15943 SW HALL BLVD-2 4-�
X,
w
r
r
w
r�
t
ti
.._.15943 SW HALL BLVD.
CIT' CSF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT -0261
PERMIT 4. . . . . . . : BUF197
110 SW Hall Blvd, Tigard, OR 97223 (503)639.4171 DATE ISSUED: 05/.*--'7/97
PARCEL: 2F311IDD-00201
SITE ADDRESS. . . : 15943 SW HALL BLVD
SUBDIVISION. . . . : Z ON ING:C-N
BLOCK. . . . . . . . . . : OT. . . . . . . . . . . . . JURISDICTION:TIG
REISSUE: FLOOR AREAS------ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . : 0 s N: 5: E: W:
TYPE OF USE. . . .COM SECOND. . . : 0 5f PROTECT OPENINGS'?-_--_--______...
TYPE OF CONST. .-5N . . . . 0 5f N: S: E: W.
OCCUPANCY GRP'. :B TOT 0 S f POOF CONST: FIRE
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
sT OR. : 0 HT: 0 ft GARAGE. . . : 0 s OCCU SEP. RATED:
BSMT? : MEZZ?: REGD nETBAtKS--------- REQUIRED-----------
P
FLOOR LOAD. . . . 0 p s f LEFT: 0 ft RGI-IT-. o -ft FIR S'KL: SMOK DE T.
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PR9 CORR: PARKING: 0
VALUE. $ : (A
Remar-ks : Add xtra ledger bolts
Owner: FEES
BELMAR PROPERTIES INC type amoi.tnt by date V-ecpt
2001 6TH FIVE #2300 PRMT $ 25. 00 DRA 05/2:7/97 97-295066
SEATTLE WA '38121 PLCK $ 16. 25 DRA 05/27/9'7 97-295066
FIRE $ 10. 00 DRA 05/27/97 97-295066
Phone #-. 206-44R- 1975 5PICT $ 1. 25 DRA 05/27/97 97-295066
Cont t-act ot-: -•----•-____.__.________._.__._________._.
t_BH
------
LBH CONSTRUCTION
19.37 , NE CALK INS
NEWBERG OR 97132
$ 52. 50 TOTAL
Reg 000657 REQUIRED INSFIECTIONS
This permit is issued subject to the reoulatinns contained in the Misr.,. Inspection
Tigard Municipal Code, State of Ore. Specialty 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 181 days of issuance, or if work is suspended for torp
than 180 days.
orf Pet-mittee Si gnat
X0
S S I A e d B y
Call for inspection - 639--4175
Q om me m a l wilding P-armitApp-1 gat.4.n
City of Tlqard 13129 SW Hall Blva. Tigard.OR 97223
(503)6394171
Jobsite Address:
Tenant: r—Z-4 #e,_ _ Rf�ln WO
Valuation:
Maps&TL#`
Owner: '
Address
Planning
Engineering
Telephone: (��+��,/ �C� 'z � ----» »........, _.......
Other
Contractor: T
Address: _ �� G�
Type of constr: _
Telephone: p3� Occupancy Class:
Contractor's License #/ f7r1 _ Sprinkler? Yes No
(attach copy of current Oregon license)
orf;' ivlJk�"�� Sq, Ft. Of Project:
Contact namo & telephone: ��
, f Story (1st, 2nd, etc.):
Architect& Engineer- JZI
Proposed Use
Address: »,f���a � �, �OG'u�i �,�1/„�1%✓.tom.
Previous use:
/, --- -
. �J Note: Plumbing & mechanical plans must
'telephone�!,�� jJ _ �_ ' ��-',�, oe submitted at time of building permit
application.
JOB DESCRIPTION:
(Applicant Signature & Telephone Number)
Received by i __-____._ _ Date Received:
L
I kGOMTI.000 IOS n 10196
n'1 �,l `1; I I It, 1 5u:3 zulw on
OVER-THE-COUNTER (OTC) PERMIT P'LAN k= v iE lvv
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT,
CLASS OF WORK: FLOOR AREAS: UtERIOR WALL CONSTRUCTION
r I (
TYPE OF USE: C C✓Y) FIRST SQ. FT. I S. E. W:
TYPE OF
CONSTR: ` �V '` i SECOND S T, PROTECT OPENINGS?
OCCUPANCY GRP: ' i THIRD SQ, FT. N: S: E. W:_�
I I
OCCUPANCY LOAD: ``� TOTAL SQ. FT, i ROOF CONSTR' FIRE RET
I I -
STOR:, HT:_ FT. BSM S0, F
T: T. AREASEP, RATED.
� I
BSMNT*?:— MEZZ?; i GARAGE; SQ. FT. i OCCU.5EP.RATED'.
FIRE FIRE SMOKE HANDICAP
SPRINKLER: /ALARM: DETECTOR' � ACCESS:
COMMERCIAL. INSPECTION ACTIONS
FOOT/FOUND INSULATION SU�iPENDEO CEILING SMOKE C)E1 EG TOR
INSPECTION INSPECTION CEILING INSPECTION
POST/SEAM SHEAR WALL SPRINKLER AF'PROACH/SIDEWALK
INSPECTION INSPECTION ROUGH-IN INSPECTION
MASONRY FIREWALL SPRINKLER MISCELLANEOUS
INSPECTION INSPECTION FINAL INSPECTION
FRAMING GYP BOARD SIRE ALARM FINAL j
INSPE;TION INSPECTION INSPECTION INSPECTION
TYPE OF USE OPTIONS (COM=commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW v new, Add= addition;ALT a alteration, AGS = accessory. rND
-foundation' OTR =other; DEM = demaliaon; REP = repair, FPS = fire protection system, NOTE: USE OTR FOR
FENCES. RETAINING WALLS. DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I;�ovrentrZdoe (DST) 4/97
, CITY OF TIGARD
BUILDING PERMIT
PERMIT #. . . . . . . : BUP96-0350
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/2:8/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)839-4171
PARCEL: 2S111DD-00201
SITE ADDRESS. . . : 15943 SW HALL BI.. V[,
SUBDIVISION. . . . : ZONING:C—N
!BLOCK. . . . . . . . . . s LOT'. . . . . . . . . . . . .
REISSUES FLOOR AREAS ___________ EXTERIOR WALL—CONSTRUCT'mN
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W:
TYPE OF USE:. . . :C.OP SECOND. . . : 0 sf PROTECT OPENINGS?-----------
TYPE
PENINGS?-----------
TYPE OF CONc7. :5N . . . : 0 sf N: S: E. W3
UCLUPANCY GRP. :B TOTAL-----------: 0 sf ROOF CONST:BF I RE RET?:Y
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED.-
SSMT? : MEZZ?: REQD SETBACKS-------- REQUIRED---_.____________._...._
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT : 0 ft FIR SPKL:N SMOK DET. . :N
DWELLING UNITSs 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC: Y
REDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING! 0
VALUE. $ : 1000
Remarks : TI--SMART CLEANERS Installation of counters R clothes rack. Tenant to
complete construction.
Owner: -._._._._._.___.__—__.---_._._________.______.___.___...___.______._._._.__ FEES --____—_____-----.
