Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00079
1` DEVELOPMENT SERVICES DATE ISSUED: 03/13/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S10166 -00400
SITE ADDRESS: 11842 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 19,765.00
Remarks: Commercial Re -roof Class "B"
Owner: Contractor:
STANDARD APPLIANCE THE KINGS ROOFING CO
5240 SE 82ND 10319 NE MARX ST
PORTLAND, OR 97266 PORTLAND, OR 97220
Phone: 503 - 777 -3377 Phone: 503 - 257 -7575 ORIGINAL
Reg #: LAC 50620
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT KJP 03/13/200C $216.50 0000628 Misc. Inspection
Final Inspection
PLCK KJP 03/13/200C $140.73 0000628
5PCT KJP 03/13/2000 $17.32 0000628
Total $374.55
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: / ( ,
r
Issued By: / .12.12_,C- ��
6
all 39 -4175 by 7 p.m. for an inspection the next business day
OF TIGARD Commercial Building Permit Application Plan Check#
125 SW HALL BLVD. Tenant Improvement Recd By
TIGARD, OR 97223 Date Recd
Date to P.E.
(503) 639 -4171 rq
) !�
Date to DST ;3/ 1 fUD �
Print or Type Permit # '' a�,�a.- Ooo7 9
Related Ugly
Incomplete or illegible applications will not be accepted Called
Na a of Development/Project Existing Building N New Building ❑
Job i
Address Street Address Suite Bu
1gy S.60. Piti e,f6Y to Data
Bldg # City/State Zip ! /` Existing Use of Building or Property:
Name 1 i �� U Q*i Cdzo ' ebairt r I
Property rty d10� � A • Proposed Use of Building or Property:
Owner Mailing �
` Address Suite C j
2 40 s •0• g 2114Q No. Of Stories: 1
City /State Zip Phone
POYYatJ C I 1 2444 0 1- n -33 -il Sq. Ft. Of Project:
5
Occupant Name 1
Q,, 0 14 4 � Occupancy Class(es)
Name /" �'�'
Contractor 4-48..L. RAI 5 C e. Type(s) of Construction
Prior to permit Mailing Address !Suite
issuance, a copy 11 rnA Will this project have a Fire Suppression System?
of all licenses t ��JI �� Y YlllJlx Yes ❑ No ❑
are required if City/State Zip Phone
expired in C.O.T. ? 1 /� � 1yW 251 -1575 Americans with Disabilities Act (ADA)
T O'�YIRn -� Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
50 G92-0 1 -(Vet Project $
Name Valuation 1111 lQ S . °
Architect N1SNAL Plans Required: See Matrix for number of sets to submit
Mailing Address Suite 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
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
6 yLe_ Sign ture of Owner/Agent /�� /J Date
Mailing Address Suite 4.`��,r t 444 CS '3 --/3 -bo
Contact erson Name Phone
City/State Zip Phone !a Kt_ 25 S ? s'
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
Repair 0 Other, Notes: .
` D De e ' scriptionn of work: Q �,,,, �/� Q
7'�JJ/1 rr 1-(�t/1 fi/f 'GW'wi /(/ f. S [/ TI F:
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Revew is dependent upon submtttal of BOTH plans AND a COMPLETED
appIicaton For an IectricaJ -.014444,tioppg90§991m§ppoo§!0144111:11:1111.11
After plan revew approval, Plans Examfner wdl contact the applicant to request
addthonal plan sets for fittotjakiiyFp9§ggiqgiAfgRpggAr4op:ggygpgip!
........................,.........................................................................................
........................
........................
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
M}3
NOTES:
I:\dstsforms\matrxcom.doc 10/30/98
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: C.D/71 —/Za 4t, ��Ov>C -Li " & a
CLASS OF WORK: (0'1'2 FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF USE: FIRST SQ. FT. N: S: E: W:
C:zm
TYPE OF
CONSTR: ' U SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: IN\ THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
( COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ '21"- Permit Fee
Masonry Framing $ 1 VV3 Plan Review
Insulation Shear Wall $ (1 Z 8% State Surcharge
Firewall Gyp Board $ ^th). FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
iscell neo Fin $ MIS Fee
(A 1 _LAs , 4 - o 01 R44,4 efuoe - v Cow
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)
1: \ovrcntr2.doc (DST) 9/99
03/31/2000 Activities for Case #: BUP2000 -00079
3:47:41 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received • 03/13/2000 KJP RECD No Hold KJP 03/13/2000
BUPC008 Permit created 03/13/2000 KJP DONE No Hold KJP 03/13/2000
BUPC792 Misc. Inspection No Hold KJP 03/13/2000 (a) Pre - inspection after tear off
BUPC792 Misc. Inspection No Hold KJP 03/13/2000 (b) Fleshings priot to cover.
BUPC799 Final Inspection 03/24/2000 RB PASS No Hold . AKJ 03/26/2000 complete the balance as per
spec. of the application and
install drip edge flashing as per
plans ,
BUPC100 (F) Issue permit 03/13/2000 KJP DONE No Hold KJP 03/13/2000
BUPC100 (F) Issue permit 03/13/2000 KJP DONE No Hold KJP 03/13/2000
BUPC798 Misc. Inspection • 03/21/2000 RB PART No Hold AKJ 03/21/2000 roof insp:
insul board and deck ok
partial installation protect open
•
roof as needed
BUPC798 Misc. Inspection 03/23/2000 RB PART No Hold AKJ 03/23/2000 roofing insp:
north end 24' to 1/2 length
dryrotting noted, contractor
replacing 3 board width along
frontal edge
insul board OK decking ok
except noted above
partial installation
protect open roof as needed
BUPA950 Case Fineled 03/26/2000 AKJ DONE No Hold AKJ 03/26/2000
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CITY OF TIGARD BUILDING INSPECTION DIVISION Ms
24 -Hour Inspection Line: 639 -4175 Business Line: 6 9-4171
BUP LxX
Date Requested _ AM PM BLD
Location I l Ot4 p4L i Suite MEC
Contact Person ne Ph 107-'722(6 PLM
Contractor Ph SWR
UILDIN92 Tenant/Owner ' V 'S 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 �� ,Q—
Framing tip ) 2-- +'LC"J` 7�J
Insulation f- -' i/-- t•)/c,---tA,LA
Drywall Nailing
Firewall
Fire Sprinkler t �� a--
Fire Alarm }� "� / ( %.....—E___ __
S . .'d Ceiling l�
'o.
Misc: (, �
4 PART FAIL .,4 / 6 T V2--- b e4
iiikp ' d BING ge-7°11L �
Post & Beam
Under Slab / Top Out / h
Water Service
Sanitary Sewer A � . ,�(.� p
Rain Drains V �Q v ` � CJ�/. s
Final
PASS PART FAIL _ ih L , - - t " , _ , ,
MECHANICAL - � '�
Post & Beam `X am
Rough In ad-0 T ,c-A--- ,
Gas Line
Smoke Dampers I % Cif L.
Final -
PASS PART FAIL , ,
ELECTRICAL Cn l � \ 6--, Cd
Service
Rough b � _
UG/Slab % u�/� % b 11 4/ ' ? �_ 416 L .
Low Voltage � ,�1
Fire Alarm L.M.- C .�
tA l,A.- ` t P iC \ . l�-S �4`
Final I - b
PASS PART FAIL A � •-i"S _
SITE
eriS-C Backfill /Grading )---z`3•(
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required b next insp ection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA - 3) i.f /
Approach /Sidewalk 1
Other Date U Inspector N(ZA Ext 71
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.