Permit ow
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00333
Art' DEVELOPMENT SERVICES DATE ISSUED: 11/13/03
414- R--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12282 SW SCHOLLS FERRY RD PARCEL: 1 S134BC -00300
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1,984 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 1,984 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 48 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 10,000.00
Remarks: TI, New Cooler and door.
Owner: Contractor:
BPP RETAIL LLC MARKET CONTRACTORS LTD
BY BURNHAM PACIFIC PROPERTIES 10250 NE MARX ST
ATTN: JOHN WATERS PORTLAND, OR 97220
SAN DIEGO, CA 92101
Phone:
Phone: 255 -0977
Reg #: MET 50
FEES LIC REQ INSPECTIONS
Description Date Amount Mechanical Permit Require
[FLS] FLS Pin Rv 6/9/03 $55.72 Electrical Permit Required
[BUPPLN] Pin Rv 6/9/03 $90.55 Sprinkler Permit Required
Plumbing Permit Required
[BUILD] Permit Fee 11/13/03 $139.30 Framing Insp
[TAX] 8% State Tax 11/13/03 $11.14 Misc. Inspection
Total Final Inspection
$296.71
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 [Lough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling ) 246 - 6699 -or -800 -3 -2344.
Issue By: 0 P , , / 1 1 v
Permittee _ _
Signature: e'- 4, ` , -, 61
Call 639 -4175 by 7 p.m. for an inspection the next business day
7 1 22.82 fw lorrpegitY
Building Permit Application Received . Building
Date/By: —
y: q FOR O USE ONLY
—E) e)P, Permit U V aO 0 — 00333
Cit of Ti and Planning Approval Other
y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Revipv C Other -
Tigard, Oregon 97223 ECEt
Date/By 43 03/5'v Permit No.:
Phone: 503 - 639 - 4171 Fax: 503 - 598 - 19 /4"�° �i9 "!�'I�It`� Date /By: Land Use
Jll —��Is' r _ I Date/By: Case No.
Internet: www.ci.tigard.or.us °��° Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 - 639 - y 5,v OF TIGARD Name/Method: 7l C Supplemental Information
a UILDING DIVISION
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
❑ 1 & 2 - Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, la.•tr,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi - Family �
I=1 Master Builder I=1 Other: �1 Other: Valuation $ N DOO
JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: .
Job site address: . "- SchO /ls 1 t"( Total number of floors
New dwelling area (sq. ft.) _
Suite #: IBS. /Apt. #: Garage /carport area (sq. ft
Project Name: 11 z lm I "757.x, Covered porch area ft.)
Cross street/Directions to job site: Deck area (sq. ft..
6 ree�n W 51 ' �� j\ � Other structure area (sq. ft.)
next ! O %;4-Tre...5i-t COMMER CIALL - SE 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,
N
�I �� overhead and profit for the work indicated on this application. /�
d?o
1 r Y C/l t/l I Valuation $ �.,
^ Existing building area (sq. ft.) 'Teri
�- ` .i?�r 1 , -02 New building area (sq. ft.)
Number of stories
l� ❑. ;PROPERTY OWNER TENANT Type of construction V
O group(s): Existing:
� Name: ?.? 1'f'� I Z? New:
Address: IOa 7,j r___
6 City /State /Zip: g) $�� 0 170
�,,� ` NOTICE: All contractors and subcontractors are required to be
Phone: APPLIC NT ► CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
) u siness Name: AM
- t 4 0J.�,,,� ', , 4 �/4 jurisdiction where work is being performed. If the applicant is exempt
Contact Name: � ' • • - (Q from licensing, the following reason applies: ' 4 %
Address: �, ■ '7TH `Y �
Ci /State /Zi.: we' . rIME)li a/
Phone: M .� i7 Fax: / BUILDING PERMIT FEES *;.`;
E -mail: A ' / �/, /I . �C! .4 _ .AI/ : pleilse refer'to fee schedule..
ONTRACTOR
Business Name: HAP eDI R ��� . "e es due upon application $ Nk
Address: //), NE _ Hi9
Cit /State /Zip Prit, OR Q72:9-0 Amount received $
1�
Phone: SOS - v� � 7' 'v
Fax Date received: _ 1,,
CCB Lic. #: ( 3 3 \
Authorized I Notice: This permit application expires if a permit is not obtained within
Signature: ►� /, , . r/ D a t e: 6 180 days after it has been accepted as complete.
dr
*Fee methodolo gy by set b Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPerrnitApp.doc 01/03
Plan Submittal Requirement Matrix -
�1�� Commercial & Multi- Family
City of Tigard New, Additions or Alterations
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
t
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
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 sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms\PlanSubMatrix.doc 04/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (5 )
INSPECTION DIVISION Business Line: (50 4171 MST
i =C 3_ 0 333
Received Date Request d AM PM BUP
Location 1 Z�-� Z S `� S Suite MEC
Contact Person Ph ( ) ��— Ci +3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: i �S� � SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear L1 / /' 6- 00'7 V704-
3 � Framing / �/ - � V`- tT 7 1
Insulation l� r ' 2C) V 3 — Q U �� k/ /� 1 �yJ
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
411iirdp
PART FAIL
BING
• • st & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
1 , 4 I \
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 0 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
A
DA /
Approach/Sidewalk Date \-/" Inspector Ext
Other: �
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL