Permit (158) .
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00458
hil��j DEVE 639 -4171 DATE ISSUED: 1/16/02
-- 13125 SITE ADDRESS: 16200 SW PACIFIC HWY Y PARCEL: 2S1156A -00101
SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD " FIRST: 1,809 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 1,809.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 389 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 299,000.00
Remarks: Addition 1800sf to existing commercial building and TI improvements.(Shell)
Owner: Contractor:
HORSCH INVESTMENT SD DEACON ENTERPRI INC (77875)
1121 SW SALMON PO BOX 25392
TIGARD, OR 97205 PORTLAND, OR 97298 -0392
Phone: Phone: 297 -8791
Reg #: LIC 77875
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required Structural masonry final rer
PLCK CTR 12/14/01 $986.67 27200100000 Sprinkler Permit Required Sprinkler inspection
Plumbing Permit Required Sprinkler Rough -In
FIRE CTR 12/14/01 $607.18 27200100000 Masonry Insp Sprinkler Final
PRMT CTR 1/16/02 $1,517.95 27200200000 Mechanical Insp Final Inspection
5PCT CTR 1/16/02 $121.44 27200200000 Plumb Top Out
Framing Insp
(additional fees not listed here) Gas Line Insp
T Gyp Board Insp
Total
$7,987.24 Susp Ceilng Insp
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 -6699 or 1- 800 - 332 -2344.
Perm it e ` �� i �
Signature:
Issued By: ' /A - /
/
Call 639 -4175 by 7 p.m. for an inspection the next business day
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£ -1 fi/ /G ZB p
. Building Permit Application .
s Date received- D - N...0 Permit no.: - ,1 — 4 58
'�y'�° City of C = f T " d
Project/appl. no.: Expire date:
CiryofTignrd Address: 13125 SW Hall Blvd, Tigard OR 97223 /
Phone: (503) 639 - 4171 Date issued: By . Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 01 ail OD l ' O& 0 J.2- l &2 family: Simple Complex:
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TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory Commercial/industrial ❑ Multi- family VirNew construction Demolition
PA Addition /alteration/replacement ' 1 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
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JOB SITE INFORMATION
Job address: I fa, 2. t_ S •■l Pr.,__r 1 4- w Bldg. no.: Suite no.: AIM
Lot: Block: Subdivision: Tax map /tax lot/account no.: ZS l 0-A
Project name: T Jo (4 — A TEE- r <0 /. - • Tr,r S .- _ _
Description and location of work on premises/special conditions: ( SF ._ _ I*t •• - (mfRove-m
OWNER FOR SPECIAL INFORMATION, USE'CIIECKLIST (• Ftodplain ,septiccapacity;solar,etc.)
Mailing address: ( 21 s *' sic, o 1.4 I & 2 family dwelling:
Ela ; State: - ZIP: g 2_0 .€ Valuation of work $ _ VQI
• one: - �•,:1 Fax: E -mail: No. of bedrooms/baths
Owner's representative: (Y)4 - A1014-a. ri Total number of floors
Phone: 973 -024$ Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage /carport area (sq. ft.)
Covered porch area (sq. ft.)
Name: `— _ 5fii • e.....< Q' " 'jam Deck area (sq. ft.)
Mailing address: c7 7 • SW • I l
City: $E #. Q'a . State:Oe ZIP: c - )C, Other structure area (sq. ft.)
Phone: 4,1-1-4- -4-22a Faxes4- 464,'7 EIMBIMEUMT Commerciallindustriallmulti- family:
CONTRACTOR Val on of work $ 2°'P),000
Business name: 5 i �, ` e, Existing bldg. area (sq. ft.) 1 3232
New bldg. area (sq. ft.) _
Address:
City: State: ZIP: Number of stories
Type of construction III N
Phone: Fax: E -mail: N
CCB no.: Occupancy group(s): Existing:
New: r(t
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
AI2CI IITECl/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: Cjp v get- I provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER ' y •
Name: \ti.-0 K Contact person: .3t _ Fees due upon application $
Address: - 3 S\ (CE Date received:
City: F _ State: COQ ZIP: or7_cso Amount received $
Phone: 222 3 IZEM. 1 E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with wh- ther s cif - s e ' in or not. Credit card number: Expires
: /
Aut signature: /� �G , / / "Pate: � ate: 1 � � ¢ /'p I Name of cardholder as shown on credit card
•
Print name: �t9 Lm.(?'i' IC t_.i. . 1 Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ,, 440-4613 (6/00 /COM)
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Commercial Plan Submittal
.it1V11 Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 *
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \dsts \forms \COM- matrix.doc 9/24/01
A t' Accessibility:
.a.11 Barrier Removal Improvement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path 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 %).
VALUATION: of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ 20" 000
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ — 75 000
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Parking $
(b) An accessible entrance: $ 24:X)
(c) An accessible route to the altered area: $ 1 500
(d) At least one accessible restroom for $ 12°c'
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $
is \dsts \fomu\Accessibility.doc 09/24/01