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Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2000 -00293 4 DEVELOPMENT SERVICES DATE ISSUED: 7/25/00 „ � I 13125 SW Hall Blvd.. T igard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11705 SW PACIFIC! HWY D PARCEL: 1S136CD -00100 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: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 8 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: $ 10,000.00 Remarks: Tenant Improvement Owner: Contractor: PACIFIC CROSSROADS PROPERTIES, MARKET CONTRACTORS LTD BY WYSE INVESTMENT SERVICES CO 10250 NE MARX ST 200 SW MARKET ST STE 345 PORTLAND, OR 97220 P - mo n e A,ND, OR 97201 Phone: 255 -0977 Reg #: uC 0062833 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT BLD 7/25/00 $124.00 0003967 Electrical Permit Required Plumbing Permit Required 5PCT BLD 7/25/00 $9.92 0003967 Framing Insp PLCK BLD 7/25/00 $80.60 0003967 Gyp Board Insp FIRE BLD 7/25/00 $49.60 0003967 Susp Ceilng Insp Final Inspection Total $264.12 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 •,`, = Signat ∎7� V , , Issue • By: ��1•I_ / , ; /� C`• •39 -4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD, Commercial Building Permit Application i----� P lan Check # 9q 0 7 Recd By ` ,�/ilt"1 i I3125 W HALL BLVD. Tenant Improvement Date Recd 7 -a-DO TIGARD, OR 97223 �� Date lo P.E. t/fr { 503.) f394'71 n Dat to DST Print or Type Permit # rte' . o 0 v9 Related SWR # Incomplete or illegible applications will not be accepted Called ' Name of Development/Project Existing Building ❑ New Building ❑ Job ED LI.2Q, �a &k5 Address Street Address 1 Suite Building i r'ICS 5'C") y ,E) Data Bldg # City /State Zip Existing Use of Building or Property: Name P C . C t2(A.Ps Proposed Use of Building or Property: Property A I . Owner Mailing Address Suite S- / -Ip t-iy' No. Of Stories: City /St to Zip Phone - I 21`i Sq. Ft. Of Project: �� 5� Occupant Name � btpeNIAD ��� Occupancy Class(es) . �S Name Contractor NI AR T Type(s) of Construction _ t Prior to permit Mailing Address suite • issuance„ a copy Will this project have a Fire Suppression System? of all licenses l dZO Yes ❑ NO are required if City/State Zip Phone Americans with Disabilities Act (ADA) expired in C.O.T. ; � 64.44 p c77Z2© ZSS -�T Valuat X 25% _ $ Participation Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form . (.ZS 33 f 2- I3 ^0' Project $ /� v ` Name •"' Valuation 1 � , Architect P lans Required: See Matrix for number of sets to submit - Mailing Address - Suite on back r�� N City /State Zip Ton is I hereby acknowledge that I.have read this application, that the information Cr 1,40R, H.O. 013 I (4 Z _ 5 given, is correct, that I am the owner or authorized agent of the owner, and 4n that plans submitted are in with Oregon State Laws. Engineer Name . Signature of O 21lllL1_ e gent Date Mailing Address Suite 7— ' I ? - c 0 'Contact Person Naahe !, Phone City /State Zip Phone y 570'1& ' '.[ - rJ Z 'r . t `� FOR OFFICE USE ONLY _ Indicate type of work: New Addition 0 Demolition 0 Map/Tl_# a. "'" `;`` - Land Use - Accessory Structure 0 Foundation Only 0 Alteration 0 . i • Repair 0 Other O Notes ' Description of work: • i Note: Site Work. Permit Application must precede or accompany Building a� �0 Permit Application • bitPPL1) , I: \COMNEWTI.DOC (DST) 5/98 ( L ' - - ) f _. - _ , • COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX br0.tttal >::ot: :BP I- l:> gart$ ; :;.;::.....:: _.: ::::::::::::::.::::::«:.: an <Revtew;ts ::ale :.e .: rr.; u .::.:..:.:.::::::::::.:::::::::::::.:::::::.:.::::::::::::::::::::::::.:::.:::::::::::::::: :::::. ::::::::: :::.:::::::...,: : :i .. :ain :t > : <:::: :::::::> : :::: >: ;: eotr�cat.: f:�brn itt�1::<fh:..e.;�.. 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'Sh a d : e > - ;:iii ..ta $i < 1 4 . 64 t :>._:.; : a : > ?«<z;:.::_it y ' ; :::: i .:- :...' -'.. ..... .... .. ..E� . . .. f r .• >[ zaS <: >> ? :E • . t+ � is t�o1> >:: >::. S haded: a �e u �! :.> >: �;:. I: fists \forms\matrxcom.doc 10/30/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 .. Business Line: 639 -4171 BUP -_ £-d/ • ci -* Date Requested f �/ AM PM BLD .� Location 1/ 10 .'> 94 c k i p G /� '� Suite 0 MEC AMIN -5 / 7 \ ��1� Contact Person T,o ..� P h � (/ �3 PLM Contractor Ph SWR . BOIL'IN Tenant/Owner 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 Insulation Drywall Nailing Firewall �/ Fire Sprinkler / d � i R , Fire Alarm Susp'd Ceiling /t!C) - / t (/�- e � . Roof Misc: PART FAIL 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 [ ] 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 8 //! /bV Inspector TO / 1 Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site ' - - CITY OF TIGARD BUILDING INSPECTION DIVISION MS 24 -Hour Inspection Line: 639 -4175 , Business Line: 639 -4171 /, B UP ®2der 061a9, e/ ® o29) Date Requested 7 - AM✓ /- PM BLD .. , . Location 1/ 705 S( t C i v hi y Suite , F MEC Contact Person / Ph 377 - 2/ T PLM Contractor Ph ,,,, \\ SWR BU ' `' ° °. , , Tenant/Owner E """' - 3 $ ELC Retaining Wall ELR Footing Access: - - d-fnn1\n — &I o r}CC2S� Foundation rs FPS Ftg Drain rL 2— , Lo .c- l( •6r/ k Ti 1v. SGN • Crawl Drain Inspection . - -: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ii / I - _ ( 6 a (j R Z ) V ,�� S _ () C s-amingi) ulation � l Drywall Nailing : d - \ o t CQ �a. C- Firewall Fire Sprinkler Fire Alarm �� c f & t - - cc,„,..2_ Susp'd Ceiling Roof `�' l M isc: F Final .4� — ^ PASS'` -• "•1►T � 1 PLUMBI!' Post & Beam � ` �� Under Slab 6 \ C_i %v"`—r CA/■Q _,— < ' _ Top Out Water Service . Sanitary Sewer C � � 4) Rain Drains —AA/0 ,� Q ,�_. s�./.."...:J% � � ) ./.."...:J% Q Final / w -• i � C-4" PASS PART FAIL f� lA • C:5 MECHANICAL L Post &Beam � �`� --e �� 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 Su 1 Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access PRY ADA Approach /Sidewalk Date — 7 6 0 - Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �-' �"►'' CITY OF TIGARD BUILDING INSPECTION DIVISION ( ST 24- HouInspection Line: 639 -4175, Business Line: 639 -4171 UP + �p� 1 lJ c� 4 Date Requested 7 2--g o `�'. A- AM PM BLD Location 61 7dS s 4 ok.l� - C \�(A./ Suite MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN • Crawl Drain Inspection Notes: we—Le . Slab , `�i/ SIT Post & Beam L Isi _ k S Ext Sheath /Shear T �l� _ Int_Sheath/Shear to \ - Framin � y � nsufation Drywall Nailing Firewall \ 1 2 r Fire Sprinkler 1� fy-► ✓V�� Ji Fire Alarm Susp'd Ceiling Roof Misc: Fi PART FAIL PL MBING 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 / b Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site f"*: CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175, . • Business Line: 639 -4171 � S Date Requested ,— 24 AM PM BLD ,_,2_6(012 (262 i Location // 0 ( S'G✓ �� (t ,fir u /� Suite 1 MEC Contact Person / 5 L / Ph '/ 736 7 PLM Contractor q �� Ph SWR • Tenant/Owner eLW -u� c r3v\Q -c ELC efaining Wall ELR Footing Access: Foundation FPS Ftg Drain . SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear � // (n� gamin E Zob®- 00 4-vz 4 t. f. Wv GLc.� Insulation n� Drywall Nailing — 0 ' Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof \, ss v �s r c . Cr ( �c/l � Misc: i Final . P I PASS PART AIL PLUMBING Post & Beam Under Slab i� \\� C — 0 Top Out �1 Water Service—— ✓"�,�/�� Sanitary Sewer Rain Drains Final l ] „? P ASS PART FAIL .J�' 3 l MECHANICAL Post & Beam Rough In c - A 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 0---h Approach /Sidewalk Other D �' 2 O Inspector Ext3 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •e` • ' CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171 MS d o Date Requested 7'';3 / AMM BLD Location </ 7 U C 5 G,/ ,PG C S uite_ --P-- MEC Contact Person Ph 5/V - 7.3 6 7 PLM Contra 4, t p� Ph SWR ILDING _ . _ .. Tenant/Owner ^- fr j) r; ELC Retaining Wall ELR Footing Access: Foundation j� L FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insul • Drywall Nailing irewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fina PART FAIL • ' MBING 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 2 �c / / Approach /Sidewalk Date J \ u Inspector `' (� Ex Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.