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Permit __ .. ., . . BUILDING PERMIT iih‘" CITY OF TIGARD PERMIT #: BUP2002 -00314 d�� DEVELOPMENT SERVICES DATE ISSUED: 8/14/02 '` I II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11834 SW PACIFIC HWY PARCEL: 2S101 BB -00301 SUBDIVISION: TIGARD ROAD GARDENS ZONING: C -G BLOCK: LOT: 001 JURISDICTION: TIG 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: 3N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 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: $ 146,000.00 Remarks: Reimage existing Texaco to Shell image, squaring canopy corners, replacements of signs and fascia. Owner: Contractor: �EQUTLON ENTERPRISES LLC . PACIFIC NORTHERN ENVIRONMENTAL 10602 NE 38TH PL 1081 COLUMBIA BLVD. KIRKLAND, OR 98033 LONGVIEW, WA 98632 Phone: 503 - 295 -5555 Phone: 360 -423 -2245 Reg #: LIC 00078140 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp 5PCT CTR 8/14/02 $73.90 27200200000 Final Inspection PRMT CTR 8/14/02 $923.70 27200200000 PLCK CTR 8/14/02 $600.41 27200200000 FIRE CTR 8/14/02 $369.48 27200200000 Total $1,967.49 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 -1987. You obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 -3 34 Pe rm ittee Signature: ti Issued By: A:A i A_ _ 41110_,1 , Call 639 -4175 by 7 p.m. for an inspection the next business day .,- 7 Zr i Z • Building Permit Applicatio e‘\11 Datereceived: 7 9 �. Permit no. X009.- ' /1/ City of Tigard • , Project/appl. no.: e date: Address: 13125 SW Hall Blvd, T1i:a el , as 97223 City ofTigard ^0 0 � Date issued: � Q B / Receipt no.: Phone: (503) 639 - 4171 • a L /` Fax: (503) 598 -1960 �UL 1 a e file no.: Payment type: , Land use approval: (;?tI v. i n . 1 &2 family: Simple Complex: . L ) TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory NI Commercial/industrial 0 Multi- family 0 New construction 0 Demolition W1 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm fit Other: 519/7 JOB SITE INFORMATION Job address: U r3-1 SW - pAcIF iG -}kWy Bldg. no.: Suite no.: ' Lot: B lock: 'Subdivision: 'Tax map /tax lot/account no.: Project name: SW) sk 1 R e.bitan c) Description and location of work on premises/special conditions: _ ' - 0 • ' . do_ ' X : c . v • • A) . - f} nU: _ . . / • , C0 ' A . ' ( at a , if A'. _ OWNER ! FOR SPECIAL INFORMATION, USE CHECKLIST Name: EO tCat4 F QQ? R. %sef, LLC. lz>ts A (Flood plain, septic capacity, solar, etc.) Mailing address: 101002 IQ E 3 9-` PL 1 & 2 family dwelling: City: )C.tQ.I(...kd,,hd 'State: L ZIP: 98033 Valuation of work $ . — Phone: 2gi -$}y -2020 'Fax: -- 'E -mail: — No. of bedrooms/baths Owner's representative: '1-1 r & t- o Total number of floors Phone: : / -gL -2020 Fax: — E -mail: - New dwelling area (sq. ft.) . APPLICANT Garage/carport area (sq. ft.) Name: fianp gsa (1(I e,a.s @ R.Mt'esicllr1 Ee auP, Covered porch area (sq. ft.) Mailing address: /5 / y O five A) S ter , •1- G /m Deck area (sq. ft.) City: Ise, atV u Q, ' State: WA I ZIP: 913DOS- # b Other structure area (sq. ft.) Phone: Fax: E -mail: , . , Com ercial/industrial/multi- family: X15-8 8 'lo co 11 -3H6 6 113 J e. RAIL x�n, CONTRACI.OII `�a►uatton of work $ 4 41 l 0150 Existing bldg. area (sq. ft.) 03 - 5_-S Business nam A 1 ►J /= •� / �L New bldg. area (sq. ft.) .7495_Sr Address :_ ililig imt,, Number of stories .