Permit -' BUILDING PERMIT
CITY T PERMIT #: BUP2000 -00116
4 DEVELOPMENT SERVICES DATE ISSUED: 04/10/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S101AD -02400
SITE ADDRESS: 12753 SW 68TH AVE. 200
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 032 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: k FIRST: sf N: S: E: W:
TYPE OF USE: 'COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 0 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 50,000.00
Remarks: Tenant improvement
Owner: �4.�.iv Co tractor:
.
GEORGE FO UNIVERSITY 0 NER ��h1
414 N MERI AN ST Q O `3" - 2_3131
NEWBER , OR 97132 Cf70 � 1 -1
Phone: 503 - 554 -2014 `� . Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT BON 04/10/200C $431.50 MANUAL Insulation Insp
Gyp Board Insp
5PCT BON 04/10/200C $34.52 MANUAL Susp Ceilng Insp
PLCK BON 04/10/200C $280.98 MANUAL Final Inspection
FIRE BON 04/10/200C $172.60 MANUAL
Total $919.60
ORIGINA
di DCQti Gkoo lag 3 ` -/ - 00
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.
Pemtitee / / /
Signature: , /
Issued By: 8.ivik.g..6,w1.---
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Plan Check # L
13125 HALL BLVD. Tenant Improvement Recd By `∎'
Date Rec'. 1 /
TIGARD, OR 97223 Date -to P.E.
(503) 639 -4171 c Date to DST 41 to (lin IP
Print or Type Permit # E9 Ve6 -09( (f9
Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project I (ilibpdebi/getzek) Existing Building A New Building ❑
Job Pori14-�d Caen R
Address Street Address Suite Building
t2753 So 68 A SI- a0 a Data
Bldg # City /State Zip Existing Use of Building or Property:
Tg ert3 oQ c4C∎14-1 /Class rob-is (asse )y)
Name
Property 6eors F' r OK; �''n' y y Proposed Use of Building or Property:
Owner Mailing Address I Suite S qvv►�-
414 P. M€f`rcl tam Si No. Of Stories:
City /State Zip Phone -Z '
Ne uL .etc 0 l 97131 S39 9 383 Sq. Ft. Of Project: ( 6 co
Occupant Name t , i �
r � Fn A Uw iw`s ! Occupancy Class(es)
Name // v
Contractor Geo g) Vil Type(s) of Construction
Prior to permit Mailing Address 'Suite c (, , c e_ S o tiftg l'ee.%e4
issuance, a copy Will this project have a Fire Suppression System?
of all licenses Yes ❑ No
are required if City /State Zip Phone Americans with Disabilities Act (ADA)
expired in C.O.T.
database Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
Project $
Name Valuation 1 57) 1 en.)
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
(.9"..... City /State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
Engineer Name
D a ,,; e l A. S d,v n e ate
Mailing Address I Suite i , C = /0-00
Lim /J. /H•�M' S+ ,Contact Person Name / Phone
City /State Zip Phone Pool ;el X. £L
. -t ,. T _s 3 --Cs Z O/ i
/Vervbelb OP 17 /nn S.SYz
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
Repair 0 Other O Notes:
Description of work:
T�.., Ah.' 1.41P 15 s/ebs..eerb TIF:
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
•
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: .- a' :iC;: .:wi l: �•beirv'• ;--•' noted ::::: j::Y' i : ?:i
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:,.
Iggitmolt KEY:
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
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NOTES:
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........................................... ...............................
I:ldstslforms\matrxcom.doc 10/30/98
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: ' 1
CLASS OF WORK: FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OUSE: FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: g THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: <J D " 4/5 TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS • FEE MENU
Foot/Found Post/Beam $ o7 1 Permit Fee
Masonry rarpi $ w Plan Review
Insulatio Shear Wall $ 6� 8% State Surcharge
Firewall G p Board $ 112 FLS Plan Review
Suspe ied Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pin
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS= commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT= alteration; ACS= accessory;FND- foundation;
OTR= other, DEM= demolition; REP= repair; FPS protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 9/99
6 O PC IA_ _
()
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
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] $ .50,0017
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ /Z, Slap
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: $
(c) An accessible route to the altered area: $
c le Gard rego&ti OToo, A e,.c%,k
(d) At least one accessible restroom for $
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: $ 2.100
2. C..., woe ASYAT #4 i' Z / rq
TOTAL: Shall equal line 2 of Value Computation $
is \dsts \forms \access.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ZQX2D - Q0) I(o
Date Requested (9.-(1'‘ r/ cv / i 3 FOAM PM BLD
Location 1 a� S 3 53/4 Suite 2.,0 MEC
Contact Person 1 Ph cs — 20SO PLM
Contractor Ph SWR
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
NI' •
4 : 0 PART FAIL
MBING
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 Date 6// 3 0d Inspector 2 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 0 /()
Date Requested S 3/ 0 AM PM BLD
Location 1 9- - 5 *lice - Suite a, MEC
Contact Person TO V in Ph SSL(- CSC) PLM
Contractor Ph SWR
IttlICDINO) Tenant/Owner
6 te.). ? 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
•
• n
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - .
Roof
Misc:
F.--,
PART FAIL
PL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA /I
Approach /Sidewalk Date 1 /0 Inspector � � Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ? ') 0011!0
Date Requested - 5 �/ Od AM PM BLD
Location 1 o< 7 S'' �D g Suite MEC
Contact Person TDV' Ph 554 -2010 PLM
Contractor Ph SWR
IJJILDING 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
cerpTi
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
P - ING
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
Other D 57 9 (0 Inspector v M Ext
Final
PASS PART FAIL DO NOT this inspection record from the job site.