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Permit PERMIT #: BUP2000 -00185 1 , 1 � k DEVELOPMENT SERVICES DATE ISSUED: 0 _` 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 . SITE ADDRESS: 13066 SW PACIFIC HWY PARCEL: 2S102C6 -02600 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G BLOCK: LOT: 020 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: S2 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 3 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: J SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 500.00 Remarks: Tenant improvement, to establish storage room in lower level. • Owner: Contractor: CAPONE, ANTHONY M LAKERIDGE DEVELOPMENT INC 13056 SW PACIFIC HWY PO BOX 1026 TIGARD, OR 97223 LAKE OSWEGO, OR 97034 Phone:. Phone: 503 - 675 -1600 Reg #: LIC 135437 • FEES REQUIRED INSPECTIONS Type By Date Amount Receipt . Framing Insp PRMT GEO 05/22/200C $50.00 0002359 Gyp Board Insp Final Inspection 5PCT GEO 05/22/200C $4.00 0002359 PLCK GEO 05/22/200C $32.50 0002359 FIRE GEO 05/22/200C $20.00 0002359 (additional fees not listed here) . Total $156.50 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. S Signature: ®: /'. ignar 6 Issued By' /� %�,/,` Call 639 -4175 by 7 p.m. for an inspection the next business day eir :.ITY OF TIGARD Commercial Building Permit Application Plan Check# 13125 SW HALL BLVD. Tenant Improvement Rec'd By Date Rec'd TIGARD, OR 97223 Date to P.E. ;503) 09 -4171 --r Date to DST 67124 On (e Print or Type Permit# e00 "0 Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project Existing Building /New Building ❑ Job C6135/ve S R Sr Gr R,4NT Address Street Address Suite Building /306( , r4C• , .. Data RAsrA RAiN Bldg # City/State Zip Existing Use of Building or Property: &PAD, 0.4. l'7g 23 R sr ,e -T Name Proposed Use of Building or Property: Property Owner Mailing Address Suite 4,J» .$/iS.....,,s.fr-1' No. Of Stories: City/State Zip Phone /A/e► / Sq. Ft. Of r oject: Occupant • Name • Occupancy Class(es) ,.jt/9lN✓ Ti— /E.v7S Name RseRa TJ ?J4r Contractor L ¢ e R 1 . � , Z 1.4/4, Type(s) of Construction Prior to permit Mailing Address Suite issuance, a copy �w Will this project have a Fire Suppression S stem? of all licenses 2v. /02 6 Yes El No li are required if City/State Zip Phone expired in C.O.T. 97o3y Americans with Disabilities Act (ADA) ,\ _ database �ite vreo eR. 67S = /6ca, Valuation X 25% = $ Participation �J Oregon Const. Con Lic.# Exp. Date Complete Accessibility Form /35 - 4 ( 3 7 -VA 5/03 Project ..$ Name Valuation ,5OO - Architect .A7 Plans Required: See Matrix for number of sets to submit . Mailing Address Suite on back City/State Zip Phone 1 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 that plans submitted are in compliance with Oregon State Laws. Engineer Name A/4 ,'• nat = of of Owner/ ent Date Mailing Address Suite 1 / ; a !� y? - P -r�on . ame P ho City/State Zip Phone ` 62c / 6 00 A RM/ /5oi 4 FOR FICE USE ONLY Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use: Accessory Structure 0 Foundation Only 0 Alteration PI Repair 0 Other O Notes: • Description of work: TIF: ,4v) / ' .l.P rlrraa,� ?Z £, - vi • Note: Site Work Permit Application must precede or accompany Building Permit Application • I:\COMNEWTI.DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX d.an Review. is dependent u* submittal of BOTH plans AND aCOMPLETED... application For an electrical submittal, the application must contafrt the conducted. 1:11 After plan review appr�val, Plans Examiner wilIcontactthe apphcantto reqiist:. addtional plan sets for distribution purposes (Copy for Contractor City, .......... KEY: 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 . ...... .. . . ••••••••••••••• ••••• 3 •••••••••• NOTES: 1:\dsts\forrns Vnatrxcom.doc 10/30/98 . OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST • DESCRIPTION OF PROJECT: I • CLASS OF WORK: 6DC. FLOOR AREAS: EXTERIOR WALL CONSTRUCTION TYPE OF USE: FIRST SQ. FT. N: S: E: W: TYPE OF \ CONSTR: 13 SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: 5 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: I COMMERCIAL INSPECTION ACTIONS FEE MENU I Foot/Found Post/Beam $ 54 N Permit Fee Masonry Era ing $ Plan Review Insulation Shear Wall $ 4 119 8% State Surcharge Firewall yp Boar $ Z0 ° 6 FLS Plan Review Suspended Ceiling Sprinkler Rough -in $ ) - Ad ' - We Sprinkler Final Fire Alarm $ Add] FLS Pln Smoke Detector Approach /Sidewalk $ Inspection Miscellaneous 4110 $ MIS Fee 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) I: \ovrcntr2.doc (DST) 9/99 i < 4/k1T ..&45 4F i."7 P Z A 4/ _ = /3. ()CC • . / ./w;--. 7:7e: .2 L.). co /e r S T /-krR 5 - -- . FO - - ° -- - - - -. —. �_ - - -- - .. . - - f 2 " p s i �i it 0 I i ill � t i 4 y 1 CITY OF TIGARD -- - -• - ' _ [ 1 V , / 6 '� �Ypp roved �. :w R'u:aFl,(1?IA,N', -�,.."4a- =- .: i :: h'�j'_ >' a. Ye` '�� •� �= � = - - -•� Conditionally Approved [ ] For only the work as described in: J2' 6" - - ----- — A PERMIT NO. - -- - -- - See Letter to: Follow p [ j j I \ � Attach . l I ) 7'0 Job Address: /30... sub Pa .L , ' 1. I X� �� �-r Tc�u w �,� de . � _ _ , _ Nir r , \/ — 1 j,_________ 1 - v ..... ..... ............ -� I I 1 i I c tCpti10 - rip Tibeert6 oe tZnJ:Ai r 1 ■ I I 1 . 1 I ' ��KT ( ��'`� SIG�,.K , CXreRro2 ST /��i2 /NSF • , -r4 i -- _ I' i r .= ExxSrr,U(— khz1L4S - „ i /. _ >>x, 7 = /k/Eh/ k/ALL / JRr1. IJ /5 '�;U�� r4'....)-opAic.c Lc 7H S, ass 8/17/00 Activities for Case #: BUP2000 -00185 2:34:36 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC005 Application received 5/22/00 GEO RECD No Hold GEO 5/22/00 BUPC008 Permit created 5/22/00 GEO DONE No Hold GEO 5/22/00 BUPCO24 Plans checked /approved by PE 5/22/00 RP DONE No Hold GEO 5/22/00 BUPCO29 DST post - review completed 5/22/00 GEO DONE No Hold GEO 5/22/00 BUPC740 Framing Insp No Hold GEO 5/22/00 BUPC760 Gyp Board Insp No Hold GEO 5/22/00 BUPC799 Final Inspection No Hold GEO 5/22/00 BUPC100 (F) Issue permit 5/22/00 GEO DONE No Hold GEO 5/22/00 BUPA090 (F) Reprint Permit 8/11/00 ZZZ DONE No Hold ZZZ 8/11/00 • • • Page 1 of 1 CITY TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00185 l , DEVELOPMENT SERVICES DATE ISSUED: 5/22/00 . +L '.--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13066 SW PACIFIC HWY PARCEL: 2S102CB -02600 W SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G BLOCK: LOT: 020 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: 5: E: W: OCCUPANCY GRP: S2 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 3 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: $ 500.00 Remarks: Tenant improvement, to establish storage room in lower level. Owner: Contractor: CAPONE, ANTHONY M LAKERIDGE DEVELOPMENT INC 13056 SW PACIFIC HWY PO BOX 1026 TIGARD, OR 97223 LAKE OSWEGO, OR 97034 Phone: Phone: 503 -675 -1600 Reg #: LIC 135437 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing lnsp PRMT GEO 5/22/00 $50.00 0002359 Gyp Board Insp 5PCT GEO 5/22/00 $4.00 0002359 Final Inspection PLCK GEO 5/22/00 $32.50 0002359 EXPIRE * FIRE GEO 5/22/00 $20.00 0002359 (additional fees not listed here) Total $156.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes ttl and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is C 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 i\.), calling (503) 246 -1987. Permitee Signature: 1 Issued By: 1 8 Call 639 -4175 by 7 p.m. for an inspection the next business day I N / , BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement / ' XPiRED Framing MFG - Structure set -up / d MEC - Mechanical Permit Insulation Drywall nailing � Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofmg Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS