Permit A - • BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2002 -00522
,01114c DEVELOPMENT SERVICES DATE ISSUED: 3/28/03
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S101AA -08700
SITE ADDRESS: 1595 -SW 68TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: / a,sl/ LOT: 029 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 3,652 sf N: NR S: NR E: NR W: NR
TYPE OF USE: COM SECOND: 3,982 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: N S: N E: N W: N
OCCUPANCY GRP: B TOTAL AREA: 7,634 sf ROOF CONST: A FIRE RET? N
OCCUPANCY LOAD: 72 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: 34 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: 1
VALUE: $ 519,875.40
Remarks: New 7000 square foot office building. TIF DEFERRED
Owner: Contractor:
ROTH, J T JR + THERESA JT ROTH CONSTRUCTION INC
12600 SW 72ND AVE, STE 200 12600 SW 72ND AVE STE 200
TIGARD, OR 97223 TIGARD, OR 97223
Phone:
Phone: 252 -1892
Reg #: 2831- 6292 31700
FEES 639-2.6.3a 2
REQUIRED INSPECTIONS
Description Date Amount Erosion Control Insp 846 -8. Gyp Board lnsp
[BUPPLN] Pln Rv 12/5/02 $1,427.11 Electrical Permit Required Susp Ceilng Insp
FLS Pln Rv 1 2/5/02 $878 22 Foot/Found lnsp Reinforced concrete final rE
[ FLS ] Post/Beam Insp Structural welding final reps
[PKSDC] Parks SDC 3/28/03 $2,975.00 Struc Steel Insp Structural observ. final repr
[BUILD] Permit Fee 3/28/03 $2,368.80 Framing Insp Final Inspection
(additional fees not listed here) Roof nailng Insp
Insulation Insp
Total $8,574.14 Shear Wall Insp
Firewall 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 1 1 rough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin• 503) 246 -•. • • or 1-800-332-2 OF
Issu : d By: / _:,!�d l e i L /i
Permit ::
Signature: � /s� / / s��
Call 63 175 by 7 p.m. for an inspection the next business day
w
i
-- Building PerIn : i i ilk,
Date received: /,2 So 2- Permit no.: ,29,0,7 -6115 ?'7.-
h,rt} i y City of Tigard X7
- - i , 2
2002 Project/appl. no.. E • date:
CiryojTigard Address: 13125 SW Hall Blvd, Tig
Phone: (503) 639 -4171 (1TY OF TIIG RD Date issued: vi, j4Receipt
Fax: (503) 598 -1960 BthicDiNG120BiON Case file no.: Payment type:
1 &2 family: Simple Complex: rs
o Z s l Land use a agian.-- CO - �;; p
TI PE OF PERIIIT
0 1 & 2 family dwelling or accessory K Commercial/industrial U Multi - family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinlder /alarm 0 Other:
JOB SITE INFORMATION
Job address:,, p .; r • Bldg. no.: — Suite no.:
Loth /./It4-3 - 4 Block: - • Subdivision: _ -, , , ,jam Tax map /tax lot/account no.:
•
Project name: 4 o p _ r _
Description and location of work on premises/special conditions: NM? ( Yd1 /'.!.AG 4
• • OWNER FOI1 SPECIAL INFORMATION, USE CHECKLIST'
Name: 3.77 .774 w J%`_ 6 AL( & (Floodplain, septic capacity, solar, etc.)
Mailing address: __ • ♦ S G ° 1 b' �` • - 2c� 1 & 2 family dwelling:
City: - G nie...6 =MA ZIP: .Z23 Valuation of work $
Phone: ,3 -e) yA E -mail: No. of bedrooms/baths
Owners representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: g4P7 ..0. ao Nom! Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
,,CONTRACT OR Valuation of work $ S
Existing bldg. area (sq. ft.) //'}-
Business name: ° if A-S • . Z New bldg. area (sq. ft.) 77OO1,
Address:
Number of stories _
City: State: ZIP:
Type of construction 5
Phone: Fax: E -mail: Occupancy group(s): Existing:
CCB no.: - /100 New: —
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCI1ITECF /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: I, provisions of ORS 701 and may be required to be licensed in the
Address: /3 vi ---6 1. .. jurisdiction where work is being performed. If the applicant is
T.
ri
State U/Z ZIP: j exempt from licensing, the following reason applies:
Contact person: AS Plan no.:
Phone:25:2- D /5" USEME04 E -mail:
ENGINEER
Contact person: '4 , .. Fees due upon application $
Address: _ r _ A/.� Date received:
In 2 !v Stated 133005 ME Amount received $
Phone,754_ 62'f.2 J ,< Trgiiia 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 CI MasterCard
work will be complied with, whether specified herein or not. Credit card number: Expires
Authorized signature: Date: Name of cardholder as shown on credit card
$
Print nine: 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)
J-J
Commercial Plan Submittal
Ga nlq,494t ul l i+
1- 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.
i:\dsts \forms \COM- matrix.doc 9/24/01
CITY OF TIGARD - 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
(503) 639 -4171
INSPECTION DWI. N Business Line: MST
ay. �aoa 2-Z
Received Date Requ sted �� /62 /o3 AM PM BUP
Location /.'? 57/ � � � ' 4 Suite MEC
Contact Person Ph ( ) PLM
Contracto Ph ( ) SWR
BUILDING Tenant/Owner ELC
•oing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm (-0 5 e
Susp'd Ceiling
Roof
Other: ltiA
PART FAIL a
PLUMBING '
Post & Beam ]� l
Under Slab
Rough Service 5)W Water Se l
i
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan `
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect – no access
Fire Supply Line
ADA D ate (2 / 42 /0 3 p
Approach/Sidewalk Ins ector
A Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / / _1 AM PM BUP
Location / c-S // 6 8\44L Suite MEC — 0 0 Sf 8
Contact Person Ph ( ) PLM
Contractor Ph ( ) 566 - 66, O Z SWR
BUILDIN • Tenant/Owner ELC
Footing ELC
Foundati n Access:
Ftg rai �, / ELR
Cra I D ain � /
Sla• Inspection Not s: SIT °� - U 0 ° 3 6.
Post :earn
Shea nchors 19 F4 d �� G-
Ext S eath/Shear
Int S -ath/Shear
Fram g
Insul .t on
D =II ailing
Fire all r ..?OD 3 - a2. 6
Fire -pri kier I
Fire lar /270 206 Z — 00 .- y'oro/L L� Sl� T �b u v M
Sus• Cei ng
Roo O //s! 2 00 2 4° 1/6 to 6 IL
Othe
final' f /h7 2 60 1 -DO V 8 Q lc_
•' SS PART FAIL �
PLUMBING 2 CO 3 - de 5 I i3•� -c,� /o�..
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer PT j2 .2 dU Z „ Cr.) g --
Rain Drains
Catch Basin / Manhole �-1�� 2 60 Z ,. 0000
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough-In
Gas Line
Smoke Dampers
a ..
SASS - 'PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ent
Other:
DO NOT REMOVE this Inspection record from the job site.
4 ) PART FAIL