Permit (48) pj �
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CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00143
I DEVELOPMENT SERVICES DATE ISSUED: 4/15/99
- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16200 SW PACIFIC HY S PARCEL: 2S1156A -00101
W
SUBDIVISION: PP1994 -028 ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : 5.400 sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 160 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: TI
Owner: Contractor:
G E CAPITAL JOSEPH HUGHES CONSTRUCTION
621 SW MORRISON 7035 SW HAMPTON
SUITE 448 TIGARD, OR 97223
PPn-Rone ND, OR 97209
Phone: 620 -8134
Reg #: LAC 00045645
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT DLH 4/15/99 $238.00 99- 314572 Gyp Board Insp
Susp Ceiing Insp
PLCK DLH 4/15/99 $154.70 99- 314572 =,JJP Cc ri onl
5PCT DLH 4/15/99 $11.90 99- 314572
FIRE DLH 4/15/99 $95.20 99- 314572
Total $499.80
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.
Permitee I �
Signature: (h
Issued By: ./.3,71.--77.-0.0 0 )-
Call 639 -4175 by 7 p.m. for an inspection the next business day
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P l u s , c (; —s
CITY OF TIGARD Commercial Building Permit Application Recd By 2--) H -
' 13125 SW HALL BLVD. Tenant Improvement Date Recd ® 9
Date to P.E. t-f f. -
'WARD, OR 97223 Date to DST is ' e l K(
(503) 639 -4171 Odu �d permit* .81AP 9 - a6 >Y3
Print or Type �( elated SWR #
Incomplete or illegible applications will not be accept /C alled
t,satrU° t/P i`beo p Existing Building VI New Building ❑
Job " I rat D - TOWN Sp
Address Street Address I Suite Building
ICO-0O Ste/ le-NCIFIc1-1 S Data
Bldg # City/State Zip Isting Use of Building or Property:
....4_ L.Ovv"Egcl 6.4. 1-ve3PP 1
Name C F /J TF-�Z
Property G , [, GNP I TAi - P roposed Use of Building or Property:
Owner Mailing Address ii Suite V tDr !�E
(DZ- I S ) / ' 1O%WS0 No. Of Stories: I
. .gay/State Zip hone
I ORTLtj 09 (0)-M-b -000 Sq. Ft. Of Project:
5100
Occupant Name /'
f5LOCI< S R — Occupancy Class(es) "f\
Nam ; ' - TttI�JII � CQYI',)
Contractor l O rJr ^ ED Type(s) of Construction ,
NJ
Prior to permit Mailing Address Suite
issuance, a copy r l Will this project have a Fire Suppression System?
of all licenses ��� S�V I j h - Yes '® Eigsr NG No ❑
are required if City/State Zip Phone Americans with Disabilities Act (ADA) in C.O.T�t ( )
database I i q OA 9 '7 t 2..3 (121-1 ) Op Valuation X 25% = $ I O, 000 Participation Cp m
Oregon Const. Cont. Board Licit Exp. Date Complete Accessibility Form
y G2 - ,1(c�a Project $ 4o, oot
Name 11 Valuation
Architect �"F 1 w L , t- LZ .2.i S Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
2955 2.241. Pi_ SE iSt-V
City /State Zip, Bozo Phone I hereby acknowledge that I have read this application, that the information
S��Q U D4-1 , 425 1 ZJ given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
Na
that plans submitted are in compliance with Oregon State Laws.
t KI SST i1CF RINiG Sigrature o ner gent Date
1
Mailing Address Suite (1 G� 9
(d309 S , C mur 3 Cgntact Person Name P h ne J
r
City/State Zip � t Z . Phone C'1 /SALES \....411:13V5 IL� - ) C3 t 5
r —rJC,L J cm() Co , Y0.3 :111-8775 J
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other • T C &-1 1 NNE, Notes:
Description of work: A) E v f 51.4z)GKBI )STE,R `\.)1 'p
fr 'b FACE FoRmEswr o cc 0 p IIED FA Y TIF:
A.%) oThC V I OE.O siLOSZF
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
e •
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
000:igtprt of the supervising efectrtciar bekre plan review wdl be conducted
After plan revew approval, Plans Examiner will contact the appboant to request
additional 1an sets for distnbution purposes (Copy for Contraotor City.
Total # of
IYPE OF SUBMtflAL Pans KEY:
Submttted
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 & P (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
... ...... . ........
NOTES:
1:\dsts\formslrnatrxcom.doc 10/30/98
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12/17/1999 Activities for Case #: BUP1999 -00143
3:03:49 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received - 04/15/1999 DLH DONE No Hold DLH 04/15/1999
BUPC008 Permit created 04/15/1999 DLH DONE No Hold DLH 04/15/1999
BUPC012 Plans routed to Plans Examiner 04/15/1999 DLH OTC No Hold DLH 04/15/1999
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BUPCO22 Plans Approved /Routed to DSTs 04/15/1999 RP APPR No Hold DLH 04/15/1999
BUPC762 Susp Ceilng lnsp 04/15/1999 04/15/1999 12/09/1999 TLP PASS No Hold TLP 12/09/1999
BUPC740 Framing Insp 04/15/1999 04/15/1999 11/16/1999 • GS PASS No Hold VT 11/16/1999 subject to electrical cover
BUPC760 Gyp Board lnsp 04/15/1999 04/15/1999 11/19/1999 TLP PASS No Hold VT 11/19/1999
BUPC799 Final Inspection 12/14/1999 RB FAIL No Hold RB 12/14/1999 1. OUTSTANDING PERMITS:
a. BUP1999 -00495 (2 new
heads + 44 drop heads)
b. ELC99 -00166 (3- Signs)
c. ELR1999 -00187 (Protective
Signaling)
d. ELR1999-00294 (Data
Telecom.)
e. ELR1999 -00298 (Data
Telecom.)
Sign.off req'd prior to Building
Final.
INSPECTION TERMINATED.
BUPC100 (F) Issue permit 04/15/1999 DLH DONE No Hold 'DLH 04/15/1999
BUPC802 Final Inspection 12/15/1999 12/15/1999 12/15/1999 RB PASS No Hold RB 12/15/1999 Case Final- OK All Electrical
Permits approved as per this
• date.
BUPC950 (F) Issue Cert. of Occupancy 12/15/1999 TIG RB DONE No Hold JMT 12/17/1999
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Page 1 of 1.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP /f e UA if 3
Date Requested AM P BLD
iF
Location / 6 2--V SA. P I' te l o 60111111111111 MEC
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Contact Person Ct / �j Ph PLM impw
Contractor Ph SWR
= UILDI __ Tenant/Owner ELC
retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
S • ART FAIL
- I BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Approach /Sidewalk \ O Date ' 1 7' Inspector Ex /a \
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •