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Permit `' CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00479 COMMUNITY DEVELOPMENT DATE ISSUED: 9/27/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136CD -00102 SITE ADDRESS: 11685 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: BAJA FRESH MEXICAN GRILL Project Description: Interior TI • 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: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 60 BASEMENT: sf AREA SEP. RATED: STOR: 1 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: N PARKING: VALUE: $ 200,000.00 Owner: Contractor: WILLIAM & SALLY FLOWBERG TJ NISBET CONSTRUCTION INC 834 SW ST CLAIR 15896 SE 82ND DR PORTLAND, OR 97205 CLACKAMAS, OR 97015 -0040 Contact #: PRI 503- 257 -0308 Phone: 503 - 225 -0700 FAX 503 - 257 -0309 Reg #: LIC 92315 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPL■] Pin Rv 9/11/2007 $604.96 [FLS] FLS Pln Rv 9/11/2007 $372.28 [BUILD] Permit Fee 9/27/2007 $930.70 [TAX] 8% State Surcha 9/27/2007 $74.46 • (additional fees not listed here) Total $2,551.40 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 • ' ation Ce - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 - 0100. You may obtain a copy of th e rules or dire que : ions to OUNC by calling 503.246.6699 or 1.800.332.2344. Iss ed By: L � L_ lL ` : / / 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: Building Permit Application Commercial RECEIVE ! • FOR OFFICE USE ONLY City of Tigard S E P 1 1 2007 Received • Date/B : ��� , Permit No.: G j --la � Eli III : 13125 SW Hall Blvd., Tigard, OR 97223 1 � ,1 �� ©� Phone: 503.639 Line: Fax: 503.598.1960 CITYOFTICyIAR Other Permit: T I GA R D Inspection ne: 503.639.4175 BUILDING DIVI 1 to Rea dy r h o Q ; ,I,r a See Page 2 for Internet: wwwrigard or.gov Notified/Method: / ',07 • AI Supplemental Information 7.7.1 , k' 1 TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Addition /alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- 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 j i�' 'J S64� P 'cie t / ` New dwelling area: square feet City / State/ZIP: Ti l �y� ( e I Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: 645+ A Fay h Ater 1'(u, 4_,/ Covered porch area: square feet Cross street/directions to job site: 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 tel: work performed. 1 Tax map /parcel no.: (rj 3 (P C �, - (� 1 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. ' 1 /���1 U� e_rnG, % ,; ■ • , t 1 .s.......,._ I\. Valuation: $ �V / O Xl • 00 a Existing building area: square feet New building area: square feet • ❑ PROPERTY OWNER I A TENANT Number of stories: • Name: ea i cv Fr,t S1, n Type of construction: Address: pm f q. _ 1G 0 0 q 5 W I C.JCI` Rd'. Occupancy groups: pp � U a Ct I vt S (At�� Occu anc City /State/ZIP: 51 I, (A)0Ca, C) R C ld t-{ Existing: Phone: (5 03 ) - &Z - 3 5 Z'1 . Fax: ( ) New: APPLICANT ❑ CONTACT PERSON — NOTICE Business name: .73 N I`Sh2 CO VI r I tibtC• k'ovi All contractors and subcontractors are required to be Contact name: "I- S Q licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: t 7 cg Co 5 a e6 Z ha. DV' , jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/ State/ZIP: Cto‘CtC,01vo0 165 11 &t apply: Phone: (c503)- 21:51- I Fax: :(93 )- ZS1 -63o°i E-mail: .I_cvv IA e2 C , CONTRACTOR Business name: T N I bet Coo t rt4C -16 vt BUILDING PERMIT FEES* • Address: 15A1 (o SE q1vAIS D (Please referto fee sehedak) City/State/ZIP: Structural plan review fee (or deposit): (,p Cl ctc , frAt OS, 6 701 `�� Phone: ( 5O3) - 'Z 0 Fax: (503 ) - Z 5 7 _ 0 3 o) FL.S plan review fee (if applicable): 3� Z CCB Iic.: it •.