Permit CITY OF T I GA R D BUILDING PERMIT
D t PE RMIT #: B99 -00190
I & DEVELOPMENT SERVICES ` ISSUED:
I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12885 SW PACIFIC HY PARCEL: 2S1026D -02000
W
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C -G
BLOCK: LOT: 038 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 35 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: S3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 8 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:N
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE:
Remarks: Replace fuel piping & add kiosk building - The underground piping associated with this permit shall be approved by
the Fire Marshall
Owner: Contractor:
WSCO MONTGOMERY DEVELOPMENT CO
2929 SW 29TH PO BOX 1315
PORTLAND, OR 97201 BORING, OR 97009 -4847
Phone: Phone: 668 -4847
Reg #: LIC 00046838
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PLCK BON 5/12/99 $52.33 99- 315166 Foot/Found Insp
Misc. Inspection
FIRE BON 5/12/99 $32.20 99- 315166
PRMT DST 5/19/99 $80.50 99- 315529
5PCT DST 5/19/99 $4.02 99- 315529
Total $169.05
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 /� /77.----. 10
Signature: / ` 4�
Issued By: 4 2% c. , : _ , S
Call 639 -4175 by 7 p.m. for an inspection the next business day
pi-,r) C/C 5 X5
L'ITY OF TIGARD Commercial Building Permit Application Recd By Q.-
Date Rec'd 5 -6 -rY g
13125 SW HALL BLVD. New Construction and Additions Date to P.E. '�
TIGARD, OR 97223
503 6394171 Date to DST f r''.- -t3
� � Permit # ,.�[, 1 �e- j
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called " ) 7 - ' 1
Name of Development/Project
Job S_0
Existing Building ❑ New Building (i^
Address Street Address s g) Suite
12' S S PALI ?IL [ M' Building
Bldg # City /State Zip Data
it & n OR Existing Use of Building or Property:
Name
Property 5/f, k 9- s K 3 0 of it
Owner - Mailing Address Suite Proposed Use of Building or Property:
Z' 51.1 Z FyEC/N6 FA CiGITY
City /State Zip Phone No. Of Stories:
Occupant Name Sq. Ft. Of Project:
kJ SLD 3 � el
Name 0 (0------ l em i'Nv631l1( PA ..b7 Occupancy Class(es)
Contractor — S
ilk, Qo .. ear •. -��,�, OZ�7 3
Prior to permit Mailing Address - Suite yp ( )
T e s of Construction
issuance, a copy
of all licenses
are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. Yes ❑ No &
database
Oregon Const. Cont. Board Lic.# Exp. Date ( Americans with Disabilities Act (ADA)
1- 1 LOCtM / ' i . 1 q „ - = Valuation X 25% _ $ Participation
Complete Accessibility orm
Name r Project $ ,- �_
Architect �� 6r9 Valuation
Mailing Address Suite ��� =�� '
4 1Z 15w' 9 4✓L / 1 / Z Plans Required: See Matrix for number of sets to submit
City/Stale • Zip Phone on back
?4 t J DR ' zN4 air -ZG k .
Engineer N
En i me
9 I hereby acknowledge that I have read this application, that the information
Si ivri AS ..e4- HIPci given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
Signatu f Ow r/ a Date
City /State Zip Phone ( S -
Cont ct erson a Phone
Indicate type of work: New 0 Addition tle Demolition f �� S 9►✓ W k G s
Accessory Structure 0 Foundation Only 0 Alteration
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work:
QQ /J J MaplrL# Land Use:
• Zt,l''1 L 4v‘.(
t $ r aCf'C.(
Parks: Estimated # of Employees TIF: "7011,-- � 74 , p
If the above figure Is not supplied at the time of application, the city will � r��}5
calculate the fee based upon the number of parking spaces.
Otiec .v Note: Site Work Permit Application must precede or accompany Building
a 3 3
Permit Application PL 5 3 , P 0
I: \COMNEW.DOC (DST) 5/98 I
A _
, .
