Permit m- '1
CITY OF TIGARD PERMIT
PERMIT #: BUP1999 -00375
,il� DEVELOPMENT SERVICES DATE ISSUED: 8/25/99
A - I � 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD PARCEL: 2S113AB -00600
SUBDIVISION: BAWD CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 18.000 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 177 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED: 1HR
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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: ' t9 t7DO
Remarks: Tena improvement
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L. GREEN, HL CO. INC.
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 RR ggZZ22
Phone: TI I'I1one: �Z47
Reg #: LIC 00041328
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT BON 8/25/99 $296.40 99- 317927 Gyp Board Insp
Susp Ceilng Insp
5PCT BON 8/25/99 $20.76 99- 317927 Final Inspection
FIRE BON 8/25/99 $118.60 99- 317927 ORIGINAL
PLCK BON 8/25/99 $192.73 99- 317927
Total $628.49
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.
Pemiitee
Signature: � �,// i7 • tJ/ /■��L
I Issued By: ' i 1 .WI,—
Call 639 -4175 by 7 p.m. for an inspection the next business day
CaY OF TIGARD Commercial Building Oermit Recd By "614
- 13125 SW HALL BLVD.. Tenant Improvement Date Recd r ?6 -- `°fl
TIGARD, OR 97223 Date to P.E. 't —2 - —°J`% ,,r�
(503) 639 -4171 Date to D � — q 9 Kt'
O Permit # -
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building New Building ❑
Job "WTiCliSe", & &7/V0Ss G t//,/e
Address Street Address - Suite Building
/ /loOs1•/,,,/fO Data
Bldg it City/State Tip Existing Use of uilding or Property: •
G 1 /°C-- y�//9, r�UZ_':1
Name
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of Building or Property:
Owner Mailing Address . Suite ,,, /
15350 SW SEQUOIA PKWY 300 No. Of Stories: / .
_ City /State Zip Phone f
PORTLAND; OR 97224 624 -6300 Sq. Ft. Of Project /� r _
Occupant Name _ _ . _ _ . . ... - . _. _ _ _ �lT��
"96q /,p�� Occupancy Class(es) .
- Name _ • .... • - ., . - - - -
p
Contractor H. L. COMPANY Type(s) of Cgnstructi n
•
Prior to permit Mailing Address Suite �/ '
issuance, a copy Will this project have a Fire Suppression System?
of all licenses 15350 SW SEQUOIA PKWY 300
are required if City /State Zip Phone Yes "- No ❑
expired in C.O.T. Americans with Disabilities Act (ADA) oo `0(
database PORTLAND, OR 97224 624 - 7717 Valuation X 25% = $ Participation,', Q q ,� � o t✓
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form Y�"' (
41328 - Project $
Name Valuation `'=611A%
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.
Sig ature of Owner/ ent r D e
Mailing Address Suite d7 • / / .'�S j '1 /
Contact Pers n am P hone
City /State Tip Phone
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 MapfTlit Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 Notes:
Description of work:
tiS7'3 �'* ' ��/ ' TIF:
Parks: Estimat # of Employees
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: -1
CLASS OF WORK: ta<- FLOOR AREAS: / EXTERIOR WALL CONSTRUCTION
TYPE OF USE: FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: 3 SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 /# 7 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: / 77 TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
I 1-�u�.
FIRE FIRE SMOKE HANDICAP
SPRINKLER: * ALARM: DETECTOR: ACCESS: O!7
u ,COMMERCIAL INSPECTION ACTIONS `FEE MENU
Foot/Found Post/Beam $ 2/ Permit Fee
Masonry 4 I $ Jgc2 3 Plan Review
6
Insulation Shear Wall $ a" ?- 7% State Surcharge
Firewall yp oa $ lie FLS Plan Review
Su Ce c� Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous SO $ 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:\ovrcntr2.doc (DST) 4/97
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP Qq
Date Requested C 'il?"I l / ?? AM PM BLD
Location / IP/ ( 51w i kb 6 /21-Suite MEC /7 q gZ--
Contact Person a L ce -evL/ Ph v O - RS1 c PLM
Contr. • r Ph SWR
�JI r Tenant/Owner ELC
ainin• Wall ELR
Fo• ' - • 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
Misc:
.Z'° PART FAIL
= ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
_ PART FAIL
LECTRICAL di
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm ✓1
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 ins pect - no access
ADA
Approach /Sidewalk
Other Date l /
id I Inspector Ext
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 //2/60 37_5 '
Date R- + stbd I / AM PM BLD
Location " k . J / 'ALA Suite ' MEC
Contact Person / 5 / Ph 2600 ' 9 So PLM
Contractor Ph SWR
(UILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation svr - //•1 d► %. FPS
Ftg Drain N
Slab
Crawl Drain Inspection ■ : - sk ej ( /S 4/5-9/ SIT
Post & Beam e�°2
Ext Sheath /Shear C/e ;f.Yj�.v 7 c-r/y
Int Sheath /Shear
ation /-
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling
R
0
oof
Misc:
)i•ART FAIL
P
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
Other Date ? / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.