Permit 6 - j_a _ z: -- �o ---- Is = mss- - -.
CITY OF TIGARD PERMIT
PERMIT #: BUP2004 -00239
DEVELOPMENT SERVICES DATE ISSUED: 5/25/2004
,F.-111- � - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10763 SW GREENBURG RD 110 PARCEL: 1S135BC -00201
SUBDIVISION: ZONING: C -G
BLOCK: LOT: 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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 23,898.00
Remarks: Restroom wall and suspended ceiling.
Owner: Contractor:
BUSINESS POPERTY DEVELOPMENT JHC COMMERCIAL LLC
BY SOUTHLAND CORP 7035 SW HAMPTON ST
22020 17TH AVE. S 200 TIGARD, OR 97223
B 0 Ph ne L ' WA 42% 8 Z -1811
Phone: 503 - 624 -7100
Reg #: LIC 158061
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 5/25/2004 $273.70 Framing Insp
[TAX] 8% State Surchari 5/25/2004 $21.90 Framing dsp
Gyp Boarrd lnsp
[FLS] FLS Pln Rv 5/25/2004 $109.48 Gyp Board lnsp
[BUPPLN] Pln Rv 5/25/2004 $177.90 Gyp Board lnsp
Total $582.98 Susp Ceiing Insp
Final Inspection
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503246 -6699 or 1- 800 - 332 -2344.
Issu d By: r / 0i ,, I !i 1 ( • I / /
• Permitt
Signature: r
Call 639 -4175 by 7 p.m. for an inspection the next business day
' BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2004 -00239
�� I 4 DEVELOPMENT SERVICES DATE ISSUED: 5/25/2004
� -I� 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: - *6T65 GREENBURG RD /6 PARCEL: 1S135BC 00201
SUBDIVISION: / ZONING: C -G
BLOCK: r LOT: 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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 23,898.00
Remarks: Restroom wall and suspended ceiling.
Owner: Contractor:
BUSINESS POPERTY DEVELOPMENT JHC COMMERCIAL LLC
BY SOUTHLAND CORP 7035 SW HAMPTON ST
22 17TH AVE. q � SE STE 200 TIGARD, OR 97223
B P hon e L ' WA 42V -W -1811
Phone: 503 - 624 -7100
Reg #: LIC 158061
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 5/25/2004 $273.70 Framing Insp
[TAX] 8% State Surchaq 5/25/2004 $21.90 Gyp Board Insp
FLS FLS Pln Rv 5 /25/2004 $109.48 Fusp Ceilng Insp
[FLS] Final Inspection
[BUPPLN] Pln Rv 5/25/2004 $177.90
Total $582.98
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -669• •r 1- 800 - 332 -2344.
I fi
Issued By: 111 ' / Z,le
Permittee -- //
Signature: r 4 '4A„L`,
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application FO O FFICE U SE ONLY
City of Tigard Date /B i i PemiitNo.. P a ���3
13125 SW Hall Blvd., Tigard, OR 97223 P lan Revi
Phone: 503.639.4171 Fax: 503.598.1960 1v/41 111 Date /By: f -1 -s - o `r /1210 Other Permit:
Inspection Line: 503.639.4175 ,44. Date Ready /By: Juris: ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
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❑ N construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
\ €\ -'. , .,a 414,1 , \ • •.ate "r. f^;;,,e•, '�ii :,��y :,.� i g - = it ;xu°xsv ><•;a ts..
�, „ � „ ��,: � "� ,�� � - „ -, �� „� >'' work indicated on this application.
p d : ` , .�l'� €€1 C r -- GQR: G ,,NSTRUGT70Ni , . _ ' , :. .
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
��` m•.,� � � �' � "� � €,.. � LL
�a _: ° JUI3 S gE I1�tFQ RMATION #r. r4 <� IOI!T r' .1 _, 4 ; :” '.