-..gym ,"""" "4. Wirt : 1"11 1 -2 t Type of construction lifti Phon - . :,-��ya ;jS' E -mail: -- Occupancy group(s): Existing: `5' - ,n3 CCB no. • al y e W �� t New: S 1'1"13 City /metro lic. no.: . e . _ • 1 • o g Mil Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: Sig me eK npph r i- provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is exempt from licensing, the following reason applies: City: State: ZIP: Contact person: Plan no.: Phone: Fax: E -mail: • ENGINEER Name: — Contact person: Fees due upon application $ Address: Date received: City: 'State: 'ZIP: Amount received $ Phone: 'Fax: 1E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa 0 MasterCard . work will be complied with, whether specified herein or not. Credit card number / / Expires Authorized signature: Vail Q.S•d.ld " Date: 1•"B 07.. Name of cardholder as shown on credit card $ Print name: \QYIP. SSG. 17'1 i t.424 0 Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00 /COM) • - Commercial Plan Submittal s l Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (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. is \dsts \forms \COM- matrix.doc 9/24/01 CITY 9,, E.-TIGARD 24 -Hour ,13,!1LONG Inspection Line: (50 - ' ' 5 M S , - INSPECTION DIVISION Business Line: 503) 639- 17 x ZS*Z� - xD3 /`7 ` f BUP -0x3 Received Date Requested / 1 I ( 1 i' l AM 0 PM In : UP Location I I X 3 9 Suite MEC Contact Person � Ph ( 36 q)( i PLM Contrac • Ph ( ) SWR = UILDING Tenant/Owner ELC Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear i c �/ S ° 1 ' 00 4 ■ ( r � ramie 7) 7 l / �JIJ I nsulation , /,�,� — S d ' , b Drywall Nailing �� r � / v Fire wall ( , V �-- ') 4 4 ti Fire Sprinkler l Fire Alarm ' Susp'd Ceiling - \ sig...... sig...... ` - ... 1: -1 "- 1 2—R--g:9 Roof Y2� S'\:,-{1- b - • Other: PASS PART / - PLUMBING v � l/\/\ ` 4...„ 4`f k ` �� 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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA 1 1 1 A /6 2.----- - Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY du IGARD 24 -Hour tUJ.LNG Inspection Line: (503) 639 -4175 MST -4 R INSPECTION I;SISION Business Line: (503) 639 -4171 BUP ZkL —GU 3/ 1 Received Date Requested /l- / Y AM PM BUP `j Location 1/ 8 3 `t - 1 7 4 C t- 1 � Suite MEC Contact Person Ph ( 3 4 C) 07/-t 3 3 r PLM Contractor (�"�Ph ( ) SWR " +1= i�11 e•71►r� Tenant/Owner t- ELC Foo ing Foundation ELC Ftg Drain Access: ,n /) ELR Crawl Drain /77" Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int S e- th/Shear rmin v, S o - .. ion Drywall Nailing Firewall FCC (N 6 Z - 0 Fire Sprinkler Fire Alarm L�( [() d Z' 0 U L S Susp'd Ceiling C Roof Other: _ — PASS PARTAlia Za PLUMBING t • b Post & Beam 1 I 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 fl Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat 7" >" Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24- Hour 44, • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP oZ -06 3/ Received Date Requested 4 AM PM BUP Location / / g3 Suite !L MEC Contact Person F A A : Ph ( , ) 1 /3 o - 96 3 T PLM Contr. • Ph ) SWR ILDI ► Tenant/Owner ' j A A ELC • • ing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear j�f� 2A 0 2- 00 `S 6 C 1 Framing Insulation 1 _ ' Drywall Nailing Q-,L) S `.A.1 f `�" • Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: E Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date �/ d 3 Inspector — ` Est Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL