEAD 3. CONTRACTOR SHALL KEEP THE AREA OF WORK FREE OF ELEVATIONS IN THE NEW 5F'ACES
ACCESS AREAS.AGE AND
ON A DAILY BASIS. INCLUDING DOCK 2, ALL DUG'R5 ARE TU 6E REMOVEG FOP REV1510N5
RELCCATION TO NEW LOCATIONS, ONL-
_ I 4. CONTRACTOR SHALL KEEP THE ROOF FREE OF DEBRIS (I.E. � 2 DO(?RS WILLREOLIII?G LEYEf7 HARDN'SPE 1
CHARGES ALL OTHERS 0E LEVER5.
NAILS, SCTEWS)AT ALL TIMES. I'
r�l�FILLER I I 2'-is" -u" 3. LISE EM5TING COUNTER TOPS 6 BACK
_ 5. ALL GYPSUM BOARD TO BEA MINIMUMS OI.5/8" THICK
SPLA.5HE5 IF I0055IBLE.
VERTICALLY ATTACHED TO 3 5/6" METAL 5TUD5 24'0.C.
111,:1LWITH P TYPE 5-12 SCREWS 12" O.C.
U _ PEVOLITID � FLA 'I� ,
— �_ 6. ALL DOORS SHALL BE 3'-0" x 9'-0" x 13/4" NOM, SOLID
CORE WOOD UNLESS NOTED OTHERWISE. DOOR HARDWARE
H �_ TO MATCH EXISTING
< I c�Nc oc�ION�c� 7, ACOUSTICAL CEILING 5Y5TEM5: , '
CENTER CAOINETB �+ 0 — — _ 9 Y, �� L�/ �� Grp -TIC,A Fj� t
ON WEST WALL '� I SUSPENSION SYSTEM TO BE EXPOSED METAL T BAR, 5� Jr SY �/
eAcr�rtae�+ a FIREFIN15HED WHITE, TO COMPLY WITH U.5,0, STANDARDS, 1. �
INSTALL LATERAL BRACING PER CODE. (EX15TING) �LI i /,Z O ✓h
�,D $INA rl•2 .► \ — vyt ; ...A ` i?<j ,-
6. H.V.A.C. TO BE ABALANCED, DESIGN-BUILD SYSTEM. h (�I v'l �a�/ f O 1'` DATE: 10/27/9-/
.y �17 ti
M.-2 ,,5L E�SER d 9. PROVIDE SPRINKLERS BELOW SUSPENDED CEILING PER CODE, at T pJC� `+ , �(, l -1
W \ ELECTRICAL < p11n'r z-
l0 1
OR J-BOX 10, DUCT ALL EXHAUST FANS. MOUNT ABOVE SUSPENDED CEILINGeQ 1�ttc� F•��d�'� �� //,�J r�
I ire J ti TO MINIMIZE MOTOR NOISE.
t ►'L v.nA, n z - UNDERCUT DOOFC AP\'` 11. PROVIDE LABEL FOR EACH CIRCUIT AT PANEL FOR
_? ,VY 1 , V2' FiN19MnABE�'OTH[r i REOUIREDTO CI EAR �+ IDENTIFICATION PURPOSES. THERMOSTAT LOCATIONS TO BE � 1� I
vy -- -----� FLOOR FINISH _ REVIEWED BY OWNER PRIOR TO IN5T4LLATION. I
` -
'I V
CA,b. ELEV. NORTH H 109 CAB. ELEV. UOM 105 WEST _ 5TANDAfUD MOUNTING HEIGHTS- 1G COORDINATE
SYSTEM BY ENANT CONTRACTOR TO b /
SCALE 1/2 =1' 0' ��ALE I!2'=1.' u' SCALE I/2" = I'-U" _ - 13, PROVIDE ACOUSTIC GAyKET5 WHERE WALL INTERSECTS
I�"10's SH r. A I rr'''t MULLIONS OR GLAZING.
%IiI11 120 -
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LEGIBILITY STRIP C c a 5 6 7 e 9 10 11 12 13 14 lib 17 1 19 210 21I 22 23 25 2�6 27 2e 29
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Cr CUT PILE CARPET
DC?DR DATA FRAME DATA. REMARK5/HARDWARE LP LOOP PILE CARPET _
g VCT VINYL COMPQSITION TILE
MARK 512E THK CORE VENEER FINISH RELITE TYPE LAt3EL HAND HARDWARE REMARK5 5V SHEET VINYL I I
bt it 9' 1914" SC BIRCH CHERK - --- ACI RH LEVER LOCKSET, CLCSER EX15TIN0 DOCK Q FRAME " OF OTHER FLOOR FINISH w = < `- i j)
1cJ2 • LH LEVER LATCHSET RELOCATED DOOR 6 FRAME R ire
104 ;H LEVER tATCHSET RELOCATED DOOR FRAME PGIVE PLANTED GYPSUM WALL BOARD RMA NAME "' �+' "' 3 '� v `J REMARK5
WW WIND0INWALL Kit RECEPTIONJWNT LP 4" RF PGM PGWB ivW�-nGWB WW 1234 E SAT 9'.0"• I`-!
H LEVEF iAtCH5ET RELOCATED DOOR d FRAME � VWC VINYL WALL COVERING -- i
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KH LEVER LOCK5ET RELOCATED DOOR 6 FRAME 3 PLW PLASTIC LAM.WNN5CCT TO 4' A.F.F. 102 I CONSULTINO C� 4" RF w Paw "A v r(Aw WW P" li DATE: 10/27/97i
OW OTHER WALL FINIriH ----_-_ —
�07 � LH LEVER LATCHSET RELOCATED DOOR 6 FRAME CHANGE TO LEVER 103 CIRCULATION LP 4"RF PGW$ P(-,
l08 _ RH LEER LATCHSE7 RELOCATED DOOR b FRAME CHANGE TO LEER IOd CONSULTING CP 4" RF ~�3wS
¢i SAT SUSPENDED ACCU5'. TILE 2 x 2 �j 8001H 5V 4"RC J E SAT
IiO 3' X 9' 1 3i4" 5C BIRCH CHERK ACI KH LEVER PRIVACY LOCK EXI:;TING DOJR IS FRAME WBC WALL WARD CEILING - -�- —
OC OTHER CEILING FINISH 106 MEDICALl5TORA.GE 5V 4"RC PGW� VT _ REPLACE AC TILE WIVINYL FACED
107 OPERATION SY 4" RC Wwy(� VT REPLACE AC TILE W;VINYL FACED
I 108 OPERATION SV 4"RC NMI PGNe VT FEPuACE AC TILE WJVINYL FACED I�
109 BREAX 5v 4"RC PC" PC"
110 TOILET E SV E 4•RC E PLW PGWB E PLW PCS." nGWB PIWg
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----
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- LEGIBILITY STRIP
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Paq_e No. 1 CASE HIFTORY FOR CASE NO.: DUP98-0023
PIERRE AMELOTTB INTER
15895 SW 72ND AVE Unit: 120
09/10/98
Action Description. Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPCO05 Application received / / / / ')1/14/97 RECD GEO 01/14/98 GEO
BUPC008 Permit created / / / / 01/14/97 PASS GEO 01/14/98 GEO
BUPCOIO Check for prcl. restrict. / / / / 01/14/97 PASS GEO 01/1.4/98 GEO
BUPC012 Plaus routed to Plans Examiner / / / / 01/14/97 PASS CEO 01/14/98 GEO
BUPCO24 Plans Appro,red by CPK / / / / 01/14/97 PASS JF 01;14/98 GEO
SUPCO26 Approved Plans routed to DSTs / / / / 01/14/97 PASS JF 01/14/98 CEO
BUPC100 (F) Issue permit / / / / 01/14/98 PASS CEO 01/14/98 CEO
BUPC740 Framing Insp / / / / 02/04/96 PASS TLP 02/06/98 J"H
DUPC740 Framing Insp 01/14/98 / / 02/27/98 PASS TLP 03/01/98 J-H
BUPC750 Insulation Insp / / / / 02/27/98 PASS TLP 03/01/90 J"H
BUPC760 Gyp Beard Insp / / / / 02/06/98 PASS TLP 02/06/9A J•H
BUPC762 Susp Ceiing Insp 01/14/98 / / 02/27/98 PASS TLP 03/01/98 J•11
13UPC802 Final Inspection_ 01/14/98 / / 02/27/98 Pending plumbing permit. PASS TLP 09/09/98 J•I1
sent inspection request to Hap/researach
NOTE: PLM98-0024 WAS APPROVED ON 022698
AND CASE FINALED THAT DATE.
DUPC950 (F) Issue Cert. of Occupancy / ! / / 02/27/98 09/10/96 JT
CL
CL
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Cil
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Page No. 1 CASE NISTORY FOR CASE NO.: PLM98-0024
PACIFIC REALTY
1S SW 72ND AVE Unit: 120
09/10/98
Action Description Req/ Schd/ F^A; Action Notes Disp By Update Upd
Code Sent Done Done Date By
PLMC003 Application. received / / / / 01/26/98 PASS ,5U ul/27/98 JSD
PLMC005 Permit Created / / / / 01/27/98 PASS JSD 01/27/98 JSD
PLMC040 (F) Ready to iasue / / / / 01/27/98 Present USA cord to applicant. PASS JSD 01/27/98 JSD
PLMC050 (F) Issue permit / / / / 01/28/9L PASS DRA 01/28/98 DST
PLMC715 Rough in Insp 01/27/98 / / 02/04/98 PASS TLP 02/06/96 J"H
PLMC725 Top-out Insp 01/27/98 / / 02/04/98 PASS TLP 02/06/98 J"H
PLMC799 Final Inspection / / / / C2125i90 PASS WA 02/26;98 .J*H
PLMC800 Case Finaled / / / / 02;25/98 PASO WA 02/26/98 J•H
1
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Page No. 1 CASE HISTORY FOR CASE NO.: ELC98-0040
PIERRE AMELOTTE INTER
15895 SW 7214D AVE Unit: 120
09/10/96
Action Description Req/ Schd/ En,/ Action Notes Disp By Update Upd
code Sent Done Done Date Py
ELCCO01 Application received / / / / 01/22/98 RECD GEO 01/22/98 GEO
ELCCO03 Permit created / / / / 01/22/98 DONE GEO 01/22/98 CEO
ELCC500 (F)Issue permit / ! / / 01/21/98 PASS GEO 01/22/98 GEO
ELCC520 (F)Print ELC Signature form / / / / 02/02/98 RECD SW 02/02/98 S*W
P.1,Cr;1n0 Ceiling C_ver 01/22/98 / / 02/06/98 Ceiling cover approved: There are quite PASS BRP 02/10/98 J•H
a few bcxes with setback. Listed bcx
extenders will be required where device
can't_ be firmly mounted to wall.
ART410-56(e) and 380-10(b) .
Check device mounting on final.
E'.CC720 Wall Cover 01/22/98 / / 01/3C/98 Rough in of walls pass. Box mounting PASS BRP 02/02/98 J•H
is real good.
