Permit /f gAR IA reib - AA Airp/j/ookes
B UILDING PERMIT
CITY TIGARD • PERMIT #: BUP2001 -00125
Al'
DEVELOPMENT SERVICES DATE ISSUED: 4/16/01
- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14650 SW 97TH AVE PARCEL: 2S111AC -02700
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5
BLOCK: LOT: 037 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: El 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: $ 9,700.00
Remarks: Construction of 6' high partitions, wall, door and removal of a door - No Change in Occupant Load
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRIC RUFFIN ENTERPRISES INC
6960 SW SANDBURG ST 8935 SE STANLEY PL
TIGARD, OR 97062 PORTLAND, OR 97206
Phone: 503 - 848 -3899 Phone: 503 - 774 -8090
Reg #: LIC 103355
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT CTR 4/16/01 $139.30 27200100000 Gyp Board Insp
Susp Ceilng Insp
5PCT CTR 4/16/01 $11.14 27200100000 Final Inspection
PLCK CTR 4/16/01 $90.55 27200100000
FIRE CTR 4/16/01 $55.72 27200100000
(additional fees not listed here)
Total $359.21
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 952-15 - •87. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1-805-3
Perm ittee 411,..-
Signature:
Issued B
Call 639 -4175 by 7 p.m. for an inspection the next business day
k .
` 11,0 1 ,�
y V Building Permit Application
Date received: LI— //_Q ( Permit / -OD/ ohs
- � City o
�f Citf Ti
` Project/appl. no.: Expire date:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Date issued: By: Receipt no.:
Phone: (503) 639 -4171 y p
Fax: (503) 598 -1960 Case file no.: Payment type: • •
Land use approval: /U A- l &2 family: Simple Complex:
._ TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ CommerciaUindustrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition /alteration/replacement ." Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
'
JOB SITE INFORMATION
Job address: / 46so 6 . 72 4 Ai LTA 2)" -rvt� Bldg. no.: Suite no.: '
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name: - L
Description and location of work on premises/special conditions: CC7NiT"2-=fi °i6 en 4 r fmG# - , I Z s
LLrs4 -ti 1)m17_ I rte`- Z cvett— o r= ,2
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: c ,p n , t b _ -- , .SC/1D) . 1> /5i)2/ c---7— (Floodplain, septic capacity, solar, etc.)
Mailing address: 6'4 G S t.J , i1r -7 Z L426 S J . 1 & 2 family dwelling:
City: j r � rt-∎ 'State: 0/2 I ZIP: 3 70C2_ Valuation of work $
Phone: 43/- 4618 I Fax: 43i- 4020 I E -mail: No. of bedrooms/baths
Owner's representative: 12oJ jf>,tj..5n' . Total number of floors
Phone: '3j - 4cid3 Fax: 3 / -/I0'20 E -mail: New dwelling area (sq. ft.)
APPLICANT Garage /carport area (sq. ft.)
Name: ; jet — 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: Commercia l /industrial/multi- family:
CONTRACTOR Valuation of work $ 9 7 c'
Business name: ) ii „J GD&I.577zc�G�� Existing bldg. area (sq. ft.)
3.; .5 S(7 Ltd PL- New bldg. area (sq. ft.)
Address: 89
City: 'c 1- - I Cl? 972..D.4
Number of stories
Ci State: ZIP:
p Type of construction
Phone: 774- UC39O I Fax: 774 `! E -mail:
CCB no.: /G3`3 7 Occupancy group(s): Existing:
New: 91
City/ etro ic. no.: /Z /5 Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: SGiJpc --0!S'i7Lsc -t 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: • f Plan no.: .
Phone: Fax: E -mail:
ENGINEER
Name: NA- Contact person: Fees due upon application $
Address: Date received:
City: 'State: IZIP: Amount received $
Phone: I Fax: I 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 provisions of I we and ordinances governing this ❑ Visa O MasterCard
work will be compl' - I i speci , red herein or not.. - Credit card number: / /
q Expires
Authorized signature: y '► Date: i t I Name of cardholder as shown on credit card
Print name: - T 2 0^-/A-C. J Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00/COM)
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).
TYPE PF SIU MiTTAL. _ , Pl KEY:
•
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.
