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1990 SW GREENBURG RD
CITY Ur TIGARD Commercial Building Permit Application Plan C
13125 SW HALL BLVD. New Constructipn_a id Additions - F.ec By --
TIGARD, OR 97223 (�-`_ 1� Date Recd q-7-f F
tJ ���_ \`��,V �� 1 Date to P.E._
(�03) 63 .-4171 (" t Dare to DST
Permit#
Incomplete or illegible applications wi(I not('�, be accepted Related SWR# _
-- -- --- �2f'_' �t oc�,31 _ i'7"##JJ -7 - 100�1 --
( 1Jame of Developn nil Y�"f
Job v I�cR.►.tZ- V Yu ?< ppF�C1E —� _ -- _
V� ��N-F' � Exist:ng Building New Building p
Address Street Address Suite
9T20 20 C p&-NgB 5, �ti g Building
Bldg# - Tity/stale Zip Data
-----_ _TI _E ExisFin—g -0 se of Building or Property:
Name V j N,t7TCX�. ku It,S
Property G 5T EUte`rN \t . `10A*11 Scr*'.-
Owner Mailinq Address a ? 7� suite T Proposed Use of Building or Proocrty.
w $l5O•n� P>eRP�t f2 b +�1�- Aj fes!6
City/State ZipCt xe�1 Phone -
Of Stories:
Occupant Nan Sq. Ft. Of P�C'rojecctt4
Name S�'�� -tuncyN L. Occupaass(e )
Contractor C)o h,v p y t ii-C --
Prior to permit -ailing Address r nM seize _ Type(s) of Construction —
issuance,a copy S *�
of all licenses Vl7 � '[1A S # ' U
are required If City/Slate — Zip 1 _ Phone ill this project have a Fire Suppression System?
expired in C.O.T. f ` , Opt 6 9.3 r7iA� Yes ❑ No ❑ M/�`
database
Oregon Const Cont.Board Lic-# Exp.Date Americans with Disabilities Act(ADA)
64- Valuation X 25% _ $_ Participation 1
- S771 7 3 . � � CompleteAccessibility Form_ N f
Name Project $ -
Architect Valuation �) f
Mailing Address Suite
Plans Required See Matrix for number of sets to submit
City/State Zip Phone _ ��� on back
Engineer Name - N I hereby ac:.nowledr a that I ha%e read this application,that the information
given is correct,that 1 am the tier or authorized agent of the owner,and
Mailing Address Supe that plans submitted ke In .omp nr.e with Oregon Stale Laws.
Signa re of O Inc.r/A Date
City/State Zip
i
Contact Person Name Phone
Indicate type of work: A'iw O Addition O Demoliticn 'G11 � # SCL`�� K':1 7
Accessory Structure O Foundation Only O Alteration O
Repair O _ Other o FOR OFFICE USE ONLY
Description of work: b 4�0 u,�DO +t` 6 F
Nap/TL# � Land Use— -
A+Mv
Notes
Parks: Estimated#of Employees
TIF
r;the above figure Is not supplied at the time of a;)pllcatlon,the tlty will
calculate the leo based upon the number of arkln spaces.
Note: Site Work Permit Application must precede or accompany Building -
Permit Application
i\dsts\forms\comnew doc 5/10/99
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of 80TH plan; AND a COMPLETED
application. Foran electrical submittal, the application musi contain tine
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to roquest
additional plan sets for distribution pure ises. (Copy for Contractor, Ci.y,
Washington County, Tualatin Valley Fire & Rescue)
-Total # of �
TYPE OF SUBMITTAL Plans ( KEY:
Submitted
S (Private) v 1 S Site Work
B (New or Add) 1 B = tVIding
F (New or Add or Alt) ` 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or ,;dd) _ 1 P = Plumbing
P kNew, 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
*B or B & M (Alt)
--*-6TM M & P & E(Altj-----
*B & M & P & E & i=(Alt) �3
NOTES:
"Shaded areas designate ALT submittals only.
I\dsts\for,,sv;atrxcom doc 10/30198
BUILDING F ERMIT
/ \ CM`�`` O F �•I GA R® PERMIT#: BU�'1999-OG392
DEVELOPMENT SERVICES DATE ISSUED: 5/7/99
13125 SW Hall Blvd.,Tiqard, OR 97.223 (503) 639-4171
PARCEL: 1 S 126DC-04602
SITE ADDRESS: 09990 SW GREENBURG RD
SUBDIVISION: LEHMANN ACRE f RACT ZONING: C-P
BLOCK: LOT: 006 JURISDICTION: TIG
REISSUE: _FLOOR AREAS EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: DEM FIRST: sf N: S: E: W: —
TYPE OF JSE- COM SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CC,JST: 5N sf N: S: E W:
OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED_
FLOOR LOAD: psf LEFT:T ft RGHT: ft FIR SPKL: SMOK DET: W
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM HNDICP ACC:
BEDRMS: EATHS: IMP SURFACE: PITO COkR: PARKING:
VALUE:
Remarks: Demolition of one ranch style duplex office building. All debris to be removed. Sewer to be cApped and inspected.
Owner: Contractor:
VIP MOTOR INNS INC SUPER ONE INC
29757 SW BOONES FERRY RD 10950 SW 5TH
WILSONVILLE, OR 97070 STE 150 ppNN ��
e,VF TR 5721
Phone: 503682-9284 aFPhorig 97005
Reg A': LIC 000571
FEES REQUIRED INSPECTIONS —
Type By Date Amount Receipt Cap sewer line
PRMT DEB 9/7/99 $25.00 99-318140 Final Insr,ection
5PCT DEB 9/7/99 $1.75 99-318140
EROS DEB 9/7/99 $26.00 99-318140 ORIGINAL
ERPC DEB 9/7/99 $8.45 99-318140
(additional fees not listed here)
Total $69.65
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started w0in 180 days of issuance, or if work is suspended for more
than 180 day.3. ATTENTION: Oregon law rejUires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rLiles are set forth in OAR 952-001 -0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct estiorys-te,OUNC by calling (503) 246-1987.
i
Pe nn itee
Signature: _ 1-_..---
Issue BY: 1.
Call 639-4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
_
Date Requested C?-Z7-'/ ! AM PM BLD
Location (�9!c=/ _ Suite MEC
r.
Contact Person ?.( �1 � � Ph • 7 y 2 G PLM
Contractor _ Ph _ SWR
11iILDIN-4 Tenant/Owner - ELC _
Retaining Wall ELR
Footing Access: FPS
Foundation
Fig Drain SGN
Crawl Drain Inspection Notes. — —
Slab a SiT
Post,&Beam —
Ext Sheath/Shear ---- —
Int Sheath/Shear
Framing ----
Insulation �
Drywall Nailing ___.— �•`-�✓�-� �--- -
Firewsll
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ----
Roof
Misc: �— — --�
F1 507--N
I,fASV PART FAIL —P'LUMBING _
Post& Beam
Under Slab -- _ -- -- _—�-- �—
Top Out
Water Service __ —
Sanitary Sewer
Rmn Drains _._ — ----- ---- —----
Final
PASS PART FAIL -----
M~ECHANICAL
Post 8 Beam ,.._ __ -- --- — ---------- ---
Rough In
Gas Line ---- _— —_--__..—.-
Smoke Dampers
Final _ _ .. _ ---• ------- -------
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab ---— ....—---- -- — -
Low Voltage
Fire Alarm —� _— -- ------- ----_._
Final
PASS PART FA!t_ —
SIT E
Backfill/Grading —`—-- -- — — — i
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ renuired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch easinUnable to inspect- no access
Fire Supply Line [ ]Please call for reinspection RE:_ l 1 P
ADA `
Approach/Sidewalk Datel Z Inspector �'� "� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.