Permit Y '' i. •
BUILDING PERMIT
C ITY OF TIGARD PERMIT #: BUP2004 -00447
Awl& DEVELOPMENT SERVICES DATE ISSUED: 10/8/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136DC -00500
SITE ADDRESS: 11626 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 136 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 136 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 118,000.00
Remarks: Box office remodel.
Owner: Contractor:
REGAL CINEMAS HOWARD S WRIGHT CONSTRUCTION
BY ACT III 425 NW 10TH AVENUE #200
7132 COMMERCIAL PARK DR PORTLAND, OR 97209
Kb[OXVILLE, TN 37918
one:
Phone: 503 - 220 -0895
Reg #: LIC papa 8992229 ��22�
FEES
MET T REQUiRED 3 1NSPECTIONS
Description Date Amount Electrical Permit Required
•
[BUPPLN] Pin Rv 9/20/2004 $250.00 Sprinkler Permit Required
BUILD Permit Fee 10/8/2004 $814.50
Foot/Found
romm In Insp
[BUILD] Framing Insp
[TAX] 8% State Surcharl 10/8/2004 $65.16 Gyp Board Insp
[BUPPLN] Addl Pln Rv 10/8/2004 $279.43 Final Inspection
(additional fees not listed here)
Total $1,734.89
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 01h • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli (503) 246 -669• . 1- 800 - 33344.
Issu . B y: '� / / /i i
Permittee
Signature: 4 ,,,"_,., , `, �j
/ Call 639 -4175 by 7 p.m. for an inspection the next business day
116 .2.6 5" PA c t r ic.
0 r,i, le-5 -oLf
i r o k to 4 to er*
Building Permit Ap u EIV ED FOR OFFICE USE ONLY
V Received
City of Tigard DDate/13 : / O Permit No.. • aj -� LA 7 ii, 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.196tSEP 20 20 / i,� ; 1 DateB Plan R : eview G` t " /0 -5 -0t1 Other Permit:
Inspection Line: 503.639.4175 41 Date Ready/By: /0 - t9 y ∎j%iA 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGAR �� -- Notified/Method: —.d Supplemental Information
suiLD1NG DIVISION
. TYPE OF WORK , ,.. . , ' REQUIRED DATA:• 1- AND.2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
.11' Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION,; work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling gCommercial/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: I a(COZIi2 S fi rt l C.. k iApe New dwelling area: square feet
City/ State/ZIP: —77 , O(2, Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: ' i,,,, 4 J k titA S Covered porch area: square feet
Cross street/directions to job site: P / C .wv s 7e ...6 Deck area: square feet
Other structure area: square feet
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.
g . o c .(_ G� W D 1C.Ftr.• Valuation: $ If(8( 00
Existing building area: Re ¢ (2 square feet
New building area: !- on quare feet
:PROPERTY; OWNER ' ❑ TENANT Number of stories:
Name:STfr.e,T 7746 Jr ' / fir",. Df 6/e / 054 4, �it�,(A� Type of construction: Q
p.
Address: 7 32 r.1444 C /4. Occupancy groups:
City/State/ZIP: o
ty fG ) C q V1 (A• tE T ENNcSS,�.E, ? p (l 8 Existing:
q
Phone: �5) 9 f 7 5 / Fax: ( 8.S q-1-5-- / 7 c, 3 New:
. rt APPLICANT ' • ❑ CONTACT PERSON / , NOTICE .
Business name: J w�� 3. i ,j4,45/47 o�^(3TKJtT7OFJ (.o � _ . All contractors and subcontractors are required to be
Contact name: ,j1 �( rt./J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ¢2S Alia tarsi Atiti jurisdiction in which work is being performed. If the
City/State/ZIP: ro c �a./� / QIL 172. applicant is exempt from licensing, the following reasons
_ Z _ apply:
Phone: (503) Z_ o - O8 ! G� s I Fax: (.503) 1 O 0 692
E -mail: A( 44J gSGJd -L . e.4.2I*-
CONTRACTOR '
Business name: 5, A T A ieL f C�
.. BUILDING PERMIT FEES*
Address: .
Please refer to fee schedule.
City/ State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.:
Date received:
Authorized si� This permit application expires if a permit is not obtained
�� within 180 days after it has been accepted as complete.
Print name: j/,‘,.. M /u ( w r Date: 9 / 7.0 70y Fee methodology set by Tri County Building Industry
` Service Board.
i:\ Building\Pemms \BUP- PennitApp.doc 12/03 440- 46t3T(I1 /02/COM/WEB)
44111■ Building Division
/ /otr% Vii# Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
. 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*
•
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\Fonns \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received Date Reques 1v AM PM BUP
Location / / 40 � p Suite MEC
Contact Person Ph ( ) Flo - T q/ c PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain &t , ./-/n Ft m • ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm Air
Susp'd Ceiling a �'
4 e
• Roof ' 16r
PART FAIL
• • BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call f reinsp tion RE: ._ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date (IS nspecto Est
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL