Permit r
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00070
-. COMMUNITY DEVELOPMENT D ATE ISSUED: 3/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 104 ZONING: C -
SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG
PROJECT: TAQUERIA 7 ESTRELLAS
Project Description: Fire suppresion system for Type I hood.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 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: �y se
Owner: � Contractor:
TIGARD PROPERTIES INC UNIVERSAL FIRE EQUIPMENT
2106 SE OCHOCO ST . 8049 SW CIRRUS DR •
MILWAUKIE, OR 97222 BEAVERTON, OR 97008
Phone: Contact #: PRI 503- 641 -8702
FAX 503 - 643 -1472
Reg #: LIC 86723
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/12/2008 $62.50
[TAX] 12% State Surch 3/12/2008 $7.50
[FLS] FLS PIn Rv 3/12/2008 $25.00
Total $95.00
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. Yo - ay obtain a copy
of thes- e direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. V
Issued = • 4 P ermittee Signature:, ` A
Call 503.639.4175 by 7:00 a.m. for an insp- • that •r ness day.
This permit card shall be kept in a conspicuous place on t - job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application He c.. g o o 7 QG 5 I y
Commercial FOR OFFICE USE ONLY
UPI City of Tigard Date/B e
a _ 1 Pennit No.: - iq �„ $� &V 70
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /T'�
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T 1 G n k D Inspection Line: 503.639 Date ReadyB ru ' 0 See Pa 2 for
Internet: www.tigard -or.gov Notified/Method: (� Su pplemental Inf o rm ation
TYPE OF WORK 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.
❑ 1- and 2- family dwelling Commercial/industrial Valuation: $
El Accessory building ulti- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Ill ys j 1), p �T" r � A / t ,v New dwelling area: square feet
City/State /ZIP: 1� D R C �� Garage/carport area: square feet
Suite/bldg. /apt. no.: (`Project name:? eRi4caltiOSI2e5-11 Covered porch area: square feet
Cross street/directions to job site: fi </ • e.e/ Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
c Y� s_ 'Y/ 347l�-'1 / J ( ` 0 C/4 0,-.A...-1, Valuation: $ 18 °-
P/ L-37, -� i) � l . ` Existing building area: square feet
Sy s- 4-ii ,4 `C� l New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories:
Name: _ Type of construction:
Address: /) q � C _ s- c c- 1 ,J, (.9 /4,0 y / *. Occupancy groups:
City/State /ZIP �"�rlt . � 7 Z3 Existing:
�� � �� O l b
Phone: 1 Z C:7� 7 9 Fax: ( )
New:
A APPLICANT CONTACT PERSON NOTICE
Business name: LG� e /V f$ /t4-, _ 4, All contractors and subcontractors are required to be
Contact name: &pc., ile4--)-4 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: gin ,� �f CN`' - 2.--)f 1 jurisdiction in which work is being performed. If the
City/State /ZIP: e�4 v �Ip b >e . 7 -g' applicant is exempt from licensing, the following reasons
/ < apply:
Phone: v Phone:�Fax::
E-mail:
CONTRACTOR
Business name: dh 4 ps S� / lam. 3 LA./i9x v�,sE�Gi BUILDING PERMIT FEES*
(Please refer to fee schedule) /
,' 2 Gl�c r 1) c , e it): (AA. 50
City /State /ZIP: R�,.0 � lo n / p �7 / � , 43 1 Z _ co
r ^ 6y/....R-702_ i b FLS plan review fee (if applicable): S .
Phone: �) Fax:
CCB lic.: Total fees due upon application: 7• SO
Amount received: Q5—'
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: ;'. .42 --pR' * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\B -COM PermitApp.doc 2/23/07 440 -4613T(11 /02 /COM/WEB)
r
° Building Division
:14
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] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(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): $
1: \Building\ Permits \ BUP-COM PermitApp.doc 10/30/07
"- Hood Sysloolivetaliation Certification RECEI Cr%
tiniviefoal-Fito
4!R2 2003
-emirate from required to be filled out forsook separate system CITy (1 ,
(Even if m m than one system is approved with the nw accePnce te139
iew and %.°
ta 2 gbIN6 TIGA
D
DIV1SI
City wit essed test date: 4 1 - '2 - ' 0 3 Pennit #: 84/ P 7caR
Installed at-Mistiness NM* Addr050;
fop.
DeSCrib location (if more thiui one system exists at the-business):
tet 1 4-d/4-Act 44449_
Type of , yst7 ;
196,4_-73 n-e(4 7
Number f heads installed:b Flow points-used:12...a/ Davailable.
Locatio of plans:
o S tern Installation & Maintenance & copy of this certification to:
(Nam of responsible party): , 77 4 7-- “ , Iv 61-
erti , at o Jai..,1,1 P. Complete this section after system
is ins alled,but prior to coldnaafilithe witnessed operational
acce tame tests. This systeleinetatiation was inspected and was
foun to be in accordance with .thestandards and requirements
of(ch ck all that apply):
o N .1),i% 12 Carbon dioxide %%terns
o N PA SS Ventilation Conti*. & Fire of _Comm. .Cooking
o N - PA 16 Foatn Widens
o N A 17 Dry chemical systems
• - PA 17a Wet chemical systems
o IF 904 fire extinguishing systems
- v nufacture's Instructions
I 00
o Ot er
Instal er printed name: c_e_ .2,194-
Telep one (_53 )
_ .
Instal er Signet e: AsdIC • ----
InSta Co . %WV A it et v.: ...44
CITY OF TIGARD - 61A e20 _ 0007o
BUILDING DIVISION PERM .
13125 SW Hall Blvd., Tigard, OR 97223 DATE IS ED:
Phone: (503) 639-4171 16 1740 , 16i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: (4 / / d r TIME: PAGE:
SITE ADDRESS: I 4'S etz.;.cj"(. l41 J % CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
( J
Corrections /Co ments /Instructions:
v.4' 1 er `z a 0'7 - B 0 .51 Z 'r
\AD o 7■1 0 -�� 5 G - S
N t,C ■c-e_co vcds
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �^ 1 Date: L 3/° Phone #: (503) 718-2424
CITY OF TIGARD
BUILDING DIVISION - r PERMIT #: BUP2008.00070
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/121200F
Phone: (503) 639 -4171 mo °1P , Ill
Inspection Requests (24 Hrs.): (503) 639 -4175 - A J
INSPECTION WORKSHEET FOR DATE: 4/212003 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 11946 SW PACIFIC HWY 104 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: TAQUERIA 7 ESTRELLAS
DESCRIPTION: Firs; suppresion system for Type I hood.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: UNIVERSAL FIRE EQUIPMENT PHONE #: 503 641 - 0702
Inspection Request Scheduled For: Date: 4/7!2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
920 Suppression trip test 067706-01 M 503-611 -8702 N ®
Corrections /Comments /Instructions: zj_ G J
f T oX-
■ GL 't% i
P VA PA RTIAL APPROVAL El CANCEL ❑ NO ACCESS
FAIL % ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
Inspector: Date: e5 Phone #: (503) 718- Z