° Ca ; S A a Total fees due upon application: 24 Amount received: , tit Authorized signature ` �N This permit application expires if a permit is not obtained A� I within 180 days after it has been accepted as complete. Print name: a VN IV • S 0Ct Date: 9110 l • Fee methodology set by Tri -County Building Industry Service Board. I:113uildinell'cnnits!BUP -COM PermitApp.doc 2/23/07 440 -4613T(I I /02 /COM/WEB) 1111 • Building Division Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related • facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty -five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, , t) excluding painting and wallpapering. [1] $ 200 00 0- MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order. (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ 1:\ Building \ Permits \BUP -CONI Permit . pp.doc 02 /23/07 CITY OF TIGARD ( -Lb ri - - ov Le14 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 /v Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: Va 7 O 7 TIME: PAGE: SITE ADDRESS: I ti 1 QA (A c CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: 107 b� �� S OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: • Code # Inspection Description Confirm # Contact # Message 7/5 6 1 6-7idk,:lk --R%--e-J2 Corrections /Comments /Instructions: ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �/f � \ Yzi " `� 1 `" Date: 1 v / 2 ( - 2/ °7 Inspector: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION 6 ,,,,,___ ,. #: BUP2007 -00479 13125 SW Hall Blvd., Tigard, OR 97223 --DATE ISSUED: 9/27/2007 Phone: (503) 639 -4171 /�m l el Inspection Requests (24 Hrs.): (503) 639 -4175 _'!+� F 'II .. INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7 :01AM PAGE: 3t SITE ADDRESS: 1165 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BAJA FRESH MEXICAN GRILL DESCRIPTION: Interior TI OWNER: FLOWBERG, WILLIAM & SALLY PHONE #: 503 - 225 - 0700 CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503 - 0308 Inspection Request Scheduled For: Date: -12!4/2007 015 Pour Time: , , /` Code # Inspection Description Confirm # Contact # Mes e C V`'' 299 " Final inspection 0607283.01 971-6713-3094 Y C rrections /Comments/ structions: r 3/b a) --Locn.- 00-o 4,yci/o-) (6,,,Q) -) — ("0 s / 9/ (0) CaA) l a 2 Zero`1— 0 L4 nos /x/ IA) (GN) * moo 246) - 6 2c "&;,/ ni......-; t Accz-f‘ dirvut c-n S r4 : ((lc) S ... 4 , ,e , e(r1 , -iji m u$ r h-(. d duo a ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS , FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ;, [/ Date: 121V6 / Phone #: (503) 718- v • CITY OF TIGARD • " BUILDING DIVISION PERMIT #: BUP2007 -00479 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/ ?7/7007 Phone: (503) 639 -4171 id �'+� Inspection Requests (24 Hrs.): (503) 639 -4175 R 'I J.. INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7 :00AM PAGE: 47 SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: (AJA FRESH MEXICAN GRILL DESCRIPTION: Interior TI OWNER: ELM /BERG, WILLIAM & SALLY PHONE #: 503 - 225 - 0700 CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503 - 257 - 0308 Inspection Request Scheduled For: Date: 12/3/2007 Pour Time: , A� Code # Inspection Description Confirm # Contact # Mes-age " 299 Final inspection 060615.01 071- 678 -3084 Y 0 orr ns/ omments /Instructions: _ � � d � \ _ 0 ^ P S qr2_,6, ) . % 1 C6 It. (b "2 0 a ^j - 06 4, -- — . w �w4 0 Mr t C 11:1 -° a cal (:15 . c. (rr) W ° -4 A mil! 1-o 037. 7 • t4.1. _ � � t --- C A) G- _____evie-z-cria____ t4.1. . /mac) i 3 II 1 - 4 2 t- 7- 0 U 2:5 C S s11s- > 1 iY / ) Wv.... , 2<sal -- 150 6 w C s) �i I 0 1M 2d67 00 it - 17/i3 /0e p 1 7,0 (A 5 V2 C gc.r.ito-- ..,.,.1 toz.-0-c0 d'?• 07):...ti , - 1/.../_,A . • 4- ., I 1►f i� 1. 6- `� ��AL artf. - Ping_ ` - Vc U`i/ ACS: 40 ❑ PASS El PARTIAL A+PP_ROVAL ❑ CANCEL ❑ NO ACCESS S . FAIL v ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ✓ Date: t 2/ 7 Phone #: (503) 718- 2-'‘i2'LI" r I f f CITY OF TIGARD BUILDING DIVISION PERMIT #: gUP 007 0(W79 . ' 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/2712007 Phone: (503) 639 -4171 A. ( Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7 :00AM PAGE: 27 SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BAJA FRESH MEXICAN GRILL DESCRIPTION: Interior TI OWNER: FLOWBERG, WLLIAIM & SALLY PHONE #: 503 - 225-0700 CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503.257 -0308 Inspection Request Scheduled For: Date: 11/21/2007 Pour Ti •,;,- Code #pection Description Confirm # Contact # M:_ age 287 Suspended ceiling 060118 -01 971 -678 -3094 Y Co4 ions /Comments /Instructions: c - I 1 3/ V, -- 0 v /\j I • ` , % , c,,,-- o MO 6-. - - (1\11-", -- 1.\ . 