Permit ORIGINAL
CITY OF TIGARD PERMIT #: BUP1999 -00169
� DEVELOPMENT SERVICES DATE ISSUED: 5/4/99
��I �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11539 SW PACIFIC HY PARCEL: 1S136AD -04001
W
SUBDIVISION: VILLA RIDGE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1.200 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Replacement of T -Bar with seismic upgrade. Changes to mechanical requires a permit.
Owner: Contractor:
SMITH, WOODROW & EDITH JIM YORK CONSTRUCTION INC
BY: NORRIS & STEVENS PO BOX 1595
520 SW 6TH, SUITE 400 SANDY, OR 97055 -1595
PR none ND, OR 97204 Phone: 668 -9050
Reg #: LIC 0077050
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Susp Ceilng Insp
PRMT DJL 5/4/99 $38.50 99- 315051 Final Inspection
PLCK DJL 5/4/99 $25.03 99- 315051
5PCT DJL 5/4/99 $1.93 99- 315051
FIRE DJL 5/4/99 $15.40 99- 315051
Total $80.86
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.
Pemiitee
Signature:
Issued By: / -
Call 639 -4175 by 7 p.m. for an inspection the next business day
PG, C #
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CITY bf TIGARD Commercial Building Permit Application Recd By 1 L
Date Rec'd -e /-_
13125 SW HALL BLVD. Tenant Improvement Date to P.E. s ' 6 Y �
TIGARD, OR 97223 • I & e f � / Date to DST r ) LI � 99 ' � (5 639 -4171 � Permit# Bt 'Oi!6?
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
n 9 ' -c c
Name of Development/Project Existing Building ErNew Building ❑
•
Job &('4E k/ „v
Address Street Address S Building
/ /Sag SA) ,,orii rr _ /levy Data
Bldg # City/State Zip Existing Use of Building or Property:
.020 0/l I7, ' ;9s 7Av� -7
Name .4._obirit .5� f-7-74_ Proposed Use of Building or Property:
Property -- by I v- _ C
Owner Mailing Address ' I/ Suite 54,4 e
O . 0 W 4 40 No. Of Stories:
ity/State Zip Phone /
- CD pQ- 91.4y/ Sq. Ft. Of Project:
Occupant Name j /Z04 -CAI'
• v ie `e � , / �� Occupancy Class(es)
Name 1 C A
Contractor J,1 0 g94)s> �,,I)e Type(s) of Construction .
_ Prior to permit � b?�
7 ping Address Suite
issuance, a copy • Will this p roje c t have a Fire Suppression System?
of all licenses �� S�S Yes ❑ No p--
- are required it City/State Zip r Phone
S (ADA) i
Americans with Disabilitie ct expired in C.O.T. A
/ 7 it ' ' D D3 -&1#I D o = $ ( _ p
database , �C 7� S SO Valuation X 25 /o = Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
77 05-0 c 9/ 6 257 0 / 4 Project $ �r��
Name Valuation
Architect /� / 1 Plans Required: See Matrix for number of sets to submit
Mailing Add ss Suite 3 on back --
- - 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 •
/v/4 Signature of Owner /Agent Date
Mailing ddress Suite 379 g
9tact on Name P % hof ie
City/State Zip Phone J1 ' �, D,/ _(•8 _9050
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 0 151 336 AD- C7'b/
Repair 0 Other (l)" Notes:
Description of work: /�
ZGP /4�Z� 7 (3,A2 e0 / %LS TIF:
• FL5
Note: Site Work Permit Application must precede or accompany Building : �j i L tf
Permit Application -6 r ��t�- �/
I: \COMNEWTI.DOC (DST) 5/98
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
u
Plan R view is dependent submittal of BOTI plans AND a COMPLE 'ED ;...»
. :art.electr.�r ll...stlbtnitlal� ' t e <a abor : ust.:conta)r 34:0:::» >:: »:::: >: >::::: >:::: >:: >::::::
s n a ure: of tl >s :rvt : < el e ctnc a > ....:..:.:...::....::`� : >will be . co _.. . .,. c e::: ><< <
..::;: �:<::<.,.; ;;..:: :;;:. >�:�:: <.: >: :lam::: >:..:�:: >:::�::v:::. � n before plan �s�rt�w wv�[I be co ...:.
