Permit , „ i BUILDING PERMIT
-: - : t o CITY OF TIGARD
PERMIT #: BUP2001 -00256
1 DEVELOPMENT SERVICES DATE ISSUED: 7/18/01
Ail II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12220 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00300
SUBDIVISION: 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: 5 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 12,500.00
Remarks: Commercial TI.
Owner: Contractor:
BPP RETAIL LLC SLS CUSTOM HOMES INC
BY BURNHAM PACIFIC PROPERTIES PO BOX 1093
ATTN: JOHN WATERS TUALATIN, OR 97062
SAN Cne DIEGO, CA 92101
vno Phone: 691 -9878
Reg #: LIC 91577
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 7/12/01 $168.10 27200100000 Electrical Permit Required
Sprinkler Permit Required
PLCK CTR 7/12/01 - $109.27 27200100000 Framing Insp
FIRE CTR 7/12/01 $67.24 27200100000 Gyp Board Insp
5PCT CTR 7/12/01 $13.44 27200100000 Susp Ceilng Insp
Final Inspection
Total $358.05
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 thro i gh OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6.99 or / 800 4 32 -2344. .
Pe nn ittee
Signatures v. .
Issued By: ,� ,/zi . ' /(J
e
Call 639 -4175 by 7 p.m. for an inspection the next business day
1
era '974°' Building Permit Application
,, '� i City of Tigard Date received:
Permit no.: P� t ( /sl?r I 3 b
- Project/appl. no.: Expire date:
City of Tigard
Address: 13125 SW Hall Blvd, Tig 7223
Phone: (503) 639 - 4171 r Date issued: By: I Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
r.
❑ 1 & 2 family dwelling or accessory Commercialindustrial ❑ Multi- family ❑ New constriction ❑ Demolition J
❑ Addition/alteration/replacement Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: t,
Al
JOB SITE INFORMATION q
lob address: '2p„.7 -a, Lt Cr ( (?c), Bldg. no.: Suite no.:
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.: (5b
Project name: LA•b.S M •re t('`TWA -\
Description and location of work on premises/special conditions: P.9-1.0c -&kl (r ■EslA) fuck Q \wa. SPA
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: L'r't16J f- L.1,0,// (Floodplain, septic capacil y, solar, etc.)
,�
Mailing address: S p l & 2 family dwelling:
City: IState: IZIP: Valuation of work $
Phone: 'Fax: I E -mail: No. of bedrooms/baths
Owner's representative: 1/11 r k 44 b 13 ti • Total number of floors
Phone: 590 7 t) c( F Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: S LS ea J %CYY1 f 7rlte_l ,/J Covered porch area (sq. ft.)
Mailing address: PO (O 3 Deck area (sq. ft.)
City: '7Z4/- R- - ottT- I State:p(L I ZIP: 5-704 Other structure area (sq. ft.)
Phone: . ; 78' Fax: ( 1185 E -mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $ Ias
Business name: S i.S C U )�M jntc (4 L Existing bldg. area (sq. ft.) 3B vc»
New bldg. area (sq. ft.) Or
Address: /o 1 O ti 3 Number of stories /
City: m-n,J I State: tx I ZIP: 9 ') O 4 L Type of construction
Phone: (, 41-48 `78 I Fax: 0 x -'1c 8.5 I E -mail: Occupancy group(s): Existing:
CCB no.: 9 (S71 4 fri 01
New:
it , metro lic. no.: 'c' O 3 Notice: All contractors and subcontractors are required to be
ARCI IITECI7DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 5 C-S provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: ` S jL State: I ZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: SC.,S Contact person: Fees due upon application $
Address: Date received:
City: (fftfir— (State: IZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied wi ,, I vh a specified herein or not. Credit card number Er<pi /
Aut signature: �' . Date: 1 -12 - a ( Name of cardholder as shown on credit card
•
Print name: - , 'NA $
Cardholder sigreture Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 41°4613 (Ml0/COM)
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to
request additional plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
•
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
.Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I: \dsts \forms\matrxcom.doc 10/27/00
CITY OFZIGARD BUILDING INSPECTION DIVISION (01
MS`- ti
24 -Hour, inspection Line,:, 639 -4175 Business Line: 639 -4171
e BUP ge.+r /—G G 2 -CC.
Date Requested / ' Z > AM PM BLD
Location / 7 Z Z G Sw SC ‘6f( `v y Suite MEC
--
Contact Person Ph 5 fL 3 3 PLM
Contractor 51-PV? Ph 579 .7/40 SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
-Frain
�
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PA PART FAIL
M
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 K V 1 Inspector •,
D ate
Other lbN –� P Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
D BUILDING INSPECTION DIVISION
24 -H pn Line: 639 -4175 Business Line: 639 -4171 MSS
BUP Z 60/ 0 0 �. S
Date Requested - 3 6 AM PM BLD
Location / 2 Z 2 P4/1 Suite MEC
Contact Person -�v� �_ (*h ,�l g � 23 � PLM
Contractor Ph SWR
IOW
BUILDING Tenant/Owner 4/;4.Lai4di . /, 1.1 _ ELC
Retaining Wall , ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
al Nailin r 3‘
y�
Firewall / -te)
Fire Sprinkler •
Fire Alarm
Susp' -d Ceiling
Roof I n
2 Y�l l \' c— PA4
Misc: f�
F %'
Itijyrr 7117:7;7
--
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 � Inspector D/ Itor i
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OFJIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested F- 15 AM PM BLD
/
Location Z Z Z 0 / /7
J•• to / MEC
Contact Person P , Q� Ph � y
c ,, -7 7 — 3 602_ PLM
Contractor Ph SWR
BUILDING Tenant/Owner °ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
�..-
Framing >� . +d ri�� /irs�� iwr -• i J,uffi I! L) ( / %
Insulation
Drywall Nailing
Firewall /1J � L 1'
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
B G _
Post Beam •
Under r Slab •
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL - - 615d
Ro Beam
Rough ��'� // 2 1 7 7
uh l(/
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line e<01 ADA
Other Date Date Inspector OV16P- --_ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.