Permit -.
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00455
r DEVELOPMENT SERVICES DATE ISSUED: 10/19/1999
� — ,-� - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S113AD -01900
SITE ADDRESS: 16640 SW 72ND AVE B -10
SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I -L
BLOCK: LOT: 009 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: 3N : 2,100 sf N: S: E: W:
OCCUPANCY GRP: F2 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 6 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 30,000.00
Remarks: Commercial TI
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 p g72
Phone: Tl one: 04 7-A ORIGINAL
Reg #: LIC 000413
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK KJP 10/19/199E $192.73 99- 319184 Gyp Board Insp
Susp Ceiing Insp
PRMT KJP 10/19/199£ $296.50 99- 319184 Final Inspection
5PCT KJP 10/19/199E. $23.72 99- 319184
FIRE KJP 10/19/199E. $118.60 99- 319184
Total $631.55
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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.
Permitee / V
Signature: /�� /I � 1! • �///IjA,L
Of
Issued By: /` (4
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
c. TY OF TIGARD Commercial Building Permit Recd By
13 •SW HALL BLVD. - Tenant Improvement Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171 • �� Date to DST lo t9 -44RP
Permit* j uP /99 y -DO t f ss .
Print or Type Related SWR*
Incomplete or illegible applications will not be accepted Called •
Name of Development/Project Existing Building jet' New Building ❑
Job LJ/C� 4/A0.514/.4-'11:5792”
Address Street Address Suite Building
/I Sa9 47 4(0 Data
Bldg S City/State Zip Existing Use of Building or Property:
Name - cs e..* -
Property' PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of Building or Property:
Owner Mailing Address - Suite Irlf,T
15350 SW SEQUOIA PKWY 300 No. Of Stories:
• City/State. Zip Phone / : ...
PORTLAND, OR 97224 624 -6300 Sq. Ft Of Project
Occupant Name ._r_ _.. _ _ . . _ _ /®' *.4?fr
/ i°: / /!N ///l1 /e ,ogA/// /-' . Occupancy.. C s(es)
- Name- - . - - -.. _.,..4 /10�5" .y
Contractor H. L. GREEN COMPANY Type( ss o traction • -
Prior to permit Mailing Address • Suite • •
issuance, sy 15350 SW SEQUOIA PKWY 300 Will this project have a Fire Suppression System?
are required if City/State Zip Phone Yes No ❑
expired in C.O.T. Americans with inabilities Act (ADA)
database PORTLAND,. OR 97224 624 -7717 Valuation X 25% = $ Participation
Oregon Const Cont Board Uc.S Exp. Date Complete Accessibility Form
. 41328 _ 0//b/ i on Project $ .
Name Valuation ,41rA'D . .
Architect JOHN H. ROMISH , Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
2216 SE 24TH AVE.
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
PORTLAND, OR 97224 236 -6306 given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agen to
Mailing Address Suite C._/ /P. / f 1
Contact Person Na e Phone
City/State Zip Phone
•
FOR OFFICE USE ONLY .
Indicate type of work: New 0 Addition 0 Demolition 0 Mapes Land Use:
Accessory Structure 0 Foundation Only 0 Alteration •
Repair 0 Other 0 Notes:
Description of work: 11/4‹. � ,�¢ _
P�/v /4 //�6 #,, 4-. ',0 TIF:
P Estimated of Employ
Note: Site Work Permit Application must precede or accompany Building .
Permit Application
I:ICOMNEW.DOC (DST) 8/97
'' OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF WORK: FLOOR AREAS: 4A00 EXTERIOR WALL CONSTRUCTION
TYPE ONS FIRST SQ. FT. N: S: E: W:
TYPE OF �
CONSTR: 3,..-- SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: .'• THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: (0 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: /_o, ALARM: DETECTOR: ACCESS:
1
COMMERCIAL INSPECTION ACTIONS FEE MENU I
Foot/Found Post/Beam $4Permit Fee
Masonry Fr $ t q? '73 Pian Review
Insulation Shear Wall $ 8% State Surcharge
Firewall p Be $ // 84° FLS Plan Review
u .end-�1 Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous al1131° $ 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 =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I:lovrcntr2.doc (DST) 9/99 - - -
CITY OF TIGARD BUILDING INSPECTION DIVISION" / MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
c
BUP 1qq
Date Requested /df / ?"O � / AM ib ' 56 PM og BLD
Location /4 ( 7 40 ` 7c" Suite MEC
Contact Person c2 /Cci,�SCIC, / N L ve..P Ph 3S / ? PLM
Contractor Ph SWR
BUILDING Tenant/Owner Peet 5( 61c... 4 _A/CU)4L ytv d" ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain n N tes: Slab In �S< L(J (.a. SIT
Post & Beam L �
Ext Sheath /Shear walk_ 4 6 asp-
Int Sheath /Shear
Framing
Insulatio
7• •
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fina
PART FAIL
PLUMBING
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
Approach /Sidewalk Date /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 /444 --Poil5.�
. • Date Requested ' /Z O O 1 AM PM p5 P 1444 —DD t1/ , 7
t��
Location /VD 7 GCS 7Z Suite � —fi MEC ZVI' —DV /7(
Contact Person Ph PLM
Contractor Ph SWR
= UILDI Tenant/Owner 4fLU/ 6 ,'\ 170/4-4)-- LC _ .
Retaining Wall ELR
Footing • • - Access:
Foundation /� G � FPS
Ftg Drain /'� SGN
Crawl Drain • Inspectio N e s: - ; , tiul-bet
C /v Slab t i �' ,/ SIT
Post & Beam / ,
Ext Sheath/Shear , ,
IM SFieatli/3hear V*-7. k
Framing
•
Insulation
Drywall Nailing 9isivl T \ Ai l 4/ ]
Fire Sprinkler / i ' t
Fire Alarm ■ ' 1 ri,v. Susp'd Ceiling . 0 Roof ' �' ��
Misc:. ... _ ,
a ? )
PART FAIL . j ��r
BINGE,„ /O
Post &Beam' j 1 .
Under Slab - i 4 4 V ;!
Top Out ' 1 � � . �. �;�.
Water Service i 1 4 1 1
Sanitary Sewer 1 , ' � Prili Rain Drains , �I►
Fin. / /
PART FAIL
NICAL
! , (I, I 0 I
Post &Beam . V�
Rough In f l `�
Gas Line - , ,
Smoke Dampers 11 • I
inar 0 ht i
S PART FAIL 1 it 0 1
RICAL
Service
,
Rough In 1 N
UG /Slab
\/) 1
Low Voltage
Fire Alarm
Final
PASS .PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ j 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 37/2/0/ Inspector TV /7 , Ext
Other
Final
PASS PART FAIL . DO NOT REMOVE this .inspection record from the job site. . .
- CITY OF TIGARD BUILDING INSPECTION DIVISION MST
Z4-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP k44 sS
q AM PM —
Date Requested /� O
p 5B
Location /Z04 /a k) 7Z pa Suite 73 -1 5 MEC -
Contact Person Ph PLM
Contractor Ph SWR
/14/ Tenant/Owner A A/4.(1--G67,LK¢.c2t LC
Retaining Wall ELR
Footing • Access:
Foundation 01 , _ //� / / G � FPS
Ftg Drain °t -�1'l '�"�-
Crawl Drain I nspection N yu GAD SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / a-Ci& •<"
Susp'd Ceiling
Roof
Misc:
PART FAIL
BING
Post & Beam'
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Fin.
dn. PART FAIL
i AIN:Ir17TfaT1111"
Post & Beam
Rough In
Gas Line
Smoke Dampers
final
AS PART FAIL
ICAL
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 ? / /� ��
Approach /Sidewalk Date ) /2/0 / / Inspector 1 Ext
Other -
Final
PASS PART FAIL . DO NOT REMOVE this .inspection record from the job site.