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Permit
Mf /o. - K . Fogs • 8B CITY OF TIGARD BUILDINg PERMIT PERMIT #: BUP2001 -00045 4 1�� + DEVELOPMENT SERVICES DATE ISSUED: 10/26/01 '= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 08770 SW SCOFFINS ST PARCEL: 2S102AA -02800 SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 026 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION • CLASS OF WORK: ADD FIRST: 7,060 sf N: S: E: W: TYPE OF USE: COM SECOND: 5,456 sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA:12,516.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 110 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 17 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 60 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: • BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 795,000.00 Remarks: Building permit for 12,000 square foot addition to existing building. Owner: Contractor: • TUALATIN VALLEY MENTAL HEALTH PAR TECH CONSTRUCTION INC 8770 SW SCOFFINS RD PO BOX 1899 TIGARD, OR 97223 CLACKAMAS,.OR 97015 Phone: Phone: 503 - 557 -8300 Reg #: LIC 109451 ' FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Roof nailng Insp PRMT CTR 2/1/01 $637.93 27200100000 Electrical Permit Required Insulation Insp Plumbing Permit Required Shear. Wall Insp . PLCK CTR 2/1/01 $2,025.11 27200100000 Foot/Found Insp Gyp Board Insp FIRE CTR 2/1/01 $1,246.22 27200100000 Foot/Found Insp Susp Ceilng Insp PRMT CTR 10/25/01 $3,361.25 27200100000 Foot/Found Insp Structural observ. final repr Foot/Found Insp Final Inspection (additional fees not listed here) Slab lnsp Plm /undslb lnsp Total $9,089.59 Framing Insp 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 through OAR 952 - 001 -1987. You may obtain a copy of.these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. . Penn ittee Signature: Issued By: X3(7..11-1U 2'U t --d • • Call 639 -4175 by 7 p.m. for an inspection the next business day J\ ; Building Perm to placation Date received: 0'P-/-0/ � / Permit n o . , / - ClGtvf/ City of Tigard X1 1 Project/appl. no.: Expire date: Ciryoj7igard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By:. I Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: $ 1 R W - c.o I ` � I 1&2 family: Simple Complex: TYPE OF PERMIT 0 1 & 2 family dwelling or accessory )Commercial industrial 0 Multi- family M New construction 0 Demolition 0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other. JOB SITE INFORMATION Job address: g77 ` j a) SCOf'Ffllltj mil" Bldg. no.: Suite no.: Lot: 25 t24 I Block: (Subdivision: -- rit,AW kibfftuitY 'nzacTS I Tax map/tax lot/account no.: 23 t - 02A>r4 Project name: "MA L..417/A/ i4'fU e'j eettraft, — 0 2800 Description and location of work on premises/special conditions: / 2 cob 5F Abo/ tioa T,0 F✓24t ?to g; LLB 5P OWNER FOR SPECIAL INFORMATION, USE CHECKLIST `Name: Tif AlliN Vagt.t.eNi Ce•Jralt- (Floodplain, septic capacity, solar, etc.) Mailing address: 146,00 4W Co trAl Et. - 1 & 2 family dwelling: City: rei rZ ovi> (State: �: 9 7299 Valuation of work $ - - Phone:5o 411. iii Fax: 6/0-96°51E-mail: — No. of bedrooms/baths Owner's representative: L'OMIVI E Lt/M� -14 - WEY/ZAte Total number of floors --- ,-------- ~ Phone: Fax: E -mail: New dwelling area (sq. ft.) . APPLICANT Garage/carport . ft.) Name: W. J 0 ri 1,AtAzig► Covered area (sq. ft.) Mailing address: 3Z 3 S W AIAI I Za Plu4/i)6 Deck area (sq. ft.) State: OR- ZIP: q? ZD Other structure area (sq. ft.) City: v T mmercial/industrial/multi family: ?AS en Phone: • ; - Obi H -mail: �wl`279��aaP 140.9 ' CONTRACTOR Valuation of work $ nn Existing bldg. area (sq. ft.) s D00 17� Business name: P ` TAG }f New bldg. area (sq. ft.) 12 1 � Address: Number of stories 2 City: I State: I ZIP: Type of construction S 14 Phone: I Fax: (E-mail: Occupancy group(s): Existing: $ CCB no.: New: g City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Boai+d under Name: 1 J (/ - Vt A � /� � _ , i.,,• 7 - provisions of ORS 701 and may be required to be licensed in the 1 � jurisdiction where work is being performed. If the applicant is Address: s: Z 5 W J�ifl'JZo PKw �/ exempt from licensing, the following reason applies: CRY: r7 'L b State:Oa_ I ZIP: 1710/ Contact person: MA-giG Pfbu!Z1 Plan no.: Phone: 4 5 -66/ Fax: 222 •q. E- mail.J14F271 &Ace. , ENGINEER Name: A. 6, • g N Contact person: Fees due upon application $ Address: PA. 00y 598' Date received: City: r tw Istate: en- (ZIP:. 170 30 Amount received $ Phone: 4,1 - 14 2(0 ( Fax: ( i7 .022Sr 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 cads. please call jurisdiction for more information attached checklist. All provisions of laws and ordinances governing this 0 visa 0 MasterCard work will be complied wi w er spec'f herein or not. Credit card number: / / / /'/ � Expires Authorized signature: Jh • , Date: 2/0/Ai Name of =Odder as Mown on =tit card Print name: :l . . �u - cardholder signature f Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6001COM) " �PPLK) dC - ? 1 3 .- 7/ 2 ,3.) - 3 1. 2S Pe + isR-� . E& sox- >:t_J /a46 •c 2(d qo + 9g zc �? 00 Date Recd: CITY OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATION /PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME: PHONE #: 2. SITE ADDRESS: FAX # 1. SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot #, ❑ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑. phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names • 2. See the "Commerical Plan Submittal Requirement Matrix" for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project i:ldstsvorms\oomtiapp.doc 10/4/00 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST L1=_fR` Z00 /— 000 c/ C Received Date Requested AM PM BUP © �7 Location rJ (7 Suite MEC Contact Person Ph (_ ) PLM Contractor Ph ( ) SWR = UILD Tenant/Owner ELC Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors • Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof PART FAIL P U MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE U Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date S/Z / /U 3 Inspector ' Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSP TION DIVISION Business Line: (503) 639 -4171 MST • BUP / — 4004,5*--. Receive 3 ' Date Requested Sit BUP PM ' 7 BUP Location 7 7 C) SC/ 4=9 fi - 1 c 1 i3 S Suite I ` MEC ‘ Z 2 — Contact Person AO 7 Ph ( Sb 3) >s p PLM Contractor Ph ( ) SWR ILDI Tenant/Owner /C�,eG( )1 L ELC Fairing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: (, ' i__' PART FAIL P I MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains , Catch Basin / Manhole Storm Drain - Shower Pan Other: 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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA � j ®�, Approach/Sidewalk Date / `� 0' Inspecto 1 7 - \c k .t Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL