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Permit [ BUILDING PERMIT PERMIT #.......: BUP96-0051 . CITY OF T DATE ISSUED: 03/11/96 . COMMUNITY DEVELOPMENT DEPARTMENT 1o1ommw Hall Blvd. nnmm.o�n� 97223.8199 �u��9-*1r1 PARCEL: 1S136CD'�00100 SITE ADCR[CS...: 11701 SW PACIFIC HWY SUBDIVISION....: ZQNING:C-G | BLOCK..........; LOT.............: - -------- _ __ _____��_ --- - REISSUE: FLOOR ARE�S---------- ERIOR WALL CONSTRUCTION- CLASS OF WQRK. :o�riYkp~ FlRST" , . . : 0 sf -� S: F. W: TYPE OF UCE. . . :C[}M SECOND. . : 0 sf PROTECT OPENINGS?--- -- TYPE OF CONGT.:5N ...: 0 sf N: S: E: W: OCCUPANCY CRP.:B2 TOTAL------: 0 sf ROOF CQMST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft OARAGE...: 0 sf OCCU CEP. RATED; BSMT?: MEZZ?: REQD SETBACKS -- REQUIRED -----''------ FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: 3MOK DET... DWELLING UNITS: 0 FRNT: .0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS. 0 BATHS; 0 IMP SURFACE: 0 PRO CORR: PARKINE: 0 VALUE.$: 1200 ` Raoarks: Installing an awning. ,-___— Owner: --------- --------------- -------- FEE3 --------'---'-- RTM RESTAURANT GROUP type amount by date recpt 5136 SE WO8DSTOCK BLVD PRMT $ 25.00 B 01/31/96 96-275377 PLCK $ 16.25 B 01/31/96 96-275377 PORTLAND OR 97206 5PCT $ 1.25 B 01/31/96 96-275377 Phcne N: 777'5722 • Contractor: --- ----'------- ES & A INC 1210 OAK PATCH RD EUGENE OR 97042 --- ..... ------------------------ Phone t; � $ 42.50 TOTAL Reg #..: 111266 ------- REQUIRED INSPECTIONS ------- This pernit is issued subject to the regulatixnscatebmd in the Misc. Inspection _ ___. __ Tigard r.::icipd Isdp, State of ate. Specialty aides an all other Final Inspection ______ applicable laws. All uork will be done in acc:ndaoco v;ith _________ . approved plans. This peroit will expire if ;nrh is not started _ ___ __ :ithia 182 Jays of issuance, :r if work is suspended for :ore ___ _____ than 180 days. _ ' _- • __�� __ ______ Permittee 3 tsre: K � __ ---- --- --------- • �'-_-' _ -___' �-L J� [�-�~~" ------ ------ Issued ------ Issued By _ . —' __ - _ -- . Call for inspection - 639-4175 • • • • . • • • .' lames - 1 o s, F. t- N - b S � Commercial Building Permit Application City of Tigard (. c° 13125 SW Hall Blvd' Jo 1 / • Tigard, OR 97223 5Y (, S '' (503) 639 -4171 1 ,1,J (- 61U9 ;1 i ( -°i. 7V Jobsite Address: 1/ 70 / S e,eic 1 FI e H i C'1w4 Tenant: r Suite # A �Y� Valuation: . I 2p0 Owner: /7" lJie4N % — Cs is ©ls UPS ::> :::: >: >;:;:<; :;:::;:: >: >;: ::: �..:.: : �: .� >.;:::::. >::> C A , 3 �z Address: I d 6 S � 1 1,() t� 0 C� sT RTLA N 97 20 6 Phone: 7 2 2 • S r r• t,t Cont acto . � fi /t t tAl p Address: l 2705 6 GfF AUE i RTc.AN:12 , oR 772-23 Type of const: Occupancy class: Phone: SO3 - 5 Q T- '7 -( (d I 1I2 g4' zh_. /! Sprinklered? Yes No Contractor's License # (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone: G �S s4w , 5 /4-N Story (1st, 2nd, etc.) 59$ - 7YZO Proposed use: Architect /Engineer: Previous use: Address: Note: Plumbing & mechanical plans must be submitted at time of building permit application. Phone: JOB DESCRIPTION: /'E //'t/, % f1 GC E (c5 TIiV G % INN /A/ cS W Ate DA N AC _T B Y T/s 4 v4tr" ,s7 i (�P(�vo✓ 571'11 ,n5 u 601.4 yl`� 15 c nc � IO A lica t i na pp r�S g h one number Received by: a / • Date Received: f— Permit # Account Description Amount Amt. Pd. Bal. Due ' . W 6-6()C E(Id g . Permit (BUILD) ( 2 �� 79" Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) ( / , Z c Bldg: Plumb: Mech: Plan Check (PLANCK) l � • Z( Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) Industrial TIF (TIF-1) Institutional TIF (TIF -IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) f_(2o, TOTALS: 4 250 , .Ire' DEPARTMENT OF LAND USE &TRANSPORTATION AN WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415 OREGON xxxxxxxXX - -> 640 -3470 Page : 1 of 1 Date : 05/16/95 Time : 07:43 Permit Type : Commercial Electrical Permit Permit # : 05067651 Permit Status : APPROVED Applied : 05/12/95 Situs Address : 11701 SW PACIFIC HW TI Issued : 05/15/95 Permit .Title : ARBY' S - SERVICE Completed : • Permit Descr. : JOB 2141 To Expire : 11/11/95 Project Title AR.EW S - SERVICE Project # : P0049926 Project Descr. : JOB 2141 * EROSION * • Parcel Number : 2S1'1'1 - Land Use District : Valuation 0 • Legal Descr..• • • Owner : INSPECTION - TIGARD Construction : OTH Applicant Name : E.I.R. ELECTRIC Classification : 900 Applicant Addr .: P. O. BOX Occupancy VANCOUVER, WA Validated by : PH • Applicant Phone: 3b0- 68'7 - 5860 Inspector Area Fee description Units .Fee /Unit Ext fee Data Service /Feeder:200 amps or less 1 60.00 60.00 Subtotal Electrical Fees: 60.00 State Surcharge of 5% 3.00 Total Electrical Fees: 63.00 *x Fees Required * ** * ** Fees Collected & Credits. * *:: • Method Check # Receipt No. Date Payment CK 2187 05/15/95 63.00 • Fees: 63,00 Adjustments: .00 Total Credits: .00 Total Fees: 63.00 Total Payments: 63.00 Balance Due: .00 • • • NOTICE: This permit becomes null and void if the work or construction for which it is issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void if construction is interrupted for period of 180 days. I certify that the information presented by the applicant and his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance • upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and, use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building inspection staff verifying compliance with the various codes. Use' or occupancy of the building or structure permitted prior to approval by the Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all inspection requirements are satisfied and approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all inspection requirements. • APPLICANT'S SIGNATURE • WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical Inspection Section ft", 155 North First Avenue, #350 -12 APPLICATION Hillsboro, Oregon 97124 Information: (503) 640 -3470 Fax: (503) 693 -4412 Permit PLEASE PRINT Number i�� 4--C` Date /I - 95 Please complete all sections, 1 through 5. 4. Complete Fee Schedule below 1. Location of installation Number of inspections per permit allowed Address 11701 PAC' Pc.- HWY Service included: Items Cost(ea.) Sum Building A. Residential - per unit City -rfr� Suite No. 1000 sq. ft. or less $110.00 4 Tenant Name ^^ Each additional 500 sq. ft ii-x_6 commercial) ii-x_6 Ys or portion thereof $25.00 Limited Energy $25.00 1 Map No. Tax Lot Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 Thomas Map Book: Page: Section: Directions B. Services or Feeders Installation, alterations or relocation 200 amps or less -I $60.00 (o O, 00 2 Commercial )C Residential 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 Over amps to amps amps $180.00 2 2a. Contractor installation only: Over 1000 amps or volts $340.00 2 Electrical Contractor E I R- Ft Fr TdeJ L Reconnect only $50.00 2 Address P.O, doy J.h)8 Dated -11 -95 Job Number .2./4/ C. Temporary Services or Feeders Property Owner 12.7 Installation, alteration or relocation Contractor's License No. 3 7- ,,3A G 200 amps or less $50.00 2 Contractor's Board Reg. No. 99ifR.� ' 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Signature of Supr. Elec'nil Zi�v4d- keri -eX42. Over 600 amps to 1000 volts see "13" above License No. 4/193 ' Phone No. J10.(2_6 D. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or feeder fee. Print Owner's Name Phone No. Each branch circuit $5.00 2 b) The fee for branch circuits without Address purchase of service or feeder fee. First branch circuit $35.00 2 City State Zip Each add'nl branch circuit $5.00 2 E. Miscellaneous (Service or Feeder not included) The installation is being made on property I own Each pump or irrigation circle $40.00 2 which is not intended for sale, lease or rent. Each sign or outline lighting $40.00 2 Signal circuit(s) or a limited Owner's Signature energy panel, alteration or extension $40.00 2 F. Each additional inspection over the allowable in any of the above . 3. Plan Review section (if required) Per inspection $35.00 Please check appropriate item and enter fee in section 58. Per hour $55.00 In Plant $55.00 • 4 or more residential units in one structure Service and feeder, 800 amps or more 5. Fees System over 600 volts nominal A. Enter total of above fees $ 60(00) Classified area or structure containing special 5% Surcharge (.05 X total fees) $ ,3, 00 occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction Subtotal $ services. $ Less Bulk Label Fee Balance Due $ 4v3. CO For inspections call This permit becomes null and void if the work authorized by the permit Is not commenced 640 - 3561 or 693 -4415 within 180 days from date of issuance of such permit or if the work authorized is suspended or abandoned at any time after work is commenced for a period of 180 days. 24 -hour recorder, one working day in advance of need Electrical Permits are non - refundable and non- transferable. 4/94 • 4/24/00 Activities for Case #: BUP96 -00051 5:25:32 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPC007 Application received 1/26/96 B RECD B 1/31/96 BUPC008 Permit created 1/31/96 B PEND B 1/31/96 BUPC015 Plans routed to Plans Examiner 1/31/96 B PEND B 1/31/96 BUPC018 Plan Review Ltr. to Ofc. Svcs. 2/15/96 JHF JHF 2/15/96 BUPCO20 Revised Plans Received 2/27/96 JHF JHF 2/27/96 BUPCO24 Plans Approved /Routed to DSTs 2/27/96 JHF APPR JHF 2/27/96 BUPC460 Devel review cond. met B 1/31/96 BUPC799 Final Inspection B 1/31/96 BUPC798 Misc. Inspection 2/15/96 JHF 2/15/96 BUPC090 (F) Ready to issue 3/11/96 JSD PASS JD 3/11/96 Need current CCB info. jsd BUPC100 (F) Issue permit 3/11/96 BON PASS JD 3/11/96 BUPA150 Expired by limitation 4/12/00 HAP DONE No Hold AKJ 4/12/00 • Page 1 of 1 . . - ' 1 . , 4 ' 1111 i u -- • • - Ill a - 100111111w. ...ar• lot_ - • ' --, ---- , - . _ le filf . , J441, i 1 NIL L %OONIkdfl 3ni21a