Permit ACITY OF TIGARD
k . DEVELOPMENT SERVICES BUILDING PERMIT
i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • BUP99 -0031
DATE ISSUED: 03/03/99
• PARCEL: 2S1O2CB -01805
SITE ADDRESS...: 10400 SW PARK ST
SUBDIVISION • ZONING:R -3.5
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. : 0 FIRST • . 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:U2 TOTAL • 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 4370
Remarks: Construct a 6' high chain link fence around play area. No C of 0
required, no change of occupancy.
Owner: FEES
CHILDERN'S VILLAGE DAY SCHOOL type amount by date recpt
10400 SW PARK STREET PLCK $ 32.83 DRA 01/22/99 99-312376
TIGARD OR 97223 FIRE $ 20.20 DRA 01/22/99
99- 312376
PRMT $ 50.50 GEO 03/03/99 99- 313416
Phone #: 5PCT $ 2.53 GEO 03/03/99 99- 313416
Contractor:
JOHN KLUNE
12370 SW DUCHILLY CT
TIGARD OR 97223
Phone #: 639 -4359 $ 106.06 TOTAL
Reg #..: 000028
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
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- 001 -0010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (5031246 -1987.
4 //
Permittee Signature: Issued By: , —
• /
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit Application Recd By
'
13125 SW HALL BLVD. New Construction and Additions e_, Date Re / � �
Date to P.E.
TIGARD, OR 97223 /./0 b Date to DST 24 z4 (46,(9
(503) 639 -4171 Permit # ,9kf �• 0Of/
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called 3 - 4 f 1-'
G F�-r ,s ,, U_
Name of Development/Project
Job ag V' s c.c - - - s) [ oc --. /1 .Povt Existing Building ❑ New Building [a
Address Street Address Suite
/0yCw5 f0,w,r. 57, _ Building
Bldg # City/State Zip Data
if elixo Existing Use of Building or Property:
Name
Property Ju.�3,, rF -e2-,-4--D n
Owner Mailing Address � f�l Suite Proposed Use of Building or Property:
1 757 Ad 7 5N.4/ 0Are/ fre 0-44 NC
City/State Zip Phone
No. Of Stories:
Occupant Name / Sq. Ft. Of Project:
C if., d AtrS GEC
Name Occupancy Class(es)
Contractor -3',y,,. j2, �.-e-
Prior to permit Mailing Address Suite Type(s) of Construction
issuance, a copy
of all licenses / Z- 370 5'-- &4 N,ee '7' C-7
are required if City/State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. .� Yes ❑ No ❑
database . / 1 < 7 Z 7-1 6. 35Y3 S y
Oregon Const. Cont. Board Lic.# Exp. Date Americans with Disabilities Act (ADA)
Valuation X 25% = $ Participation
- 7-ki. V/ 3 Complete Accessibility Form
Name Project
tif
Architect V' ,.k ,�,,,4,-, ! / re H. I" Valuation
�JY
Mailing Address Suite
Jy/ Sk✓ / o.- / 7.-.5". Plans Required: See Matrix for number of sets to submit
City /Sate Zip Phone on back
I c „,- -.p 9 - 7 i - 2-,-$ >. 76"
Engineer Name I hereby acknowledge that I have read this application, that the information
C _2,17,— given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
/ 3Gf„f c_.;"4---: EIe;li- rin j j W e Si Ile of Owner/Agent Date
City /State Zip Phone ( J I / - 2 . i 9
/ 2 I
,Oo..- 77 -4--p 9 - 224/1 2-1y 0579 Contact Person Name Phone
indicate type of work: Newt Addition 0 Demolition 0 -, ,L if /' /Z. :4 ra 613 0 1 y3 S”. % 3Q °g l i' 1
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work:
Map/TIP Land Use:
o
. 6 /4 '1 Cf- 6.4,.✓ --ice f Es— Cs N,24.,_.,• -1.1 -
' Notes:
(2,-/. (... v /1-L ^ ^ri c>,.:.-7 "lam I exia--- / 1 - n 4 `, 4 /' - &7?"S .
Parks: Estimated # of Employees TIF: "
If the above figure Is not supplied at the time of application, the city will / '_ -
calculate the fee based upon the number of parking spaces. ))
Note: Site Work Permit Application must precede or accompany Building
Permit Application V � /jte ®,/ 2• 4- re -e - I - 1117. \ r , {
I: \COMNEW.DOC (DST) 5/98 FLS 620 I
�upPL� l ,, w/ tk 1 1-e
/53.v
- •
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
I cation.:::. >::Fc r <:art:: a tr i it s 06011$: `a .`: gifi i"t t ist r #6(rt..........
si natur±e:.: f the sup rvts nj e1ectrcrar : lar review wits be candu a .::: >:: >:::: >::::: >::>
:'' :'°;'r i.b.0 o '«u`r'otes �op:` l r >' ontr t i y''}> m < >' >>
add�titat�al �: I�i�ts: fa .:::.......... ..:.. C...:.::: �......:.................................... ...,.........::::::.::::::::.
Washington oun..: "..: T ......... ...:.:.:.: ::..:......:..::::.::
T'``i��tA �'`�► >' >� >'. ..........fan ..................
KEY:
:: :: utted :>
::. ( Private) :.::::............................................ ........::::::::. 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
8/8/99 • Activities for Case #: BUP99 -00031 .
3:18:33 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received • 1/22/99 DRA RECD GEO 1/27/99
BUPC008 Permit created • 1/27/99 GEO DONE GEO 1/27/99 .
BUPC012 Plans routed to Plans Examiner 1/27/99 GEO SENT GEO 1/27/99
• BUPC015 Plan Review Ltr. to Ofc. Svcs. 1/27/99 RDP SENT RDP 1/27/99
BUPC018 Revised Plans Received 2/24/99 RDP APPR RDP 2/24/99 •
BUPCO24 Plans Approved by CPE 2/24/99 . RDP APPR RDP 2/24/99
• BUPCO26 Approved Plans routed to DSTs 2/24/99 RDP APPR RDP 2/24/99
BUPC792 Misc. Inspectidn 2/24/99 NOTE RDP 2/24/99 Have the contractor provide you
with a listing on the grout he is
using to set the post in the
existing retaining wall. The
tensile strength shall be a
• minimum 10,000 psi.
BUPC802 Final Inspection 2/24/99 5/6/99 . RC FAIL • AKJ 5/6/99 See BUP98 -00167 final
BUPCO29 DST Post Review Completed 3/2/99 GEO DONE . GEO 3/2/99 Per Julia Hajduk, Planning
approves 6' chain link fence
ontop of 2'retaining wall.
BUPC090 (F) Ready to issue 3/2/99 GEO PASS GEO 3/2/99
, BUPC100 (F) Issue permit 3/3/99 GEO PASS DST 3/3/99
BUPC802 Final Inspection 5/24/99 5/24/99 5/24/99 HAP FAIL No Hold AKJ 5/24/99 Install fence, gate and panic
hardware per code .
BUPC802 Final Inspection 5/27/99 5/27/99 5/27/99 HAP PASS No Hold AKJ 5/27/99
BUPC960 Case Finaled 5/27/99 AKJ DONE No Hold AKJ 5/27/99
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
(6-0/& ✓ ✓G�
Date Requested -3-1 _I AM PM x 9 010 -
Location I c L 1 i P(14L Suite V,�h� oSL1S ��+''��`4'
Contact Person _rol Ph ? ' / PLM
Contractor Ph SWR
ILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation P FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: 5 ITQ8 I2 S- Z744 q cuvl
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
M •
PART FAIL
P I MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
(
INECHANi61V
Post & Beam
Rough In
Gas Line
Smoke Dampers
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
Otheoach/Sidewalk Date 5 /�/ /' Inspector E t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.