BELMAR DROPERTY INC type amol.int by date recpt
2001 6TH AVE #2300 FIRE $ 10. 00 JSD 06/27/96 96-281074
PLCK $ 16. 25 .JSD 06/27/96 96-281074
SEATTLE WA 98112 PRMT $ 25. 00 JMH 06/28/96 96-281146
Phone #: 5PCT s 1. 25 .JMH 06/28/96 96-281146
Contractor: -----•--___-.-------------_---------
OWNER
r11-ione #: f 52. 50 TOTAL
Reg #. . . 1312
_--- --- REQUIRED INSPEC'TION'a` --- — -
This permit is issued subject to the regulations contained in the Mi sc. 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 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signati.tre GL
Issi-:er1 By: 1�
Call far inspection - 639-4175
-
Commercial BuildinPermit Application
City of Tigard _ �*-
13125 SW Hall Blvd, e-6, 'L .6I GSM,
Tigard, OR 97223 n.i (.7 (o �'
(503) 639-4171
Jobsite Address: �� �. L L
Tenant: �?fld�'T �if�lll FhS suite# --- Office Use O�y
Valuation:
Planck/Rec #
--- Permit*
Owner: —JGr� LY�C�Ir R-062vr�v rt_ . Map & TL # � f [ 1 L)
Address •200) I (.• A VI-e- c) Approvals Required
Planning __r'
Phone: -- Engineering
Other
Contractor: 1�
Address.
Type of const: S w
Phone: Occupancy class: _ f
,
Contractor's License #_ Sprinkler gid? Yes
<-/
(attach copy of current Oregon license) Sq, ft. of project: -39,7g5-
Contact
,976'Contact name & phone: Story (1st, 2nd, etc.;
Arch itectlEngineer:
Proposed use: lsefr. i I
_
Previous use: R
Note: Plumbing & mechanical plans
must be submitted at time of
Phone building permit application.
JOB DESCRIPTION: ! �� + „ �_ ., , - , l L,Ad r t, :�� J'
O�lY1QTn cc',r iYp rc'tC�
i
Applicant SigWe & PhoeV numb
Received by: Date Received:
Permit# Account Description Amount Amt. Pd. Bal. Due ,
Bldg. Permit (BUILD)
_ Plumb. Permit (PLUMB)
Mech. Permit (MECH) /
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit SIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
c
TOTALS: 'C
read
nA7HR00M
]j 1)
jr
. r
IN /
�i �l �. � 4�
d
atoll
i
31
�(Xt.nf`n1V�f�
3' H
2111
o
b' ,
O �?
144
Tell
3' go
pro" �-------�--
3'
WTAS 06T
MISS
CITY aF TIGARD
DEVELOPMENT SERVICES
M11:219M 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT ##. . . . . . . : SUP96 0 "'o
DATE ISSUED: 05/a6/97
PARCEL PSIiIDD 00201
GITF ADDRESIG.. . . W5943 SW HAI-1- BLVD
SUBDIVISION. . . . I ZONINGvC-.-N
BLOCK. . . . . . . . . . : LOT* . . . . * . . . . . . . .JURISDICTION: TIG
CLASS OF WORK. sALT
-r YPE OF USE. . . sCOM
TYPE OF CONST Rs5N
OCCUPANCY GRP. a
OCCUPANCY LOAD 1 0
If..NANT NAME. . . i SMART CLEANERS
Remarks : TI—SMART CLEANERS Installation of counters clothes rack. Tenant to
complete constrLic.-t ion.
Own ers
BELMAR PROPERTY 1NL
r' AOI 6TH AVE #2300
SEAT TLE WA 98112
Phone #s
r"NANT PER APPROVAL FROM OWNEIR
Phone #:
P044 4 #. . . 0001,`x1
( his Cprt i f icate grants occupancy of the ebovs, r(s rev enced bui Iding or portion
thereof and confirms that the building has been inspected for compliance wil:f
the cif ate of Orgon Specialty Codes for the Ur tip, occupancy, and USO Under
which thy,.- ,Pferen(_ed emit P it was issued.
8 t /P r
LJJ _Dlv�r) IN53PECTOP BUIL I N(G OFF I C IAL
POST IN CONSPICUOUS PLACE
l
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour inspection Line: 6394175 Business Phone: 6394171
Date Requested: ! 2-� A.M. _ i'.M _ MST:
It
Location:
S .� C,� �'�A� BUP:
Tenant: -- I Suite; Bldg NEC:
Contractor: Phone: �7� PLM:
Owner- Phone: _ ELC:�
Q 'Q�11a _�3mCLl.f" C �mQr1_J�� ELR:
SIT:
BUILDING LDG(coh't) PLUMBING MECHANICAL ELECTRICAL SITE ~
Site I'osdHefitt „y(' PosUl3eam Post/Beam wrm
Cover/Service Seer/Sto
Footing Roof (I`' UndFI/Slab Rough-In Ceiling Water Line
Slab Framing V� Top Out Gas Line Rough-In Uta Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Ruin Drain A/C UG Slah
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Beat Pump Low Volt
tto%e Approved Approved Approved Approved
Appr/Sdwlk Not AN{uoved Not Approved Not Approved Not Approved Not Approved
VINAL FINAL FINAL. FINAL FINAL
Cl Call for r ' six O Reinspection fee of S_ required before next inspection O Unable to inspect
inspector Date:._ 77 Page of
i
1
Page No. 1. CASE 1113TORY FOR CASE NO.: ELC96-0480
BEL4AR PROPERTY INC
15943 SW HALL BLVD
06/17/98
Action Deactiption Req/ schd/ End/ Action Notes DisP By Update Upd
Coda Gent Done Done Date By
RLCC001 Application received / / / / 07/02/96 RECD JDA 07/23/96 JDA
BL4CC003 Permit created / / / / 07/23/96 APPR JDA 07/23/96 JDA
RLCC500 m rsaue permit / / / / 07/23/96 PASS JDA 07/23/96 JDA
ELCC799 Elect'l Final / / / / 12/02/97 PASS MJR 12/03/97 MJR
ELCC800 case Finaled / / / / 12/02/97 PASS MJR 12/04/97 J•H
LLLC1kiL,PL PERM11
CITY OF TIGARD DATEIDERMIT 04811I
ISSUED:ELC96-0'7/23/96
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223961199 (503)639.4171 PARCEL: 217)IIIDD-00201
is l
JBDIVISION. ZONING:G-N
Lui . . . .. . .. . . . . . . .
0.)Vc,, Desc.-Y-1ption. WALL SIGN
UNIT------- TEMP SRVC/FEEDE'RS----- MI;C;ELC_ANGQt1'�
-
.101121 SF OR LESS. . . . 0 ( 200 amp. . . . . . . : 0 PUMP/1RR1GA'T1ON. . .
A
A L I NE I-T G. . I CIH ADD' L 5005F. . . 0 4-014 amp. . . . . . . :: 0 Sl(.:!N/OU,r
IMITED ENERGY.....: 0 401 600 a m;.. . . . . . . . 0 1,31 GNAL./PANEL. . . . . . . . 0
+NF. HM/ 9VC/FDR. 0 601+aIlips-1000 volts. 0 MINOR LABEL ( 10) . . .
-----BRANCH --,-ADD' L INSPECTIONS——
- ;::1ZI0 tamp. . . . . . 0 W/GLRVICE_ OR FLEI 0 PER INSPECTION. . . . . : rrt
1 400 amp. . . . . . . 0 ls;t W,10 GRVC OR Ft,r4'. 0 PER 14OUR. . . . . . . . . . . : 0
I GOO 0-irp. . . " . . 0 EA OLD" L BRNICH CIRC;: III IN PLANT. . . . . . . . . . . 111
V0 1000 amp. . . . . . 0 --PLAN RE"V I EW 6ECJION------------
1004. a In p V 0 1 t. . . . . : 121 ) -4 RES UNITS. . . . . . . . . ) 600 VOLT NOMINPL . .
�c.,onnec.t only. . . . . .. 0 SVC/FDR 225 AMPS— : CLASS AREA/SPEC CJILC.,
%L.MAR PP(JPER`TY INL type emol-tnt by date V,ecpt
1101 6 111 01�L K�311110 PRMT f- 40. eile JDA 9fz
5PC,,r s 2. 00 JDA 07/23/96 9E-...`91262,'
441TLR W14
ionin #.,
,ntr*,e,ArtoI,,."