�� :'de >�:<:::::<::: >::� �:::>:: �: �>::><>::>;>:<>::::> �: >::< ::.:::::::::.:::: ;:.:.:.; .::: :::<::::<::::::::: _,::;: >::<::<: >:.: >:::::<:: >� ><<::::� .., >:<_:::: >::, �.> :<:: > <: >:.. >::<.. »::: >::<:::<:: <: >;::::<::::: :.,.;.:::.:; .<:;: >::;:::;::::::;: >�:: >� > >�� -
Af e plan eview approval, Plans Examiner will contact the applican to re ::::;:::::
: : >:::: >:;:::::;:.:
additional<:.l are >sets for: distr€bution::pur es :::.< <::...
KEY:
. ......:::::::::
ubm tted <
S (Private) :::::.:............................................ 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 - T
(New , Add) Building
NOTES: • -
n
a.. .t�.AeT:.sub: ts. o.... 1 ..............:>«::::«:::::: 1>::::<::>:::>:::;:;:>::>::11:::>::::>::::>::::> :: >:: >:: »:11 ::: <:: 11
I:\dsts\formsUnatrxcom.doc 11/10/98 I
i
OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: p oi) 1, „ 2 ,., r) , 4.- /2 / 7-- ,R ( , , I ii—A
Se1J», )c o n / re IJ
CLASS OF WORK: 4 -/- FLOOR AREAS: / 6 2 CO I EXTERIOR WALL CONSTRUCTION
TYPE OF USE: (v J FIRST -- FT. I N: S: E: W:
TYPE OF
CONSTR: / SECOND SQ. FT. I PROTECT OPENINGS ?:
OCCUPANCY GRP: /1 THIRD SQ. FT. I N: S: E: W:
OCCUPANCY LOAD: frig- TOTAL SQ. FT. I ROOF CONSTR: FIRE RET:
I I
STOR: HT: FT: I BSMNT: SQ. FT. I AREA SEP. RATED:
I I
I I
BSMNT?: MEZZ ?: I GARAGE: SQ. FT. I OCCU.SEP.RATED:
I I
FIRE FIRE SMOKE HANDICAP 1 /
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
- O
Foot/Found Post/Beam $ 3� Permit Fee
Masonry Framing $ Ac 0 - 1 Plan Review
• Insulation Shear Wall $ / 4' 3 5% State Surcharge
y0
Firewall Gyp Board $ /5 f FLS Plan Review
✓Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous : /Final $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM =commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT= alteration; ACS= accessory;FND- foundation;
OTR =other; DEM =demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS,: DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 4/97
I
•
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] $ -
In choosing which accessible elements to provide under this section, priori shall b- given to those
elements that will provide the greatest access. Elements shal be provided in the foil 'wing order: _ -
(a) Parking $
(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 $
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST n
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP iqqR ()l,9
Date Requested S q — 11 AM PM BLD
Location 1 P4-C- 44A )7' Suite MEC
Contact Person Ph go^] -1()Z PLM
Contractor Ph SWR
IL Tenant/Owner Ott ll c2& (Li -At ELC
Retaining Wall Q ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
kosp'tfeeilin
Roof
Misc:
Final
tASSART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
\ 444
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
Otheoach /Sidewalk Date � ` /3- 9 Inspector e c t or E x t
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 i qq- dD1C�9
Date Requested 5 - 1 0 -q g l AM V PM BLD
Location I I S 9 P4e Suite MEC
Contact Person i Ph g 0 - 7 - 9402 PLM
Contractor Ph SWR
BUILDI) Tenant/Owner &IAA r t_ �f � 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 �. �.✓ �`
Insulation --
Drywall Nailing
Firewall -
Fire Sprinkler _ � '� . . , — �� _ = •
Fire rm o o
so'd Cei i - 3 fi
Roof / ` y�
Misc:
Final
PASS PART FA
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 [ ] Reins ction fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ lease call for reinspection RE: [ ] Unable to inspect - no access
ADA �
Other oach /Sidewalk Date /0 2 Q , / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.