5 - 4 - 11 5, - ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t � Date / ( �� Phone #: (503) 718- "� Zy CITY OF TIGARD / BUILDING DIVISION' PERMIT #: BUP2007 -00179 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9127/2007 Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 . F'I -.. INSPECTION WORKSHEET FOR DATE: 11/13/2007 IME: 7 :01AM PAGE: 97 SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BAJA FRESH MEXICAN GRILL DESCRIPTION: I nterior TI OWNER: FLOWBERG, WILLIAM & SALLY PHONE #: 503 - 225~0700 CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503-257 -0308 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 059466 -01 971 -678 -3094 N Correction /Com ent /Instructions: I- ' X6-9 Air /x/_,,i-e--..A -. • \RA, : 6L S \AU'r k(//fS UT 5 I a") 6 1/4--- Lk/ t kie C 'V‘A.; Q h .\ (2- 1A...A l&1 -- P to s S -e--rS . / ❑ PAS '• V ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / `/ Inspector: Date: \ �. ,-5 / d� Phone #: (503) 718 - v/ CITY OF TIGARD C - BUILDING DIVISION PERMIT #: BUP2007 -00479 13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: 9/27/2007 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 ''I � .. INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7 :01AM PAGE: 33 SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BAJA FRESH MEXICAN GRILL DESCRIPTION: Interior TI OWNER: FLOWBERG, WILLIAM & SALLY PHONE #: 503- 225 -0700 CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503-257-0308 Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # spection Description Confirm # Contact # Message 275 Framing 058981 -01 971.678 -3094 N Corrections /Comments /Instructions: Ott C-("‘ 4-7,\ 7 % ¥ - VI) w 7 -- L. .--- 1 6 A ke / 01 - e - F - 1= ......k— e k,." 5 c, u2 .r�� . 1 KI " * 1° 4 A■ . ' \ ,I.A.) .re - 9S---- 4 /( e j (.v►. -- f S / �- 0 '4* 4 i(s e- A / `' • w ❑ PASS kd PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 (/ ! ° Phone #: (503) 718- . ! CITY OF TIGARD . • , 0 if • 1 BUILDING DIVISION #: BUP_)007 -00479 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9!27/2007 Phone: (503) 639 -4171 .. 11 Inspection Requests (24 Hrs.): (503) 639 -4175 �'!'i "1 . INSPECTION WORKSHEET FOR DATE: 10/17/2007 TIME: 7 PAGE: 33 SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BAJA FRESH MEXICAN GRILL DESCRIPTION: Interior TI OWNER: FLOWBERG, WILLIAM & SALLY PHONE #: 503. 225 - 0700 CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503 - 0308 Inspection Request Scheduled For: Date: 10/17/2007 Pour Time: Code # ,rspection Description Confirm if Contact # Message 275 Framing 057754 -01 971 -6713 -3094 N Corrections /Coom /Instructions: f LA.& . _ I (.214:1,,, s , 9 cp ,______ . , ) 1 e k....„.-.‘,..4.i L „..„.... c_ c . i) . , t€ Ft c_Stekc -k) 5,t,i 0 Lis+ E[t0 AA (R z1 1---e-ei-c--;----1 slt...__AL....eq..... a j , 11--r.L_Tt e �..\,,,- c, z C,' .e — w7 ,. `c 3 a -c k 2 - j6- G . l -ki S7's — �� 6 1 I 1 . Cfl\i Cam- ° L-- t SS _C c_i 0.,r."t _ _4 ti ( c ) 4),,--14,A=-,-- j PASS ARTF L APP VA CA S ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: . • V V(,4 Date: /1 / 7 Phone #: (503) 718- CITY OF TIGARD . l'' ,I. BUILDING DIVISION ERMIT #: E11P20 {17 -00479 13125 SW Hall Blvd., Tigard, OR 97223 D ISSUE : 9/27/2(107 ' Phone: (503) 639 -4171 /:.�qpy +� r1 Inspection Requests (24 Hrs.): (503) 639 -4175 s' °'� L / 1 INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 PAGE: 38 SITE ADDRESS: 11605 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BAJA FRESH MEXICAN GRILL DESCRIPTION: Interior TI OWNER: FLOWBERG, WILLIAM & SALLY PHONE #: 503.22&0700 CONTRACTOR: NISBET CONSTRUCTION INC, TJ PHONE #: 503 -257 -0308 Inspection Request Scheduled For: Date: 10/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 057302-01 971 - 678 -3094 N Corrections /Comments /Instructions: I, AC6): IQ 02, 0, 134" o7- oO -S 2_ C D..( o) q Lf % 26 - 0 ‘4 T ) uN d.e,gs (6 - (s I II„., 0 L2C, 'Zoc) - v o ( 7i- &- (TT) Ci 01A2 2vo-, - oo 2 ,1 (C .e.✓a / cA,- .rw VL4v412, 2o-0 7 - 0 v ZS'a (, i .1 e )4 c .st) fee P Ul-c — p . , , - --„ s 2 .__ /mil - -., �� ,o , - ,,,-,�, 4tc2 o /a4- -5D s2. m (f.`3, c 16,‹-,--,_%,„ 4 -,,A-,JJ ■t/O-o,,.. - --i-.72__ ,A..,2_, ..._s- - 4 4 i L,3. c-eL.,i---e-,>1 Lc_) s -*- d ( k2_--. tom, 0 -c • z S , -. D s; Gc- v.AS gib _4....,„,...../.-_-- --_,-, .A--c.,4`.-, 7___ • • ❑ PAS' Ui ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 4 AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t /f w Inspector: `�' V ' • Date: / 5 7 / 6 0 Phone #: (503) 718- Z. `12 i'