ItUGIGN INC 4 4:'. 00 TOTAL
, U BOX 1354
REQUIRED JNSPECTIONS
OR 9/1015 C.Pi ling Covet- Elpc:tl I
,one &56-1354 Wal I Cover- Flect, 1 Finrtl
pervit is issued subject to the regulations contained in tne
:)ard Muricipal Code, State of Ore. Specialty Codes ana all other Perm ittev
.;,Plicable laws. AN 1004� will be dont in accordance with
approved plans, This persit will expire if work is not started
!hir IS@ days of issuance, or if work is suspended for sort
-3n 180 days. 1 S SaIed Ltl/
0W1kIr.+ INSTOLLAIIUN ONLY-_-
e installation :L % being made on pr-operty I own which is not intpticipci for-
ly, 1 .?ase, 0I,, V'Pnt .
-INER' s ,.�IUNATURE: D(ATE:
IN-9TP4IJ_(4TTCA1;q ONI-
ELECIN-
DATE. :
/A
Call fot- inspection
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit #
Date Issued
Phone (503) 639-4171 – —
CITY OF TIGARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4, Complete Fee Schedule Below:
Name of Development 6,2ry-vt r Number of Inspections per permit allowed
Address 1 M3 4, I I�1_} � r Service included Items Cost(ea) Sum
City/State/Zip ` _- 4a. Residential • per unit
1000 sq. ft or less 111000 Q
Name (or name of business) — Each additional 5oo sq.it or
portion thereof $25 00
CommercialResidential Ll Limited Energy $2500 1
Each Manurd Home or Modular
Dwelling Service or Feeder $6800 2
2a. Contractor installation only:
4b. Services or Feeders
�/Y i1 installation,alteration,or relocation
Electrical Contractor ;�
Address 1 ' 201 amps to 400 amps $8000 2
City (. i 1 Sta'+e Zip 401 amps to 600 amps $12000 _ 2
Phone NO _ - 601 amps to 1000 amps �_ $16000 _ 2
_� Over 1000 amps or volts $34000 7
Job NO. < 4 Reconnect only -- s50 00
contractor's lic se NO. �- 4c. Temporary Services or Feeders _
Contractor's Board Reg. No. et44
Installation,allprahon,or relocation
Signature of Sur Elec'n _ 200 amps or less
License No hone No201 amps to 400 amps $5000
401 amps to 600 amps _ $75 DG
-�
Over 600 amps to 1000 volts $10000 — -------
2b. For owner installations: see"b"above
Print Owner's Name 4d. Branch Circuits
— _ Now,alteration or extension per pane
Address_ _ _ a)The fee for branch circuits with
Zip
� I purchase of service or feeder fee
-- '-- Each branch circuit $5 nii
Phone No. b)The fee for branch circuits widrr•ur_______
The installation is made on property I own which is purchase of service or loader lee
not intended for sale, lease or rent. Fac branchcircuit — $$500
Foch additional branch circuit $5 00
Owner's Signature ^_ _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation circle __ $40 00
Each sign or outline lighting �_ S4000
Signal circull(s)or a limited energy �-�+-
Please check appropriate Item and enter fee In section 513. panel,alteration or extension $4000
4 or more residential units in one structure M,r,or Labels(10) $10000
Service and feeder 225 amps or more '--
__System over 600 volts nominal 4f Each additional Inspection over
Classified area or structure contain'g special occupancy the allowable in any of the above
as described in N E C. Chapter 5 Per inspection $3500 _
t'er hour $55 W
In Plant -��_-�- $5500 ----
Submit 2 sets of plans wit a �constructlon
e any of the above -- —
apply. Not required for to oraservices. 5. Fees:
NOTICE 5a. Enter total of above fees $
5%Surcharge (05 X total fees) $ ,r
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of lime A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS (Suubtotal $
COMMENCED .gym l 1 Trust Account #
PP $
f�rlir')Ill'n i71/E+ $ '