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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00142 yeilll DEVELOPMENT SERVICES DATE ISSUED: 5/1/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102BA -00800 SITE ADDRESS: 12155 SW GRANT AVE SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: I -P BLOCK: LOT: 059 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: B 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: $ 20,000.00 Remarks: Tenant improvement to move stairs and remove a portion of the existing mezzanine. No Change in Occupant load Owner: Contractor: SEE -ZER PROPERTIES COOPER CONSTRUCTION CO 26785 SW NEILL RD 2305 SE 9TH NEWBERG, OR 97132 PORTLAND, OR 97412 Phone: Phone: 232 -3121 Reg #: SIC 00008587 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing lnsp PLCK CTR 4/25/01 $152.95 27200100000 Gyp Board Insp Final Inspection FIRE CTR 4/25/01 $94.12 27200100000 PRMT CTR 5/1/01 $235.30 27200100000 5PCT CTR 5/1/01 $18.82 27200100000 Total $501.19 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 -6699 or 1- 800 - 332 -2344. Pe rm ittee Signatur !' /— – , - ( :! Issue By: N hi . CC' ./.40 Call 639 -4175 by 7 p.m. for an inspection the next business day 404t t i • Building Permit Application A \ Date received: Gam'` /may Permit no.4u /0 " /_ a ,,tl2 p • - b, 4 �j C of Tigard • - Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 Date issued: By: Receipt no.: .,� Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT V ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition LI Addition/alteration/replacement ,Tenant improvement ❑ Fire sprinkler /alarm - ❑ Other: JOB SITE INFORMATION Job address: 12155 S IB. Grp1�11 ' Bldg. no.: Suite no.: Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.: Project name: Description and location of work on premises /special conditions: 6v1GU2 3S►'f'S, la :Walt. PO R i t d !J o (:: fit X.X.A IV i N . . j OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: c .- Ai p Pr24, ft k-r'i e., (Floodplain, septic capacity, solar, etc.) Mailing address: R.6 7 sty 6 to) /0 Et L.C, /4-7 j 1 & 2 family dwelling: City: /41,01:EQa I State: :I2. I ZIP: 97/3 9.- Valuation of work $ Phone: 'Fax: I E -mail: No. of bedrooms/baths Owner's representative: - Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage /carport area (sq. ft.) Name: 5-t.3 Covered porch area (sq. ft.) Mailing address: 3l 37 �,� �, A N) .. Deck area (sq. ft.) City: r px I State: o,. I ZIP: 972032_ Other structure area (sq. ft.) : Phone: 2% r - Fax:2337 1 E -mail: Erec.'I' . CommerciallindustriaUmulti- family: we, CONTRACTOR Valuation of work $ 20 — n e � �� isting bldg. area (sq. ft.) Business name: C� Co 9+ Co. ( 41rLrepo1r ' IQew bldg. area (sq. ft.) Address: -7-30G ' 'NtdU1r- Number o stories • City: r ox I State: ar I ZIPq 1 214 Phone: I Z 2 -Ail E- I ype of construction 5d�2 - 3121 Fax: Em ail: �-- Occupancy group(s): Existing: CCB no.: New: ' City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: 'ZTeL E�7 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: I ZIP: exempt from licensing, the following reason applies: Contact person: I Plan no.: Phone: Fax: E -mail: • ENGINEER Name: — e c , t 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. -. . .4 . . . . .. .. • • -• - • - Credit card number: ❑ visa 17 MasterCard �. �r u e a :' • . r . I / i . Expires Authorized signature: � / . . % ` ZI' � ', ./ %'Si e:4/ /0/ Name of cardholder as shown on credit card • Print.nae: .1 �._I ,. - . - Cardholder signature $ m Amount • Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (boo /COM) 9 /5 9 “ .5'. p l y,l• ,A4.17 -°7 • • 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). T®tal #of TYP OF SUBMITTAL Rlans KEY: SUbtlllttetl 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 CITY OF TIGARD BUILDING INSPECTION DIVISION MST ` 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 L ) �Go /err / Z— Date Requested 4 0 AM PM BLD Location 12 / > > S ) C- )' Suite MEC Contact Person Ph r p-67/0 PLM Contractor Ph SWR UIL Tenant/Owner F�� - - -:� �.� Pz ��� l�L 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 E l � 0 i 1 ( o 0 ` () / Framing l� `I` per! `� D ywal on n /� S 5 , � O C- p Drywall Nailing � V ^ jY1 - "�'" -� 6 Firewall 0 . Fire Sprinkler Fire Alarm r 8_47-N./ Susp'd Ceiling A. V - /- mo ..ALA. - I Roof M sc: 7,/ V S, � G /2A/� Final S PART /FA L� ∎-■� 1 e_. - C „� `� / , PLUMBING.. - ,: Post & Beam \ Under Slab �� V / w 7.`r Q_ • V -, \ j --eis Top Out Water Service 5 ' Q__ C_-",___ Sanitary Sewer Rain Drains r - ,� Final _ 3 PASS PART FAIL '/ 1- .e ,- ' - A MECHANICAL v =, .-, P - 2 ) : ost & Beam jj — Rough In ( I/k41 - �>< / / V f 1 \ � (/C. I oK r � Gas Line ��\ccc Smoke Dampers , Final • PASS PART FAIL k:C. k V"°(, t X .- --c , lti.` s- 1---)---/- S 4-----Qe . ELECTRICAL- ” - , - Service I t e---/ 3 U Rough b �� _1 ∎ ,k . ', -2 rQ UG /Slab �-n 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 (.0 n Approach /Sidewalk D a te L L v Inspector /�;` Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP /c/ z_ Date" Requested ' Z '( AM PM BLD Location / E/ S, 54% 7/A.-/ S � MEC Contact Person 9/1/ Ph � I 3 7 -G 7 / C' PLM Contractor Ph SWR �6UI 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 Framing 1 4444-,/ �aN- Pdaili Firewall Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof Misc: Final 4 , 10 „ PASS FAIL PLUM 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 [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ I Please call for reinspection RE: [ I Unable to inspect - no access ADA Othe oach /Sidewalk Date q a 'g 0 ` I � E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ?Kt--wi lg la /. .,-r e - CITY OF TIGARD BUILDING INSPECTION DIVISION _ MS -° 24 -Hour Inspection Line: „639 -4175 Business Line: 639 -4171 BUP 2ov /-' /V Z Date 'Requested S —1 ? AM " � BLD Location / Z $ f 5 r c,J �rG Suite v MEC Contact Person - 13t /(- Ph .F.35- 0 7 / 0 PLM Contractor Ph SWR I43UILDIN. a 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 Sheat Shear Win _ irywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 0 • G PART • , • 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 ELECTRICALS '; 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 Other oach /Sidewalk Date 6/r2/0/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /'3zy , CITY OF °TIGARD BUILDING INSPECTION DIVISION ` - MST 24 - Hour Inspection Line: 639 - 4175 Business Line: 639 - 4171 , BUP o c/ z Date rRequested ,5—/ 0 AM PM • BLD Location / 2. / , 5 r 5 �' 1 ^�° Suite 23 MEC Contact Person 0/ if Ph Cl 37 07 /0 PLM Contractor Ph SWR I1IG� . 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 Drywall Nailing � /� / 1 _ . .Jl // 1 i d " /4/4.4 fir 4 • Firewall / Fire Sprinkler ( r " Fire Alarm ( Susp'd Ceiling ' - e G � 6 Roof Misc: Final / e PASS PART I 3 / u ::.L L � ' 4 ' • 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 , .x 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 Date 5 'C - ® J � I I nspector Ex �t Other Final • PASS PART FAIL DO NOT REMOVE this inspection rec rd from the job site.