ELCC725 Underground Cover Ol/.2/98 / / / / 01/22/98 GEO
ELCC730 Elect'1 Service 01/22/d8 / / / / 01/22./98 GEO
ELCC799 Elect'1 Final 01/22/98 / / 02/20/98 PASS BRP 02/23/98 B•P
EI,CC800 Case Finaled / / / / 02/26/98 02/26/98 JT
ELCC800 Case Finaled / / / / 02/26/98 02/26/94 JT
d
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Page No. 1 CASE HISTORY FOR CASE NO.: MEC98-0062
PIERRE. AMELOTTE INTER
15895 SW 72ND AVE Unit: 120
09/10/98
Actioa Dee-:ription Req/ Schd/ End/ Action Nites Uisp By Upda"„ III-t
Code Sent Done Done Date b,'
MECC007 Application received / / / / 02/19/98 PASS JSD 02/19/98 JSD
MECC008 Permit created / / / / 02/11/98 PASS JSD 02/19/98 JSD
MECC090 (F) Issue permit / / / / 92/19/98 PASS JSD 02/19/98 JSD
MECC706 Mechanical Insp 02/19/98 / / 02/20/98 PASS TLP 02/20/98 TLP
MECC799 Final Insp€ction / / / / 02/25/98 PASS GS 02/27/98 J•H
MECC800 tease Finaled / / / / 02/25/98 PASS GS 02/27/98 J•H
Page No. 1 CASE HISTORY FOR CASE NO.: BUPg8-0037
PIERRF AMELOTTE INTER
15d95 SW 72ND AVE Unit: 120
09/10/98
Acton Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC005 Application received / / / / 01/22/98 RECD GEO 01/26/96 BON
BUPC008 Permit created / / / 01/26/98 DONE B 01/26/98 BON
BUPCO10 Check for prcl. restrict. / / / / 01/26/98 PASS B 01/26/98 9014
BUPC012 Plans routed to Plans Examiner / / / / 01/26/98 Less than 10 sprinkler heads, requires NA B 01/26/98 BON
no plan review.
I-BUPC100 (F) Issue permit / / / / 01/26/98 PASS B 01/26/98 BON
13UPC783 Sprinkler Rough In 01/26/98 / / 02/20/98 PASS TLP 02/20/98 TLP
.BUPC789 Sprinkler Final 01/26/90 / / 02/27/98 PASS TLP 03/01/98 J•H
SUPC960 Case Finaled / / / / 02/27/98 PASS TLP 03/01/98 J-H
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Page No. 1 CASE HISTORY FOR CASE NO.: BUP98-0023
PIERRE AMELOTTE INTER
15895 SW 72ND AVE Unit: 120
08/19/98
Action Description Rery/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC005 Application received / / / / 01/14/97 RECD GEO 01/14/98 CEO
BUPC008 Permit created / / / / 01/14/97 PASS GEO 01/14/98 GEO
BUPCO10 Check for prc.l. restrict. / / / / 01/14/97 PASS GEO 01/14/98 GEO
BUPC012 Plans routed to Plans Examiner / / / / 01/14/97 PASS GEO 01/14/98 GEO
BUPCO24 Plans Approved ay CPE / / / 01/14/97 PASS JF 01/14/98 GEO
BUPCO26 Approved Plans routed to DSTs / / / / 01/14/97 PASS JF 01/14/98 CEO
BUPC100 (F) Issue permit / / / / 01/14/98 PASS GUO 01/14/98 GEO
BUPC740 Framing Insp / / / / 02/04/96 PASS TLP 02/06/98 J"H
BUPC740 Framing Insp 01/14/98 / / 02/27/9a PASS TLP 03/01/98 J"H
BUPC75U Insulation Insp / / / / 02/27/98 PASS TLP 03/01/98 J•H
SUPC760 Gyp Board Insp / / / / 02/06/98 PASS TLP 07./06/98 J"H
BLIPC762 Susp Ceiing Insp 01/14/98 / / 02/27/98 PASS TLP 03/01/98 J"H
SUPC802 Final Inspecticn 01/14/98 / / 02/27/9q Pending plumbing pe t. PASS TLP 03/02/98 J•H
l
cc
F—
J
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i
Page No. 1 CASE HISTORY FOR CASE NO.: PLM98-0024
PACIFIC REALTY O
15985 SW 72ND AVE
09/09/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------' ----'----- -------- -------- -------- --------------------------------------- ---- --- -------- ---
PLMC003 Application received / / / / 01/26/9a PASS JSD 01/27/98 JSD
PLMC005 Permit Created / / / / 01/27j98 PASS JSD 01/27/98 JSD
PLMC040 (F) Ready to issue / / / / 01/27/98 Present USA card to applicant. PASS JSD 01/27/98 JSD
PLMC050 (F) Issue permit / / / / 01/28/98 PASS DRA 01/28/98 UST
PLMC715 Rough-in Insp 01/27/98 / / 02/04/98 PASS TLP 02/06/98 J•H
PLMC725 Top-out Insp 01/27/98 / / 02/04/98 PASS TLP 02/06/9 J"H
PLMC799 Final Inspection / / / / 02/25/98 PASS WA 02/26/98 .T•H
PLMC800 Case Finaled / / / / 02/25/98 PASS WA 0:/16/98 J•H
0�L
to
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6
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W �
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S
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
Date Requested - g AM PM BLD
Location Suite ,� - MEC
Contact Person "h PLM
Contractor Ph _ SWR
BUIL DI Tenant/Owner ELC
Pctaining Wall ELR
Footing IAo �— -`
1171-
Fcundation i FPS _
Ftg Drain NO REQUESTED SGN
Crawl Drain Ins FOUND DARING RESEARCH ----
Slab
Post& Beam -- NOINSPECTION(s) INFILE
SIT
-- -
Ext Sheath/Shear
Int Sheath/Shear ~-
Framing
Insulation
Drywall Nailing (�(J Gl/� ____!
Fireviall
Fire Sprinkler
Fire Alarm
SL!sp'd Ceiling
Roof
M
-incl.-
ASS PART FAIL --- — — - - —_
PLUMBING
Post&Beam -
Under Slab
Top Out
Water Service
Sanitary Sewer -^- - -� -
Rain Drains
Pinel ----- ---------
PASS PART FAIL _
MECHANICAL -
Post& Beam --- --.-.-- - -- -- - ----- -
Rough In
Gas Line - --- - -
Smowe Dampers
Final - ---- ----- _._- - _--- - -
PASS PART FAIL
ELECTRICA!_ - - -----------
a. Service
n_ Rough In
UG/Slab --_—_-
Low Voltage - ---
�- Fire Al vm
Final
cc PA'o PART FAIL _—
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain I }Re nspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I 1 Please call for reinspecr;on RE _ [ }Unable to inspect-no access
ADA
ApproachlSldewi�, C.Date v' Inspector _ Ext
Other _ -- -
Final
PASS PART FAIL 00 NOT REMOVE' this inspection rocord from the job site.
CITY ® F TIGARD
DEVELOPMENT SERVICES
13125 SW Nall Blvd., Tigard.OR 97223,503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT ##. . . . . . . : Bl.1P96- 0023
DATE T SSUED s 02/1",7/98
PARCEL : 2`'.i112I)C-0.0500
ADDRESS. . . : 15B95 Sty 721-40 AVE #120
SUBDIVIa1()N, . . . :FANNEI CREEK ACRE TRACTS ZONING: I -k'
:c7►4Q► .TURI3DICTION: TIG
CLASS OF Wr1RK. s AL'r
I YPE OF USE. . . :COM
TYPE OF CONSTR:3N
)CCUPANCY GRE'. :LA
r'r'►JpANCY WAD. `+
L14PNT NAME. . . : PIERRE AMELOrrE INTERNA.:•?CMAL
Tenant Impr,nvemeni;
__._.. ..,._ _____.._.._._..__ ......
mners
'AC I F'I C PSALTY A(:3SOC I ATES
5350 "3W EsE:WUC11 A PARKWAY
+U I T'F #300
11GARD Uri 9"1'224
''hone it:
Contractor-s -_.__. _..._.. _-_._._. _..._...._..._. ._._... ..
14 (3REL_N, HL. CO. INC.
15,::•50 7W SE.W010 BL-k1)
57 E." 300
I'I r3ARj) OR 97224
:.!.'hone ##s 624--7717
00+0413
Phis Carr^tificata grants ocr+_cpanc.Y of the aht,ve referent ed vuitdinrg or port� :i.on
i-her-eaf and cOnf'irms that the t)uildiny has beers i.nsc3octed for- e:ompl. ianr.e nth
+ the :state of Urg'►n Ca#►e+cialty Ccicieg• for the yro�.tp, ocr. �.tps%ncy, and +.tee +.tndEs+
,ch ic., mit was i 5%1aced•
tiU 1.. IiINU INr4 ...CTOP rte, lJ 1_Dltlr OF f i .
F OSI IN CONSP I C JOU5 PLACE.
I
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0040
13125 SIN Hall Blvd., Tigard,OR 9722; (503)639.4171 DATE ISSUED: 01/22/98
PARCEL_: 2S112DC-00500
SITE ADDRESS. . . : 15895 SW 72ND AVE #120
SUBDIVISION. . . . :FANNO CREEK ACRE TRACTS ZONING: I—P
BLOCK. . . . . . . . . . . LqT. . . . . . . . . . . . . :O4O JURISDICTION: TIG
Pro,j er_t Description : Add a 208 amp service and six (6) branch circuits to an
existing tenant occoy within a commercial building.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 F'UMP/IRRIGATION. . . . : 0
EACH ADD' L_ 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
I._.IMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM,' SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR I-ABEL ( 10) . . . : 0
----SERVICE/FEEDER---- -----BRANCH CIRCUITS--- -- ---ADD' L INSPECTIONS-----
0 — 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 6 PIER INSPECTION. . . . . : 0
201. — 400 arnp. . . . . . : 0 1st W/O 3RVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC:: 0 IN PLAIV7.. . . . . . . . . . . : 0
601 — 1000 amp. . . . . : 0 --------------------PLAN REVIEW SECT I ON------ -- ------- -
1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: -------------- ------------------------------------------ FEES
PIERRE AMELOTTE INTER type amount by date recpt
15895 SW 72ND AVE PRMT $ 90. 00 GEO 01/22/98 98--302706
SUITE #120 5PCT 4. 50 GEO 01 /22/98 98--.302706
T I GARD OR 97224-0000
Phone #:
Contractor: ----------_-----_--.-----_----------.---------------------------------
BACHOFNER DATACOM INZ $ 94. 50 TOTAL
55 SE MAIN
----- -- REQUIRED INSPECTIONS ---
PORTLAND OR 97214 Ceiling Cover Underground Cove
Phone #: 223-21306 Wall Cover Elect' l Service
Reg #. . : 000445
This permit is issued subject to the regulations contained in the Tigard Nunicipal Code, State of Oregon Spec,1lty Codes and all other
applicable laws. 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 188 days. ATTENTION: Oreqon law requires you to follow the rules adopted by
OF Oregon Utility Notification Center. Those rules are set forth in GAR 952-001-0010 through OAR IF52-081-1987. You may obtain a copy
of these rules or direct questions to OLINC by calling ((555883)246-1987. >
r' rmittee Signature:e: �2Zl s� '. _..._.. Issued By-
r� /
-----------------------------OWNER INSTALLATION ONLY------- --_____-----_---_--__--
The installation is being made on property '. own which is not intended for
sale, lease, or rent.
UWNERIS SiGNA-IURE: DATE:
-- ----------------------CONTRACTOR INSTALLATION ONLY-----------------------
5 I GNA TURF OF Sl SPR. ELEC' N r _^ DATE ';2
LICENSE Nn
+++++++++++++++++++++++++++++++++++J•++++++++++++++•t++++++++a ++++i.++++++++++++++
Call 639 -4175 by 7:00 p. m. for an inspection needed the next business day
t++-tit+a-++++++++++++. +
CITY OF.TIGARD Electrical Permit ApplicuZion Plan Check
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date RecdDate to P.E. _
Phone (503) 639-4171, x304 Date to DST
Inspection (5C3) 639-4175 Print Or Type pennitq�c��
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below.
Name of Development _ Number of Inspections per permit allowed
Name(or name of business) PIERRE AMELOTT�_ Service included: Items Cost Sum
Address 15895 SW 72nd AVE J r,10 4s. Residential-per unit
100 sq.ft.or less $110.00 4
City/State/Zip TIGARD R ORE 97224 Each additional 500 sq.ft.or
Commercial ElResidential ❑ portion l $25.00 1
Limited Energy
$25.00 v
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
,a. Contractor installation only: 4b.Services or Fenders
!Attach copy of all current licenses)
Electrical Contractor RA FNF.R PT.PC T'R T T NC Installation,alteration,or relocation
* 20 amps or less $60.0 __Fj e e g 2
Address 55 SE MAIN 201 amps to 400 amps $80.00 2
City-__ nTbg__State_QR Zip-9721 4 401 amps to 600 amps - $120.0 2
Phone No. 601 amps to 1000 amps $180.00 2
Job NO. 7 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec.Cont. Lice. No.x _
_ 54 , _Exp.Date
OR State CCB Reg. No. 4 4 5 6Exp.Date_ 4c.Temporary Services or Feeders r
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
200 amps or less $50.00
201 amps lo 400 amps $75.00 2
Signature of Supr. Elec'n 401 amps to 600 amps $100.00
Over 600 amps to 100 volts,
License No. 1769S _Exp.Date_ see"b"above.
Phone No. 2 3 3_2 a n R 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.__ Each branch cir;uit 6 $5.0 3 6 • n 6 2
Address - o)The foe fur branch circuits
City State Zip without purchase of
Phone No. _ :irvice or feeder fee.
First branch circuit $35.0
The installation is being made on property I own which is not Each addltlonal branch circuit_ $5.00 a
intended for sale, lease o rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature L _ Each pump or Irrigation circle $40.0 2
Each sign or outline lighting $40.0 _
3. Plan review section (if required):* I Signal cirrult(s)or a limited energy- --
panel,alteration or extension $40.0 2
Minor Labels(10) $100.00 -----
Please check appropriate item and enter fee in section 5B.
v~i 4 or more residential units in one structure 4f.Each addltioral Inspection over
Service and feeder 225 amps or more the allowable In any of the above
F- System over 60 volts nominal Per inspection _ $35.0
Classified area or structure containing special occunancy Per hour a $55.0 - _--
m
as described In N E.C.Chapter 5 t Plant $55.00 -.
Submit 2 sets of plans with application where any of the above apply. Jr. Fees:
J Not required for temporary construction services. 5a.Enter total of above fees $ 90 . 00
5%Surcharge(.05 X total fees) $ 4 _ 5 fl_
NgTICE Subtotal $ ----
5b.Enter 25%of line 5s for
PERMITS BECOME VOID IF WORK ,CONSTRUCTION AUTHORIZED IS Plan Review if re uir (Sec.3)
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotsl $ ---
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. Trust Account k_-__ ,.
Total balance Due $
I\e9TSTI.C911 APP new WN
CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Nall Blvd,, Tigard,ON 97223 (503)639.4171 PERMIT it. . . . . . . : MEC98--2r0E;-.
PATE ISSUED: 02/19/98
PARCEL: 2S 1. 12DC-00500
SITE ADDRESS. . . : 15895 SW 7LND AVE. #12:0
SLIBDIVTSION. . . . : FANNO CREEK ACRE TRACTS ZONING: T-F'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..040 JURISDICTION: TIG
CLASS OF WORK. . :AL.T FLOOR FURN. . . . : 0 EVAP C'001_.ERS: 0
TYPE OF USE. . . . :('OM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :f_a VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS H00,),. . . . . . . : 0
FUEL TYPES--- -- -- -__ 0-3 HP. . . . : 0 DOMES. I NC I N: 0
:GAS 3-15 HP. . . . : 0 COMML.. T NC I N: 0
MAX INPUT- T BTU 15- 30 HP. . . . : +71 REPA T R UNITS: 0
FT RF DAMPERS". . . 30--50 HP. . . . : 0 WOOD STOVES. . : 0
GAS PRESSURE. , . r 50+ HP. . . . : V1 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : I
FURN < 100K BTU- 0 <-- 10000 cfm : 0 GAS OLJTLCTS. : 0
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarks: Pierre Amelotte - relocate existing grills - no plan review, per Jim
Funk
OwTier,: __._.__._._.______-_____.____---.___._______.____________________ FEES
PTERRE AME1..-f7TTE INTER typr_ amnrtnt by date rFrrrt
15895 SW 72ND AVE PRMT $ 25. 00 JSD 02/19/98 98-303447
SUITE #120 5PC'T $ 1. 25 J'SD 02/ 1.9/98 98-303447
TIGARD OR 9724-0000
Phone #:
Contractor: ------.------------------------
FIROTEMP ASSOCIATES INC
807 NE COUCH ---------------------------------------
26. 25
_-_-___.____--__-_--____--_----_.----.X26. E5 TOTAL.
PORTLAND OR 97232
Phone #: E33-6911
Reg #. . : 000388
------- REQUIRED INSPECTIONS - - - - --
This permit is issued subject to the regulations contained in the Mechanical Insp _
Tigard Municipal Code, State of P-P. Specialty Codes and all other Mi sc. Inspection applicable laws. All work will be dome in accordance with Final. Inspection
Approved plans. This pereit will expire if work is not started
within 160 days of issuance, or if work is suspended for more _
'han 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon V'jlity Notification Center. Those rules are
,P+ forth t,, OAP. 952-001-0010 through OAA 952-001-0080. You may
obtain copies of these rules or direct questions to 01JNC by calling
5031246-9187. _
I ss1-re ae `...__._ Permittee Si gnatr.rre : ti c
+++++++++++++++++++++++++++++++++++++1-+++++++++++++++++++++4+++++++++++++++i-+++
Call 639-4175 by 7:01 p. m. for inspections needed the next br.fsiness day
I 4-++ f+4.f+++++-f-+++-f 1 -++++++t++4 +++4 F A-+4-+++++++-+++ r--1-+++4++4--f 4+++44.+4-+f A
1
Plan Check# 1
CITY OF TIGARD Mechanical Permit Application Recd By-
13125 SW HALL BLVD. Commercial and Residential Date Recd
Date to P.E.
TIGARD,,.OR 97223 Dat,-to DST p
(503) 639-4171, x304 Permit# f1f/"(-
Print or Type Called
Incomplete or illegible applications will not be �.ccepted -
Mame of Deveiopment/Proiect Desuiption OTyPRICE AMT
i '/_'� 1 /[ l able 1A Mechanical Code
Job Street Address sunex,y A) Permit Fee 0 _CL
10.00
Address 's' ;l'`�A V!- �/Y -- 6.00
eldgu City/State Zip ' / 1.) Furnace to 100,000 BTU
c�p 1 Y including duds&vents
Name(or name of bumnesal 2.) Furnace 100,000 BTU+ 7.50
�. including duds&vents
Owner 1 i,G IL ! s.00
Mailing Address +. 3.) Floor Fumace
LI�, 7` -j, 3I'll-,
1G inCILdin vent
Cnx tate Zip Prion 4.) suspended heater,wall heater 6.00
I 1� � 11i' - f ,Z� (>(, or floor mounted heater
Name(or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Addrosa
6.) Boder or comp,heat pump,air Gond. 600
to 3 HP;absorb unit to 100K BUT" 11
CitylState Zip Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP;absorb unit to 500K BTU"
Name 6.) Boiler or comp,heat pump,air Gond. 15.00
Contractor 15-30 HP;absorb unit.5-1 mil BTU"
Limit lel�_ fj` 22.50
Prior to permit Mailing Address 9.) Boder or comp,heat pump,air cond.
issuance,a copy rte('' i '-) (e-11 30-50 HP;absorb unit 1-1.75mii BTU"
of all licenses Cltyrstata Zip Phone 10.) Bode or comp,heat pump,air Gond. 37,50
are required K f ' �- --,�ii >50 HP;absorb unit 1.75 mil BTU"
�%- �� � ✓� - 4.50
expired in COT Oregon C at.Cont.Board Lic.t Exp.Date 11 ) Air handling unit to 10,000 CFM
database > n 4.50
At'ciliteCt Name 13) Non-portable evaporais cooler -
or
Meiling Address 14.) Vent fan connected to a single dud 3.00
Zip Pnone 15.) Ventilation system not included in 4.50
Cryrstate
Engireer _ appliance permit
Descnbe work New O Addftion O Alteration.0 Repair O
16.) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O 7.50
Additional Description of work: 17.) Domestic incinerators
V, be r1 i r (7 30.00
18) Commercial or industrial type
Incinerator
19) Repair units 4.50 1
Exist ng use of
building or property20) Wood stove v 4.50
Proposed use of
21.) Clothe: dryer,etc. 4.50
building or propetty - _- 22) Other units 4.50
Type of fuel-oil O natural gas fA LPG O electric O
23.) Gas piping one to four outlets 200
N - .50
�- I hereby acknowledge that I have read this application,that the 24.) More than 4 per outlets(each)
information given is correct,that I am the owner or authorized agent of
J CITY.SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State '
laws. *SUBTOTAL
J Signature of OwnerlAgent Date
t ; /7 )/ -��f CIS"" 54.SURCHARGE
ontact Person Name Phone PIAN REVIEW 25%OF SUBTOTAL
TOTAL /
i.Ummechpmt.doc (rev 9 'Minimum permit $25+5%surcharge
e7sidential A/C res site plan showing plaLr.ment of unit.
t
CITY OF TIGARD BUILDING PERMIT
i DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUF'98—O023
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/14/98
PARCEL: 2S112DC-00500
SITE ADDRESS. . . : 15895 SW 72ND AVE #120 ZONING: I—P
C'UBDIVI.SION. . . . : FANNO CREEK ACRE "TRACTS JURISDICTION:TIG
BLOCK. . . . . . . . . . . LOT. . . . . . . . . ------40
---- FLOOR AREAS-------- EXTERIOR WALL CONSTRUCTION—
REISSUE: N: ` : E: W.
CLASS OF WORK. :ALT FIRST. . . . : 1503 sf '•
' SECOND. . . : 0 sf PROTECT OPEN
-TYPEOF USE. :CUM E: W:0 sf N: S
TYPE OF CONST. :3N - - - - 1503 sf ROOF CONST: FIRE_ RET? :
OCCUPANCY GRP. -B TOTALEMENT.
OCCUPANCY LOAD: 9 BE E . : 0 s f OCCCU SER. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : ------
ry , REG!D SETBACKS-----'-- RECJlJ7 RED-----------'—_--
NSMT? ; MEZZ :
ps f LEFT- 0f t RGHT: 0 ft FIR 5F'F',L: SMOIi DET. . :
FLOOR LOAD. . . . : 0 0 ft
DWELLING UNITS: 0 FRNT: 0 ft REAR: FIR C
O
RR
K: PARKING: 0
: HNDICN AGC:
PR(:]
BELRMS: 0 BATHS: 0 IMP SURFACE: 0
Vf).1_.UE. $ : 40000
Re m a*,k s: tenant improvement of current space. An elect., fire sprinkler, plumb
and mect, permits are required. — _
FEES
Ownpr: -._- -._..._____ _- ----- --- - amol-kilt by date r-ecpt
type
PACIFIC REALTY ASSOCIATES PRMT $ 242. 50 GEO 01/14/98 98-302470
15350 SW SEQUOIA PARKWAY
SPCT $ 12. 13 GEO 01/14/98 98-3024'
SUITE #300
F'LCK $ 157. 63 GEO 01/ 14/98 98-302470
TIGARD OR 97224 FIRE $ 97. 00 GFO 01/ 14/98 98-302474
Phone #: 624-6.300
Cont Tact or-: ---- ---- __
H GREEN, HL CO. INC.