I:\dsts \forms \matrxcom.doc 10/27/00
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CITY OF TIGARD
Approved
Conditionally Approved ( ):
For only the work as described ini _
PERMIT NO. 1 34P q- — 0(.)1,2-c7
See Letter to: Follow ( ):
Attaph
Job Address: WA /260 0-) 14 -
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By: Date. 4,4 RIO I '
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• / BUP a 'V/ .4,V) / a�
Date Requested l - 17 AM PM BLD
Location l `e 7 Suite MEC
Contact Person Ph 774 p go PLM
Contractor Ph SWR
BUILDING �_ns� � : , � '
Tenant/Owner . e -db 1/" I �L i / � ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:.
l PART FAIL
=ING' ..
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL .;F ? .` •
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL y µ `° Y :
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL •
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 inspect - no access
ADA
Approach /Sidewalk 1 n
Other Date 74) / 1 L° 4spector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF•`TIGARD BUILDING INSPECTION DIVISION Ivisr
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,-T-
Date Requested ' - ' AM PM BLD
Location 9 7 Suite MEC
Contact Person �
0 ---V∎ �a / $d �1 ` Ph 7 7 L —F 9() PLM
Contractor Ph SWR
BUILDING ° , Tenant/Owner 114.-4' _ _ _% AL y /.-7_/ ELC
Retaining Wall r M LR
Footing Acces�'�+ g C - z p er „ 7 ---72-11-- — 7 0 - � FPS
Ftg Drain
Foundation - � i - �-t-C
—.. SGN
Crawl Drain Inspection Notes:
Slab d SIT
Post & Beam /
Ext Sheath /Shear r ..,; ,U _ , _ _ : ! ____,1J /�
In aSheath /Shear "` ` 1 )
Insulation f s
Drywall Nailing l V 6. "
Fire wall / _ „ _
Fire Sprinkler (/ /��� � CO1 n / �
Fire Alarm /(.�f'//44 ' , at -r/v? V" c (4'( -i ! rte
Susp'd Ceiling
Roof /� T� a
Misc: r `� / a
Final , ` i j � 6 i r
() S �.�
PASS • FAIL t
PLUMBL - ' 4 /' oLL----. .
Post & Beam
Under Slab f I 1�, r� , �, (�
Top Out f� /� ' C n �/ kc / 2 / C --eClf
Water Service L� � r-- .0_,0
Sanitary iDrains Sewer ' / /
Rain Dr
Final "
PASS PART FAIL // j �� t ...,..,
MECHANICAL °. t; ,__? � 'ljp
Post & Beam
Rough In
Gas Line '
Smoke Dampers C,r`, -.41.11w (� - 6 L - '2 \
Final
PASS PART FAIL r� x f
ELECTRICAL -V2 ,3 `
Service
Rough b C- c,�� Pf Z .
UG /Slab 7 y I
Low Voltage
��� r'--e--C___--P Cam-,/) < - c--z'—
Fire Alarm ('
Final `J
PASS PART. FAIL
4 K/ s t, „ / . 5 I L 74....6.2t---1,..rv4L. j c j ,I,L......rc z...„._ .
Backfill /Grading /
Sanitary Sewer l
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 inspect - no access
ADA
Approach /Sidewalk El 2:j Id ) � 5
Other Date �' ' 2: / I nspector 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 Aoi -r LDS
Date Requested � AM PM BLD
Location ff ' �. ! 7 Suite MEC
Cwt_ it • �L ` r
(5 Ph /6/- S v PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall _ LR
Footing r-- Q
� ccess:
Foundation
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab �/'�i �
Post & Beam i _ ` -� — —
Ext Sheath /Shear U.:t. � ...3 Lip bQ , i�`''�:
Int Sheath /Shear — - Framing
Insulation � C t , Q A , Ai � J
Drywall Nailing w �•p�/
Firewall 1
Fire Sprinkler 0)-- .4L )
Fire Alarm
Susp'd Ceiling
Roof
Misc:
,Final
PASS 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other 7/27/6 Date 1 Inspector i', Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
lvi/
• CITY OF TIGARD BUILDING INSPECTION DIVISION , ` ; F' . MST
24 -Hour Inspection Line 639 -4175 Business Line: 639-4171-
v Go
BUP ! 2
•
„ �v /-
Date Requested 6- AM PM BLD
Location / 46 $ Z S k Jf 7 4 ,4i, Suite MEC
Contact Person 7; u /r� k,a old(,, S e.- Ph ,5b3 7 77 rag PLM
Contractor Ph SWR
BUILDING .`. .° ° Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear ` T .0 � /n/ nil �A 0 s j 447-- WG u46
Framing (.
Insulation /
a in L9 j. &OJ V - �� �IR Gtt.c At_ /411 01.4 ''7 E4t. .r-
Fire —
Fire Sprinkler l iJ k� V� � '1 Viikow ")
Fire Alarm
Susp'd Ceiling f
Roof 7 �S r ' 4L', kerejlileA 4 ptddi
in
ASS PART
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA , // �
Approach /Sidewalk D ate /�'�!� // t R23/0 Other Inspector Ext
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r � r
CITY OF'TIGARD BUILDING INSPECTION DIVISION . MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 24
> / Date Requested 6- --.1(a d AM PM ' BLD
/
Location L/4* GJ "Z?) 97 7 Suite MEC
Contact Person /2/S' Ph '1)3 y,- PLM
Contractor Ph SWR
ILD '` Tenant/Owner r f P c ; 4• v ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: �J y / � 4 � >✓ �'�/ SIT
Post & Beam <` y� - � r
Ext Sheath /Shear f/ �Ly y ° � /44/1 4'ZA ie. �
Int Sheath /Shear GG
Framing
Ins -tion ^ _ % 'G /
i iii •.. r to 1 1 1 4 L ALA,/ C r
Fire wall . _
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS FAIL
PLUMBI
* 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
S 6 .
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 inspect - no access
ADA l
Approach /Sidewalk
Other Date / (t Inspector ♦ I Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
1
G'yA •
• f Ci tY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection ; Line: 639 -4175 Business Line: 639 -4171 -
BUP AOCV -ab /
Date Requested. 4 7 12 -6 AM PM BLD
Location 1 , 0 5 w f1 b Suite MEC
Contact Person 5(4 1 Ph , 3/' 5-yq Z PLM
Contractor Ph SWR -
( a Tenant/Owner /9/4 /9/4 C;G•
-C C' C4, / ' 7L i� ELC
Retaining Wall ELR
Footing • - Access:
Foundation - FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab - R - ID •J( SIT
Post & Beam • t`S\4
Ext Sheath /Shear 1
Int Sheath /Shear
Framing
Insulation , f t) /�
VATZW
- wall , • N �(/ /�/ /Vf� [� ���,,,,
Fire Sprinkler / 1 S tl i
Fire Alarm T D ».S z.
Susp'd Ceiling �-Q c."-�je
[e
Roof Aic P f.,"�� -C i ) T�.�C 774Ot/Q �t
Misc: CCCJJJ
Fi
• PART FAIL
L r RING
ost & 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
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final -
PASS- PART FAIL.
\ 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 inspect - no access
ADA
Approach /Sidewalk D ate (9J ( Inspector nspector A
Other Ext
Final \,
PASS \PART FAIL • DO NOT REMOVE this inspection record from the job site.
e1-off
CITY OF' TIGAR,D-=BUILDING INSPECTION DIVISION' •
24 -Hour Inspection Line: 639 -4175 Business Line 39 -4171 „ "'MST
!/ BUP / - 6 O / &)
Date Requested 7 - Z AM play PM BLD
Location / S w 99 7 Suite MEC
Contact Person 5a4a1 i!C Ph 5b7 7/ 3 YG1 z PLM
Contractor Ph SW -. •'
UIL Tenant/Owner / /i .i C4/2-- 4- ELC
Retaining Wall / ELR
Footing Access:
Foundation ,j` 670 s i FPS
Ftg Drain
Crawl Drain Inspe otes:' SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
rams g�
su ation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof •
Misc:
a PART FAIL
BING:
Post & Beam
Under Slab •
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
M ECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL g <xX;= .
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
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 inspect - no access
ADA
Other oach /Sidewalk Date `//2 )/6 Inspector C Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.