Permit (12) 9 / , 94 A 4- d- - (3. 1 4*i �o
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Alt CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00377
�. u �y, r � DEVELOPMENT SERVICES DATE ISSUED: 9/3/02
. -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13727 SW PACIFIC HWY 100 PARCEL: 2S103DD -00400
SUBDIVISION: ZONING: C -G
BLOCK: LOT: 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 75 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: Construct on -site walk -in cooler and bar only.
Owner: Contractor:
WILSON'S TIGARD RETAIL CENTER RL HUGHES CONSTRUCTION
BY BOMCC ESCROW ADMINISTRATION 12685 SW BEEF BEND
TXAA11-2495 ��1n� TIGARD, OR 97224
D T 5 ) 63W -;694 Phone: 503 - 968 -7882
Reg #: LIC 134071
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 9/3/02 $187.30 27200200000 Electrical Permit Required
Plumbing Permit Required
5PCT CTR 9/3/02 $14.98 27200200000 Framing Insp
PLCK CTR 9/3/02 $121.75 27200200000 Insulation Insp
FIRE CTR 9/3/02 $74.92 27200200000 Final Inspection
Total $398.95
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 1- 800 - 332 -2344.
Perm ittee
Signature:
Issued By: , �� 0_ // -
I"
Call 6 9-4175 by 7 p.m. for an inspection the next business day
A - - - CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00377
A..- DEVELOPMENT SERVICES DATE ISSUED: 9/3/02
. II 13125 SW Hall Blvd.. Tigard, O 97223 ( §03) 639 -4171
SITE ADDRESS: 13727 SW PACIFIC HWY 1 /O PARCEL: 2S103DD -00400
SUBDIVISION: ` " ZONING: C-G
BLOCK: LOT: 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 75 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: Construct on -site walk -in cooler and bar only.
Owner: Contractor:
WILSON'S TIGARD RETAIL CENTER RL HUGHES CONSTRUCTION
BY BOMCC ESCROW ADMINISTRATION 12685 SW BEEF BEND
TX1 -2495 TIGARD, OR 97224
DOM TX 75201 Phone: 503 - 968 -7882
Reg #: uC 134071
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 9/3/02 $187.30 27200200000 Electrical Permit Required
Plumbing Permit Required
5PCT CTR 9/3/02 $14.98 27200200000 Framing Insp
PLCK CTR 9/3/02 $121.75 27200200000 Insulation Insp
FIRE CTR 9/3/02 $74.92 27200200000 Final Inspection
Total $398.95
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 • ' - ° 52- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -669: or 1 -810- 332 -2344.
Penn ittee ^/,'
Signature: ` f/ 412 v''4
Issued By: 62144 & Z.a /
Call 639 -4175 by 7 p.m. for an inspection the next business day
iiik .
-'Buildin Permit Application
A . Date received: 9 ,3 Permit no.:bu .. p 7
�' City of Tigard ?
.`= Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: I &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: 3 7z 7 5 w EFIVIMIMMIIIIIIIIIM Bldg. no.: Suite no.: TOM
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: f iv
Descr and location of work on premises/special conditions:
l ;oku str2d 4 . ni) A a• - Or, n/- 7 A/1-0 A L fl& 'r4/I
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
r 1121
(Floodplain, septic capacity, solar, etc.)
Mailing address: , • , - A.1111M 1 & 2 family dwelling:
L ZIP: - ,, f Valuation of work $
Phone: _ . . 1► _ .45" 4 Fax: E -mail: No. of bedrooms/baths
Owner's representative: 0.... Total number of floors
Phone: Sty - 030 New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: CommerclaUindustrial/multi- family: 4/ / oo o
CONTRACTOR Valuation of work
Existing bldg. area (sq. ft.)
' i ' New bldg. area (sq. ft.)
Address: da-(4'g - li - .p .
,1 ZIP: X012 ,,m Number of stories
Type of construction
Phone: 'G ! - �f - Fax: E -mail:
CCB no.: 3
_a $_� 3 Occupancy group(s): Existing:
New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail: •
ENGINEER
Name: Contact person: Fees due upon application $
Address: - Date received:
City: State: ZIP: Amount received $
Phone: Fax: 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 p • • ions of laws and ordinances governing this ❑ visa ❑MasterCard
work will be compli with wh- ther s • cified herein or not. Credit card number: s /
r< i
I
/ p
Authorized si atu _ -,,, y // /. Date: 9 ,2 el, Name of cardholder as shown on credit card $ • Print name: liOdr. /i/ h f fA041../ 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 (6IOOICOM)
t.
Commercial Plan Submittal
. y, qb 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" fire 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