Permit (2) ACITY OF T I GARD BUILDING PERMIT
PERMIT#: BUP1999-00415
j� DEVELOPMENT SERVICES DATE ISSUED: 09/27/1999
4�'I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13975 SW PACIFIC HWY A, PARCEL: 2S103DD-01100
SUBDIVISION: °'ten-6C\ ZONING: C-G
o. •. .r
BLOCK: LOT: "='/ JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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: 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:
Remarks: Demo existing commercial building. Sewer to be capped and inspected.
Owner: Contractor:
PACIFIC GAARDE PARTNERS LP YORKE + CURTIS
562 MISSION ST 4480 SW 101ST AVE
SUITE 2011pp BEAVERTON, OR 97005
SilioneA-4�5=IISS�4F'9ST399105 Phone: 646-2123
Reg#: LIC 55644
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Cap sewer line
PRMT GEO 09/27/199 $25.00 99-318646 Misc. Inspection
Final Inspection
5PCT GEO 09/27/1995 $1.75 99-318646
EROS GEO 09/27/1995 $26.00 99-318646 n 1 r \n,i AL
ERPC GEO 09/27/199 $8.45 99-318646 t
(additional fees not listed here)
Total $69.65
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-1987.
Pe rm it eeK.----
Signature: VL
..--?IP
Issued By:
e„.....49 1
Call 639-4175 by 7 p.m.for an inspection the next business day
IF ''''''.
CITY OF TIGARD Commercial Building Permit Application Rec'd By
13125 SW HALL BLVD. New Construction and Additions Date Rec'd
Date to P.E.
TIGARD;OR 97223 Date to DST
(503) 6394171 Permit#eCt p/q4 i/5-
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted Called
Name of Development/Project
Job Existing Building ? New Building 0
Address Stre1__`�„srSuite
3� c.( L2 Building
Bldg# City/State Zip Data
r,.0 ')i<, Existing Use of Building or Property:
Name /
Property ?co.., L1LIta(a(to C '?a«z-cnRJ �v(u LIP ��VzS , c? ! otziST
Owner Mailing Ad ress Suite Proposed Use of Building or Property:
SVik 1\1\\5c,\0.-\ 54°. 4 o I
City/State Zip Phone
No. Of Stories:
J ,� iUC l5 5'4(c 313
S�� 1-R(nc}(lc(. � 4g � J �
Occupant Name Sq. Ft. Of Project:
Name Occupancy Class(es)
Contractor Vc.gl., ,_(4,,4 ;5
Prior to permit Mailing Address Suite Type(s)of Construction
issuance,a copy L�. <::)C)t...)
of all licenses L l 4'�J ,>V' l GI cri E
are required if City/State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. Yes ❑ No ❑
database t,c,.1 \''''' 1° (' 11)0„5` 413 II U i, '4111
Oregon Const.Cont.Board Lic.# Exp.Date Americans with Disabilities Act(ADA)
Valuation X 25% =$ Participation
5 (r�!�l 1 i''3 I 0 I Complete Accessibility Form
Name Project $
Architect i m o \,e -- c\c Valuation
Mailing Address Suite
Stp z isn,;5,�,-- .,r._e_\- R 03 Plans Required: See Matrix for number of sets to submit
City/State -Zip Phone on back
s0,,,cv.„,;c,S,u,CA 9,-1/os g5-5t/ g373
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 plans submitted are in compliance with Oregon State Laws.
Signature of Owner/Agent Date
City/State Zip Phone
Contact Person Name Phone
Indicate type of work: New 0 Addition 0 Demolition k
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other O FOR OFFICE USE ONLY
Description of work: MO/11.R Land Use:
Note's
Parks Estimated#of Employees TIF:
If the above figure is not supplied at the time 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
Permit Application
I:\COMNEW.DOC (DST) 5/98
.. , . „.
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, 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
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