Permit (204) CITY OFTIGARD
BUILDING PERMIT
, �,;,
DEVELOPMENT SERVICES DATE ISSUED: O4• BUP98 -0134
PARCEL: 2S115BA -00101
SITE ADDRESS...: 16200 SW PACIFIC HWY #0
SUBDIVISION ZONING:C —G
BLOCK LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 1082 sf N: S: E: W:
1 TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS? •
TYPE OF CONST.:5N ... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 1082 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 9 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 73000
Remarks : Tenant modification - Kit's Camera
Owner: FEES
INSIGNIA /FORUM COMMERCIAL type amount by date recpt
5 CENTERPOINT DR PLCK $ 228.80 DH 03/24/98 98- 304367
STE 290 FIRE $ 140.80 DH 03/24/98 98- 304368
LAKE OSWEGO OR 97035 PRMT $ 352.00 JSD 04/14/98 98- 304933
Phone #: 598 -1020 5PCT $ 17.60 JSD 04/14/98 98- 304933
Contractor:
BURDG DUNHAM AND ASSOC
CONSTRUCTION CORP
920 S HUGHES
I HAMILTON MO 64644
Phone #: 816 -583 -2123 $ 739.20 TOTAL
Reg #..: 98133
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Sus p I C e i l n g Insp
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 952-00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (5831246 -1987.
Permittee Signature _OAL' Issued By: • 1 14,tgag /
+ + + + + + + + + + + + + + + + ++ + ++ ++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by ":0a p.m. for an inspection needed the next business day
+ + + + + + + + + + + + + + + + + + ++ + ++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
l , I.., I. . • , . .; :.. . ;.i , , � � � :�. . ,:�.. -lp 6 G
'.IT - 1i TIGARD • Commercial Building Permit Reed Sy Z til
3125 SW HALL BLVD. New Construction and Additions Date Recd .2 2
,
Date to P.E. Miff .
'IGARD, OR 97223 Date to • . r i ''
503) 639 -4171 _ I — Pemdo (1 i4
Print or Type Related SWR s
Incomplete or Illegible applications will not be accepted Called - /ZG /9,F
Name of Devetopmentr'Prolect Existing Building ■. New Building 0
Job ' T 1 - N11.1 SCPU,t RE
Address _ Street Address
.. I (QZDO S,v4. IFt( I- Suite Building i 1 \ p r Data
Bldg s City/State Zip Existing Use of Building or Property:
I Name IT' t ) , C R 912Z3 � CssE tL
. . I Proposed Use of Building or Property:
Property
I •51 &HI /00121/0 COM EReiAL
Owner - Mailing Add Suite It. L
• 5 GEN'iaRpol i4- the. 4. 2 I No. Of Stories:
City /State Zip 1 Phone 1
LP .E C INEb0 bR. 11035 1 503 5 1020 . . I Sq. Ft Of Project
Occupant Name k 1 .7-5 / 122 PT
• I I I Occupancy Class(es)
Piame TD 15E r p Fp 1 iSti'pct Li PI m6''NTI Le
Contractor - • •' • • . • - . Type(s) of Construction
Pnor to permit Mailing Address Suite AS+ {
issuance, a copy .. Will this project ha ye a Fire Suppression System? •
of all licenses Yes 1i1 No 0
are required if Clty /State Zip Phone _
Americans with Disabilities Act (ADA)
expired in .O. ._ .. ....... ........
database Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
Project 3 - . .
.. ... .. _. Name - Valuation
24
Architect G. i4 SCAtARi 1 E�
IT'jcj . . _ -' r OOO ,
•. • • -. Mailing Address Suite Plans Required: See Matrix for number of sets to submit
on back
23(e25 (DMKe F
. / City /State �y,, Zip Phone
C\ i1(/i• QInto *MS 1zu filed - 4144- I hereby acknowledge that I have read this application, that the information
Engineer Name given is correG. that l am the owner or authorized agent of the owner, and
that pl
I ans submitted are in compliance with Oregon State Laws.
. MLi��IN 4 66U_�T>✓S .
Mailing Address Suite Si :A .4_ ture of Owner/ gent Date
i 1tI C()MM fRC f� IN :, • . I IV iN c 9 8
City/State Zip Phone Contact Person Na 'e - Phone
_ Clive.. Ok D 4-4122 _Zito 2 461(oj t2S 1 TDVI 014114 2 I to 4(1/4- 4144
indicate type of work: New 0 Addition 0 Demolition o FOR OFFICE USE ONLY
Accessory Structure 0 Foundation Only 0 Alteration t MapR11i ' Land Use:
Repair 0 Other 0 � I5/ /0 (
Description of work: fkojeci_ (Dytyts4 (?F A. Tt'NA Notes: / 1 yJ l
FMSH 1 idlt92.Dvewiewr jbi il- E r F►1t- sar.z5 of
',RhAEY -P- fQu\ P. pN1t) FILM pkezecIA6 TIF:
Parks: Estimated C of Employees
3 I 1 1
tn: site Nary. ?erT!t Appllcadon :rust preceCe or accamoany 3ulIdtng 0\ t-C-- C
milt Application
:OMNEW.00C (DST) 8/97
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0134
INSIGNIA /FORUM COMMERCIAL
16200 SW PACIFIC HWY Unit: 0
09/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC005 Application received / / / / 03/24/98 RECD DLH 03/24/98 BON
BUPC008 Permit created / / / / 03/24/98 DONE B 03/24/98 BON
BUPC012 Plans routed to Plans Examiner / / / / 03/24/98 SENT B 03/24/98 BON
BUPCO26 Approved Plans routed to DSTs / / / / 03/25/98 APPR RDP 03/25/98 RDP
BUPCO29 DST Post Review Completed / / / / 03/26/98 DONE DLH 03/26/98 DLH
BUPC070 HOLD FOR (Note in Action Memo) / / / / 06/05/98 HOLD C/O FOR ELR98 -0136 INSPECTIN 06/05/98 JT
BUPC075 Hold Release to Issued Status / / / / 08/04/98 Limited Energy Work approved 080398. PASS JMH 08/04/98 J *H
BUPC090 (F) Ready to issue / / / / 03/26/98 Need contractor identified and collect DONE DLH 03/26/98 DLH
fees in the amount of $369.60.
BUPC100 (F) Issue permit / / / / 04/14/98 PASS B 04/14/98 BON
BUPC740 Framing Insp / / / / 04/22/98 Note: No electrical rough being covered. PASS TLP 04/23/98 J *H
BUPC750 Insulation Insp / / / / / / 03/24/98 BON
BUPC760 Gyp Board Insp / / / / 04/29/98 PASS TLP 04/29/98 J *H
BUPC762 Susp Ceilng Insp / / / / 05/04/98 No inspection done - not ready. FAIL TLP 05/11/98 TLP
BUPC762 Susp Ceilng Insp / / / / 05/08/98 not ready FAIL TLP 05/12/98 J *H
BUPC762 Susp Ceilng Insp / / / / 05/12/98 Ceiling cover approved contingent to PASS TLP 05/12/98 J *H
electrical cover inspected and approved.
BUPC802 Final Inspection / / / / 05/13/98 Pending electrical cover. PASS TLP 05/15/98 DGW
BUPC950 (F) Issue Cert. of Occupancy / / / / 05/13/98 09/02/98 JT
•
,5'
�0
1 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: 4 s l 3 A.M. C/5-7 P.M. MST:
Location: /(O ZOO ,1 � / ci B •8-6/3
Tenant: 4Al / �� Suite: 0 Bldg: ME l — r
/ " V L
Contractor: . - C;C,(,« ( � Phone: 670-716 7 PLM:
Owner: Phone: /J ELC:
If /. .l /A / / / J / — �i< — k.Y t ELR: Ailik
(-- _Jf:���4 i th" �, l.F £WHO
BUILDING i LD con't) PLUMB I G i. 0 ELECTRICAL
Site ' . r : - : , Post/Beam ' . y Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duc Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry C -- -. Rain Drain A/C UG Slab
Shear /Sheath alli r1 •• Crawl/Found Dr Heat Pump Low Volt
•P Approvedpreved Approved Approved
Appr /Sdwlk No .. . ved Not Approved ' o • j.. ved Not Approved Not Approved
V FINAL I AL FINAL FINAL
,i
fw_'
////, /// s‘/' /, ` i. �_�i ��i % � _.!. •
/ ..�z Ale.. ,. / '
4 - D c, : a
5c& 0(t° FPS o/6
•
O Call for re' •o O Reinspection fee of $ required before next ' . : tion 0 Unable to inspect
N
Inspector: Date: ���/ ; Page of