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
figAgiBmopytill§:gppg.n5.!ggtigro.mgoinittatioue:oTtivititigi:AND:itecompturED::::::i
Oion§Wrg 41 p
Mg5eAtiMmity10001;
gdgoiggfit plgqi§ggiforimoittai:ot
woogigg#1000401#1.10.10.0totlailliiizoimpopppoltioloppli
Total #
TYPE OF SUBMITTAL Pans .......................................
................... ........
KEY:
Subimtted
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
•
8/16/99 Activities for Case #: BUP1999 -00190
8:40:41 PM
•
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 5/6/99 • GEO RECD No Hold BON 5/13/99
• BUPC008 Permit created 5/13/99 BON DONE No Hold . BON 5/13/99 •
BUPC010 Check for prd. restrict. 5/13/99 BON DONE No Hold BON 5/13/99 No minor modification required
per Mark Roberts 5/6/99.
BUPC012 Plans routed to Plans Examiner 5/13/99 BON DONE No Hold BON 5/13/99
BUPCO24 Plans Approved by CPE 5/13/99 RDP No Hold RDP 5/13/99
BUPCO22 Plans Approved /Routed to DSTs 5/13/99 • RDP No Hold . RDP 5/13/99 .
BUPC530 Electrical Permit Required 5/13/99 5/13/99 No Hold RDP 5/13/99
BUPC705 Foot/Found Insp 5/13/99 5/13/99 8/12/99 - RB PASS No Hold AKJ 8/12/99 footing and slab insp were not
completed, as per review the
work done appears to be in
• code compliance except that of
•
electrical conduit, which needed
to be protected and inspection
being not of record
BUPC792 Misc. Inspection 5/13/99 5/13/99 NOTE No Hold RDP 5/13/99 This is a prefab structure to
placed on the footing /slab
BUPC799 Final Inspection 8/12/99 RB PASS No Hold AKJ 8/12/99 see foot/found notes
BUPCO29 DST Post Review Completed . 5/17/99 BON DONE No Hold BON 5/17/99
BUPC090 (F) Ready to issue 5/17/99 BON DONE No Hold BON 5/18/99
BUPC100 (F) Issue permit 5/19/99 GEO PASS No Hold , DST 5/19/99
• BUPC960 Case Finaled 8/12/99 AKJ DONE No Hold AKJ. 8/12/99 .
•
•
•
Page 1 of ,1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 — I 9499-00 I ?O
p
Date Requested //�� 'i 2. – ! / AM PM BLD
Location 1 1 C/, S P4 L 14 G01. Suite MEC
Contact Person r-1 Ph Z.57 / PLM
Contractor Ph SWR 1
UILD N � _ � ' Owner f S 7 ELC
- •'•'.• Wall ELR
, noting Access:
- - •ation FPS
I Ftg Drain SGN
- Drain Inspection Notes: ' QY � c eii ,.._.,. u SIT
& Beam g ,
Ext Sheath /Shear O
Int Sheath /Shear
Framing
Insulation ��1� 7�. S n n ' rv∎ c
Drywall Nailing •6 � � t/1,/� �R�V'
Firewall p
Fire Sprinkler -r� AS
Fire Alarm l # ' 'L) K „ M` P �
Susp'd Ceiling .( \ 0 ".__Q__
, _ ‘...",-, c_41—r.9--__e„
Roof PART FAIL . C..._- Lam' Q C
I" BING c, b• t , - 4 J • t , 9 �.
Post & Beam
Under Slab — C. V\ r1 ��_
Top Out • I Y
Water Service p_a, �` 1 _ ' Al _ _ _. .A.■
Sanitary Sewer ,
Rain Drains -_...Q_ - L •
Final C
PASS PART FAIL V
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL 3\1/
Service
Rough In
UG /Slab
Low Voltage
ae
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 °1\111 G
Approach /Sidewalk Date v I Inspector \i� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.