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Permit BUILDING PERMIT CITY OF TIGARD P ERMIT #: BUP2005 -00145 DEVELO PMENT SERVICES -639 -4171 CES DATE ISSUED: 4/14/2005 13125 SW Hall PARCEL: 2 S 104 B B -0810 0 SITE ADDRESS: 14200 SW BARROWS RD ZONING: C -C SUBDIVISION: RUSSELL'S SCHOLLS FERRY LOT: 004 JURISDICTION: TIG Project Description: TI, wall and door. 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: 166 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: $ 900.00 Owner: Contractor: BARROWS CROSSING LLC BNK CONSTRUCTION INC 2650 SW 41ST 10730 SE HWY 212 REDMOND, OR 97756 PO BOX 66 Phone: CLACKAMAS, OR 97015 Phone: 503 - 557 -0866 FEES Reg #: LIC 107555 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/14/2005 $62.50 [TAX] 8% State Surchan 4/14/2005 $5.00 [BUPPLN] Pln Rv 4/14/2005 $40.63 [FLS] FLS Pin Rv 4/14/2005 $25.00 Total $133.13 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 -00 :: i • gh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -669 • -:,00 $2 -2344. Iss ed By: , �! ,�� ! •� Permittee Signature: 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. • • 4 11 Building Permit Ap 11 , L.,,, c o , • ° ' FOR OFFICE U ONLY .: S' CI of Tigard G Received ���� I `r g Dat B : J / Permit No.: - 1IiLI n on/ 4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone: 503.639.4171 Fax: 503.598 1 N jt. 1 4 2o as �y�tm�d ' Date/Date/I3 : Other Permit: Inspection Line: 503.639.4175 ® � Date Ready /By: h7 See Attached Checklist for Internet: www.ci.tigard.or.us CITE — IGPB F T � pA Notified/Method: / Supplemental Information r,'rt- e4i a, - S S �- xc eiNw Iv { s, ® KK R`tl .._ _ :..@ .:r,..:. rt�r , .:•E�. ..�:., . M.��` 'ss ,� `'`��}.: Y -. Lr °� .:.?'�l�..w fi�e�. ", �c`.s :'?.Y...,SV.,.Cr.. `.k it S &z`.� - 'v t �`^` "P � :,si' y � � �: � . YR .O BE R� _ ���' r�� � ;i . w ., : t��_+`� {.W ".T r, : Y,!''Ol \11 .k;k :�8 =t.. f ^:~' e i +','.. 5 .. a: g "_" t .,�,�- '���.�: . '��.� "��,. _ _ r -r':. a »w .. ..;s - - .P " ` ->, e�•; RE'QtiIIRED° DAT �1 .AnD= FAIVIILYDWELL-'"TN '�§ %`�aSita^ s ��° �.:" �ra� .M..� ?.. �....�?�- If�:atl,�r`. � _. � �. ..3 •a.. >�.�'�� �3a:<& a, k^" - , � e - ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the s, ''';;411.4t st =" ,n °r k ,� vc r;'t r:, ' '.i;n . ` q° 1 "" "";, d this work indicated on ts a .. j , _.: a' - 4. GOR+ `O EO . NS RTJCT . application. ❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ;' i:7.3.:; i. ,'1, . „ it'r,.m ? ;i. ...ro ,awaakcn syt .1.,. . „'.}.;. rv- -.%0: - m:w-1 r qi'. i°i.; a"LS'r OBI5aE "NIF®RIVIATTON A1YD LOC r Total number of floors: rti �a..��- - �:5Vs. � J te Ox 1 3 - e H � " i �..a f , s i Job site address: ji-/ZbU S t J 13,x ,,,c,. o,..rs it,L New dwelling area: square feet � °l City/State /ZIP: 0 , ( 0 Garage /carport area: square feet Suite/bldg. /apt. no.: c Project name: G,, LA A Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet " RE k UlI2F l t C ST Subdivision: 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 g t �'- €; ! f . - ��`: �.4�" ax ; i;":�ra� .�rta`��' x� +-� TM t-r � t 4 equipment, materials, labor, overhead, and the profit for the g a , DESCItI$T'IO1V (¢MbliK iZ x 4 5te �' work indicated on this application. Valuation: $ 4 :10 © Existing building area: square feet New building area: square feet ' z r t 'IS y btu " r ; "i t'® PROPFsR"T,k' OWl"5ER S , ' Number of stories: Name: God 4 4, .- iir ZLS Type of construction: 51 • Address: j 4/ Z p cv („f ac. vt".v -.r KZ_ Occupancy groups: City/State /ZIP: ry Z J Existing: Phone: ( 5 - 63 ) o - c) p p,:g Fax: ( s3 / — 7 Z c'.3 New: �A fir'Auf 1 H i ,tM`M ff `^ ° » . C.e& :.E,= ,4 CONTACT PERSON'- , ;sw r `'::" . 1 . + .: >. r :r= z,:, : ,.: ' '�" a.,, .::•ai >. ,., "sra,. ,,,.,,.m �,1 .a` , ..� ,.�io. t:S, "'",,,,,:d„44-'xz`G`, ;rl " 3< .: ;l .r�` ' . `a a:.�.#.Ai a *' . i - • ^.. . ��W. � � �� NOTICE , � Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: • jurisdiction in which work is being performed. If the • City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: Pi k P't iz 'v"::. "/: ": `, 'r^s }%'?va a�' a^'7;x x3 n;r,a..x.',iP;� e. 4 - ',,..,.. �e ,.r,. 7: }:.;° a. „ ..CO a �" . , ' 431 _ !7 Business name: .: = ^ :-; BUII DING` E ERIVIIf FEES* Address: t ic ?Z- ar 74 " 5 313 . City/State /ZIP: V / c K., rj � ?7,..z_7 Please refer to fee schedule. (51,3 ) 5 _ ; n 5„a 4 Fax: ( ) Fees due upon application Amount received CCB lie.: 1a7 s,5' S Date received: Authorized signature: / This permit application expires if a permit is not obtained L within 180 days after it has been accepted as complete. Print name: K ,, Q � t^ , /� , , 3 r f ` 9 4 s-� Date: ri c›.--.' c›.--.' * Fee methodology set by Tri- County Building Industry / Service Board. i \ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WEB) { Building Division l �j Plan Submittal Requirement Matrix `--� Commercial & Multi- Family - New, Additions or Alterations City of Tigard ���r.k e .zA�,'".t • ':a?,d� i`.�.'; "''"° "'`� H: a;',y:1"� "�X".,,�.v "Erat`r�i'� :a, . " T ype of Submittal;,x , N #R f ' � #�of laps E (Includes news, additions andial -. ratt ons i Reg y uu ethat; {� 'h"". w, � rt' C ' ry ye s u IJ tta 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 I* 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:\Bui lding\Forms \COM- PlanSubReq.doc 12/24/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 0014 6 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/14/2005 �mm Phone: (503) 639 -4171 : Ipti A,,A l i Inspection Requests (24 Hrs.): (503) 639 -4175 `:... INSPECTION WORKSHEET FOR DATE: 5/5/2005 TIME: 7:16AM PAGE: 64 SITE ADDRESS: 14200 SW BARROWS RD CLASS OF WORK: SUBDIVISION: RUSSELL'S SCHOLLS FERRY LOT #: 004 TYPE OF USE: PROJECT NAME: GODFATHER'S PIZZA DESCRIPTION: TI, wall and door. OWNER: BARROWS CROSSING LLC, PHONE #: CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503 - 557-0866 Inspection Request Scheduled For: Date: 5/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 006159 -01 503. 888.0228 N Corrections /Comments /Instructions: . Aige. Ali Aff. ® X 17 V ■ \, • 1 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FE ASSESSED .---.......ro v Inspector: Date: / ne In #: ( 503 ) 7 18 -