Permit (165) r
4 6,, •QTY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00556
s µ' , j l I '� DEVE RVICES 639 -4171 DATE ISSUED: 3/14/03
SITE ADDRESS: 16200 SW PACIFIC HWl PARCEL: 2S115BA -00101
SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G
•
BLOCK: LO1: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 8,000 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: 8,000 sr ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 266 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 480,000.00
Remarks: Phase 1: Lease A, 8000 sf retail building - - -TIF DEFERRED- -
Owner: Contractor:
BIT HOLDINGS LTD PARTNERSHIP SD DEACON ENTERPRI INC (77875)
BY FORUM PROPERTIES INC PO BOX 25392
FIVE CENTERPOINTE DR STE 290 PORTLAND, OR 97298 -0392
LAKE OSWEGO, OR 97035
Phone:
Phone: 297 -8791
Reg #: LIC 77875
FEES REQUIRED INSPECTIONS
Description ' Date Amount Mechanical Permit Require Shear Wall Insp
[BUPPLN] P1nRv 12/30/02 $1,439.62 Electrical Permit Required Gyp Board Insp
Sprinkler Permit Required Bolts in concrete final repo'
[FLS] FLS Pin Rv 12/30/02 $885.92 Plumbing Permit Required Structural welding final rep!
[PKSDC] Parks SDC 3/10/03 $952.00 Foot/Found Insp Structural masonry final ref
[BUILD] Permit Fee 3/10/03 $2,214.80 Slab Insp Final Inspection
(additional fees not listed here) Masonry Insp
Framing Insp
Total $5,933.52 Roof nailng Insp
Insulation 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: / � l_
Perm ittee -1--7 3,
Signature: 7 "Ll1
Call 639 -4175 by 7 p.m. for an inspection the next business day
r .:' 2 - 2i 3
- o 6/- •
..
"' Bi Pegion
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Datereceived: / •,q 9 • Permit no.:50Pa009 - tea -(,
,,, City of Tigard
DCf` !: () 2(]Q�
Address: 13125 SW Hall Blv Project/appl.no.: Expire date: P City of Tigard R 3 1
Phone: (503) 639 -4171 CITY OF TIGARD Date issued: By: Receiptno.:
Fax: (503) 598 -1960
BUILDING DIVISION Case file no.: Payment type: o0
Land use approval: 2 Om e -ocs.cs. I e. l &2 family: Simple Complex: 6
• TYPE OF PERMIT ll
❑ 1 & 2 family dwelling or accessory '1 Commercial/industrial ❑ Multi- family N O New construction ❑ Demolition •
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
' JOB SITE INFORMATION
•
Job address: (Cr, 2.w Sly �j•dt Pic- I-I pry Bldg. no.: Suite no.:
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.: ZSI 15 e ., Im I
Project name: t.sm. I1 LEASS AlTa4,•av S,11.0..t* L" '
,
Description and location of work on premises/special conditions: CmN «Rs te.T hl a. rr
/ECM $� �ttz,."Pte1 8.- BLFILC (7,
•
. • " 01VNER FOR SPECIAL INFORMATION, USE CIIECKLIST '\
Name: S ht I m vs ais,d1• 96, Peer 156. 9 1_LC (Floodplain; septic capacity, solar, etc.)
Mailing address: 1121 S W Sot-anew •, S&, ITC 4 1 & 2 family dwelling:
City: R4t1=TGe41) State: Qq I ZIP: 0 5-7 e .5 Valuation of work $
Phone: Z4.Q- 2')OeD (Fax: 274- 23m}31E -mail: No. of bedrooms/baths
• V
Owner's representative: ,ope 64414 ICmeis-14 . Total number of floors
Phone: Zq.' - 2aDoo Fax: V4-ti 9 E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: �m f 4;6 S \E Ae0-141f115CJV Covered porch area (sq. ft.)
Mailing address: c g\• I I TM Aye. Deck area (sq. ft.)
City: 13.0 vis.ez? es4 State: Qr< ZIP: r'140 j Other structure area (sq. ft.)
r Phone: Qepq.- Fax:�g4- 5fo � E -mail: Commercial/industrlallmultl- family: L-18'0, ao0 00
t;..:':' . •; CONTRACTOR Valuation of work $ r<�
Existing bldg. area (sq. ft.)
Business name: ',,,,.Z'p D w n I '
Address: "� New bldg. area (sq. ft.) am� SF
I.o. 0k „15392 t
Number of stories I
City: i LA."I;1 • I State: t I ZIP:9 7 'alC V
Type of construction
Phone: X97 -F 7S i I Fax: I E -mail: r�..aa ;
CCB no.: -7 7 g Occupancy grou Existing: M
City /metro lic. no.: \ N
Notice: All contractors and subcontractors are required to be
. ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: Sdchts, As pfs�c,ei- 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: I Plan no.: _
Phone: Fax: E -mail:
Name: S Joe if re. f Qtaepe_ Contact personagpip Flit14 Fees due upon application $
Address: '54.0 SW'-'1 frmea Date received:
City: t90
.menom, 'State:Olt'ZIP: 0 )75 Amount received $
Phone:cg4 Fax<" -46Ov Email: 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 antl•ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with, r spec' e h ein or not. Credit card number: Expires /
Authorized signatu • Date: 12/1 a Name of cardholder as shown on credit card
• T` IZ• $
Print name: re
Ke-� C ardholder 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 (fvoo/COM)
r -
Commercial`Plan Submittal
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
L ,
Accessibility:
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] $ '� ∎Co OX,C)
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ (25 4WD
. 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: $ 70
(c) An accessible route to the altered area: $ eS5
(d) At least one accessible restroom for $ Zd6t
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: $ Z54e9)
TOTAL: Shall equal line 2 of Value Computation $ VOL,
is \dsts \forms\Accessibility.doc 06/07/02
CITY OF TIGARD 24 -Hour
BUILDING i Inspection Line: (503) 639 -4175 ��
INSPECTION DIVISION Business pi: - e (503) 639 -4171 Mg X,
BUP —6 °SSlc ,
Received Date Requested 7 AM PM BUP
Location I v Suite V �y MEC
Contact Person ��1.�� 1, Ph ( ) / C L ? b PLM
Contractor Ph ( ) SWR
I D ■ ) Tenant/Owner ELC
ELC
Foundation Access: - ) _ ' - _ / -
Ftg Drain ELR
Crawl Drain
7 \
Slab Inspection N 9'es: , SIT
Post & Beam ���
Shear Anchors
Ext Sheath/Shear - Int Sheath/Shear %! i Ste ` = • ! se
Framing
Insulation
Drywall Nailing _
Firewall / V/ 5� • eC____xv S f ��J 1 I` / / EV Fire Sprinkler (/
Fire Alarm
Susp'd Ceiling
Roof
Other:
/ w."-".NP el , A 1 f: 4 C
PART FAIL
PLUMBING /
Post & Beam 1 7
f Under Slab
Rough -In
Water Service A I
Sanitary Sewer -
Rain Drains
Catch Basin / Manhole MBilliW
Storm Drain IN=
Shower Pan
Other: -_�
Final `
PASS PART FAIL
MECHANICAL .-
Post & Beam / \
Rough -In ■
Gas Line
Smoke Dampers ,
Final _ oo-
PASS PART F. IL —
ELECTRICAL / Y
Service
Rough -In 0
UG/Slab //O.-
Low Voltage
Fire Alarm
Final 0 - section fee of $ required before next inspection. - • ' at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call fo • section RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7/ 9/0 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL