Permit ,„ CITY OF TIGARD
44 . 1 DEVELOPMENT SERVICES BUILDING PERMIT
i
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • BUP99 -0084
DATE ISSUED: 03/18/99
PARCEL: 18136AD -05901
SITE ADDRESS...: 11455 SW PACIFIC HWY
SUBDIVISION - ZONING:C-G
BLOCK - LOT . JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. : 5- i HR .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R1 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REOD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 5000
Remarks : Fire da.age repair. No C of 0 required - No change in Occupant Load
Owner: FEES
DAY'S INN type amount by date recpt
11455 SW PACIFIC HWY PRMT $ 50.50 DEB 03/18/99 99- 313807
TIGARD OR 97223 5PCT $ 2.53 DEB 03/18/99
99- 313807
PLCK $ 32.83 DEB 03/18/99 99- 313807
Phone #: FIRE $ 20.20 DEB 03/18/99 99- 313807
Contractor:
COOPER CONSTRUCTION CO
2305 SE 9TH
PORTLAND OR 97412
Phone #: 232 -3121 $ 106.06 TOTAL •
Reg #..: 000085
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other / /�
applicable laws. All work will be done in accordance with r A) , L / A.
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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246- 1987.
• Permittee Si nat ure: /_./�` _41..4.- � / /:, ° sued B / i/ L1 /2 9 / Y _� _
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
CITY OF TIGARD Commercial Building Permit Application Recd - ky
3125 SW HALL BLVD. Tenant Improvement
//,�, �I�v Date Recd -
- 1 il ��. Date to P.E. 3 - /3 -Q - C�-
TIGARD, OR 97223 O503 639 -4171 ViVL K tO ( �s Date to DST 3 $ I' � Op � ° •' Permit# � 4 r' — 4.e'.
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/ProJect Existing Building Q(New Building ❑
Job Dais 11. s) • File 2-
Address Street Address Suite Building
I I4 ' a PA4F16kok Data
Bldg # City /State Zip Existing Use of Building or Property:
+( QA or.
Name
Property u P / � Proposed Use of Building or Property:
Owner Mailing Address Suite
No. Of Stories:
City /State Zip Phone
. ; ,„.y:/ • /- , 'J/ Sq. Ft. Of Project:
Occupant Name / 1
Meret.■ Occupancy Class(es)
Name ,I�� .,
Contractor C t jr• Type(s)of fonstruction
Prior to permit Mailing Address Suite N
issuance, a copy a3a5 cJ Will this project have a Fire Suppression S stem?
of all licenses Yes ❑ No
are required if City /State Zip Gt Phone
C.O.T. Po rt ti A or . _ f� 232-31 Americans with Disabilities Act (ADA)
expired i
Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
q5 g7 7--2--,? Project $ ft10
Name Valuation
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City/ 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
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
re i■JraCtS 1 / /nature of Own • gent Date
Mailing Address Suite �J , • , I b O il i /r /, U 3 -is tiri
I
31 31 Contact Person Name / Phone
City /State Zip Phone K SCIII `7, & %, J - 61%
Por+ca ., ,)r • �1U 23V1315 '
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0 /61 % As _05
Repair/ Other 0 Notes:
Description of worrk::,,,,,,,
P- � r- Ra7R- Jo6 - &{D X 22' TIF:
e24.tes U,hQp y
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I:\COMNEWTI.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
.ekiwA is dependent upon submittal of E: ATH plans 4.Np 9:p.mp`lipligg :<::::::
:;P .shoo Fir an electrical submittal, the appl�cabon must costa .in he
sl` aatut of'tt a : ., : :. :: :. si - :..;:: is ::` °, :< ,„ . ;:t:..:.. <:<.; > >> >
peroisir electr .0.00 before plan r gwi b opnd ut✓te .�::::<: »:;::: >:: >:: >:
• p an reutew approval, Marrs E cammer will contact the applicant to request
additional lan sets for, distnbpopn . u rpt ses:::.(Co :: 1 for C antra ar C!: ,:::::.::::: :::::::::.
KEY:
�m€ttted..
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
NOTES:
I:\dsts \forms\matrxcom.doc 10/30/98
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ ■•
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ I
choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
• (a) Parking $ (ZS
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ I
is \dsts \forms\access.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 t�dg
/ BUP
Date Requested L - ? S19 AM PM J'C BLD
Location 1 ( vt S S 441p , ) -1ui,) Suite MEC
Contact Person C Ph Z g 2 - 3I Zf PLM
Contractor Ph SWR
(JILDtrip en Owner 14.9 ( 0'x)1\ ELC
Retaining Wall ELR
Footing Access: •
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: pin m a
L � �
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler C"? LC
Fire Alarm CJ
Susp'd Ceiling ((
Roof
Misc:
illaD PART FAIL
• B ' 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
Approach /Sidewalk Date i /(7) It
nspecor
Other E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.