11386 SW IRONWOOD LOOP rn
LL
0
dOO'T (ICCMNOUI MS 99ETT
BUILDING F ERMIT
CITY UF T!GA R D
DEVELOPMENT SERVICES DATES UIED: 4/27/9999-00155 27/99y9 OU155
13125 SW Hall Blvd., Tigard, OR 07223 (503) 639-4171
SITE ADDRESS: 11386 SW IRONWOOD LP PARCEL: 1S134AD-01000
SUBDIVISION: ENGLEWOOD ZONING: R-4.5
BLOCK: LOT: 029 JURISDICTION: TIG
REISSUE: FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf� N: S: E: W; —
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 3-1 HR sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT'?: MEZZ?: RF.QD SETBACKS REQUIRED
FLOOR LOAD: psf LEF;: ft RGHT: _— ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Radio tower
Owner: Contractor: --
I IERR, CURTIS OMER OWNER
11386 SW IRONWOOD LP SIGNED RESPONSIBILITY FORM
IIGARD, OR 97223 IN FILE
Phone; Lj �, �`�rjj. Phone:
Reg #:
_— FEES _ RECIIARFUl !NSPECTIONS
Type By Date Amoint Receipt F .I"
PLCK BON 4/27/99 $16.25 99314704 Ftx+4'Fetu-i(k J v4f
FIRE BON 4/27/19 $'0.00 99-314887 V1AC.)C Qk.,nfoAS J416�
5PCT B )N 4/27/99 $1.25 99-314887 yl-y)&.Q l,yu'�pL« tc*h
PRMT 13ON 4/27/99 $251.00 99-314887 r
------Tc+a, $52.50
This permit is issued subject to the regulations contained in the Tigard Munic'.pal Code, Shite 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 f lr more
than 180 days. ATTENTION: Oregcn !aw requires you to follow the rs_!les 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) 246-1987.
Permit"
3lgrrature: l/ 4eA&--
Issued
By __-------
Call 639-4175 Ly 7 p tn. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Recd By� �
"3125 SW HALL BLVD. New Construction and Additions Date Recd
TIGARD OR 97223 Date to P.E. t 1�o I
503) 639-4171 Dale to DST
Perm,:# bj r I
Print or Type Related WR#
Incomplete or illegible applications will not be accepted Called. . 2 - ip
Name of Development/Project 1
Job o l p �T-o w E R, j —— ----- Existing Building ❑ New Building ❑
Address Street Address -� Suite
1138 (v sw
I1¢ oNw004 i-P Building
Blda# 1 City/State Zip Data
T I A!S�L o R, �7 2?.3 Existing Use of Building or Property:
Name
Property C V l2 15 0
Owner Mailing Ad rP.SS SultP Proposed Use of Building or Property
113rd sw
1 02, ot4',sAoor�
City/State zip Phone No. Of Stories: —
`T-iGAR, 0, oR 1727 5yo- 1770
Occupant Name -- Sq Ft Of Project:
Name --- - --- - Occupancy Class(es)
Contractor S c L F
Prior to permit Mailing Address Suite v Type(s)of Constluction _
Issuance,a copy I
of all licenses
are required if City/State Zip Phone Will this project have-a Fire Suppression System?
expired In C O.T. Yes ❑ ^-,� _-No p
database Americans with Disabilities Act(ADA) �—
Oregon Const Cont.Board L.ic.# Exj.Date
Valuation X 25% _ $ —
Participation
Complletc Accessibility Form
Name Protect $ -- --- ---
Architect _ _ Valuation `? O O.o_o
Mailing Address Spite
Plans Required: See Matrix for number of sets to submit
City/State Zip Phone - on back
rName
I Engineer — I hereby acknowledge that I have read this application,that the information
given is correct,that I am the vncr or authorized agent of the owner,and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws
Sign re of Owner/Ag�n� `. / Date p
City/State — Zip A Phone — �� ( a y��—� --
_ _ Contact Person Name Phone
Indicate type of work New a Addition O Demolition O CART 1 5 O_ , AIERR 0-3__5 9 ► T 7 0 J
Accessory Structure Gr** Foundation Only O Alteration O
Repair o _ other O FOR OFFICE USE ONLY _
Dg/criptlon of work:
Map/ L# �— Lend lJse
Notes: �
Parks: Estimated#of Employees I � ] -----— —
/` 7 TIF:
If the above figure Is not supplied at the time of application,the city will
calculate the fr,based upon the number of par spaces
Note: Site Work Permit Application must precede or accompany Building :� / • /� '
Permit Application � ��.I r ✓:.i: C.� r
I\COMNEW DOC (DST) 5r98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH fans AND a COMPLETED
application. For an electrical submittal, the aaplic ion must contain the
signatueb of the supervising electrician before pla review will be conducted.
