Permit (70) A, CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00030
I^. DEVELOPMENT SERVICES DATE ISSUED: 2/25/2005 •
Ai- ,.� I � 13125 SW Hall Blvd., Tigard, O R 97223 (503) 639 -4171
SITE ADDRESS: 16200 SW PACIFIC HWY WIllf PARCEL: 2S115BA -02500
SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 39,000.00
Remarks: TI, relocate entry doors, concrete demising wall and restroom.
Owner: Contractor:
SN INVESTMENT PROPERTIES PACIFIC CREST STRUCTURES INC
1121 SW SALMON STE 400 7233 SW KABLE LN STE 900
PORTLAND, OR 97205 PORTLAND, OR 97224
Phone: 503- 242 -2900
Phone: 503 - 968 -8949
FEES Reg #: LIC 66915
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 1/26/2005 $252.40
[FLS] FLS Pln Rv 1/26/2005 $155.32
[TAX] 8% State Surchari 2/25/2005 $31.06
[BUILD] Permit Fee 2/25/2005 $388.30
Total $827.08
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 -0s ! • sugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling � 03) 246 -6. ' • 81: 332 -2344.
Issued : y: / t / l , •
Permittee
Signature: c
Call 639 -4175 by 7:00 p.m. for an inspection the next business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
7 Spec g 'c.
Building Permit All 1ECIE 1 V D FOR OFFICE USE ONLY
City of Tigard 1 i L.lr R aced
D 1 Permit NI.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / b - ‘56 ?aUoS .-- 000
g �� I i
Phone: 503.639.4171 Fax: 503.598.19 2 6 2005 /�� '� olitI' Date/B : Q y �
��AN � Other Permit:
Inspection Line: 503.639.4175 F _ _,.. Date ReadyBy: /win 1>8 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Metho Q t t Supplemental Information
CITY OF TIGARD -5 u/ '
. kiU I VISION , • • REQUIRED DATA: -1- AND 2 -FAMII YDWELLING.
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
I sa Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the •
CATEGORY OF CONSTRUCTION • - - work indicated on this application.
El 1- and 2-family dwelling Valuation: $
y g � Commercial/industrial
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB "SITE INFORMATION AND LOCATION Total number of floors:
Job site address: (Cc) 2GXi' SW -i.Ct FtC N`Ky I New dwelling area: square feet
City/State/ZIP: "r t � 0 ` tom* 45*') 225 Garage/carport area: square feet
Suite/bldg. /apt. no.: W Project name: T= Ca Covered porch area: square feet
Cross street/directions to job site: S \V P 7 4 Gm '..,„ Deck area: square feet
Other structure area: square feet
REQUIRED DATA: C OMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: 10 ( Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2 s (t7 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Et�c-/b'1 M_ FwITtZy v�7 Valuation: $ - "�!° >odt'� eo
t--- 014.StteHCT' .anI S.1 tslcb W 4ti Attie 2ECT 2mrOC11 Existing building area: 3ef�� `Z square feet
New building area: 3eD6' 2 square feet
_91 PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Sty (K S-tM C..% NIT 1::;'C2n 1.----C Type of construction: 114
Address: l ( 2■ S »e So I rms. Q-M Occupancy groups: M
City/ State/ZIP: Q Q. M akn C),z an 206" Existing: M
Phone: ( 503) Zff-2 - 2epO Fax: ( 4 503) 2 74 - 276 New: M
• . • .. ]] APPLICANT ' CONTACT PERSON , . NOTICE '; - _ -, >` -
Business name: S� \ & A02 merjs All contractors and subcontractors are required to be
Contact name: �� P S licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: C.0 5 S\k !, (I T Al N yv .. jurisdiction in which work is being performed. If the
CO t7� - � �O applicant is exempt from licensing, the following reasons
City/ State/ZIP:
8 E a N .. .prri1t.t t '� apply:
Phone: ('S ) ,q.rc�- - ¢22. I Fax: : (6v3) Ce 44r 04.
E - mail: ��/ - ,/25.Q , ( / 0
GIs i 5.3 .
• CONTRACTOR • • `
Business name: f. �ikt'.I'FIC_ c S T �-rQLic.:1 k e€..
`� BUILDING PERMIT FEES*
Address: •
Please refer to fee schedule.
City/ State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
CCB lic.: r /„ �� � Amount received
�C�1 Date received:
Authorized signature: 4' c'' This permit application expires if a permit is not obtained
( within 180 days after it has been accepted as complete.
Print name: pe0„k„. ..___C -.4C Date: I / 2f( 0v , * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP- PemiitApp.doc 12/03 440- 46I3T(11 /02/COM/WEB)
/ 1 Building Division
/ '9 ,�� 1 A Plan Submittal Requirement Matrix
Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plan's '
(Includes new, additions and alterations.) Required at
Submittal . -
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
•
Site Work
•
2
(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" fire protection systems require that plans bear the original seal of an .
