Permit I q CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00079
• COMMUNITY DEVELOPMENT DATE ISSUED: 2/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CD-00100
SITE ADDRESS: 11705 SW PACIFIC HWY X ZONING: C - G
SUBDIVISION: PACIFIC CROSSROADS LOT: JURISDICTION: TIG
Project Description: Little Caesar's Pizza - TI (1,800 sq ft)
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 17 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 36,400.00
Owner: Contractor:
PACIFIC CROSSROADS PROPERTY INC BNK CONSTRUCTION INC
WYSE INVESTMENTS 10730 SE HWY 212
111 SW 5TH AVE SUITE 1100 PO BOX 66
PORTLAND, OR 97204 CLACKAMAS, OR 97015
Phone: 503 - 294 -0400 Contact #: FAX 503 - 557 -1085
PRI 503 - 557 -0866
FEES Reg #: LIC 107555
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/8/2007 $373.30
[TAX] 8% State Surcha 2/8/2007 $29.86
[BUPPLN] Pln Rv 2/8/2007 $242.65
[FLS] FLS Pln Rv 2/8/2007 $149.32
Total $795.13
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
Orego 'city Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
oft se rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I ued By: �t �f ..L P ermittee Signature: cac
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 : , l FOR OFFICE USE oNLN i'..
ft ' 14 City of Tigard . ` ' ,, Daem E� i _ ed , ,l Permit No.: 4 0 66,7
-. 13125 SW Hall Blvd., , O
, TigardR 9 2' Plan Review
C. Phone: 503.639.4171 Fax: 503.598.1960 (j Q Viti Date/By: Other Permit:
/.10,:, h 1' Inspection Line: 503.639.4175 f,�. ` v Date Ready /By: Ju : / El See Attached Checklist for
Internet: www.tigard - or.gov Notified/Method: ` Supplemental Information
i
CS IA k. )V I si v e lliel 4
TYPE O i , 1(° REQUIRED DATA:..1- AND 2- FAMILY DWELLING '- ".
❑ New construction �\ CJ D�em`o'liition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/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 Valuation: $
® CommerciaVindustrial
CI 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: 11705 SW Pacific Hwy. New dwelling area: square feet
City /State/ZIP: Portland, OR 97236 Garage /carport area: square feet
Suite/bldg. /apt. no.: SnitSC,( Project name: Little Caesar's Covered porch area: square feet
Cross street /directions to job site: SW Pacific Hwy. & SWvDartmouth Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST:
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
equipment, materials, labor, overhead, and the profit for the
' _DESCRIPTION OF WORK work indicated on this application.
New interior non - structural partition walls, electrical, plumbing & HVAC Valuation: $36,400
Existing building area: square feet
New building area: 1,800 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Pacific Crossroads Prop., Inc. do Wyse Investmt. Type of construction: VB
Address: 111 SW 5 Ave., Suite 1100 Occupancy groups:
City / State/ZIP: Portland, OR 97204 Existing: B
g�
Phone: (503)294 -0400 Fax: (503)227 -2507 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: NW Precision Design All contractors and subcontractors are required to be
Contact name: Darin Bouska licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1844 NW Couch St. jurisdiction in which work is being performed. If the
City/State/ZIP: Camas, WA 98607 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 680-6444 Fax: : (360) 838-0657
E - mail: darin @nw- precision.com
. ' CONTRACTOR '
Business name: BNK Construction Company BUILDING,PERMIT FEES*
Address: 45 82 Ave., Suite 53B (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State/ZIP: Gladstone, OR 97027
Phone: (503) 557 - 0866 Fax: (503 557 - 1085 FLS plan review fee (if applicable):
CCB lie.: 0107555 Total fees due upon application:
Amount received:
Authorized signature: ' j
r This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Darin Bouska Date: 11/20/06 • Fee methodology set by Tri -County Building Industry
Service Board.
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: BUP2007-00079 .--
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13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/012007
Phone: (503) 639-4171 hisimpd,1 4\ , •
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: . 41
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: Little Caesar's Pizza - TI (1,1300 sq ft)
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503-294-0400
CONTRACTOR: BNI< CONSTRUCTION INC PHONE #: 503-557-0866
Inspection Request Scheduled For: Date: 3/12/ 2007 Pour Time:
Code # Inspection Description Confirm # en - , '• es-',z, -
299 Final inspection 044638-01 / 46888-0212
Corrections/Comments/Instructions: 'L‘
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CITY OF TIGARD
BUILDING DIVISION , , .6.:. PERMIT #: BUP2007-00079
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13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/6/2007
Phone: (503) 639-4171 Jolt
Inspection Requests (24 Hrs.): (503) 639-4175
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INSPECTION WORKSHEET FOR DATE: 31912007 TIME: 7:01Alvl PAGE: 52
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: Little Caesar's Pia - TI (1 ,Boo sq ft)
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503-294-0400
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503-557-0866
Inspection Request Scheduled For: Date: 319/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
289 Final inspection 044576-01 503-886-0212 N
Corrections/Comments/Instructions:
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CITY OF TIGARD t. . ..
BUILDING DIVISION t . r
-._. PERMIT #: BUP2007-00079
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 202007 .
Phone: (503) 639-4171 ,..,7
Inspection Requests (24 Hrs.): (503) 639-4175 :4 1
INSPECTION WORKSHEET FOR DATE: 211612007 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 11706 SW PACIFIC HWY X CLASS OF WORK:
,SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
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DESCRIPTION: Little Caesar's Pizza - TI (1,800 sq ft)
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503-294-0400
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503-557-0866
Inspection Request Scheduled For: Date: 2/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 0.43502-02 503-888-0212 Y
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Corrections/Comments/Instructions: CO
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BUILDING DIVISION PERMIT #: BUP2007-00079
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/6/2007
Phone: (503) 639-4171
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INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01/40 PAGE: 65
SITE ADDRESS: 117O5 PACIFIC HWY CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESAROPIZZA
DESCRIPTION: Litt|mCmwoerbPizza - ]l (1.ODOoqft)
OWNER: PACIFIC CROSSROADS PROPERT'( INC, PHONE #: 503-294'0400
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 6O3-557'0066
Inspection Request Scheduled For: Date: 3V15/2807 Pour Time:
Code # Inspection Description Confirm # Contact # yW
299 Final inspection 044799-01 603-888-0212 A-~
Corrections/Comments/Instructions:
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Inspecto : Date: /— b Phone #: (503) 718'Z-C
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