Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00351
- - � l 6-`;111 � DEVELOPMENT SERVICES DATE ISSUED: 8/15/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103DD -00400
SITE ADDRESS: SW PACIFIC HWY 1 ('Jz"
SUBDIVISION: 13 o f / 0 0 ZONING: C -G
BLOCK: LOT: 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: M TOTAL AREA: 0.00 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: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 20,000.00 •
Remarks: Shell TI only, demising wall and ADA restrooms.
Owner: Contractor:
WILSON'S TIGARD RETAIL CENTER BARTEL CONTRACTING INC
BY BOMCC ESCROW ADMINISTRATION PO BOX 1445 .
TX1 -2495 OREGON CITY, OR 97045
DOho TX 75201 Phone: 650 -4084
Reg #: LIC 79970
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 8/15/02 $235.30 27200200000 Electrical Permit Required
Plumbing Permit Required
5PCT CTR 8/15/02 $18.82 27200200000 Framing Insp
PLCK CTR 8/15/02 $152.95 27200200000 Gyp Board Insp
FIRE CTR 8/15/02 $94.12 27200200000 Susp Ceilng Insp
Final Inspection
Total $501.19
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 -6699 or 1- 800 - 332 -2344.
Pe rm ittee j
Signatur s�� ., .' / / .1_ii
or
Issued .d y � ;! "AI CIL ALL.' /
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application FOR OFFICE USE ONLY
RateiBe Permit No.: m2N-c17 5s/
t Date/By: � � I/S 0 � Permit No.: N ..t7
Cl of Tigard Planning Approval Other
City g Test Form Date/By: .:5 ij / 0, Permit No.:
13125 SW Hall Blvd. Plan Reviov / / Other
Tigard, Oregon 97223 Date/By: V u ' 3 � i S / � ' Permit No.:
Phone: 503 639 - 4171 Fax: 503 - 598 - 1960 /��t� bie I t\ '� Post- Review Land Use
Date/By: Case No.
Internet: www.ci.tigard.or.us =r --` Contact Juris.: ❑ See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 • Name/Method: _ Supplemental Information
;, TYPE:OF WORK .. REQUIRED DATA: `
❑ New construction ❑ Demolition . . 1 & 2 FAMILY :DWELLING •
Addition/alteration/replacement ❑ Other:
. `" CATEGORY' OF CONSTRUCTION • - •• - Note: Permit fees* are based on the total value of the work performed. Indicate
❑ I & 2- Family dwelling Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building Multi- Family
❑ Master Builder ❑ Other: Valuation $
. ,. JOB SITE INFORMATION and LOCATION•, No. of bedrooms: No. of baths:
Job site address: 'r a.rtil eQ ,,,t ( 4 .. . ,,"e" Total number of floors
q New dwelling area (sq. ft.)
Suite #: I SD '-' I Bldg. /Apt. #: -4 1 Garage/carport area (sq. ft.)
Project Name: 11 C 'poiLe- -1 C /'/) y Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
REQUIRED DATA:
• COMMERCIAL - USE CHECKLIST
Subdivision: I Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application. •
T T. J ntto a i waif' f 0e) ,�-1 # 2C�
oe co e sfiY�.-rl Valuation $ ) 0 J0
' J ` " r Existing building area (sq. ft.)
New building area (sq. ft.) }•Q.42/•!.• sF3t 'so
Number of stories
❑ PROPERTY OWNER I ❑ TENANT Type of construction V r\
Name: Occupancy group(s): Existing: W1
New:
Address:
City /State /Zip:
NOTICE: All contractors and subcontractors are required to be
Phone:
Fax: licensed with the Oregon Construction Contractors Board under
OAPPLICANT .. 1 'a CONTACT PERSON . provisions of ORS 701 and m be re e
Business Name: ` pn; 1 (\Q I C am ( (J,Q 5 jurisdiction where work is bei g performed. If the applicant is exempt
Contact Name: l
U acCA ` t y from licensing, the following eason applie
Address: 41(0 5E J u J m e # Z Ye % , ! a - 1P-35. 'v
City /State /Zip: ( a 4 d ow, q72/4-- 7",r fc6.8.1--
Phone: '%., _file A Fax: �eZ !. , 1,,,1 : BUlznnv PEIiMIfi FEs« e l
E -mail: e , 7-Yl I e„ Please ref. r to fee schedule.