,. •,E.:t .,.n �?- "�.,����,; ;. ., � _ as, {x��.. \.r ' " � � x a<_ ; -.: �:. �.;..,. a•° aa: sa= €..�;a�:a�>::�'sin;z °- !'� ;3y'�, Total number of floors:
Job site address: I ' 0 ' I-6 9 ` c i4 C �/ e� led New dwelling area: square feet
City/State /ZIP: 7 0 � 6 1 e•-,3". Garage/carport Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: s'P,colo 0.1-4e, Covered porch area: square feet
►,r
Cross street/directions to job site: V , ] L �
f / Deck area: square feet
b +++������ Other structure area: square feet
REQUIREAEDATA:COM113ERC figi HECI{T:1ST -I
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
,, s - t ,,, ':,"::< and the profit for the
,.,, ` al . ; `(. : ,,, i fix.,;. :�. V, r;_;",� =:,. �,�..a .c >. work indicated on this labor, li application.
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�.,.,,��„ "s�__” up O �;� ..�, ate_ �"�� .� � �,� p �� 1 8
Valuation: $
fae lay i ri a' Gel 1 1 ` , 1
! / \ z/ 1 / �I/ (�� P ' Existing building area: » square feet
' ) ! New build , , �,. - ,��:.� .� �A , ,:� area: q
building ar square feet
..`
PR '"PERTY OW IER ` €r ;' - A I `�ti,,- �• Number of stories:
v
- - "max" - < .- »,.•.e. �
;�z
Name: +++ ✓��� � ✓lt S i e ( ' S ' gp —er �p p f J Type of construction: •
Address: 0c l �l ] b L ; sl L, 1) Occupancy groups:
City/State /ZIP: (>444_ / / /) g� Existing:
Phone: (�), 14- ). v—
Fax: ( New:
€€'s
<APP t :: = r . . '. .” t.. :. CONTACT'P.ER pN , a: it
Business name: C7[ l ", e�' ' / et Ci f '! / C L All contractors and subcontractors are required to be
. f'�' / III )
Contact name: / , I ,( (,,�ey� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3193 SM) –ja /lyl 7/7�J) - (, 5 - jurisdiction in which work is being performed. If the
City/State /ZIP: % applicant is exempt from licensing, the following reasons
�; ' 1 � PP
3 apply:
Phone:(JI � ) / V UY� !,' ' -1 i 0 Fax:: • • &t/ /• 5-Q
E -mail: // L / /' / / A �i o f f i , _) -
CONTRA =OR -
x.
_ x , x><s - -...., (� � � .t � . �E�i_� � -:. -.: � :x��:�i - .tae" / .. _.x,...:� ..-- �c,.
Business name:U 1 / � F * :x
✓✓ J � y ! % — . DING PERMIT ; :i � x„ -4-`, :
Address:
Please refer to fee schedule.
City/State /ZIP:
Fees due upon application
Phone: ( ) Fax:( )
1 A SID 6/ Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
/ / C4t/' l �- / within 180 days after it has been accepted as complete.
Print name: Dean G/Il7G L/7a ' Date: , -04 * Fee methodology set by Tri-County Building Industry
tt(JJ/"`^((V// `mil / Service Board.
is \Building\Permits\BUP - PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB)
oC /a763 s G+ .rid / /0
• NEXT TO 7 - 1 .
Form 5a Pro ea Nane: G ■ a. 0 ft_ P g : ` ..
LIGHTING - GENERAL
1. interior Exceptions (Suction 1312.1)
ti:,sceptions ❑ No Interior Lighting. The building plans and specifications do not call for new or
onaeeion Or quelifyr.p altered interior lighting. Skip to item 5, Exterior building Lighting - General, below.