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\Building \Forms \COM- PlanSubReq.doc 12/24/03
•
• '!
Building Division
/ A I; � Accessibility: Barrier Removal Improvement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities
unless such alterations are disproportionate to the overall alterations in terms of cost and
scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 3°)gron
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ )75
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
. following order:
(a) Parking $
(b) An accessible entrance: $ 2S
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 25"
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $ e9.5
i:\ Building \Forms\AccesslmprvPlan.doc 11/25/03
5LG zaEf- - odco
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2005
Phone: (503) 639 -4171 Aill I nspection Requests (24 Hrs.): (503) 639 -4175 .�' . _..
INSPECTION WORKSHEET FOR DATE: 4/13/2005 TIME: 7:10AM PAGE: 71
SITE ADDRESS: 16200 SW PACIFIC HWY VC kil CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI, relocate entry doors, concrete demising wall and restroom.
OWNER: SN INVESTMENT PROPERTIES, PHONE #: 503 -242 -2900
CONTRACTOR: PACIFIC CREST STRUCTURES INC PCs PHONE #: 503.968.13949
Inspection Request Scheduled For: Date: 4/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 004390-01 503-80&4408 Y
Corrections /Comments /Instructions: TE.4-lzy
• 1.-/-( (..„,,--1 I
r �J
l
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ` ALL FOI�INSPECTION El ADDITIONAL F ES ASSESSED
C. Inspector: ,e��l Date: 47 3/ Phone #: (503) 718 -
CITY OF TIGARD . - r---
BUILDING DIVISION PERMIT #: BUP2005.00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2005
Phone: (503) 639 -4171 f tl id 'i ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 __ . ,� I
INSPECTION WORKSHEET FOR DATE: 4/11/2005 TIME: 7:10AM PAGE: 50
SITE ADDRESS: 16200 SW PACIFIC HWY W2 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI, relocate entry doors, concrete demising wall and restroom. .
OWNER: SN INVESTMENT PROPERTIES, PHONE #: 503.242 -2900
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-966-8949
Inspection Request Scheduled For: Date: 4/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
0/
287 Suspended ceiling 004194 -01 503-805 -4408 N
C rrectio /Comments /Instructions:
F C_� � S‘ 1 3 - ,
G =� —
V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , j 1/4*____
Inspector: Date: / \ Phone #: (503) 718-
P
I
CITY OF TIGARD ..,,, "
BUILDING. DIVISION - PERMIT #: BUP2005 -00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/25/2005
Phone: (503) 639 -4171 U j �l
Inspection Requests (24 Hrs.): (503) 639 -4175 " I L q( /
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 90
SITE ADDRESS: 16200 SW PACIFIC H W2 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUA LOT #: 001 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI, relocate entry doors, concrete demising wall and restroom.
OWNER: SN INVESTMENT PROPERTIES, PHONE #: 503242 -2900
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-968 -8949
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 004080 -01 503-805 -4408 N
Corrections /Comm nts /Instructions:
4- , M S
10 1Z 0,5 - 600 a- I (...c S4 , o - z-e_ 2.-2-0 /A)
Abi-7 1
5 ./, CAL kJ / ) S KiA.A , j 6.) / - 4 i c •
5 4_ o l-v , . I /1A-A'S c--e4X 6 ( -1;1 71 (- 1- e-i- c c •
4 v1 S s- s o__-e .
ik W - ( p 5 P - (Y -t--- C.I.,,r % 9
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tncG v , -- o o t o cP C l-to tea-# \&., 6S s)
-- (,C_ 7.0 C — 06 1 (t2r ( q )-- c--
(/ - 70 a c - OC) I i Z C Fes)
❑ PASS ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
C1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: //b one #: (503) 718-
CITY OF :TIGARD 4 ;
BUILDING DIVISION PERMIT #: BUP2005.00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2S/2005
Phone: (503) 639 -4171 - h va i ° '✓liatilA
Inspection Requests (24 Hrs.): (503) 639 -4175 `1
INSPECTION WORKSHEET FOR DATE: 3/22/2005 TIME: 7:13AM PAGE: 59
SITE ADDRESS: 16200 SW PACIFIC HWY W CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI, relocate entry doors, concrete demising wall and restroom.
OWNER: SN INVESTMENT PROPERTIES, PHONE #: 503-242 -2900
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503.968 -8949
Inspection Request Scheduled For: Date: 3/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 002423-01 503805-4408 Y
t/
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1, ,c
Inspector: ��� Date � Phone #: (503) 718-