Permit 440 CITY OF TIGARD
DE VELOPMENT SERVICES BUILDING PERMIT
e7N w np : ti i l i� I PERMIT #.......: BUF97 -0225
- I' - ,= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 07 / 30 / 97
PARCEL: 1S136DB- -02600
SITE ADDRESS...: 11201 SW 72ND AVE
SUBDIVISION ZONING:C —G
BLOCK LOT ° JURISDICTION :TIG
REISSUE: FLOOR AREAS - - - -- EXTERIOR WALL CONSTRUCTION- -
CLASS OF WORK. :NEW FIRST • 2871 sf N: 5: E: W:
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N ...: 0 sf N: S: E: 14:
OCCUPANCY GRP. :A3 TOTAL 2871 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 55 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 s f OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD. ...:100 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 178005
Remarks : A quick serve restaurant with a drive - through service lane.
Owner: - - -- FEES
MCDONALDS CORPORATION type amount by date recpt
5000 514 MEADOWS ROAD, SUITE 230 PLCK $ 349.70 DRA 05/01/97 97- 294034
LAKE OSWEGO OR 07035 FIRE $ 215.20 DRA 05/01/97 97- 294034
PRMT $ 630.50 DRA 07/30/97 97- 297742
Phone #: 684 -9334 PLCK $ 409.83 DRA 07/30/97 97- 297742
FIRE $ 252.20 DRA 07/30/97 97- 297742
Contractor: SPCT $ 31.53 DRA 07/30/97 97- 297742
ORDELL CONSTRUCTION CO EROS $ 64.00 DRA 07/30/97 97- 297742
360 SHELLEY ST ERPC $ 20.80 DRA 07/30/97 97- 297742
SPRINGFIELD OR 97477 -5900 Additional fees not shown here
Phone #: 360 -735 -0075 $ 15277.56 TOTAL
Reg #..: 006303
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot/Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other R e i n f Steel Insp
applicable laws. All work will be done in accordance with Slab Ins p
approved plans. This permit will expire if work is not started Framing Insp
within 180 days of issuance, or if work is suspended for more I n s u l a t i o n Insp
than 180 days. ATTENTION: Oregon law requires you to follow the Shear W a l l Insp
rules adopted by the Oregon Utility Notification Center. Those Gyp Board Insp
rules are set forth in OAR 952- 001 -0010 through OAR 952- 00101987. A p p r / s d w 1 k Insp
You many obtain a copy of these rules or direct questions to ODIC Misc. Inspection
by calling (503)246 -1987.
Permittee Signature: ‘ Issued By: - l�t',l�a►�1M.dt.
x/11 wtv' C�h� ,
++++++++++++++++++++++-i ++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + ++
t Commercial Building Permit Application -7 .
1 it °r
-
I I 7 ? rA City of Tigard 13125 SW Hall Blvd. Tigard. OR 97223
— t.: (503) 639.4171
Jobsite Address: " - • . 7 . - OFFICE USE ONLY - .
Tenant: A -towe -0 esT.Suite # Planck/Rec. # 5 - 6 t-- .. : "
Valuation:. �� -- �,f� Permit # tk l " 7-- Dg+`j
/ Ig - L tp -z-00 sell i .::::..:: , e -G
map 8 TL # . us, (0 J ': ; .
Owner: C-IDok0< -
Approvals Required :• ; ' .
Address: DO Sv11 a 1ZO. .260
l�tl� t`.� Planning ... ' .: ...
feo (�12 • o1s
cc Engineering
Telephone: 5D?>- 014R34 >
� Other . >:::.<::.;. .::. . .. .......:...
s fry 7 .� oD1
Contractor: -
P.- . ,et
Address: ' / -A
ID
Type of constr: V 1y,
Telephone: Occupancy Class: .. A 3
Contractor's License # Sprinkler? Yes No
(attach copy of current Oregon license)
Sq. Ft. Of Project: 267 I c
Contact name & telephone: L
Joclav atoms. : Story (1st, 2nd, etc.): l
Architect & Engineer: - 17 1 /44 sAxt-
Proposed Use: Q1147-k - .20 k<43ttileAAN
Address: 1 I) Jce-,E vt:).
Previous use: YJOi -
C. t�¢ttpvt_ , Tom. 40S2.1
Note: Plumbing & mechanical plans must
Telephone: 63o, (023- 36 be submitted at time of building permit
application.
JOB DESCRIPTION: /k C),u G . SYCza r7� W vctllii A slz)aivfc 4-/24-
C (.-A K L.
L )
� � a 503 ( 4—c1' 33
(A • plicant Signature & Telephone Number)
Received b Date Received: 5 "1 - Q 6
PERMIT# Account Description Amount Amt Pd. Balance Due
f i)V11 - an Building Permit (BUILD) 1030 -0 (ate 53 ir
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) ' (5.3 - , 5j
Bldg.
Plumb.
Mech.
- 4 34q . 7a ,i
Plan Check (PLANCK) - , , • o �p0 , 13
Bldg.
Plumb.
Mech. -
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
2 Parks Dev Charge (PKSDC) 2 , , - le- z z s 14
m
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT) ,
ils.: Commercial TIF (TIF -C) 4, Os1ii F l 1 F or., 4 te 14
Industrial TIF (TIF-1) 3 { it -1 ), Lj L I L(
�, Institutional TIF (TIF -IS) W a
Office TIF (TIF -O) '
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) • CZO 0q1 5. 26 ' 75 OD
Erosion Cntrl Permit (ERPRMT) (0 0 I
Erosion Planck/USA (ERPLAN) S - -20.10
Erosion Planck/COT (EROSN) ,30 ,.{ 7,0,¢
TOTALS: 1412.107& 5 j 4 ' 14 , i71'1