Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00119
;� DEVELOPMENT SERVICES DATE ISSUED: 4/22/99
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102CB -03101
SITE ADDRESS: 12950 SW PACIFIC HWY 3B
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT: 021 JURISDICTION: TIG
REISSUE: r , , r( , Z FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: v ` ` 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: U1 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:
Remarks: Installing awning sign
Owner: Contractor:
MARILYN HENDERSON BLAZE SIGN
11795 SW KATHERINE PO BOX 23910
TIGARD, OR 97224 7340 SW HAZELFERN
Phone: T rhone :N6i - 37281 -3910
Reg #: ELE 26380CLs
LIC 000643
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK BON 4/12/99 $25.03 99- 314178 Final Inspection
FIRE BON 4/12/99 $15.40 99- 314178
•
5PCT BON 4/12/99 $1.93 99- 314178 •
PRMT BON 4/12/99 $38.50 99- 314178
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.
Permitee
Signature: .... _ 0 , R 1 17 1-1 1"19-01...9
Issued By: l
Call 639 -4175 by 7 p.m. for an inspection the next business day
, o ff -- / - - „ , ? . , L
CITY OF TIGARD Commercial Building Permit Application Rec'd By a.
r Date Rec'd ff
' 13125 SW HALL BLVD. Tenant Improvement Date to P.E. - tt .j
' TIGARD , OR 97223 kw N I r S IGNi
Date to D � 30� '' ' '
' (503) 639 -4171 Permit* � ` r MI -CO 0 Print or Type 7 >/ ...--- Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project J Existing Building A' New Building ❑
Job Q , P
Address Street Addlress Su' v Building
0-95o S ?, i Data
Bldg # City/State Zi Existing Use of Building or Property:
Name
Pro a � � �/ P roposed Use of Building or Property:
Owner Mailing Address Suite
t
1-95 SA) l � 5 No. Of o i
City/State Zip Pone O
T o n c 4 , 6'39 -5S-5 7 Sq. Ft. Of Project:
Occupant N ^e Occupancy Class(es)
J
Name
Contractor � S Type(s) of Construction
Prior to permit Mailing A ss Suite
issuance, a copy Will this project have a Fire Suppression System?
of all licenses i d .y i l d Yes ❑ No 81
are required if City/State Zip Phone A mericans with Disabilities Act (ADA)
in C.O.T. //nn ( )
database �� g . q2. 43q3.24 Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility FFo A
6y 3, 5 g ,--7- ii-c) Project
$ }�
Name Valuation sgo , O-()
Architect Plans Required: See NYatrix 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.
Signature of Owner /Agent ,( `` Date
Mailing Address Suite A AA ` �� � 11)%
` - 9 9
Cont ct Person a rce Phone
City/State Zip Phone / 3 a
FOR OFFICE USE ONLY (�
Indicate type of work: New d/ Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other O Notes:
Description of work:
I .
C -,2 H TIF:
I �
/� 6P
Note: Site Work Permit Application must precede or accompany Building �+ A
fiZ 5 d 3
Permit Application
P672ii /7 .3 , .S 0 -
I:\COMNEWTI.DOC (DST) 5/98 7;-7' /' 9-3
p- Z-S' /5. yv
C ....
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
dijOliadi
b e
After plan revtew approval, Plans Examiner will contad the apphcant to request
additiiiiiiitolatvgetwfor.ii.4ottibatiorrp000secfgoowfilppomotmot
Washington County, Tualatin Valley Fire & Rescue)
•ii0tatAttOte
KEY:
$13brotttedg
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:
00:410 § 016 : 00 SAM00.00 1 410ANOINIIIMENgENIMPROMP: : : : : : $: :: E : :1$5 .
I:\dsts\forms\matrxcom.doc 10/30/98
6/29/99 Activities for Case #: BUP1999 -00119
12:37:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received - 4/1/99 DLH RECD No Hold BON 4/12/99
BUPC008 Permit created 4/12/99 BON DONE No Hold BON 4/12/99
BUPC012 Plans routed to Plans Examiner 4/12/99 BON DONE No Hold BON 4/12/99
BUPCO24 Plans Approved by CPE 4/20/99 RDP No Hold . RDP 4/20/99 •
BUPCO22 Plans Approved /Routed to DSTs 4/20/99 RDP No Hold RDP 4/20/99
BUPC740 Framing lnsp 4/20/99 4/20/99 No Hold RDP 4/20/99
BUPC802 Final. Inspection 4/20/99 4/20/99 5/12/99 TLP PASS No Hold AKJ 5/24/99 '
BUPC100 (F) Issue permit 4/22/99 GEO DONE No Hold GEO 4/22/99
BUPC960 Case Finaled 5/24/99 AKJ DONE No Hold AKJ 5/24/99
•
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP
Date cRequested 5 / 27"/ / AM ( Z ,/ PM Bap Ic(qq OO (( 9
Location /2- 2 /212 ' Suite: t A MEC I -�
Contact Person J1 , Ph S/9 -1 y2 y PLM
Contractor Ph SWR
ILDI G en Owner P"1 (fvk V) S ELC
Retaining Wall ELR
Footing Access:
Foundation I qg -- r tt 4-Pt' FPS
Ftg Drain 1 SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam ,���� /
Ext Sheath /Shear f� lea iCI—COP 9
Int Sheath /Shear •
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
a i i & PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
0 ,\\
PASS PART FAIL
ECH
Post & Beam
Rough In
Gas Line
Smoke Dampers
0 PART FAIL
TRICAL
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
Other Date � Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.