Permit •
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00421
� it DEVELOPMENT SERVICES DATE ISSUED: 8/30/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133AD -16200
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 ZONING: C -
SUBDIVISION: PP1995 - 073 LOT: 003 JURISDICTION: TIG
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W: i
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $e7 0 00 00
Owner: Contractor: '
PACIFIC CREST PARTNERS SCHOLLS L
1430 EASTSIDE RD
HOOD RIVER, OR 97031
Phone: Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/30/2006 $607.55
[TAX] 8% State Surcha 8/30/2006 $48.60
[FLS] FLS Pin Rv 8/30/2006 $243.02
[BUPPLN] Pln Rv 8/30/2006 $374.91
Total $1,274.08
•
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 rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
0
Issued By: e y Y�[/!'_CL Permittee Signature: 4
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.
•
Commercial Tenant Improvement
Building Permit Annlication FOR OFFICI: (SE ONI,1
t , +a.4.1.1;_�1... i .Ji1'gii.k �1. 11 A ( .: Rece ived .
City of Tigard ! r :'� ; LIT0 A T in Date/B ��t�, �, Permit N ► s�I /L .0r
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re
' . Phone: 503.639.4171 Fax: 503.59 nn p ;,� � Other Permit:
T I G A R t� Inspection Line: 503.639.4175 ' . ; J I I� Date R "' ` : � ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method Supplemental Information
TYPk`, 0E- WORK - . REQUIRED DATA: 1- AND 2- FAMILY DWELLING
• ❑ New construction ❑ Demolit of n ` 7-:-/ I Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
VAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ 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: 1 a 6 g W 1\kG2T4 " by 1 . 1 E'0 New dwelling area: square feet
City /State/ZIP: 7t G 42.-- p ( Cl 223 Garage /carport area: square feet
• Suite/bldg. /apt. no.: J ?(2 I Project name: Q?s V� -n1OS S ct Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
5 W I' N 0 ' ' ) t \ Other structure area: square feet
SC- 1-15 +Z9.->j �� A 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
DESCRIPTION OF WORK work indicated on this application.
� t t-1 -- '1 M lQ P-o JM r(N�'t - - Valuation: $ 'Jg" ODD.
Existing building area: /47 square feet
. New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: /
Name: `•PAC.k'Ftt; G(Z�S� i' 2 �S S,t�)Lt� i...1-e., Type of construction: s-
Address: .6 �'4 a tom' L Bo 7 t
1 4� t0 •-- � - t S ta Occupancy groups:
City / State/ZIP: 1 14 ooa Cakv -2 7 ( ... 9703 Existing:
Phone: (503) 24 rte` 1 6p t i( Fax: (5p'3) 245 7 Q3 2 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1 t`/l41,,,..1"E L _ C All contractors and subcontractors are required to be
Contact name: C.7‘..) L , .,� A.pt m pt-� / 1 -�-- - � �}H-. 2 under ORS with the and may Construction Contractors e licensed Board
s under ORS 70l and may be required to be licensed in the
Address: 1571 Ca S W 5oy0 W`(' Owl_ L jurisdiction in which work is being performed. If the
applicant is exempt from lic ing, a following reasons
City /State/ZIP: �=��, ' 1'c A P cr4-p apply: a I (.� (p 7 . Jrb
• Phone: (50.3) 5 a_1 1 137 r I Fax: : CstrA 5x-1 1 87 g �� . Gti
E -mail: q r 1 Q y c4,k �. [ . FLS a .0�
•/ CONTRACTOR � A' ' MIT j. 0 Business name: BUILDING ER MIT FEES*
Address: (Please re to fee xhedule)
Structural plan review fee (or deposit):
City /State/ZIP:
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
• CCB tic.: Total fees due upon application: ! A:i q „Q
Authorized signatu '
Amount received: lD�
- e�--�J This permit application expires ifs permit is not obtained
within 180 days after it has been accepted as complete.
Print name: / 2 Date: (} / •
I H aO T. n rv-Q I �30/ d a Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits\BUP- TI- PermitApp.doc 03/23/06 .440 -46I3T(I I/02 /COM/WEB)
Building Division
• Plan Submittal Requirement Matrix
T I G A R D Commercial & Multi -Family - New, Additions or Alterations
• Type of Submittal # of Plans
• (Includes new, additions and alterations.) Required at
Submittal
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 1*
•
•
0 0
Fire Protection System 2 **
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:\ Building \Pcrmits \BUP- TI- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00421
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8 /30/2006
Phone: (503) 639 -4171 A l Inspection Requests (24 Hrs.): (503) 639 -4175 ! L ..
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7 :04AM PAGE: 60
1
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: PP199&.073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: TI
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: SPECIAL T CONSTRUCTION PHONE #: 360-607 -0000
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 040971 -01 360-607 -0000 Y .� (� 0
Corrections/Comments/Instructions:
-:I
F r— - - (c_. 31.60 , 1„,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAI
1,_____ 11:1 CALL FOR INSPECTION ❑ ADDITI u NAL F' S ASSESSED
Inspector: Date: ■ 1 C6 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP200G -00121
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006
Phone: (503) 639 -4171 A '"" b .
Inspection Requests (24 Hrs.): (503) 639 -4175 1 �-.
INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7:01AM PAGE: 53
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 160 CLASS OF WORK:
SUBDIVISION: pp1995.073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: TI
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: SPECIAL T CONSTRUCTION PHONE #: 360 - 607 - 0000
Inspection Request Scheduled For: Date: 1202006 Pour Time: ikv tk,.
Code # Inspection Description Confirm # Contact # M- .sage �7
299 Final inspection 040808 -01 360. 607 -0000 Y
Corrections /Comment /Inst uctions:
N . ' /- &I ?e,e_Am P.(2_ &Lk s -o ,
I.C2b01g -00(e ct
tg tki
VIA: SGN 200(e - 60200 L ) um JaJ 5f)
X oo - oo (e6A (V?e4 ; ; CA6 t e )
Me Zu a Ce — 0 04 ' - 7 (3 — Ta (?�c� A^ S )
• �- J& - . (■Ao A
\ A L .%_ -1 .....: ___A
°Y\ ViO-r 5 C rk,e_ ( V9 o-L-G. VZI_S 1
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V .FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 14-►`d'e..,_ Date: 1 210 Phone #: (503) 718- G fZ 7
,
CITY Of TIGARD ,
BUILDING DIVISION PERMIT #: g(jp2006 -0304 (
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 813A/200€.
Phone: (503) 639 -4171 a /IiP AA
Inspection Requests (24 Hrs.): (503) 639 -4175 . -' � A LL
INSPECTION WORKSHEET FOR DATE: 12/€W2006 TIME: 7 :01AM PAGE: 41
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: pp1gg5.073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: 'T1
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: • SPECIAL T CONSTRUCTION PHONE #: 360607 -0000
Inspection Request Scheduled For: Date: 12/612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message '5
299 Final inspection 040727 -02 360-607-0000 Y
Corrections/Comments/Instructions:
— i E Fcf— --t— -r�: c /T
— fl2c-v ( 7 cS R fir _ (vU s r S
I. if r- — •�.—
❑ 1 , 2 S r ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FeR INSPECTION ❑ ADDITIO AL F ES ASSESSED
Inspector: f ` Date:
l 5 a Phone #: (503) 718 - -
CITY CoV TIGARD
BUILDING DIVISION PERMIT #: BUP200600421
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/30/2006
Phone: (503) 639-4171 4wj I �l
Inspection Requests (24 Hrs.): (503) 639 -4175 P' .
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7:04AM PAGE: 37
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: PP1995.073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO`S .
DESCRIPTION: TI
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: SPECIAL T CONSTRUCTION PHONE #: 360.607 -0000
Inspection Request Scheduled For: • Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 040379-01 360 -607 -0000 Y
Corrections /Comments /Instructions: 5/ '5' c
tn'sTS F i6
t WO
dir gi L4
W
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FIR INSPECTION ❑ ADDITI NAL F ES ASSESSED
e (11 1 (k Inspector: Dat Phone #: (503) 718-.Z.- `�
CITY OP TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00421
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006
Phone: (503) 639 -4171 i '�°'
Inspection Requests (24 Hrs.): (503) 639 -4175 "' I-.
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:04AM PAGE: 47
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: PP1995 -073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: TI
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: SPECIAL T CONSTRUCTION PHONE #: 360-607-0000
Inspection Request Scheduled For: Date: 10/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 038852 -01 360 -901 -1884 N
Corrections/Comments/Instructions:
c ..,..... wmi ,,, 1
0/I
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL .• CAL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
4,
/�
Inspector: , Date: ( oT 24,f7 Phone #: (503) 718 -
I