Permit A CITY OF TIGARD
�� DEVELOPMENT SERVICES BUILDING PERMIT
�� PERMIT # • BUP96 -0463
� : : 13125 SW Hall Blvd., Tigard, OR 97223 503) 639 -4171 DATE ISSUED: 10 / 11 / 96
PARCEL: 2S102BD -00100
SITE ADDRESS...: 12645 SW PACIFIC HWY
SUBDIVISION • NO.TIGARDVILLE ADDITION AMEND. ZONING:R -12
BLOCK • LOT •52
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:NEW FIRST • 1770 sf N: S: E: W:
TYPE OF USE...:ED SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:SN .... 0 sf N: S: E: W:
OCCUPANCY GRP. :E1 TOTAL : 1770 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 88 BASEMENT.: 0 sf AREA SEP. RATED:
STOR. : 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REC!D SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 33100
Remarks: Set up modular bldg on site including ramps and stairs.
Owner: -- FEES
ST ANTHONY'S SCHOOL type amount by date recpt
12645 SW PACIFIC HWY TIF $ 1730.00 JDA 08/29/96 96- 283426
PRMT $ 211.00 JMH 10/11/96 96- 285079
TIGARD OR 97223 PLCK $ 137.15 JMH 10/11/96 96- 285079
Phone #: 639 -4979 FIRE $ 84.40 JMH 10/11/96 96- 285079
5PCT $ 10.55 JMH 10/11/96 96- 285079
Contractor: EROS $ 26.00 JMH 10/11/96 96- 285079
ORION CUSTOM HOMES ERPC $ 8.45 JMH 10/11/96 96- 285079
8255 SW HUNZIKER RD, SUITE 205 ERPC $ 8.45 JMH 10/11/96 96- 285079
CDC $ 100.00 JMH 10/11/96 96- 285079
TIGARD OR 97223
Phone #: 598 -8912 $ 2316.00 TOTAL
Reg #..: 55445
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Post /Beam Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for mare
than 180 days.
Permittee SignatureI --441 4wA 4-PA—GC/Lt./
Issued By: �i / 4 h,tytkitt,
Call for inspection — 639 -4175
CAA 'I Iii
Commercial Building Permit Application
City of_Tigard Det 5 /
Tigard, 13125 SW Hall Blvd. OR 97223 �0; PI X. Pi"' : /6 °° x X77 „�� - / /A
(503) 639 -4171 / t I l
�vt , 1
Jobsite Address: / ? (G o S-66/ • Art'
/ Office Use On.; >` ..?:>; <.: ;:.:� • � :.:::';; <;;,
Tenant:., fT-fh(/ 00/ Suite #
t
Valuation: 2 i g SU v 1- \ 07 d; 6 ar
. Peimit.# � '' " � T
Owner: J. /4lfho k) ,6:/10Py
Map &:TL #
Address:
( / + T � / / A • • rov . Is - e. aired . :
- gi D,e 9701.33 . fa
, Planni g.. (� : 6 . ,,� i : 15 : tae,
Phone: l 5 -'9979
Eng : :
Other:: ,; :� . ..:.: .
Contractor:
ONION CUSTOM HOMES, INC:
Address: 8255 S.W. iiinizumaRD,
TIGARD, OABOON 97223 VA/
598.8912 Type of const:
Occupancy class:
Phone: Me i c vG
Sprinklered? Yes No
Contractor's License # 6 $5 � 4tc - e� Y f �J (y,� ° '
�;
(attach copy of current O lic nse) Sq. ft. of project: / � ( / )
Contact name & phone: \ /b/i€Y /17,0677-/ 498 - 99/2 Story (1st, 2nd, etc.) /1
6 i� u Proposed use: 5-041.5,404/// 5-041.5,404/// Architect/Engineer:
� s , /� Previous use: /VO,t/E . i OE/i))
Address: /A A1e5
Note: Plumbing & mechanical plans
/Lll Al must be submitted at time of
zSS - 42 t 9g - ..C.22_ building permit application.
Phone:
Jug DESCRIPTION: c5'gr Of Mozste 44 L.!) 04/ S/1"
/ti c C Cid //t1G /(9 AcILS _5T�i2$
41 ,/
• •plicant Signature & Phone number 1
j I ^ 1/
Y '
Received by: '� Date Received: r✓ ”
Permit # Account Description Amount Amt. Pd. Bal. Dine
Bldg. Permit (BUILD) 2) / / $ - LI \, OD ,.
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) /z--7-7-3_, ∎� "r \O,
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) /32 e;-'C)-3 ) (Z.
Bldg:
Plumb:
Mech:
LAO bus
/0"° ° --0— WO, ay
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) „
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT) 300D 3CL –or
Commercial TIF (TIF -C)
t'/ Industrial TIF (TIF -I)
/ Institutional TIF (TIF -IS) _y oD �{ °° `
(/' ( Office TIF (TIF -0)
V Water Quality (WQUAL)
Water Quantity (WQUANT) "G{
Fire Life Safety (FLS) y �� / 5 J ,�/ ! Pb b
Erosion Cntrl Permit (ERPRMT) ,ZG 2Lo 00
Erosion Planck/USA (ERPLAN) 8 (7 L( J .
Erosion Planck/COT (EROSN) q .(-(
fl ,14 .
TOTALS: .Z5I b . i , / '3 25 L1S , c41
. I
05/15/2000 Activities for Case #: BUP96 -00463
2:53:02 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 07/29/1996 JSD PASS BON 09/25/1996
BUPC008 Permit created 08/08/1996 08/08/1996 JSD PASS JD 08/08/1996
BUPC010 Check for prd. restrict. 08/08/1996 08/08/1996 JSD PASS JD 08/08/1996
BUPC015 Plans routed to Plans Examiner 08/08/1996 08/08/1996 JSD PASS JD 08/08/1996
BUPC802 Final Inspection 08/30/1996 JT 02/17/1999 2/17/99 inspection request
(research) sent to Hap
BUPC792 Misc. Inspection 08/30/1996 JHF 08/30/1996
BUPC740 Framing Insp 08/30/1996 JHF 08/30/1996 •
BUPC710 Post/Beam Insp 08/30/1996 08/31/1998 GS FAIL GES 08/31/1998 not ready
BUPC018 Plan Review Ltr. to Ofc. Svcs. 08/30/1996 08/30/1996 JHF JHF 08/30/1996
BUPCO20 Revised Plans Received 08/30/1996 09/16/1996 JHF JHF 09/23/1996
BUPCO24 Plans Approved /Routed to DSTs 08/30/1996 09/23/1996 JHF APPR JHF 09/23/1996
BUPCO29 DST Post Review Completed 09/25/1996 B PASS BON 09/25/1996
BUPC091 Return to pending 10/07/1996 JMH DST 10/07/1996
BUPC090 (F) Ready to issue 10/10/1996 JMH PASS J *H 10/10/1996
BUPC100 (F) Issue permit 10/11/1996 JMH PAID J'H 10/11/1996
BUPA865 Request inspection research 04/25/2000 JMT DONE No Hold JMT 04/25/2000 SECOND REQUEST
BUPC802 Final Inspection 05/08/2000 RB PASS No Hold RB 05/08/2000 Case Final- OK.
BUP96 -00463 attached to
SIT96- 00044- (passed 7 -2 -98
(GS).
BUP97 -00422 (Handicap
Ramp)- (passed 8 -31 -98 (GS).
Only remaining issue
ELC98-00715, but the attached
permit ELC98-00509 passed
8 -31 -98 (CD). No other issues
noted on 4- 19-00. Once
approved- OK to Case Final.
(CD) Approved 4- 21 -00.
BUPA990 (F) Issue Cert. of Occupancy 05/08/2000 RB DONE No Hold JMT 05/15/2000
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION I
rte
24- Hour,Inspection Line: 639 -4175 Business Line: 639 -4171 ® 156- a°_5
•
• Date Requested S ' 00 AM PM BLD
Location 42. to �S JUG G� �C- / ■ Suite MEC
Contact Person U Ph PLM
Contractor Ph 0 SWR
BUIL ING Tenant/Owner 3 r"�/1 S / ELC
Retaining Wall ELR
Footing
Foundation NOT REQUESTED FPS
Ftg Drain
Crawl Drain
FOUND DURING RESEARCH SGN
Cr
Slab NO INSPECTION(S) FOUND IN FILE SIT — 000
Post & Beam
Ext Sheath /Shear
Int Framing th /Shear 5 � , � -� / 4 /■ ' /O d ��✓� Q S jQ ,•
Insulation '' ,, [ �' -
Drywall Nailing V LC — O ) I S — O —a (- ( (A4-4 k Ss &
Firewall _ C
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Q 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
PA PART FAIL
S
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 6 a Inspector " C/` Ext ,q
Othe
ma
P • - PART FAIL 0 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24- Hourjnspection Line: 639-41 5 Business Line: 639 -4171 Wp-doy6/
• Date Requested (Y AM PM
,L BLD
Location I �-L94 5 Pac1 Put)
Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
c.
UILDI■ Tenant/Owner . Adpi II A 5 J ai" / ELC
Retaining Wall r ELR
Footing
Foundation FPS
Ftg Drain NOT REQUESTED — SGN
Crawl Drain FOUND DURING RESEARCH
Slab NO INSPECTION(S) FOUND IN FILE SI �� OW 3
Post & Beam
Ext Sheath /Shear NLUOW,U(.: tat At
Int Sheath /Shear - U
Framing
Insulation .
f J VV. u O' :
Drywall Nailing !!�r '�'� � n,,,
Firewall ELC q p _09 f �' - s t r ei ` Ct .
Fire Sprinkler C• �--p G -60d 1 = 51 0 'n /o ,
Fire Alarm s] ► I 0 4 /Y r ` .,/
Susp'd Ceiling '�(fy ON-00i. 61
Roof
ASS ART FAIL g e I - 0 0 4 ts7 ii*1.0( c_S---c-S2_ - k . 1) < k 1 Lo - 000(fit
P MBING
Po & Slab
Top Out (� /�
- Water Service `5 I/ \� ¢ 22 ir�A ' ,,_ _ ° -
Sanitary Sewer '!
Rain Drains C?(Ce--e--ik 3 ,/ q • G S
Final
PASS PART FAIL
Pos & B a rr .y�/\ '[,�.t -- ` S �� - 00
Rough In \, 4/ r 6 ' 1 ..
Gas Line
Smoke Dampers n-C Cc- OOS- c/ S 6 �9 / \/ 15 G
Final �^' ` `
4
PASS PART FAIL
ELECTRICAL A c �
Service / �, ^ 1 V a O \5 S �a S �.1 ' �1
Rough In
UG/Slab V - " �rC (,C (� 1
` 0 / k ' Q v
Low Voltage C o f
Fire Alarm ` �'��- �
Final
c:si oAS. PART FAIL
TE
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 4/ `�7 /
Approach /Sidewalk Date '` \ / O Q Inspector v c .... Ext 19
Other
ma
PART FAIL DO NOT REMOVE this inspection record from the job site.
`