Permit G Rini was D W Go Km , e. n�46 ISIS
CITY OF TIGA D BUILDING RMIT
PERMIT #: BUP2002 -00046
a � I , DEVELOPMENT SERVICES DATE ISSUED: 5/2/02
`- . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 17005 SW 92ND AVENUE PARCEL: 2S114A0 01500
SUBDIVISION: ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 2,160 sf N: S: E: W:
TYPE OF USE: COM SECOND: 432 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: S2 TOTAL AREA: 2,592.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 0 BASEMENT: sf AREA SEP. RATED: •
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y REQD SETBACKS REQUIRED
FLOOR LOAD: 100 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: $ 58,104.00
Remarks: Maintenance Building - Phase II of Cook Park Master Plan expasion. TIF
DEFERRED
Owner: Contractor:
TIGARD, CITY OF CAPITOL CONSTRUCTION
13125 SW HALL 1000 CAPITOL DR V U r,.._1, J
TIGARD, OR 97223 STE 200 J
Phone: 503 - 691 -9887 WPhone N 7G 0813 �D=53Qg
2
Reg #: L 00064394
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
EROS DEB 5/2/02 $40.00 JE # Footing Drain
Slab Insp
ERPC DEB 5/2/02 $13.00 JE # Masonry Insp
ERP2 DEB 5/2/02 $13.00 JE # Framing Insp
Final Inspection
Total $66.00
•
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 throu.h OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6• • • • r 1 -8! 32 -2344.
Pe rm ittee � _ ,.../ �.
Signature: ,, a l f ____
i 6 Issued By: U !_ .� r .. o 1 = A ...i.- • � . �
Call 639 -4175 by 7 p.m. f an inspection the next business day
I .
J nildi Permit Application
Date received: ' d 7 02- Permit no.:1 t1 /,'A
1111 City of Tigard .
"= Project/appl. no.: Ex ire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
A
Land use approval: r o - I 20 / 1&2 family: Simple Complex:
`; TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi - family ❑ New construction 0 Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement U Fire sprinkler /alarm ❑ Other:
;, . JOB SITE INFORMATION .
Job address: 1 OO 5. (4) • [ p a, ` ' ' U(• Bldg. no.: Suite no.: '
Lot: I Block: I Su n , I Tax map /tax lot/account no.:
Project name: ( /< PAk l R r�J � a 6 -
Description and location of work on premises /special condition( / il toe -{ A 110T A4 tl3Lt_ ttx t t,.b r fv Q,
. , .owNER FOR SPECIAL INFORMATION, USE CHECKLIST i ,
Name: e ®f �,p (Tloodplain, septic capacity; solar, etc:)
Mailing address: ) 3 ! ,4,) 14411 13 j(i 1 & 2 family dwelling:
City: L i ° A 4/ c IState:(� 6 IZIP: 9� � Valuation of work $``�
Phone: (i' -q/7 IFax: IE mail: No. of bedrooms/baths r
Owner's representative: 1 �Ljej - Total number of floors
Phone: s/ ' Fax: ,, ,, y mail: New dwelling area (sq. ft.)
• ; , APPLICANT Garage /carport area (sq. ft)
Name: Covered porch area (sq. ft.) -,
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industriallmulti- family: 1 IPA G0�
., CONTRACTOR Valuation of work $
i ■ Existing bldg. area (sq. ft.)
(( ROBERT GRAY PARTNERS New bldg. area (sq. ft.) A, / (c. CJ
CC PO BOX 100 Number of stories
SHERWOOD OR 97140 Type of construction
0 PH: 503- 692 -4675 CCB #: 65424 Occupancy group(s): Existing:
\ } New:
— crcy„a,cuv rr�.: rrv..
t Notice: All contractors and subcontractors are required to be
4:2) ARCHITECT /DESIGNER 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
I City: State: ZIP: exempt from licensing, the following reason applies:
1,1) Contact person: Plan no.:
OS Phone: Fax: E -mail:
ENGINEER .
IIMIWAYINIIIMIll Contact person: Fees due upon application • $
AddresA: /,� -', � j '� ! p to „Qgi, ' / g / ki Date received:
City: T State ',Q_ I ZIP: Q701j� Amount received $
4 Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisio s of laws and ordinances governing this ❑ Visa 0 MasterCard
work will be complied wi w, - ther s t; c tied herein or not. Credit card number: / /
/J 7 Expires
Authorized signature: 1, / ..i � �Lj Date: l ~ l� 42 Name of cardholder as shown on credit card
Prim name: c�J C✓ , iit�i'•'���` 1 :71� Cardholder signature $ Amount
Notice: This permit application expires f a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00 /COM)
2
Commercial Plan Submittal
-ma y, ��III Requirement Matrix
City of Tigard
Tl(P`EOFSUBMITT%�►L #of Plans
(GlncludesN'ew Additions orAlteratlons) Required at
.. ut mitta ikt
Site Work 4
(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.
is \dsts \forms \COM- matrix.doc 9/24/01
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP ' b Gf�p
Received Date Requested a AM PM BUP I
Location r/ 71) 0 $ 7) 3 Suite MEC
Contact Person / g4 1 Ph ( ) 6 � 2 — 46 7S PLM
Contractor CJ Ph ( ) SWR
BUILDING Tenant/Owner �G�, ELC
Footing eU-1 j 4,1a•4 c- _) ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation . gigammkomilm 't v\
Drywall Nailing
Firewall �;,p , J ' /
Fire Sprinkler �. /�L1G i. 411 _A
Fire Alarm �
Susp'd Ceiling
Roof
Other:
, • PART FAIL
` BING
Post & Beam WO / ��1
Under Slab gi/U S�
Rough -In
Water Service
Sanitary Sewer
Rain Drains
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 El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA I'
Approach /Sidewalk Date Inspector il Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL