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Permit
r` v CITY OF TIGARD BUILDING PERMIT PERMIT ED # BUP20 71 ` COMMUNITY DEVELOPMENT DATE ISU 10/21/200 -0286 S 8 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 136DB -02600 SITE ADDRESS: 11201 SW 72ND AVE ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: MCDONALDS Project Description: TI. New beverage center. 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: A2 TOTAL AREA: 0 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 65,000.00 Owner: Contractor: MIKE KENNEDY GA BENTLEY CONSTRUCTION INC 8255 SW HUNZIKER ST 203 PO BOX 363 TIGARD, OR 97223 GRESHAM, OR 97030 Phone: 503 - 519 - 9524 Contact #: PRI 503 - 661 - 2103 Reg #: LIC 30870 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/25/2008 $285.16 [TAX] 12% State Surch 8/25/2008 $175.48 [BUPPLN] Pln Rv 10/21/200E $285.16 [FLS] FLS Pln Rv 9/18/2008 $175.48 (additional fees not listed here) Total $951.98 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 -0100. You may obtain a copy of these rule uestions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issu d By: Permittee Signature: AR iwmp i i iI Call 503.639.4175 by 7:00 a.m. for an inspection that 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. Al 6 s 112.O f a ?z -AvI Bi ding Permit Application Commercial RECEIVED ED i OR'OFFICE I til ONLY City of Tigard Received , � oQ :ter PeinntNo.: —4 „i. Plau 13125 SW Hall Blvd., Tigard, OR 97223 AUG 2 5 Z008 - - _ / I Phone: 503.639.4171 Fax: 503.598.1960 Date/By: /vMA 1// i/U 5 Other Permit r 1 G .. \ R b Inspection Line: 503.639.4175 / �r Date Ready/By: Y hubs: SI See Page 2 for Internet: www.tigard or.gov 1 11 O��V Notified/Method: ' Supplemental Information BUILDING DIVISIO -' � T_ Su PP P - ( ,I .-.e4 PV.t,g,n_../ TYPE OF WORK QUIRED DATA: 1 -AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. �( dicate the value (rounded to the nearest dollar) of all E.1 Addition/alteration/replacement _!t'' Other: /end///- /Arra meq equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION / work indicated on this application. Al Valuation: $ JA ❑ l- and 2- family dwelling I Commercial industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: lla.Q/ 1 .5 1 0ti 70241 A/C— New dwelling area: square feet City/State/ZIP: T /6•9' f 0z_ 99 Aa 3 Garage/carport area square feet Suite/bldgJapt. no.: I Project name: Cfj do ad Q Covered porch area square feet Cross street/directions to job � site: Deck area: square feet S W 7 7 ui /9ve /7 IV / ,() 'G FG Other structure area: square feet i1 ry y REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DFSCRIP7ION OF WORK G . �� work indicated on this application. r &a /g r , rem d I ' / ,7j- /,//4,4 i/ Valuation: $ o c . 000 p b.., e - r o - e - Existing building area: square feet it New building area square feet 6,0 jPROPERTY OWNER 1 ❑ TENANT Number of stories: Name: 01,55/0.d x�n e y' Type of construction: v iC.� Address: pb / � � j 25e.:203 Occupancy groups: /Yd' City/ State/ZIP: b) [1 g g9pZ0-3 Existing: Phone: o n 529--9,jo. -9t: ( ) New: iM 6 [APPLICANT /`i CONTACT PERSON NOTICE Business name: G All contractors and subcontractors are required to be Contact name: � 4_77/V � �� licensed with the Oregon Construction Contractors Board 'J under ORS 701 and may be required to be licensed in the Address: 70e�� , v �' � aSif,/g jjj�ef (/� 4�J 31S jurisd in which work is being performed. If the City/ State/ZIP: 4./4,4,4 Q . (Jh 906,33 applicant is exempt from licensing, the following reasons G /yam cp/ apply: Phone: (d5) S /� f - y 5'f ` �j / j ��ax * %jy' / V/ 1°t? Fax:: ( 7 p d 27 f i _j 9 tie � E-mail: ,J- 1 / /v , L�y�f►& / e S , 01/ 77 CONTRACTOR Business Business name: all 6f1J L_t. Y (�Nr€4.7 Q,�) C IT / /J J 2 BUILDING PERM FEES” Address: Q / ice ",./ e:56,5 fPltase refer so fee sehedu/e) Structural plan review fee (or deposit): 45. / 5p City/ State/ZIP: (diMeitt./ O 2 9 703 d LJ FLS plan review fee (if applicable): 0 G I -3 5- / Phone: (c0) /obi,. o 3 I Fax: ( ) iC� 70 Total fees due upon application: $(6 0 .. (47,9 CCB tic.: p • r / Amount received: Gt � n 0 . ( Lt Authorized s, .: - . -: 1 jAry This permit application expires if a permit is not obtained Print name: ' yy / Date: within 180 days after it has been accepted as complete. ]>� —ir • i AW /_. * Fee methodology set by Tri-County Building lndusiry Service Board. I:1Building\Permits\BUP -COM PermitApp.doc 2/23/0 440 -461 (11 /0 COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008.00286 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2008 Phone: (503) 639 -4171 / au l d Inspection Requests (24 Hrs.): (503) 639 - 4175:1. INSPECTION WORKSHEET FOR DATE: 11/14/2008 410 7 :00AM PAGE: 3 SITE ADDRESS: 11201 SW 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MCDONAl_DS DESCRIPTION: 7 New beverage center. OWNER: KENNEDY, MIKE PHONE #: 603.619 -9624 CONTRACTOR: GA BENTLEY CONSTRUCTION INC i PHONE #: 503-66 -" 103 .y ` Inspection Request Scheduled For: Date: 11/14/2008 % Pour Tim:. 5 1 • 1 Code # } nspection Description Confirm # Contact Mes ge / 209 Final inspection 078104-01 503-519-8594 Y Corrections /Comments /Instructions: i 1 L 1\ 4 K -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED LtZtf Inspector: VA / "� Date: I Phone #: (503) 718 - P CITY OF TIGARD A BUILDING DIVISION PERMIT #: BUP2008 -00286 13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 10/21/2008 Phone: (503) 639 -4171 µ t° Inspection Requests (24 Hrs.): (503) 639 -4175 ` -_.. INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7 :00AM PAGE: 22 SITE ADDRESS: 11 SW 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: TI. New beverage center. OWNER: KENNEDY, MIKE PHONE #: 503- 519.9574 CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE #: 503 -661 -2103 Inspection Request Scheduled For: Date: 11/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 077956-01 503 -5513 -8594 N Corrections /C mments /Instructions: (56c '2o OOA IS tom; i , 9) QrAi vei ,Oci ( I t / o 7l ( a tzw\ ev\--e_ - k - i(..e. -_,Nv,i, ce_4.__It +0 0Ast..t. tik- - -k) r + r kl 0 bf4( ks . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS rj FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v f/i D ate: 1 /7/ C i 3 hone #: (503) 718- CITY OF TIGARD '- ,L BUILDING DIVISION PERMIT #: BUP2008- 00296 13125 SW Hall Blvd., Tigard, OR 97223 toi V\ DATE ISSUED: 10/21/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/10/2008 TIME: 7:02AM PAGE: 2 SITE ADDRESS: 11201 SW 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MCDONAI_DS DESCRIPTION: TI. New beverage center. OWNER: KE_NNF_DY, MIKE PHONE #: 503..519.9524 CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE #: 503.661 -2103 Inspection Request Scheduled For: Date: 11/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 293 Final inspection 077896-01 503-519 -8594 Y Corrections /Comments / Instructions: e,--GGZoo�- oc).* Ai Q .1 - i .. - , 7 • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t Date: I I/ ' Phone #: (503) 718- )")-__ je___ CITY OF TIGARD � BUILDING DIVISION PERMIT #: RUP2008 -Q0286 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/ om Phone: (503) 639 -4171 ,o�q�� j ell Inspection Requests (24 Hrs.): (503) 639 -4175 `-_.. INSPECTION WORKSHEET FOR DATE: 1.1/6/2008 TIME: 7:OOAM PAGE: 4 SITE ADDRESS: 11201 Ste/ 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: TI . New beverage center. OWNER: KENNEDY, MIKE PHONE #: 503 - 519 - 9624 CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE #: 503 -661 -2103 Inspection Request Scheduled For: Date: 11/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 077765 -01 503.519 -8594 N Corrections/Comments/Instructions: ND-4e : aC.tie. c S Tt`e. --- 1 EJ S CG &, b „,..1 [o,- e-x ❑ PASS ❑ PARTIAL APPROVAL "6 ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 33 Date: 6,f/ov O e Phone #: (503) 718- 0 / 3 CITY OF TIGARD _ `t BUILDING DIVISION PERMIT #: BUP200B-00 86 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/71/2008 Phone: (503) 639 -4171 4 , u 1 rdu ' 1It l Inspection Requests (24 Hrs.): (503) 639 -4175!� - INSPECTION WORKSHEET FOR DATE: 11/5/2008 TIME: 7 : 01AM PAGE: .l SITE ADDRESS: 11201 SW 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: TI. New beverage center. OWNER: KENNEDY, MIKE PHONE #: 50:3 - 519 -9524 CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE #: 5p3 -661 -2103 ` G y Inspection Request Scheduled For: Date: 11/5/2008 e Pour Time: 5 Code # / Inspection Description Confirm # Contact # Mes : ge p i 775 Framing 077696 -01 503-519-8594 Y — V' Q CY" • Corrections /Comments /instructions: See. R.0 '/- Y o& tr3, i) 06 2an8 - cs9' 7 , \ c c) S A/ova 8 (6 Ai 'Menu lion P CJ `�eArP•'.v■ . l ✓LLoiwt (/ k NO }c . R C S v )'.�. e. 1,..1-1.- c t (o v.Ccr AA•o{oz- 1 VC ©Otpr i sreS ❑ PASS dirPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Bs Date:SA6v4g Phone #: (503) 718- ,2Y/.73 CITY OF TIGARD • . "S� .' << BUILDING DIVISION / PERMIT #: BUP2008- 00286 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/20118 Phone: (503) 639 -4171 .,1 i j1J+� Inspection Requests (24 Hrs.): (503) 639 -4175 , �� - ` __.. INSPECTION WORKSHEET FOR DATE: 11/4/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 11201 SW 72ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: TI. New beverage center. OWNER: KENNEDY, MIKE PHONE #: 503 - 519 -9524 CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE #: 503-661-2103 Inspection Request Scheduled For: Date ► Pour Time: �(/� 11/4/2008 Code # Inspection Description Confirm # Contact # Me -ge 275 Framing 077637 -01 503 - 519 -8594 Y 6iv'‘' Corrections /Comments /Instructions: ( ii�q C _Jos - - OI cqi r I — a .,. O 1 1 \ i / Nit CL--0 Ca.4 c.. - k) Nr -- W--) 1 , ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ri FAIL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 V Phone #: (503) Z Se p � ) 718-