Permit CITY OF TIGARD
,� ,-e �, DEVELOPMENT SERVICES BUILDING PERMIT
'tie''jll'l PERMIT #.... , BUP99- -0043
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/10/99
PARCEL: 1S134BC -00300
SITE ADDRESS...: 12='74 SW SCHOLLS FERRY RD
SUBDIVISION....: Z ON I NG : C -0 PD
BLOCK ...... LOT • JURISDICTION : T I G
REISSUE: FLOOR AREAS--- ----- - - - - -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:ALT FIRST • 2100 sf N: S: E: W:
TYPE OF USE_...: COIF SECOND...: 0 sf PROTECT OPENINGS?----------
TYPE OF CONST.: 5N is 0 sf N: S: E: W:
OCCUPANCY GRP.: B TOTAL------: 2100 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 42 BASEMENT. : 0 sf AREA SEP'. RATED:
STOR. : 0 HT 0 ft GARAGE... : 0 sf OCCU SEP. RATED:
BSMT?: MEZ Z-? : REQD SETBACKS REQUI RED- - - - - -- - -- - - - - --
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 ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 2000
Remarks: Tenant improvement. Separate sprinkler and electrical permits
required.
Owner: -- -- FEES - - - - -- - - -- --
BURNHAM PACIFIC OPERATING PRSH type amount by date recpt
610 W ASH ST PRMT $ 32.50 B 02/10/99 -
STE 1.600 5PCT 1.63 B 02/10/99 -
SAN DIEGO CA 92101 PLCK $ 21.13 B 02/10/99 -
Phone #: FIRE $ 13.00 B 02/10/99 -
Contractor: - --
SLS CUSTOM HOMES INC
PO BOX 1093
TUALATIN OR 97062
Phone #: G91 -94378 $ 68.26 TOTAL
Reg #..: 091577
- -- 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 Gyp Board Insp
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 958 -801 -0010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Pf- �rmittee Signature: .11 Issued By: _
++++ ++ + + + + + + ++ + + + + + + + +- I- + + + + +-f- ++ .++++++++++++++++++++++++++++++++++++++++++++++
Ca11.639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + ++ ++ + + ++ + ++ + ++ + + ++
z - `( C,
CITY OF TIGARD Commercial Building Permit Application Recd By 9,,,()
f13125 SW HALL BLVD. Tenant Improvement Date Recd Z-Id-zi 7
TIGARD, OR 97223 A , Date to P.E.
ARD
TIG 639-4171 OR � //`Y Date to DST �(/el4
Permit* [�J — 01
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Buildin�ew Building ❑
Job rY1okR.■ S "fie- L 0 f ■t_c-::
Address Street Address - Suite Building
1 aJ-14 SW SAlls on Data
Bldg # City /State Zip Existing Use of Building or Property:
-,eta 6 0 - x2_3
Name rr Proposed Use of Building or Property:
Property ' (Arv�� Lt- (�l +iC..�'l/� I�f:r�
Owner Mailing Address Suite
Li b Uv j 5( 6'E ( / U 0 No. Of Stories:
City /State Zip 07.1D iD I Phone
, p.,,,...4_1.6, r aa Sq. Ft. Of Project: /)
Occupant Name ZI Ot/
u2-(L1.S l e- 1 Occupancy Class(es)
Name
Contractor ,LS eA,11 kiorhC INC- Type(s) of Construction 5 )
Prior to permit Mailing Address Suite �� J
issuance, a copy Will this project have a Fire Suppression System?
of all licenses P O Yes []— No ❑
are required if City /State Zip Phone
expired In C.O.T. � A 1' Americans with Disabilities Act (ADA)
database uPn.S Cl "b1_ 0 ∎-cri 8 Valuation X 25% = $ 3 oo r Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
S 1 Z c(oo Project $ o,
Name Valuation o2O0O
Architect S.L Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
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
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
S' nat ure of - r g en Date
, 1
Mailing A ddress Suite / - • X/ 14
Contact Person Na -4 Phone
City /State Zip Phone 2kk S\01 Le VM) 5 6 S 3-3 5
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O Map/TL.# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration O.
Repair 0 Other O Notes:
Description of work: tor.)Tfa.tx.E.,T 4 / 04 a)CA WA LI
TIF:
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
: ::.;:.:er�v �� oepen�ent upon subr��ttat of BATH. pans ANO a.,��F��E�'�� ::: >:
appl ication Far an ele ncal submittal, the app icatinn must oontatn t he > <:::: >:: >:::: >:::; : >:
s . "raft >of :: ; :: ;:. ..:.,:::.;..: >. >. n ;.:::, .,.,::_ >:::: . .: >: :: <.: >n ::°°>' >
§ ftt su> P#r j etecttlN before plan ro�rfpw > will be contluggg,
< . <: - : < ; > :> <:.gp >`
:;» .> ::: p. n vtew approv.; 1, Plans E caminer witl contact the applicant to request.......
:..:..:...
:.:. 0f3M ` .;:.:<.;;:.;;:,:.::.::;..P ns:: :: : KEY:
l$0.. .:::
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:\dstslforms\matrxcom.doc 10/30/98
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
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] $ .2_o c)(
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ °
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 ( $ Soo
each sex or a single unisex restroom: p�o2 -t- SA L�
(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 $ 5 0 °
•
is \dsts \fortes \access. doc
m cd., coq,)
OVER- THE - COUNTER (OTC) PERMIT -
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: — it
CLASS OF WORK: A-T' FLOOR AREAS: '2100 i EXTERIOR CONSTRUCTION
I I
TYPE OF USE: C.9 /A I FIRST - SQ. FT. N: S: E: W:
TYPE OF
CONSTR: 'J - I SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD. SQ. FT. N: S: E: W:
OCCUPANCY LOAD: AL TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: i BSMNT: SQ. FT. i AREA SEP. RATED:
I I
BSMNT ?: MEZZ ?: i GARAGE: SQ. FT. i OCCU.SEP.RATED:
I I
FIRE / FIRE SMOKE HANDICAP
SPRINKLER: X ALARM: DETECTOR: - ACCESS:
..-pitetk--?..:eizt.../c/.5W all".6 t
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam $ 2,./4u Permit Fee
i 3
Masonry $ 21 Plan Review
Insulation Shear Wall $ 163 5% State Surcharge
Firewall ell $ 1'5' FLS Plan Review
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ • Inspection
a w Miscellaneous $ 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) 4/97
5/17/99 Activities for Case #: BUP99 -00043
4:39:54 PM
- Assigned Hold Updated •
• Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 2/10/99` B RECD BON 2/10/99 .
BUPC008 Permit created 2/10/99 B DONE BON 2/10/99
BUPC012 Plans routed to Plans Examiner 2/10/99 B SENT BON 2/10/99
BUPCO26 APProved Plans routed to DSTs 2/10/99 RDP APPR BON 2/10/99
BUPC740 Framing Insp 2/16/99 RC FAIL TLP 2/18/99 WALLS MUST BE BRACED AT
8 FT. MAX bracing completed
02/17/99 tip
BUPC760 Gyp Board Insp 2/17/99 TLP PASS TLP 2/18/99
BUPC802 Final Inspection 2/25/99 TLP • PASS TLP 3/9/99 -
BUPC100 (F) Issue permit 2/10/99 B PASS DST 2/10/99
BUPC740 Framing Insp 2/17/99 TLP PASS TLP 2/18/99
BUPC950 (F) Issue Cert. of Occupancy 2/25/99 MAIL JT 3/25/99 3/25/99
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 I �� y
�• Date Requested . dtx/,1 AM x PM BLD
Location /? 27Y y <a - L -e.Q J,�i2 y 4 / . Suite MEC
Contact Person Ph 57 f„2,35 PLM
Contractor Ph SWR
�IILD Tenant/Owner �,� j,w d
,_ / ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: � G�.v qG ��l)
�
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation 6 /] 9 , _ 60c/3 — f � /� le�
Drywall Nailing U" l
Firewall
Fire Sprinkler Reete // ( 1 - 6 -
Fire Alarm
Susp'd Ceiling
Roof
UM PART FAIL � f
PLUMBING C.. /
�
Post & Beam
Under Slab
Top r Service //t-l9 Water S
Sanitary Sewer
Rain Drains
Final -
PASS PART FAIL
MECHANICAL up 99 -c)c)�/ //d/ Post & Beam / /
Rough In / \ g Gs 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 1/ Inspector ✓ 9
Other nspector E xt
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.