Permit CITY OF TIGARD . BUILDING PERMIT
PERMIT #: BUP2000 -00340
� DEVELOPMENT SERVICES DATE ISSUED: 8/17/00
- -�'` 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11624 SW LOMITA AVE A -1 PARCEL: 1 S135DD -03703
SUBDIVISION: PLAZA GARDEN WEST ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED: 1HR
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: $ 75,000.00
Remarks: Fire Damage repair - Apartment units
Owner: Contractor:
PARKER, JEROME W TRUSTEE OREGON HOME IMPROVEMENT CO INC
BY SUMMIT REAL ESTATE MANAGEME DBA OHI CONSTRUCTION
5320 SW MACADAM AVE 17255 SW PILKINGTON RD
PORTLAND , OR 97201 LPiho OSV6(F -bL4 97035
Reg #: LIC 00034908
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
5PCT JMT 8/17/00 $43.82 0004555 Firewall Insp
Drywall nail /screw
PLCK JMT 8/17/00 $356.04 0004555 Gyp Board Insp
FIRE JMT 8/17/00 $219.10 0004555 Final Inspection
PRMT JMT 8/17/00 $547.75 0004555
Total $1,166.71
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 -1987.
Permitee
Signature: ,�� ,------ --
Issu d By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Plan ChecK# Recd By
13125 SW HALL BLVD. Tenant Improvement Date Recd 8/1® -4
TIGARD, OR 97223 • Date-to P.E. ! rL/c?=
(503) 639 -4171 Date to DST
Print or Type Permit# ffJ/ "24vv - de &i,t1
Related SWR #
Incomplete or illegible applications will not be accepted Called ''' � , 7 /fV r Sr
Name of Developm UProject Existing Building ❑ New Building ❑
Job ^�Lf�2 4 1 2 th.S
Address Street Address Suite Building
ii t- .-1s.) l -.sue.( 1ik A Data
Bldg # City /State Zip Existing Use of Building or Property:
4 57 7.2.1
Name Proposed Use of Building or Property:
Property
Owner Mailing Address Suite
2A Sw Alvin No. Of Stories:
City/State Zip Phone
Sq. Ft. Of Project:
�d�. DIt2 531,0 i
Occupant Name p O ccupancy Class(es)
Name GIg,QaO� (�aMe (1 Co /1J C .
Contractor Cj 141 coyer‹ Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy Will this project have a Fire Suppression System?
' 1
of all licenses t 1 2.5"S" � S
St+J 1 i 1V.T r ') law. Yes ❑ No ❑
are required if City/State Zip Phone Americans with Disabilities Act (ADA)
expired in C.O.T. L
database v, 5 Valuation X 25% = $ Participation
Oregon CCo Con Board Lic.# Exp. Date Complete Accessibility Form
i l $
Name ame Valuation `7 . CO
Plans Required: See Matrix for number of sets to submit
Architect
-- - Suite on back
Mailing Address
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Sign ure of Owner/ r/ _
entt Date
Mailing Address Suite �'�
ontact'Person Name Phone
City /State Zip Phone l X1.0b \ - c Z S S
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# I Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other O Notes:
Description of work: '
TIF:
f de-■ 4i2
�
Note: Site Work Permit Application must precede or accompany Building Q-/ Si 3 ?'-- 00 -76
Permit Application r
•
I: \COMNEWTI.DOC (DST) 5/98 ;49-
10
,A
•
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is of B3OTl-t plans AND !a COMPLETED
application. For an electrtcal'stubmittal, the application must contain the
signature of the supervising electrician before plan review will be conducted,
After plan review approval, Plans Examiner will contact the applicant to request
se
additional plan sets for distribution purposes: (C opy for ontraclor, City,
Fire _&
R
escu
_
r . I Coin t TUa (ati n Valley _
ir
F
<:>
Total
# of
•<TYPE OF SUBMI a IAL Plans KEY:
Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
- - - B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
:111::: la►l: ::>::::::>::>::>::»:: :: >:: >:: >:::: > <:: »:::: >:::::: >: >::>::>::»::>: <::::;: >: >:: >:<: >:<: >:::«::: >::
NOTES:
$hided areas rs1gnate ALTub`mrtals
•
I:Wsts \forms\matrxcom.doc 10/30/98
OHI CONSTRUCTION...
172555 PILKINGTON ROAD Ph (503) 635 -6248
LAKE OSWEGO, OREGON Fax (503) 636 -7183
97035
635 -6248
Fax 636 -7183
Client: PLAZA GARDEN APTS. (SUMMIT Business: (503) 223 -9980 x134
MANAGEMENT)
Billing: 5320 SW MACADAM
PORTLAND, OR 97201
Property: 11624 SW LOMITA
TIGARD, OR 97223
Operator: DAN
Estimator: Dan Nelson Business: (503) 635 -6248
Title: Estimator
Reference: Farmers Ins. Co.
Type of Estimate: Fire
Date Entered: 8/9/2000
Price List: PORTORD ��
• _
Estimate: PLAZA O
e .\
P F oy QNt
Cid ib•
CITY OF TIGARD BUILDING INSPECTION DIVISION
r
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
BUP Goa -Gv .3 5f 0
Date Requested /U — AY''? PM BLD
Location /16 1 ( 5 1-✓ Z.&-"; �C Suite C - 7 MEC
Contact Person Ph 9 -6 7 Z V PLM
Contractor /� Ph SWR i
Tenant/Owner 11' E, ELC _
etain: /aII ELR i
Footing Access: drir
Foundation / , L-4 -r L 6zil 6v FPS
Ftg Drain 4� SGN
Crawl Drain Inspection Notes:
Slab SIT Ar
Post & Beam � ` Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
BING
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 9
Approach /Sidewalk Date 1 /C) ( 1
v Inspector "1� EZ
Other /`
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.