..,...,,...... ❑ ExceptiDisc. 1. The building or r,nrf of the building qualifies for an exception from
°wsl0" code lighting requirements. Applicable code exception Is number. I 1
2. Lighting equipment that qualifies for an exception - in addition to general lighting and is
separately convened. Applicable code exception Is number 1
Areas of the building and equipment that qualify for any exceptions:
• -" Plana /aped
• Show cornppnae W 2.. Local Shut controls (Section 1313 - 3.1.1)
. erwt. &le i nowt.. it Compiles. Al least one local shut -off lighting control for every 2,000 square feet of
unit. oponleetelen lighted floor area and fnr all spaces enclosed by walls or ceiling height partitions.
e e°rvoh and
whos This control(s) is detailed In the building plans on drawing number. I 1
a,ecsr
❑ Exception. The building or part of the building qualifies for an exception. ,
Applicable code exception is Section 1313,3.1.1, Exception: I
•
Portions of the building that qualify: 1 _ 1
• . utoxssatic Iahut off Controls (Section 1313.3.1.2)
Not Applicable. Office floor area is not over 2,000 square feet of contiguous office
floor area or permitted space is not over 5,000 square feel No offices less than 300 square feet,
meeting or conference rooms, or school classrooms.
❑ complies. All interior lighting systems are equipped with a separate automatic
control to shut off the lighting during unoccupied periods. Offices less than 300 square feet,
meeting and roriference rooms. and school classrooms shall be equipped with
occupancy sensors that comply with Section 1313.3.1.2.1. ,
Compliance details in plans /specs:
❑ Exception. The building or part of the building qualifies for an exception. The I
applicable code exception is Section 1313.3,1,2, Exception:
Portions of the building that qualify: I 1
4.. Daylighting Controls (1313.3.1.3)
lit.No classrooms or atriums with skylights or window to wall ratio greater than 50 %.
❑ Complies. All classrooms and atriums with window to wall ratio greeter than 50% and /or
Exterior skylights are equipped with automatic daylight sensing controls, as required by Section
Building 1313.3.1.3.1 and Section 1313.3.1.3.2. The daylight sensors specified comply with
Light fog
to Upham Mead to Section 1313.3.1.3.3. e rtr
Wnet0.h. Compliance details in plans/specs: r 1
dale wrbhhg end
Aare" walkways
ant boding areas oath 5. lEitterior Lighting (Section 1313.SS)
aw@.ad mnophes
//`wpimplles. The plans do not call for incandescent or mercury vapor lamps for use
on building exterior. •
D Exception. The building plans indicate luminaires with incandescent or moreury vapor
Clock lamps, but they are specified for use in or around swimming pools, water features, or other
Switches cna locations subject to the requirements of Article 680 of the 2002 National Electrical Code.
s..uoromhr
(ereonei moog) ,
5p' wally/mail
pn>pnrrafru each ley 6.. Exterior and Canopy Lighting Controls (Section 1313.3.)
w rep awl Complies. The building plans and specifications include photoelectric and /or clock
e nivein neeme.phhg switches on all extenor lighting systems which are designed and programmed to
during paw =tam
extinguish lights when daylight is present, as required by Section 1313.3.
� „; °� +.a 7. Interior Connected Lighting Power (Section 1313.4)
c?" :x. Complies. The interior lighting power does not exceed the interior power allowance established
In either II le Tenant Space Method (Form 5b) or the Space -by -Space Method (Form 5c).
i
5 -1
17( 0,
. .
Form 5b Project Name: 6Qe-Le-,0 /3,, g, 6 1 9-44 s 4 64.1-ro 7hy Page: a --f
INTERIOR LIGHTING POWER — Tenant Space Method
Lighting (a) - (b) (c) (d)
Itediget Lighting
Tenant or Building Type Floor Area Max Power Power
(Table-13G) (sq ft) Density Budget
(wn,t2) ( W )
30c96 0.90 420.0
• Occupencyi
use Treat . _ —
Sea instryclions
for dosaiplion of
cc colloncY types
, ... , ...., ,
. .
. ,
. .
lighting - -
Power 1. Total Interior Lighting Power Budget (Watts) for Building (sum of column (d» ire a
Budget ■=1■.
2. Total length of track lighting (ft) --...
Track 3. Line 2 multiplied by 37.5 Wafts/ft —• ,
Lighting 4. Total amperage of circuit breaker(s) serving track lighting (amps)
Power 5. Voltage of circuit breaker serving track lighting (volts) ......—
8. Maximum wattage of track lighting (multiply Ilne 4 by line 5) _ —
7. Track Lighting Power (lesser value of line 3 or line 8) --- ,
■ Amur /
Building'. 8. Track Lighting Power (line 7) • 6
Lighting 9. Total Interior Lighting Power from Worksheet 5b (Sum of Column (m)) +
Power
10. Total Adjusted Lighting Power (line 8 + line 9) jgdizgit
Does denign moot budget? Line 10 must be no greater than line 1. Yogr NEI
4 a tIv 4 a.i...
:-.
•
5-2 ----------
•
o c - 7o -- ")
Worksheet 513 Project Name: ( K+ Lir a.6 461 t C —XT T a, 7 - !/ p.
INTERIOR LIGHTING POWER Workihoet No 5b, Page 3 t>t t
IF YOU 00 NOT HAVE ENOUGH SPACE FOR ALL YOUR FIXTURES, PRINT ADDITIONAL
Space-by-Space Method Only
Skip to column (I) if using the Tenant Space
(a) (b) (c) (d) (e) (I) (9) (h) (i) U) Room
Space Type Space Lighting Luminaire Lighting Total
Area (Table 13- Type Power Budget Luminaire Quantity of Power Exempt Power Ltg.
Room ID (ft HJ LPD (b) x (d) ID Luminaires' (Watts; ? (g) x (h) Power
Each room } ❑ 2 4n '1 iwcff
must be 0
Idantlflod. - - ❑
Describe - ❑
luminaires fui
each ❑
individual
room In _ •
plans. ❑ 0
For track lighting -
enter Ikraal Net In ❑
column column (g) CI and erase Alta In
ovum (n). 'frock -
❑
Hoeft paver h
accounrrd for on ❑
Fenn 5b or Farm — 0'
k 0
1
Column (It). ante( ❑
sum at column (I)
for eam room only
on at anal entry
for the loom . See
example In (]
Ii Uu alon.. ^ —_
. —❑
— ❑
0
CI —
0
Worksheet 5b- Total Budget Worksheet 5b- Total Lighting Pow= r • �.`
Other Pogea
i m
t the additional Worksheet Number Lighting Poem adgaI Spaoeer Proposed B Id
I. eng llptning
.nu,ti.noow Bpma only (Total of.rriunn (e) Pow. (TOW CM-Mn (k)
necessary to
catalog all 5113-1 ,
luminalr.a Is 5b
building -
_: ' 5b-3
r;�.
, 5b-4 or sum of additional worksheets
\;;11 •, t otel budget ry 1 �
(of all worksheets) f, ip �
5-5
JDC?r,si
•
Worksheet 51:Pro ject Name: a f 6 N ,.( oz 1, 12.1) N Ti 7 ' / _
LIGHTING SCHEDULE 4'- 4
ID Is the Id5nNkatlon (a) (b) (c) (d) (e) (
numbs► or Mar 'told Lamp Ballasts Luminaire
s vour plans or Power From
peelAoadon. hum. Table 5b7
ID Luminaire Description No. Description No Description (watts)
Enter the number end
tips of lamps and A. �2 Prota S-1 3 T I T VA.*
13/111191B In the / ` I]
Iuminalre. Elea Table 56 _
fortypiosl lamp end ❑
• beulssls dasorlpdon
abbreviations. ❑
User Defined Fixtures -
Cut Sheets must be
Included to vettty ❑
wattage d complete
Iuminaire. ❑
0
0
0
0
0
0
0
0
•
0
0
•
l ❑
❑
5-
CITY OF TIGARD 24 -Hour
-"BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
i BUP A9-1 tJ
Received/ Date Requested AM PM BUP
Location JO 762 3 411
AP W/4 Suite // i) MEC
Contact Person v Ph ( ) PLM
Contractor Ph ( ) SWR
DI Tenant/Owner ELC
Fo ting ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
Fire Sprinkler //r
Fire : - .. Mita , � V � sp'd Ceil •• —
✓
lap PART FAIL r
• = ING f Post &Beam
pi
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole �=
Storm Drain
t
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 i�
Low Voltage '� !1 ��� %-j�_
Fire Alarm �W m `�� Amor
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
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL