Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00217
V DEVELOPMENT SERVICES DATE ISSUED: 5/13/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY 110
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: C -P
BLOCK: LOT: 003 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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 24 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: $ 4,500.00
Remarks: TI: New walls for offices
Owner: Contractor:
SCHNITZER INVESTMENT CORP R + H CONSTRUCTION
PO BOX 10047 1530 SW TAYLOR
PORTLAND, OR 97296 PORTLAND, OR 97205
Phone:
Phone: 503 - 228 -7177
Reg #: MET 30� 000 p 011106
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 5/13/2004 $91.30 Electrical Permit Required
TAX 8% State Surchar� 5/13/2004 $7.30 Framing dsp
[TAX] Gyp Board lnsp
[BUPPLN] Pln Rv 5/13/2004 $59.35 Final Inspection
[FLS] FLS Pln Rv 5/13/2004 $36.52
Total $194.47
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: 7 /6 4 ,1A-a..c..w PZ
Permittee
Signature: 4/- t
r
Call 639 -4175 by p.m. for an inspection the next business day
/ P i .
Building Pxrinit Application FOR OFFICE USE ONLY
City of Tigard
Da eia ;i . i// w /- ®L./ 1
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 / � Att DateB : ": — A Other Permit:
Inspection Line: 503.639.4175 /' W Date Ready/By: kris: ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK • - REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of al]
ddition/alteration/replacement Other: equipment, materials, labor, overhead, and the profit for the
XA
OF CONSTRUCTION • • . ' work indicated on this application.
❑ 1- and 2- family dwelling XComercial/industrial
Valuation: $
m
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floo
Job site address: 1 3 1 ` I m 5 c ‘0 Pkwy 5 -715- lie New dwelling a a: square feet
City/State/ZIP: 1 (9- t-0 . 0 7 7 2 2-3 Garage/ca ' •rt area: square feet
Suite/bldg. /apt. no.: Project name: Cover:. porch area: square feet
Cross street/directions to job site: I► k area: square feet
Other structure area: square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST.
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK - work indicated on this application.
Valuation: $ i 7y
lNl F.Zl�ct / OF y 1
S�V IlA L- W/9-LL5 Existing building area: square feet
New building area: square feet
PROPERTY OWNER, ' • ❑ TENANT .�. Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/ State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
.APPLICANT : . CONTACT PERSON NOTICE
Business name: VPO 7-61_ f p, t 71' All contractors and subcontractors are required to be
Contact name: j o l �. licensed with the Oregon Construction Contractors Board
i ' _ Y / under ORS 701 and may be required to be licensed in the
Address: V G t l.k (__f ) c77 jurisdiction in which work is being performed. If the
City/ State/ZIP: 9 - J — L.49 �i7 applicant is exempt from licensing, the following reasons
0 apply:
Phone: (S' ) 3 2 _ 5 (j ? O Fax: : (ci,53 ) 8 o 6 0 6
E -mail: , Ttk P f5tm r 'h . ,.., r.,.1
. . CONTRACTOR'
Business name: 'z 1 4 .
.} . =, •BUILDING PERMIT FEES''
Address: ‘.S 0 S 1 d}Y(A
Please refer to fee schedule. •
City/ State/ZIP: p) Z A 0 � 9 ? Z 05
` Fees due upon application
Phone: ( ro ) Z Z g _ Fax: ( )
7 t' 7 / C J/0 /] Amount received
CCB lic.: 3 3 V a /
/ Date received:
Authorized signature: 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ���"� /ch 0 i' v Date: J am -. 1 Z -O 7' * Fee methodology set by Tri- County Building Industry
�� ! i t Service Board.
i:\Building \Permits \BUP- PemdtApp.doc 12/03 440- 4613T(1I /02/COM/WEB)
Building Division
ir` Ij� Plan Submittal Requirement Matrix
` Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
'Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal -
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(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:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD 24 -Hour
BUIING Inspection Line: (503) 639 -4175
INSPECTION DIVISION - Business Line: (503) 639 -4171 MST
' 1_ BUP 9 � -- 00 2I
Received '"c Date Requested �� AM PM BUP
Location J ( 9,.i 1,•.� h�O iekA Suite 1 t MEC
Contact Person Ph ( ) PLM
Contractor 4 • P h ( � 3 °? b SWR
Btl16WA>G Tenant/Owner ELC
Footing 3,e C:/ ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam AivtJ
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation _ •
Drywall Nailing • ' A Y 141), - -
Firewall
Fire Sprinkler
Fire Alarm 411
Susp'd Ceiling
Roof 4
Other: ` "
S PART FAIL `
PLUMBING
Post & Beam 41110,,
Under Slab
Rough -In
Water Service
Sanitary Sewer �
Rain Drains I '
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: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
P ART FAIL