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Permit 14 - a '`CITY OF TIGARD BUILDING PERMIT . : COMMUNITY DEVELOPMENT DATE S U 10/ 1/2008 00326 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DD -03301 SITE ADDRESS: 11945 SW PACIFIC HWY 202 ZONING: C -G SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG PROJECT: LUCKY DELI Project Description: 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 8 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: N PARKING: VALUE: $ 1,500.00 Owner: Contractor: TIGARD PROPERTIES INC OWNER 2106 SE OCHOCO ST MILWAUKIE, OR 97222 Phone: Contact #: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 9/29/2008 $40.63 [FLS] FLS Pln Rv 9/29/2008 $25.00 [BUILD] Permit Fee 10/1/2008 $62.50 [TAX] 12% State Surch 10/1/2008 $7.00 Total $135.13 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 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direc questions to OUNC ell' 46.6699 or 1.800.332.2344. Issued By: Permittee Signature: A Call 503.639.4175 by 7:00 a.m. for an inspection that bu ' - This permit card shall be kept in a conspicuous place on the job site un I completion of the project. Approved plans are required on the job site at the time of each inspection. Building(Permit Application . Comm ereial FoR oEFICL: I_ SE O \L1 • Cl of Tigard Rece'vea a9 QQ� Permit No.: • U I Avg 131 SW Hall lvd., TigBC Plan Revi w` e Phone: 503.639.4171 Fax: 503.598.19¢0 , , Date/B • (O I Other Permit: TIGARD Inspection Line: 503.639.4175 S E P , t . Date Ready/By: Juris: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information CITY OF TIGARL twin WIPAITIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ® Other: 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: $ El Accessory building ❑ Multi- family Number of bedrooms: ❑ M aster builder ® Other. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11945 SW PACIFIC HWY, SUITE 202 New dwelling area: square feet • City/State/ZIP: TIGARD, OR. 97223 Garage/carport area: square feet '�y� Suite/bldgJapt. no.: Project name: LUCKY DELI Covered porch area: square feet 1 �[ Cross street/directions to job site: HALL BLVD Deck area: square feet cj 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. Valuation: $$1,500.00 Existing building area: 750 square feet ..t\...--) New building area: square feet ❑ PROPERTY OWNER ® TENANT Number of stories: 1 Name: NGA SCHECHLA Type of construction: Address: P.O. BOX 1201 Occupancy groups: City/State/ZIP: SHERWOOD, OR. 97140 Existing: Phone: (971)5066414 Fax: (503)6257291 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: LUCKY DELI All contractors and subcontractors are required to be cense Contact name: NGA SCIIECHLA licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: SAME AS ABOVE jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax: : ( ) v E -mail: ngaschechla ®hotmail.com CONTRACTOR Business name: ©( ) 0 U BUILDING PERMIT FEES* OO Address: (Please refer to fee schedule) Structural plan review fee (or deposit): %'O. 3 a City/State/ZIP: r � FLS plan review fee (if applicable): v ); CO Phone: ( ) Fax: ( ) CCB lic.: Total fees due upon application • Amount - • : ved: C.., - 4O Authorized sign: . ' , , This permit application expires i a permit is not obtained ��`�� (amr / / Date:. i within methodology 180 days after it has been nt : n , as Print name: � �t � � � � I * Fee methodoll s ogy set by Tri-County Building Industry Service Board. 1:\Building\Permits : • PermitApp.doc 2/23/07 440-4613T(11/02/COM/WEB) III I 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, excluding painting and wallpapering. [1] $ $1,500 MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 375.00 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: $ $50.00 (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ $325.00 (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): $ $375.00 I: \Building \Permits \BUP -COM PermitApp.doc 10/30/07 _. ..c.. ,. • LUCKY DELI • 11945 S.W. PACIFIC HWY. Suite #202 RECEIVE' D • o nle occupincy OREGON 97223 emacysts OCT 01 2008 ‘:,. comuctionixo Tel: 971 506 6414 - Rated Corridor CITY OF TIGARD busy Cede 1 . BUILDING DIVISION - ikeeesaltillIty 723. c;, • - . STAND UP REFRIGERATOR • . i SODA MACHINE i x I ,o. 4 ,i it , , 1 , -. 2 frettkiev ER, . 1 , ICO kith\ I et( 1 i . .:........ . REFRIGERATOR SANDWICH PREP. TABLE = • 3> z • 0 . ' Z . COUNTER TOP 2 0 n C) g • 0 T. 1 . .•,,‘ '' c •70 , -- - - 4 - ■ j :114 \--. z CITY OF TIGARD vr C — ) = 1 m 1_,... C . \ *4\1°4/1, Approved II I • / 1 :; F : . \ A Conditionally Approved.... [ 3 See Letter to: Follow [ l 0 . Z \ 0 Au.. hed . . .... "ti I . x 1. -----... 04P Permit N ,. ,,,, ga 41 -.. . . . • . . -- .. - " MiMir; t.0 - ., i I — • ° ri ,. By: ‘1 le Date: rafillra. - L i - (..) • 2 - x , • DEFERRED rhoprinkin . . . likeAlere • - ....• Mecinniall •P SUIVHD Z V 318 • Pluibhis ec • „----,,,, th. i mbic- ii . . OM . • ' , Etisteasts g - '''' 'N \ - . . els0 bOe%4.■ . . • • eke* Morass mew ' . . . (*it eimib \ -•°•••-"•• , TOILET . ". L_I - LOTTO ROON\ - 41 16 FA , NI sv 4.--. NIS 1 . .> • OFFICE COPY • CITY OF TIGARD • • BUILDING DIVISION P #: RjP2008-00328 13125 SW Hall Blvd., Tigard, OR 97223 D■ E" ISSUED: i0/1/2000 Phone: (503) 639 -4171 �v�'nglui Inspection Requests (24 Hrs.): (503) 639 -4175 -_.. INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7 :00AM PAGE: 23 SITE ADDRESS: 11945 SW PACIFIC HWY 202 CLASS OF WORK: SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE: PROJECT NAME: I UCKY DELI DESCRIPTION: Ti OWNER: TIGARD PROPERTIES INC, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/12/2008 `. Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 077965-01 .----'- iitt-M6414 ,.. ) N Corrections /Comments /Instructions: 9 fir` i ' --1 ', ,o/ , 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES AS SED 0 Inspector: /() v Date: I k Phone #: (503) 718 -