Permit CITY OF TIGARD BUILDING.PERMIT
PERMIT #: BUP2000 -00294
,, t` " DEVELOPMENT SERVICES DATE ISSUED: 7/27/00
„a t
'�" „' i! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S101 BB -00301
SITE ADDRESS: 11834 SW PACIFIC HWY
SUBDIVISION: TIGARD ROAD GARDENS ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: U2 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: $ 4,000.00
Remarks: 20' high free standing sign - Total Area 64 square feet
Owner: Contractor:
TEXACO REFINING + MARKETING, I BLAZE SIGN
BY EQUIVA SERVICES LLC PO BOX 23910
PO BOX 4369 7340 SWHAZ
ne
HOUSTON, TX 77210 T ALAT N 6n=32a 281 -3910
o :
Reg #: ELE 26380CLs
LIC 64325
FEES REQUIRED INSPECTIONS
•
Type By Date Amount Receipt Electrical Permit Required
PRMT DEB 7/27/00 $68.50 0004037 F Insp
Frr aminamin g In sp
5PCT RDP . 7/25/00 $3.42 002631 Final Inspection — -
5PCT DEB 7/27/00 $2.06 0004037
PLCK RDP 7/25/00 $44.53 002631
(additional fees not listed here)
Total $145.91
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
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee •
Signature: -,•,
Issued B ,� _ ,j i � i
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY'OF TIGARD Commercial Building Permit Application Plan Check# / �
1.3125 SW HALL BLVD. Naw Construction and Additions Rec'd By G
Date Rec'd lo /'
TIGARD, OR. 97223 Date to P.E.
(503) 639 -4171 Date to DST �,L
Print or Type Permit igu0? ���?L1
Incomplete or illegible applications will not be accepted Related SWR#
7;:-/.... Called i /7 ITT
Name of Development/Project
Job / 1C( 3t/ 5 cJ P Existing Building ❑ New Building ❑
Address Street Address Sui
Building
Bldg # City /State Zip Data
• I 07 2 2. 3 Existing Use of - ilding or Property:
Name
� rrA-•c.r 1 C
Property � �
Owner Mailing Address Suite Propos I ding or Property:
3goo siii) t//*-e Fd(
City /State Zip Phone
9341,,,,d No. Of Stories:
Occupant Name 0 Sq. Ft. Of Project: LL CO
Name Occupancy Class(es)
Y
Contractor U 1'
Prior to permit Mailing Address Suite Type(s) of Construction
issuance, a copy C 1 n ^/ �
of all licenses V �7( rt C�
are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. �� , / / Yes ❑ No ❑
database / �/ci / c2' 11 4537
()rev( Const. Cont. Board Lic.# Exp. Date Americans with Disabilities Act (ADA)
/� Valuation X 25% = $ Participation •
6 '7 3 � - )'I - Complete Accessibility Form
Name Project $
Architect ' 7L . .7 Valuation
Mailing Address Suite o- ..
Plans Required: See Matrix for number of sets to submit
City /State Zip Phone on back
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agent Date
City /State Zip Phone
•
Contact Person ame Phone
Indicate type of work: NewX Addition 0 Demolition 0 YYLItta 6t4r7 - (:,..4./-
.. . r 46 7
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 u FOR OFFIC USE ONLY
Description of work: MapITL# Land Use:
e -, gmAii Notes:
Parks: Estimated # of Employe / TIF:
If the above figure Is not supplied at the time of application, the city will
calculate the fee based upon the number of parking spaces. /V
Note: Site Work Permit Application must precede or accompany Building Our ^71• C
Permit Application
•
i:\dsts \forms \comnew.doc 5/10/99
8/17/00 Activities for Case #: BUP2000-00294
3:35:19 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 6/1/00 • GEO RECD No Hold RDP 7/25/00 +`
4 �
BUPC008 Permit created 7/25/00 RDP DONE No Hold RDP 7/25/00
BUPCO24 Plans checked /approved by PE 7/25/00 RDP DONE No Hold RDP 7/25/00
BUPC090 Ready to issue 7/25/00 RDP DONE No Hold RDP 7/25/00
BUPC530 Electrical Permit Required No Hold RDP 7/25/00
BUPC705 Foot/Found Insp • No Hold RDP 7/25/00
BUPC740 Framing Insp No Hold RDP 7/25/00
BUPC802 Final Inspection No Hold RDP 7/25/00
BUPC100 (F) Issue permit 7/27/00 DEB DONE No Hold DEB 7/27/00
BUPA090 (F) Reprint Permit 8/14/00 ZZZ DONE No Hold ZZZ 8/14/00
•
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Page 1 of 1
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CIT14OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour rUpecti Line: 639 -4175 Business Line: 639 -4171 MST
gg / � BUP 2~ -rev 2 9y
Date Requested 1/ :f- ® AM !/ PM BLD
Location / / S3 (1 5 /.✓ Suite MEC
Contact Person Ph 5v3 G Z y 5 z, PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
o ti Access:
..,Founda FPS
tg Drain 4/60 n o U w` •
Crawl Drain Inspection Notes: SGN i ou
Post & Beam 5/,/k SIT
Ext Sheath /Shear
Int Sheath /Shear tf1 co ^ _, Y , . 1 I ? n n
ramrn V K" \ 1�1 Rfri y
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Inspector Ext D ate Ins
Other P
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY4F TISARD BUILDING INSPECTION DIVISION . • MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 (`
BUP 201 Date Requested id2pid AM PM BLD
Location I/' 3 (1 Sex) P..a6/-6 e Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
•
BUILDING Tenant/Owner ELC
Retai 's • Wall ELR
`00 .11,"
. Access:
I da FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F
PASS PART FAIL
BI NG
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk / �
Other Dat //b / Inspector S • Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
•
24 -Hour I,spection Line: 639 -4175 Business Line: 639 -4171 'MST
BUP kvv
Date Requested / Z 7 AM PM BLD 4
Location /JP'' .S 4/ C((c / y TeX_ c Suite MEC
Contact Person / Ph X7/3 2 ¶1-I i 2 y PLM
Contractor 4 8/4 -ZZ s r ,, Ph 635 - SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: �
Slab � D Ail r� -l7 SIT
Post & Beam
Ext Sheath /Shear S/ 6--"J — (p
Int Sheath /Shear (1
Framing
Insulation
Drywall Nailing � �
Firewall �
Fire Sprinkler < <s
Fire Alarm —
Susp'd Ceiling
Roof s( 4
Mis • !!
Fin
ASS ART FAIL
FrLu BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
_Rain Drains
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
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date - 11)2,SI
Other Insp ector 0.Ci Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.