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Permit (171) A `. CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00201 sx r'" DEVELOPMENT SERVICES DATE ISSUED: 9/11/02 r � - II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 16200 SW PACIFIC HY X PARCEL: 2S115BA -00101 • W SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: NONE : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 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: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 190,000.00 Remarks: Renovation of facade: add brick veneer and gable feature on front wall. Owner: Contractor: HARSCH INVESTMENT CORP SD DEACON ENTERPRI INC (77875) 1121 SW SALMON PO BOX 25392 PORTLAND, OR 97205 PORTLAND, -OR 97298 -0392 Phone: Phone: 297 -8791 Reg #: LIC 77875 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Masonry Insp PLCK CTR 5/24/02 $711.95 27200200000 Masonry Insp Masonry Insp PRMT CTR 9/11/02 $1,095.30 27200200000 Masonry Insp 5PCT CTR 9/11/02 $87.62 27200200000 Framing Insp FIRE CTR 9/11/02 $438.12 27200200000 SMRF welds final report Structural welding final reps Total $2,332.99 Final Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 800 - 332 -2344. Pe rm ittee I n a Signature: `� Issued By: A 1 0 / / 1 / iai- [Yz ) Call 639 -4175 by 7 p.m. for an inspection the next business day / 4, 0,-- • � ' Building Permit Application City of Tigard Date received:Spy /04 Permit no. - eidiR "WO /, . mo t . . : Project/appl. no.: Expire date: Address: 13125 SW Hall Blvd, Tig R 7223 City ojTigard Phone: (503) 639 -4171 �� Date issued: By,;D) I Receipt no.:. d Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: . . TYPE OF PERMIT • , ❑ 1 & 2 family dwelling or accessory Commercial/industrial ❑ Multi- family 0 New construction 0 Demolition tl Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: I (0 ' S \Y P.t, ct r-%te I-1 Bldg. no.: Suite no.: X ' Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.: Project name: or) „.,,r,_4, w wy,tr.v 34.4 pity �e Vaec - (•t enti Description and location of work on premises/special conditions:��, •>C Y60 a �Akept- =.. A" t-tiae o& ��de V44-4-.... 011'NER FOR SPECIAL INFORMATION, USE CHECKLIST Name: .1-1 Al2$tli 1 H 10 -E tiaT ( Floodplain , septic capacity, solar, etc.). 1111". Mailing address: (1 J Spy S,,, iv 1 & 2 family dwelling: City: 'P + bac IState:0Ik'ZIP: Y7206 Valuation of work $ Phone: °5 0 Z4S'Fax: 2/4- -20 -mail: No. of bedrooms/baths Owner's representative: M (,Nth. <6s.-=rk Total number of floors Phone: S. Fax: E - mail: New dwelling area (sq. ft.) • Garage/carport area (sq. ft.) Name: EAsES ki. / SMAEgik Aga4Fr Covered porch area (sq. ft.) Mailing address: t,o'.'7h \1( if 1Tb Deck area (sq. ft.) City: el " I Stater I ZIP:120045 Other structure area (sq. ft.) Phone: Fax1_..R$ -{off E -mail: Commercial/industrial/multi- family: Valuation of work $ 1 6 )9 , QOt Business name`$ 1]EbC.B Existing bldg. area (sq. ft.) 3 t g4 l New bldg. area (sq. ft.) S 16 4 ' Address: 'Z 20 S \Y E5 4.4sets0-tb PT Number of stories I City: (mo 4 4. l a w . I State: CR I ZIP: a)7 Qd) Type of construction 3 t`1, Phone: ` a n -a'),1 I Fax: 24fj -St,' E -mail: CCB no.: 9 7 7� Occupancy grou Existing: New: ___01 City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCI IITECI'1DESIGNER licensed with the Oregon Construction Contractors Board under Name: S ) K -ry - _ \ �, ,(') (16ctirre`l; provisions of ORS 701 and may be required to be licensed in the Address: G� 7 S s v- ) ( -rt.) jurisdiction where work is being performed. If the applicant is • City: t5.ve ro State R I ZIP: on 00.b exempt from licensing, the following reason applies: Contact rson: F..4-I.0 Plan no.: Phone: -4-`Z Fax -c E -mail: Name: 1(L(Y\ 1 < Contact person: 3, 07 perldu F Fees due upon application - $ Address: "Naf 'j S \k --'- Date received: City: Fmt1=y 'State:OIL IZIP: °)'?2© ( Amount received $ Phone: 2 4.46I Fax:lt}6_, E -mail: . Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard work will be complied with w r • the pecifi rein or not. Credit card number: / Expires Authorized signature: %!�� Date: 05(24/ 812 Name of cardholder as shown on credit card • $ Print name: tr:t,E tom` Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6roOICOM) 6a/'/'L," so' 71/, 9.5' /v0 BL • Commercial Plan Submittal el G�irao�l��, : ,L Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal 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" fi re protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\dsts \forms \COM- matrix.doc 9/24/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST /„„ BUP c oZ 0/ Received Date Requested / / 1 G2 - AM > , 3 M BUP Location /6 20 C-7 - Suite MEC Contact Person Ph ( ) 79 IS $"() PLM Contractor ) SWR EILD Tenant/Owner 41 ELC Foo ing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ��`kx.!!r� Shear Anchors -_ __ J Ext Sheath/Shear �� �_ a— 4Jf; I Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm 5 Susp'd Ceiling Roof 'ART FAIL � ''' =ING lie)/ / f `�'L Post & Beam �� C ) /_ o - 2 -- Under Slab c- cr1 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 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line O ADA D 2 S' 6 �ns actor Ext Approach/Sidewalk // P / Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour Iry BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION *- Business Line: (503) 639 -4171 MST BUP 62 -- °Ze)1 Received Date Requested 1 / /y AM PM BUP Location llo AO Suite MEC Contact Person / 13.4__LIZy Ph ( ) ? S ! / ? /gd PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: F' al AS PART FAIL PLUMBING 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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for rein pection RE: 111 Unable to inspect — no access Fire Supply Line I1 / ADA ( � Mt Approach/Sidewalk Date ( / OZ_I nspector / 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 • INSPECTION DIVISION Business Line: (503) 639 -4171 .. MST BUP 2-0Z -Ulf Z° / - Received Date Requested / - - � AM PM BUP Location ZUU -S � �� j c. / 111 / 11 t Suite MEC Contact Person X Ph ( ) 9 - G 76 f PLM Contractor Ph ( ) SWR . 61 LD — Tenant/Owner ELC rooting Foundation ELC Access: Ftg Drain ELR Crawl Drain Inspection Notes: SIT - 1 1 ofitam Shear Anchors Ext Sheath/Shear / \ Int Sheath/Shear Framing Insulation f ce-G Drywall Nailing Firewall O j3 1/f CI / v Cr Fire Sprinkler ■ Fire Alarm Susp' eiling - Roof C L v� Other: Fin- OEM)' PART FAIL RING 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 ❑ Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 6 1 2 ' /UZ 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 INSPEd`1ION DIVISION Business Line: (503) 639 -4171 MST _ UP — Odcao( Received Date Reque ted _ (Q / 3 AM PM BUP Location / -.g. 0 / Suite / MEC Contact Person Ph ( ) `17 ?/- O 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner i ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int ran Sheath/Shear , . II , i f I - `� - Insulation / �� ° . V - \/) D `� - J -�-� Drywall Nailing ) v J / Firewall y �� ' A / 1 Fire Sprinkler Fire Alarm Susp'd Ceiling !Li A 4∎ " v j Roof Other: l'..1--ti Final PASS PART PLUMBING �� Post & Beam Wi �) i � v r- � ----"/ S c.) Under Slab �-/ s Rough-In �d / I - ) Water Service . a �Z Sanitary Sewer A s‘ '°t l S • — - -V ) • Rain Drains - Catch Basin / Manhole /r c�� T^. - n CCU S Cc —.--Q Storm Drain Shower Pan ..-AU A tAR _ --IP • G _� / i, Other: V - PASS PART FAIL 1 MECHANICAL /� - I 1 j Post & Beam t =� J , • Rough -In Gas Line V -� log: ' 111...-ami■ • Smoke Dampers _ Final PASS PART FAIL • ELECTRICAL Service • Rough -In c" \- -r c - v ' ` Q. UG/Slab ✓� �, Y Low Voltage I��.� I ✓Y° D c vO 0 Fire Alarm _, Z- C G -- ■.Q- -� • Final r__, 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: D Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date 1 t)/ 2 /d v Inspector Ext Other: Final 1 DO N T REMOVE th nspection record from tile job site. PASS PART FAIL - 1 J Cam_ r - __