After plan review approval, Plans Examiner will 6ontact the applicant to request
additional plan sets for distribution purposes. (,Dopy for Contractor, City,
Washington County, Tualatin Valley Fire & ft scue)
Total # of,
TYPE OF SUBMITTAL Plans KEY:
Submitt6d
S (Private) 1 S = Site Work
B (N,w or Add) 1 B = Building
r (ivew
or Add or Alt) F = Fire Protection ;,system
M (New or Add or Alt) 1 M Mechanical
B & M (Newor Add) /` 1 P = Plumbing
(New, Add, or Alt) 2 E - Electrical
B & M & P (New or Add) 2 \ New = New Building
E (New, Add, or Alt) y 2 A d = Addition
B & F &—M & P--8.-E----- 3 A\
= Alternation to Existing
(New , Add)_ _ Building
*B of B & M (Alt) 1
-*B—& M & P & (Alt) 3
J ,
NOTES:--
'Shaded
OTES: -'Shaded areas designate ALT submi y. '
I fists\forms\metrxcom.doc 10/30/98
Permit #:
_ Address: � � 77 � �jl� G',� ____-- --- -
I60 z '
:�• .� !y•� % Issued by: —_ Date:
18.39
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contract(rs Board to sign the
following statement before a building permit can be issued. This statement is required
for residennol building, electrical, mechanical, and plumbing permits. Licensed
architect and et gineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement ,. 'll be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
2, 1. 1 own, resile in, or will reside i.t the completed structure.
2. I understand that I must register as a construction contractor i1'the ,tructurc is sold or offetod for sale
before or upon completion.
�J :fin. My general contractor is
�J (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If I hire subcontractors, F will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, 1 will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby eertiry that the above inrormatiom is eorrec•t and that I have read and do understand the Infornmtiosi
Notice to Prop ty Owmers ah�►u ("omstr action Resp�►nsit�ilitic�s on the reverse side of,his form.
(S;.gnature of permit applicant) (Date)
(White copy to issuing agency permit file-,
pink copy to applicant)
Information Notice trt Property Owners
About Construction Responsibilities
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TU\NFR BASE, 30" X 30*
PATIO
PLOT PLAN F C) R COVER
7-0\A/FR
SCA L E I F
(NT
N B E-L T 04-08-99 TNI
UPTIS 0. HERR MAP : 1S1 ---) 4AD - 01000
11386 S\W IRONWOOD L P C ODE AREA - 051 - 8.5
-L N-G L EW Q Q D L Q T # 2 9 Z 0 ---- -- --
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Linc: 639-4175 Business Line: 639-4171 � `
Date Requested_ —AM/(-/V'-3 PM BLD
Location_ l/ i?, -:: GYI c,_)e Oe-f Suite MEC
Contact Person Ph _ PLM
ContractorIPh _ SWR
ILDIN — Tenant/( �2.'L'L� /G�- / 7 i ELC _
Retaining Vb 311 ELR --
Footing Access: FPS
Foundation —---
Fog Drain SGN
Crawl Drain Inspection Notes: ti --
Slab SIT _
Post 8 Beam —
Ext Sheath/Shear _-------------_----
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing -- - - -Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -------- -- -------- - -
Roof
WSPART FAILPtWBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitnry Sewer
Rain Drains
Final
PASS PART_ FAIL
MECHANICAL
Post 8 Bearn - - --- - ----- - - - — ---- ------ -----
Rough In
Gas Line -
Smoke Dampers
Final - - - ---- --- - __.- -- -- - - - ----------__--- -------------
PASS _PART FAIL_ r
ELECTRICAL - -------- --__- ------- ._...- -- -- �._ - -------__.._ .
Service -
Rough In
UGIFlab --
Low Voltage
Fire Alarm ----- - ----- - - -----
Final
PASS PART FAIL
SITE
Backfill/Grading __ --_-- - ------_ __ _�-- ---- -- —
Sanitary Sewer
Storm Drain ( I Reinspection fee of$--T_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin IUnable to inspect-no access
Fire Supply Line I Please call for reinspection RE:.— _-- [ P
ADA t, ,
Approach;Sidewalk Date ( � Z� C � Inspector--y �Lv Ext 1
Other
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.