Permit ,
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00166 SSUED: 5/7/02
• _ , . . .
� DEVELOPMENT SERVICES DATE I
�� ' < ,� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11606 SW PACIFIC HWY PARCEL: 1S136DB -02601
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: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 45 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: $ 7,500.00
Remarks: Tenant improvement, ADA restroom and inteior staircase. Tenant improvement is for main floor only. Lower level
is storage, no public access allowed, due to gravel parking lot.
Owner: Contractor:
RICHARD SLAGTER TODD HESS BUILDING CO
6385 SE YAMHILL 4707 SW KELLY AVE #206
PORTLAND, OR 97215 PORTLAND, OR 97201
Phone: 503 - 234 -3494 Phone: 220 -5953
Reg #: L1C 66821
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT CTR 5/7/02 $120.10 27200200000 Gyp Board Insp
Final Inspection
5PCT CTR 5/7/02 $9.61 27200200000
PLCK CTR 5/7/02 $78.07 27200200000
FIRE CTR 5/7/02 $48.04 27200200000
Total $255.82
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
/ dr
Sign • re: �% ' o'f
Iss ed B _ : j /I r� \
Y •
Call 639 -175 by 7 p.m. for an inspection the next business day
i
Building Permit Applicat
Date received: 6 7 Oa Permit no.: City Budfe fi�40/�p
�� t''iy ° City of Tigard
- Project/appl. no.: • a date:
City oJTigard Address: 13125 SW 1 B , igard, OR 97 3
Phone: (503) 639 17 Date issued: (B* Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approva • 1 &2 family: Simple Complex:
r
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ - •mmercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ` nant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address:
Bldg. no.: Suite no.:
11W � • �� � g•
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: _ _ ■ I. , IN& ilt 1 I ' L i. i-• .: • — _ L. P _! _ ■ • ■
Desc 'ption and location of work on 'remises/pedal c.nditions: • ' • . i:-, A.r . P.
P '-- ', i .;., C - -, • . ■ A' i a •i I:.
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: is • 0 L1 -MIR- (Floodplain, septic capacity, solar, etc.)
Mailing address: 62 t s S- to • L-�- I & 2 family dwelling:
Ell, 0 l C . • 1L. State: O j2 ZIP: • 2.1 S Valuation of work $
Phone:Z.3 - 3 y 4 Fax: - E -mail: — No. of bedrooms/baths
Owner's representative: 11.4 A _(C Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Covered porch area (sq. ft.)
Mailing address: ,..„ A. ( iVi Deck area (sq. ft.)
IIEZIEMBILli IP Z Z J Other structure area (sq. ft.)
Phone , �. IL Fax: •, Z ■ f p , , • 1 U _ C / oelc��lh tTisl/multi- family:
CONTRACTOR vat uo Of AK $ � — Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
r :SrA4,M. ` �� �%!��1�, � ����� e - Number of stories
�/ _' L 4 ilL�.4itl Type of construction
Phone:2 j ��� LavT y( Occupancy group(s): Existing:
CCB no.: _ ,
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCII !TEAT/DESIGNER licensed with the Oregon Construction Contractors Board under
CM :� : 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: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application -- $
Address: Arir Date received:
City: State: ZIP: Amount received $
Phone: Fax: 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. All provisions of laws and ordinances governing this ❑ Visa 0 MasterCard
work will be complied wt wheth r pecified herein or not Credit card number: / /
Expires
Authorized SI�"ature: Date: S 2 2 Name of cardholder as shown on credit card
Print name: I< lC4 t i') SC- i R- $ •
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (rwvaCOM)
ir a 1.
Commercial Plan Submittal
.. Requirement Matrix •
City of Tigard
TYPE OF SUBMITTAL .# of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site` Work
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
•
Fire Protection System - 3 **
Mechanical 2
Plumbing - Building Fixtures 2
•
Electrical 2
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 sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue). -
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\dsts \forms \COM- matrix.doc 9/24/01
f
•
Accessibility:
.II Barrier Removal Improvement Plan
City of Tigard
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. [ $ ¢ 7g
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 116 3 75
In 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:
2G7 Cod
(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 $ ,
i:\dsts\forms\Accessibility.doc 09/24/01
CITY OF TIGARD 24 -Hour
BUILDING 1 Inspection Line: (503) 639 -4175
MST
INSPECTION DIVISION Business Line: (503) 639 -4171 ti !6
BUP /X
Received '- Date Requested AM PM BUP
Location � d cP ft %/ Suite MEC
Contact Person d d i" Ph ( ) ;7?-- 0 s PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: c lum SIT
Post & Beam
� Q s ��,�
Shear Anchors
Ext Sheath/Shear
Int Sheet Shear
ram
Insulati -2:.;1. 7 c-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling r ri
Roof m /IV 6' S /2L 0 X. Gd
Other:
Final /95 qt / i2 -aJ
PASS GI FAIL +
PLUMB
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Other: 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
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL •
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line ADA
Date / �/(-) — tns ector Ext
Approach/Sidewalk llllll p
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP a — //e6'
Received . • - Date Request 7 /LI AM PM B!!
c �
Location f / 4 J Suite MEC
Contact Person Ph ( ) n - <5 S:3 PLM
C. Ph( ) SWR
UILDING Tenant/Owner
Foundation ELC
Ftg Drain
Access: I ELR
Crawl Drain
Slab Inspection Notes: / SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm 4
Susp'd Ceiling
Roof
Other:
ina
PASS ART FAIL
F�[tfMg1
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final Cq 5
(A -f c L.
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line f(t-10 ADA
Approach/Sidewalk Date 7 w Inspector C7A/N Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
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200E6 .:--e.. A - /,
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CITY OF TIGARD I
• ••• •• •• ._ ••,
Approved • • • • • • •
Conditionally Approved ( f. I •
For only the work as described in: /. ,
PERMIT NO. Ono �Z-- o ° I (pte /..../
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See Letter to: Follow ( 1 /"
Attach --rr .( ). /"
Job Ad4 /Go �w c 1� , G /' ,
BY: -,V_ -,,—.___---________ EIPte: ._.42::13
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/" LINE OF EXISTING PAVING /
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GRAVEL TO REMAIN I
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EXISTING GATE _,\\
I
•
II 1
FACE OF BLDG. NATURAL FURNITURE LEASE SPACE
ASSUMED PROPERTY LINE NEW TENNANT CURRENTLY UNDER LEASE
MAIN LEVEL 2290 SF 942 SF
SLOPE FOR DRAINAGE 2% 3 STD STALLS @ 9' EA 5 COMPACTS @ TEA
TOP OF PAVEMT TO ALIGN II , e _ 6" 15 6" = 2T-0" = 35' 4
W/ TOP OF EXIST , If
■
SIDEWALK I ilk -- --
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III` 1
EXTEND NEW PAVING TO
I + O
EXIST. BLDG. PROVIDE `' + • - ` ACCESSIBLE PARKING SIGN - -
MAX J4" LIP BELOW EXIST t +
SIDEWALK SLOPE NEW + % /J
PAVING AWAY FROM ' + +
EXISTING SIDEWALK + +
\ + + +
EXISTING OFFSITE PAVING SL PE
SLOPING TO NEW PAVING + +C +
MPACT- ..OMPACT )0MPAC1 COMPACCOM
T. .P., -.40' EXIST I
W a ° $ EXIST
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SLOPE N AC PAVEMT b -
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FROM : L HC STALL /
I 9' ACCESS. 8. T GRADE /''
STALL ASILE /
1 / , / ,',, 1ST
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STANDARD STALL • / -/- SITE PLAN
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/ 1/16" = 1'0"
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