Permit A', CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00465
0141" DEVELOPMENT SERVICES DATE ISSUED: 11/23/1999
- ��� i! 13125 SW Hall Blvd., Tigard, O R 97223 (503) 639 -4171
PARCEL: 2S101 DA -00800
SITE ADDRESS: 07105 SW VARNS ST
SUBDIVISION: VARNS ACRES ZONING: C -P
BLOCK: LOT: 011 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 690 sf N: S: E: W:
TYPE OF USE: COM SECOND: 4.435 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 46 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 43,500.00
Remarks: Interior tenant improvements. No structural or HVAC work.
Owner: Contractor:
GRANGE MUTUAL INSURANCE CO SUMMIT CONSTRUCTION
7105 SW VARNS RD PO BOX 10345
PO BOX 230969 PORTLAND, OR 97210
TIPhonD, OR 97223 Phone: 223 -9703
Reg #: LIC 000632
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK GEO 11/02/1995 $254.15 99- 319407 Electrical Permit Required
Plumbing Permit Required
FIRE GEO 11/02/1995 $156.40 99- 319407 Framing Insp
PRMT DST 11/23/1995 $391.00 99 -19976 Gyp Board Insp
5PCT DST 11/23/199E $31.28 99 -19976 Susp Ceilng Insp
Final Inspection
Total $832.83
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 -1.87.
0 1, if ..
Permitee
Signat trif, i ,
Issue By: OBE • I 1 L is
v
Call 639 -4175 by 7 p.m. for an inspection the next business day
• CITY OF TIGARD Commercial Building Permit Application Recd By / o lo/C?
13125 SW HALL BLVD. New Construction and Additions Date Recd /o - 02 $-1�7�'
I4 ALL to P.E. /PR F
TIGARD, OR 97223 Date to Ds //— / 7 -`�
(503) 639 -4171 K Z Z Permit* 0 4Pl r - o61/G
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project
Job �/1at 5 ST EUI LD1I'i Existing Building New Building ❑
Address Street Address Suite
7145 SW VQI2 Building
Bldg # City /State Zip Data
�1 TI( de .X� Existing Use of Building or Property:
Name Lit, i'
Property .NS S Lt, 9 • �199c s ,'.ii -i%
Owner Mailing Address Suite Proposed Use of Building or Property:
7125 SW N-k1MrbN N • Or. ric-5
City/State Zip P hone
No. Of Stories:
PetznAgy `[7 OD -fta 2.
- Occupant Name Sq. Ft. Of Project: �
sYvv■tope, evAttsis + lAmeN SI25 C7�-
Name Occupancy Class(es)
Contractor utiNAINA LT' Cbt\ 4xnCN j
Prior to permit Mailing Suite Type(s) of Construction
issuance, a copy
of all licenses r o • �f Y w� 10 /- ii
are required if City/State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. � q7' 2 ~6� with ❑ NO
database Americans with Disabilities Act (ADA
Oregon Const. Cont. Board Lic.# Exp. Date
Valuation X 25% = $ L0/9,15 Participation
(10 241 Complete Accessibility Form
Name Project $
Architect VI 1(1C7 jl "j'r / AIA Valuation C � .
Mailing Address Suite / ✓�i[✓ 7
s i4 Ti.F Ave. ko,i Plans Required: See Matrix for number of sets to submit
City/State Zip Phone on back
r*PUtgo, eg• e 22( 6785
- Engineer Name 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
Mailing Address Suite that pia•- bmitted are in compliance with Oregon State Laws.
/
I7 :�'• / I� �i '''',/
Date
City/State Zip Phone �I�L /1 D -26 �/
' Co - • Person N -re ■ Phone
Indicate type of work: New 0 Addition 0 Demolitio 0 Mi # �/4r il%YlA - " - ' Ailior
Accessory Structure 0 Foundation Only O Alteration
Repair 0 Other FOR OFFICE USE ONLY
Description of work:
4l c' ' / WT `vA � ' • Map/TL# Land Use: - _
ttb rv s �I�+ u fl t'AL dtz WVF•fi�• Notes:
Parks: Estimated # of Emplo TIF:. _
If the above figure Is not supplied at the me 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 3- "� L P�G� 0 /. / I ( ,
Permit Application � / q 6 ✓ 0j.
L COMNEW.DOC (DST) 5/98 /too / 5 ` i
'7l
46›. e-/ / -
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 lgg9- CO ( Avg --
Date Requested «l 1 9 AM gO PM BLD
Location ? l o.S SW ('a.✓YLS Suite MEC
Contact Person , '' II rk-- Ph (04) / PLM
�IS
Contractor Y�'. VQ/>k- thaucic S 4 . - r Ph Y -3 (
1_‘J1111 DI Tenant/Owner
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain InSpeCtlOn Jp�gS: ' SGN
Slab L[16�,t.LGL ��e�/CllLCiG�.S� i/X 6��} SIT
Post & Beam c ,/a " w Qum
Ext Sheath /Shear
Int • -ath /Shear
0 Ins u�latio
Drywall Nailing ' �� I � ,/ I:
Firewall
Fire Sprinkler ,- . ,
Fire Alarm ■
Susp'd Ceiling 'i ,
Roof .• . / ■ V
Misc:
Final I
PASS PART 40
PLUMBING ' l
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains .
Final
PASS PART FAIL ■4 'W_ Ill ��
4 LAA ' ' ` S . '
MECHANICAL \n n -
�� \ &A `/\� ' _
Post & Beam "(�
Rough In 1 AP = ....Li ` �./‘,._ S ; _,,, !1
Gas Line f
Smoke Dampers .. -
Final ......--. ■■
PASS PART FAIL
ELECTRICAL i I I ' r Q t 8 ..
�fi
Service ' /
Rough b In
UG /Sla \ i����a— ` .
b � .
Low Voltage ‘ l
Fire Alarm 2 1- - 1 . r. ' S
Final
PASS PART FAIL " t/ . 1 _ te`'t `S � �' " L C._L
SITE '6' re-- LAWS L/tA." �k 4 \#1.---12.— \#1.---12.— Backfill /Grading
Sanitary Sewer -e_cJQ
5 � -Q S $ ri' ) •
Storm Drain [ ] Reinspection fee of $ required before next' pection. 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 Date k k ��
Other Inspector C Ext3‘
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
3 ) — r - 0,%/t• i tIO A ...1„_ c., r A Q d,vv--rs L 2,V 4
CITY OF TIGARD BUILDING INSPECTION DIVISION z Z. 2
,pi MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 , 77- , ���
BUP Q�.
Date Requested Olt 3 ( 1 I AM / PM BLD AM
Location 0 ! O S std ✓aiviS Kk Suite MEC r /FIO
Contact Person 1 iY — thAk CeLtu ���� P ic- Ph 8 1 PLM
Contractor L Ph SWR
= . LD Tenant/Owner ELC
e aining Wall ELR
Footing Access: G
Foundation D : 30 -- n uly\ / / Z 6 z FPS
j
Ftg Drain .0-4 SGN
Crawl Drain Inspectio9 CVO S: r
Slab LV u^ 1 QYI'L� ' G LL?►1 .. SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation Drywall Nailing
Firewall /1"-
Fire Sprinkle S ( Yi /
Fire Alarm
Susp d Ceiling .
Roof
M' • 6CCu-ee/rtel
1
■• PART FAIL
- 1 BING
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 D ate _ is Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site..