15350 5W SEQUOIA BLVD
STE 300 -----------
TIGARD OR 9722,4 - --g - —509. 2:6 TOTAL
Phone #: 62:4--7717
Reg #. . : 000413 REQUIRED INSPECTIONS
This permit is issued subjert to the regulations contained ip the Framinq Insp
Tigard Municipal Code, State of Ore. Specialty Codes and i ether f- f,�
Ins,_tla+ ion Insp
Applicable laws. All wok will be done in accordance with
approved plans. This permit will expire if work is not started B o al d I n a p — -
►—
within 180 days of issuance, or if work is suspended for more C Y P �—
�' than iB8 days. ATTENTION: Oregon law requires you td follow the
Sk.isp Ceiing Insp __....__...
� rules adopted by the Oregon Utility Notification Center. Those , --
J rules are set forth in OAR 952-N1-0018 through OAR 952ns t o ODIC
987.
You many obtain a copy of these rules or direct questions to
Q0 by calling (583)246 1987.
r - / �;
f,rmittee Signati-ire : p BY °/
f+ .++++++++++++++i +++ +++++++++++++
an inspection needed the next bl.isiness day
Call 639-4175 by 7:00 P. M. 1_4
c;fY OF TIGARD Commercial Building Per;t;;it /C, Recd By
13125 SW HALL BLVD. Tenant Improvement ') Date Recd
TIGAR[?, OR 91 223 j/I Date to P.E._
(503',G39-4171 �\ 1 i Date to Der_ r
� Permit*
Print or T.1pei Related SWR
Incomplete or illegible applications will not be accepted Called
Name of DevelopmenUProlect Existing Building XNew Building (]
Job
Address Street Address Suite Building
'Sl?q /;O Data
Bldg 0 City/State 7jp Existing Use of Building or Property:
t
Nemo--
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed
Use of Building or Property:
Owner Mailing Address Suite
15350 SW SEQUOIA PKWY 300 No. Of Stories:
City/State Zlp Phone
PORTLAND, OR 97224 624-6300 Sq. Ft. Of Project
Occupant Name Zia
Occupancy Classes)
Name
Contractor H. L. GREEN COMPANY Type(s)of Constraction
Prior to permit Mailing Address Suite
issuance,a copy Will this project have a Fire Suppression System?
of all licenses 15350 SW SEQUOIA PKWY 300 y
are required if City/State_ Zip Phone Yes No ❑
expired in C.O.T. Americans wit Disabilities Act SADA)
database PORTLAND, OR 97224 624-7717 Valuation X 25% = $ Participation
Oregon Const.Cont.Board Uc.* Exp.Date Complete Accessibility Form /
41328 Project
Name Valuation I &
Architect JOHN H. ROMISH Plans Required: i SLon
e Matrix for number of sets to submit
Malirg Address Suits back
2216 SE 24TH AVE.
Citylstate Zip Phone 7-hereby acknowledge that I have read this application,that the information
_ PORTLAND, OR 97224 236-6306 given is collect,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 OwneriAgent U l4
Marling Addres3 Swte �
i
Contact Pers Name Phone
CitylState Zip Phone
r
`A FOR OFFICE USE ONLY
> Indicate typo of work: New O Addition O Demolition O Ma ITL#
~ Accessary Structure O Foundation Only O Alteratlon� p Land Use:
—�
Repair O Other O
Notes
c�
Description of work:
TIF:
Parke 1 (mated s of Empl yeas —
Note: Site Work Peni:lt Application must precede or accompany Building
Permit Application
I.".COMNEW DOC (DST) 8/97
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
ly
CLASS OF WORM: I i i FLOOR AREAS: �' � EXTERIOR WALL CONSTRUCTION
TYPE OF USE: (`/»+, i FIRST / SQ. FT. N: S: E: W:
TYPE OF i -'—
CONSTR: MAI i SECOND SQ. FT. � PROTECT OPENINGS?:
OCCUPANCY GRP: r i THIRD SQ. F"I. N: S:_ E: W:
OCCUPANCY LOAD:_ i TOTAL SQ. FT. � ROOF CONSTR: FIRE RET:
I I
STOR:� HT:_ FT: BSMNT: SQ. FT. i AREA SEP, RATED:
BSMNT?: MEZZ?: GARAGE: SQ. FT, OCCU.SEP.RATED.
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ 2 X12 Permit Fee
Masonry Framing $ 3Plan Review
Insulation Shear Wall 5% State Surcharge
Firewall Gyp Board $���FLS Plan Review
a
Suspended Ceiling — Sprinkler Rough-in ? Add'I Permit Fee
��_ Sprinkler Final Fire Alarm $ i_Add'I FLS Pln
�- Smoke Detector Approach/Sidewalk $ Inspection
Miscellaneous Final $ MIS Fee
Cz
ut
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS(COM=commercial; CMS=--• n,merc:ial;manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;Add=addition;ALT=alteration: ACS-accessorv;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 kovrcntr2 doc (DST) 4197
J�u
OVER THE COUNTER (OTC)
(attachment to Submittal Criteria)
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241.
(1) Every project for renovation, alteration r; modification to affected buildings and related
facilities shall be made to insure that the Nath 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%).
THEREFORE; Each submittal for a building permit shall include this form providing the following
information. [Excluding re-roofing, mechanical and electrical permit applications]
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. (1] $
multiply: 25% Barrier removal requirement. —.25—
BUDGET
,.25,BUDGET FOR BARRIER REMOVAL (2] $ G (; C70
The dollar amount of the )gyp_U;j establish 4 on line (2) in the computation above shall be spent
providing the accessible elements in the followir. rder.
1. An accessible route connecting the building to accessible pedestrian
walkways, and the public way. $
(including but not limited to curti ramps,detectable warnings,
marked crossings,ramps handrails and landings).
2. Not less than one accessible parking space. $
(including but not limited to adjacent access aisle,signs and curb ramp
connecting with the accessible route).
3. Accessible entry or entries. $
(including but not limited to ramps,handrails,landings,
door sill height,door width and door hardware)
4. An accessible interior route to the altered area. $ 7�L�
(including but not limited to door-ways,maneuvering
clearances,door hardware and stairways).
5. At least one accessible restroom for each sex. $
f
6. At least one accessible telephcne where public phones
are provided. $
7. When drinking fountains are required, fifty per cent but
not less than one shall be accessible. $
B Additioral accessible elements such as storage, reach rances,
alarms, etc.. $
TOTAL: $hall equal line 2 0J Value Computatl4rL
i:,otc4AW DST) /
CIT`( OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP98-0037
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 01/26/98
PARCEL: 2SI12DC-00500
SITE ADDRESS. . . : 15895 SW 72ND AVE #120
SUBDIViSTO.1,4. . . . : FANNO CREEK ACRE TRACTS ZONING: I—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :040 JURISDICTION:TIG
REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :FF'S FIRS7. . . . : 0 sf N: S: E- W:
TYPE OF USE. . . :COM SECOND. . . 0 sf PROTECI' OPENINGS?
TYPE OF CnNST. : : : 0 sf N: S. E: W-
OCCUPANCY GRP. :Ei TOTAL------: o sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
']TOR. : 0 HT: 0 ft GARAGE. . . ; 0 :3f OCCU SEP. RATED:
SSMT') : MEZZ": REOD SETBACKS-------- R,:.'PU I RED
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
DEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : coo
Remai-ks - Adding one sprinkler head and relocating three sprinkler heads.
nwnet-: FEES
PACTRUST type amol.tnt by date r-er-pt
15350 SW SEQUOIA PKWY PRMT $ 25. 00 GEO 01/22/98 98-302721
CITE 300 5PcT $ 1. 25 GEO 01/2J-1/9B 98-302721
TIGARD OR 97223 FIRE $ 10. 00 GEO ' .. /22/98 98-302721,
141one #:
Contt-actor,:
V-IRESTOP CO
9384 SW TIGARD ST
TIGARD OR 97223
2
Phone #: 620—61.40 $ :;F,. 5 TOTAL
Reg #. . : 000638
------- REQUIRED INSPECTIONS
This permit is issued subject to the revulations contained in the Sprinkler Roo.vgh—
Tigard Municipal Code, State of Ore. Specialty Codes and all other Spv,inklev- Final
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for more
than 160 days. ATTENTION: Orpqon law require; you to follow the
rules adopted by the Oregon Lftility Notification Center. Those
ruirc are set forth in OAR 95E.0@1-0010 through OAR 952-@0101987.
Yoii many obtain a copy of these rules or direct questions to OW
by calling (503)246-1987.
LD -------
__j
1--,er-mittPe Signati.tre : Isso-ted By :
i ++......4.................. + ++........+++*............ ....................
Call 639-4175 by 7:00 p. m. for an inspection nppded the next business day
................4....4....................4.........4-++++4....................4.++
Fire Protection Permit Application Plan Check 3
CITY OF TIGARD Commercial or Residential Recd By
131,25 SW HALL BLVD. Date Recd _(- :ZR
TIGARD, OR 97223 Print or Type -ee ra'p-t- NA
(503) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted .Date to DST
Permit
Called
Name of Development/Prolect Type of System (Complete A or B as applicable)
Job D%`LEt�o,--1 t011NL;s5 7�n-2fv III
Address Address uo „� A.) Sprinkler Wet ® Dry ❑
1)'?,q S S W Z — ��i5 12.v Standpipes
Name
Hazard Group
Owner Mailing Address Additional t t`I-yr
City/State Zip Phone Information Density C • t
Design Area
Name
K.Factor
Occupant Mailing Address I to Iv
5 p, S ,S W 1Z. — A✓,� Sprinkler Project Valuation $
Ci /state Zip Phone la iJ -
p n *re
(910- 4-71LI
COT Business Tax or Metro# Exp. Date B•) Fire Alarm
Contractor
Name Submittal Shall Include Battery Calculations YES C]
(Sprinkler or I P-,FsC,v- Individual Component YES❑
Alarm,Company) Mailing Address Cut Sheets
(Prior to permit _347 T .) ST. Fire Alarm Project Valuation $
issuance applicant City/State ?ip Phone
mu51 Ixavlde all -
I� Project Valuation Subtotal (A or B) $
contractors license State Const.Cont. Board Lic f! Exp. Date
Informailon for U L OPS 00
Permit fee based on valuation $
Cot database) COT Business Tax or Metro# Exp. ate (see chart on back)
Name 8 8 It ,- 5% Surcharge $
5G 1-A to K.p M IS U _ FLS Plan Review 40% of Permit
Architect Mailing Address $
2t 110 S 1- � TOTAL $
CiState Zip Phone
N"
k Ili 2 01-rLil4 23v- C,,-Au L-
PLANS MUST BE SUBMITTED,approved and a permit issued prior to installation,
Describe work I A.)New O Addition O Alteration X Repair O Three sets of clans and site plan(and vicinity map)required which shows location of
to t- ione nearest hydrant
B.) Basement O HoodNent O Spray Booth O 1 hereby acknowledge that I have read this apptication,that the Information given Is
Complete p Panial O Exitway O correct,that I am the owrer or authorized agent of the owner,and that plans submitted
are In compl!ance with Oregon State laws
Aritfrhonal Description of Work. Sigplature of Owner/Agent Date
N iJD 1 5 P rl_ � � t 2Zzu
ei-to c A,T 3 P rt_
A.)In Existing Budding ❑ New Building Cl ""'contact Person Name Phone
Building KlE C S v I (oto_ 1 p
i
Data B.) Commercial ❑ Residential ❑ FOR OFFICE USE ONLY:
Plat# MapP'L#:
No of stories
Sq FtNotes
- Occupancy Class Type of Construction
1'.FIRESUPR DOC (DST) 8/96