Permit A. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00091
A T4�r DEVELOPMENT SERVICES DATE ISSUED: 3/9/01
,.� — 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S113AD -01700
SITE ADDRESS: 16800 SW 72ND AVE
SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: C -G
BLOCK: LOT: 030 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 : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: q 000-00
Remarks: C6mmercial TI. Construction new walls to divide open area into 2 offices, and installation of new windows.
Owner: Contractor:
BRIDGEPORT LAND LLC TODD HESS BUILDING CO
3939 NW ST HELENS RD 4707 SW KELLY AVE #206
PORTLAND, OR 97210 PORTLAND, OR 97201
Phone: Phone: 220 -5953
Reg #: LAC 66821
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 3/9/01 $53.11 27200100000 Gyp Board lnsp
Final Inspection
FIRE CTR 3/9/01 $32.68 27200100000 •
PRMT CTR 3/9/01 $81.70 27200100000
5PCT CTR 3/9/01 $6.54 27200100000
Total $174.03
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 I -se 1. or •irect questions to OUNC by calling (503) 246 -1987.
AlO
PemtRee W
Signature:
Issued By: _
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
'41 City of Tigard Datereceived: 3 /� / D / Permit no.:6upat6 - -9 /
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappl.no.: Expire date:
City of Tigard Phone: (503) 639 -4171 Date issued: By;)// I Receipt no.:
Fax: (503) 598 -1960 = Case file no.: Payment type:
Land use approval: 'U/ - OD 9.1-(o 1&2 family: Simple Complex:
IYI'1. OF I'I:Iti911
O 1 & 2 family dwelling or accessory ommercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition/alteration/replacement 4 enant improvement 0 Fire sprinkledalarm 0 Other:
JOBS! II: 1NFOIti\1ATION
7 ' Job address: , , • • Bldg. no.: Suite no.: '
Lot: Block: Subdivision: Tax map/tax lot/account no.: //34 -6 r/ •,
Project name: . ,.
Description and location of work on premises/special conditions:
// F67 let /114 f
011 N1.14 1011 SI'1:CI;AL INFORi9A "I "ION. ISI: (:III :CRLIS7•
Name: ( Fi ootl pi a i u, se p1 i c ca pa c I v, so ia r, et c.
Mailing address: 1 & 2 family dwelling:
City: State: ZIP: Valuation of work $
Phone: Fax: E-mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: EMEI E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
111MIMIMIEMMEE Covered porch area (sq. ft.)
Mailin: address: inirlEff211M2111111MI Deck area (sq. ft.)
15321 m State:d ZIP: • 20 \ Other structure area ( ft.)
Phone: 2.2„0/1 s- . =PRIM E -mail: Commercialindustrial /multl-family: �/
CON 1 RAC Olt Valuation of work $ 7000
Al xisting bldg. area (sq. ft.) V' Sa
Business name: O I,- ji SS fl C New bldg. area (sq. ft) 77 g gL 300
Address: Number of stories / kl/`l E z - • . /
�1r (., �� ZIP: en Ltd Type of construction <`) /\/
Phone: Z4 - rt Fax: $22• t?69 MIIMIIMINMM
CCB no.: , p / Occupancy group(s): Existing: New:
City/metro lic. no.: 40'7. S ' 7 I ` , 6 2— . Notice: All contractors and subcontractors are required to be
A14( :111 alit' 11)1:SIGNIAt licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
/
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
:1MGIN1:1 :1t
Contact person: Fees due upon application $ .
r ` , Address: Date received:
/ City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jorisdicticos accept credit cards, please call jurisdiction for mote information.
attached checklist. All pro ons of ws and ordinances governing this 0 visa 0 MasterCard
work will be complied ' wh + -7 . ified herein or not. Credit card number: �pir/
A si `_ Date: 3 " 0! q 'd / Name of cardholder as shown on credit card
` $
Print name: �� � 1 Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after G it has been accepted as complete. 440.4613 (6100/COM)
A a � / �3i // e1( /L /. 6 /r 7
/�S 3. 68 TA S ,
•
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
.Alt = Alteration to existing
building
*For over- the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hoer inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP .DOE! /— `�
o0 ® /_
/� Date Requested / 1 -17 I AM PM BLD
l ('
Location goV �ttJ 7Zt/{ L Suite MEC
Contact Person Ph PLM
Contractor... Ph SWR
UILRl�IG� Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Acce ' 0 2 44 , 614/
'74 C` / FPS
Ftg Drain � T(
Crawl Drain Inspection Notes SGN
Slab �� P� /14V 3// WO/ AP�.� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear �,.,c ,� ��/��� L /
Framing t:��"�`""" ��Q /Ay 'r /J- 2�h�'1 P/f'Z6r /�� l !20/s
Insulation
Drywall Nailing Q1�G /iit 3
- C �
' /1 x %op` - `P-�-
Fire rl^ �/ L, " �Q /1L61Zv f �
,"
Sprinkler
Fire Sp �J/d/ U1 � �G` T� , I /�
Y
Fire Alarm G - �/., •, /_ /0 1/ G u` /7/` .- e - 7 eteks 7
Susp'd Ceiling �
Roof
Mi •
PART FAIL
7 17. :ING
Post & Beam
Under Slab ,4-yY� I - 774j$ !S / . T STa . - 7 -- #4 Dai
Top Out .. //
Water Service � rn C t�� - ioc, /Ldhl . £ /np 4./y
Sanitary Sewer
Rain Drains 4/G
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 7 / 1 7/ 2 � Inspector ' � �1�!'` Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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CITY OF ZIGARD BUILDING INSPECTION DIVISION
24 -Hoyr Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUPpZOi) A C� y.
Date Requested .3f / y AM PM BLD Ara
4v
Location / 6 � GU �✓ 72 - t Suite ME Noy
Contact Person l3_ NI '4 4 ' 2 Ph 5 3 1- 3z 7 3 PLM
Contractor Ph SWR
(@UILDUNG> 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
nsul
7 f
ryw all Na• •
firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
crA32 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date f Inspector Ext
Other /�
Final
PASS • PART FAIL DO NOT REMOVE this inspection record from the job site.