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Permit CITY OF TIGARD r� DEVELOPMENT SERVICES BUILDING PERMIT - 6 '1JI PERMIT # • BUP99 -0009 °= 13125SW Hall Blvd .,Tlgard,OR97223(503)639 -4171 DATE ISSUED: 01/13/99 PARCEL: 2S110DC -02200 SITE ADDRESS...: 15532 SW PACIFIC HWY #5 SUBDIVISION ° WILLOW BROOK FARM ZONING:C -G BLOCK LOT :011 JURISDICTION:TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION - CLASS OF WORK. :ALT FIRST • 120 sf N: 5: E: W: TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS? TYPE OF CONST. :5N .... 0 sf N: S: E: W: OCCUPANCY GRP. :M TOTAL : 120 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 4 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 1 HT: 0 ft GARAGE...: 0 s f OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS - - -- REQUIRED FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL : Y SMOK DET.. DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRIYI: HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 2000 Remarks : Interior alteration to an existing tenant space. Owner: - -- FEES TIGARD CENTER LP type amount by date recpt 9777 WILSHIRE BLVD PLCK $ 16.25 DRA 01/08/99 99- 312019 #609 FIRE $ 10.00 DRA 01/08/99 99-312019 LA CA PRMT $ 32.50 DLH 01/13/99 99- 312144 Phone #: 310- 276 -0877 5PCT $ 1.63 DLH 01/13/99 99- 312144 PLCK $ 4.88 DLH 01/13/99 99- 312144 Contractor: -- FIRE $ 3.00 DLH 01/13/99 99- 312144 P & Z CONSTRUCTION PRMT $ 32.50 DLH 01/13/99 99- 312144 11844 NE RUSSELL STREET PORTLAND OR 97220 Phone #: 257 -8612 $ 100.76 TOTAL Reg #.. : 96231 -- REQUIRED ACTIONS or INSPECTIONS--- - This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other /nlfl /n!S applicable laws. 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 -w41 -0010 through OAR 952- 00101987. _ You many obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: — ./ I Issued By: � / / rari,C + + + + + + + + + + + + + + + + + + + + + + +' ++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ , ( CITY OF'TIGARD Commercial Building Permit Application Rec'd By 9 ~~ Date Rec'd / — I - 13125 SW HALL BLVD. Tenant Improvement TlGARD, OR 97223 r Date to P.E. / -11-- cfJ (503) 639 -4171 1......../ i .7 � Pate to# s T / 11(1Q � O0 ermit of to q Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called /s – ri Name of Development/Project Existing Building New Building ❑ Job Wi j, -C � � :tt t,n- e. / - /J- Ar1 Address Street Address 1643 -Z,_ Suite Building }#2•t sw pAc " G 5 Data Bldg # City /State Zip Existing Use of Building or Property: T IC, A IUD , OtZ q 3 it-___T rG._ Name Properly 1 '..- -� '.� ` h \ t Proposed Use of Building or Property: Owner Mailing Address 1,4, i tlitg 1 /fir$• No. Of Stories: ' City /State Zip Phone (erQ4 1 1 L( ' 6 i f - , - tor -7- 11 FL''/ Sq. Ft. Of Project: Occupant Name (b © X17 / \ 0 F 7`, Occupancy Class(es) MM Name //l Contractor P a nd .. C gU G7Ije Type(s) of Construction sue! Prior to permit f reBSQ""Aa Suite issuance, a copy I vry Will this project have a Fire Suppression System? of all licenses I i gl-to /jam el/SS ST Yes i t No ❑ are required if City /State Zipv,R /l_ Phone expired in C.O.T. Americans with Disabilities Act (ADA) database pCrL1LAWh ,OE. X17.',20 25- (0/2 Valuation X 25% = $ Participation Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form t ia 3 / t- l q - 2002 Project $ fm A N o � Name Valuation 7C C O yds;:-1 � Architect 0( AI ,Fy1 L, Plans Required: See Matrix for number of sets to submit i on back Mailing Address Suite 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 that plans submitted are in compliance with Oregon State Laws. Engineer Name OW Aele S of Owner/ nt Date ^ Mailing Address Suite Co act Perso Name Phone City /State Zip Phone I Mr/ , /006 r _ iy ` oC 0 Q C- FOR OFFICE USE ONLY � `� O� J Indicate type of work: New 0 Addition 0 Demolition 0 / Map/TL# Land Use: Accessory Structure 0 Foundation Only 0 Alteration r,1" Repair 0 Other 0 Notes: Description of work: • • _ • ( / J TIF: a LtG �P�G+ S 15.e-----+C) ;` y P Pc- 0 /6 .as Note: Site Work Permit Application must precede or accompany Building FLS /U , 00 Permit Application 1:1COMNEWTI.DOC (DST) 5/98 ly COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX :.; :.: ..... ..:...:: : g .::;:t gatic ' iF :.:..:.:::::.::::: ovo aal .r..rl . a ltnattort must t fitatrti #h :: ::::.:::::.:.:.:::::::: �:::.:::::: :::::::::.: ::::::::::::::.:::: tit.::::::: t.::::::!�.:>r.►:�nd .::::::.:.. <.:::::: :::: ::;:::<:: �> ..::; <.:.: >: >:::,_ >::: ><. <;;:'a �` ire: �.«.:`'; �,:: �::>::>:;::: :: >:�::: >;::::: >:; >: >:: >:� >:''' ��<::::<:::... .;:<::::_>:>:::> �:><::;;:>:„ ��>,<::;>::::::>:::<:,:<:::<:•<»«:.>.::..:> ,:::,::;::: >:<: >:::<�:: >:::� >`> After p an revte r .... pp;ova1, Plans Examiner wilt contact the appl,cant to request >.:.<: additional lath €:sets for dtstrib on ur . o es C far Contractor Ci ltl:.;:::.::.:..t n......o....ty:::.::::.: actin Halle Ftra & Fescne); ::: :.:::::; >:<: ><::: nE O '' ;';,;,,:, M :.,.: z< N.ii ' ' < l': §o "" "" < K 'ubrrt tted 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\maxtrixl .doc 07/06/98 Page No. 1 CASE HISTORY FOR CASE NO.: BUP99 -0009 TIGARD CENTER LP 15532 SW PACIFIC HWY Unit: 5 02/18/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By -- -- - -- -- - - - - -- - -- BUPC005 Application received / / / / 01/08/99 RECD DRA 01/11/99 GEO BUPC008 Permit created / / / / 01/11/99 DONE GEO 01/11/99 GEO BUPC012 Plans routed to Plans Examiner / / / / 01/11/99 SENT GEO 01/11/99 GEO BUPCO24 Plans Approved by CPE / / / / 01/11/99 APPR RDP 01/11/99 RDP BUPCO26 Approved Plans routed to DSTs / / / / 01/11/99 APPR RDP 01/11/99 RDP BUPC090 (F) Ready to issue / / / / 01/12/99 DONE DEB 01/12/99 DRA BUPC100 (F) Issue permit / / / / 01/13/99 DONE DLH 01/13/99 DST BUPC740 Framing Insp 01/11/99 / / 02/05/99 one short wall partion PASS TLP 02/05/99 TLP BUPC802 Final Inspection 01/11/99 / / 02/05/99 PASS TLP 02/05/99 TLP BUPC950 (F) Issue Cert. of Occupancy / / / / 02/05/99 02/18/99 JT . .... . . . • NI` pvm . . N1LL (OL). [) 1r 1 5 5 . sti . qe, - v 1 t C -.• . # Sit0 d2 �� 0 CITY OF TIGARD ,•••• • Approved . •••• Conditionally Approved [ j: : .•'. , •.• For only the work as described in: • • • .. PERMIT NO. PA �mQ� _ - • •••• • • See Letter to: Follow [ ]; " ' l • . Attach [ j^ • • •••• • Job Address: ss 32 Sw UIn.. & n • G s •••• B Date: .r l ' •' • • .... . • •. •. ....0• . •••• . .. • ..� • N W l I n��`Y ;i k� Cam � Wr 0 1 epos c�1 j____ e I • . J ii.• . . 1 • _ 1 • • _.. • ;�6 �I 1 • IJno • . >kvA 3 — .. )' "-1,n2a44_ i (Seale, S /e — I 0 Y CITY OF TIGARD BUILDING INSPECTION DIVISION %'c& 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 l BUP T71000 Date Requested ` AM PM BLD Location l ST53 - / M c Suite MEC Contact Person Ph PLM Contractor Ph SWR _monk . L =rILDI Tenant/Owner -.{ ¥ �� �a -�-'� ELC all tit ELR Footing AC Foundation —' FPS Ftg Drain SGN Crawl Drain Inspection Notes: t t /J it Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof //eqZ Misc: PART FAIL PL BING ' 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 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 Dat �� ��7 Inspector E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.