. • CONT CTOR •
Business Name: ,( kP) Corri Fees due upon application $ O O/. /
Address: �,(9 , F '), 10r� Amount received $
6 .G City /State /Zip Q,EE;D i >�
Phone: 6 (p.Sz -- cl08 41 Fax: Date received:
CCB Lic. #: - 99 70 ,—/ - °-.-
I Notice: This permit application expires if a permit is not obtained within
Authorized i/ r 180 days after it has been accepted as complete.
Signature: �'/l �.' Lk. ■ .....4 Al Date: g /.7 � �
F *Fee methodology set by Tri County Building Industry Service Board.
(Please print name)
ii
•
Accessibility:
:4 Barrier Removal Improvement Plan
City of Tigard
•
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
•
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ Z DOD
• multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [21$ I DOO
m U S1+ O�' �f.�ocat i 5 so' AD* ,' I -e j ot -C-n
. In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Parking $
(b) An accessible entrance: $
•
•
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $ 1 g,[
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
•
TOTAL: Shall equal line 2 of Value Computation $ ` 000
is \dsts\forms\Accessibility.doc 06/07/02
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST ,
BUP oD�3S�
Received Date Request d AM PM BUP
Location Suite 75 MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
sp • Ceilin • �
- oo
Other:
Final IA
PASS PART FAIL I
PLUMBING � '�
Post & Beam ,
Under Slab
Rough -In
\\*
Water Service
Sanitary Sewer o
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP a 2 —GO3 57
Received Date Requested. 1/" " AM PM BUP
Location / 3 7 L 7 $i 7e cc�� c Suite I MEC
Contact Person Ph ( ) pf PLM
Contractor Ph ( ) SWR
Tenant/Owner ELC
ELC
Foundation Access:
Ftg Drain "OA f , - t 4 < (GD 0 14, ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
/ .e40 � 6 / Bella (L q L
Drywall Nailing
Firewall
Fire Sprinkler . S '`
Er '/ U 4 , 3 d �Y/ t 56.itieoefr-tq--)
Fire Alarm C/
,5�4isp:d-eeilina�
Roof
Other:
Fi
PASS ART FAIL
ING
14
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date ////7/0 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGAR 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 • MST
Received Date Requested , /7 / AM PM ~ QUP
Location / 3 7 a 7 Suite / Sd MEC -
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain � -r- r ( 6 o� \., ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear _ -
Int Sheath/Shear
Framing
Insulation
irewall PeOot 15 (/ )
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: _
RT FAIL
Post r Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line t
ADA /7,///6) � \
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD . 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION.- Business Line: (503) 639 -4171 MST
• B:1P 2 6l , 7 — CO 3 -5 f
Received - Date Requested / 0 AM PM . OUP
Location l,3 2 ? 7 5 ' ea C" ce 6 64-7 Suite / 5 MEC
Contact Person / Ph ( ) PLM
Contractor Ph ( ) SWR
ILDI Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain / ie e ( C ) o k2 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
VET ywall Nailin
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
F'
j PASS ART FAIL
BIN
Post & Beam
Under Slab
Rough -In -
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA ,/
Approach/Sidewalk Dete / O /0? ( 7/0 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD • 24 -Hour
BUILDING ,; Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION.' _ Business Line: (503) 639 -4171
� / BUP 357
Received Date Requested ` A ¥ AM PM f ' ` 1 BUP
Location /3 7 .?-'7 Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
•
BUILDING Tenant/Owner � vic�' ELC
Footing / ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
rams
Insu ation 4 fL ice- y e o 0/L Pe Z %CPC? I C Q .L
Drywall Nailing
Firewall WeeC r 74 erLU , , e
Fire Sprinkler -�J •
Fire Alarm
Susp'd Ceiling
Roof
Other:
F'
PASS PART FAIL
P RING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /1 J � L f /4' Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL