Permit I .
Il a CITY OF' TIGARD BUILDING PERMIT
PERMIT #:
COMMUNITY DEVELOPMENT DATE ISSUED: 6 29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 B D -01701
SITE ADDRESS: 12830 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: OOA JURISDICTION: TIG
PROJECT: DAVIDSON'S CASUAL DINING
Project Description: Fire suppression: Hood upgrade.
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: A2 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 : U HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,540.00
Owner: Contractor:
DAVIDSON, WILLIAM G + DIXIE L METRO SAFETY AND FIRE INC
8915 SW COMMERCIAL 14324 SE STARK
TIGARD, OR 97223 PORTLAND, OR 97233
Contact #: PRI 503 - 231 -2999
Phone: 503- 639 -5111 FAX 503- 256 -4691
Reg #: LIC 63651
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/29/2007 $72.10
[TAX] 8% State Surcha 5/29/2007 $5.77
[FLS] FLS PIn Rv 5/29/2007 $28.84
Total $106.71
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 direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
y: �, ._ '1"-- _< < - :mss• �
Issued By: E .: .Permittee Signature -e9 •l
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.
r
Rx Date /Time 61AY- 21- 1001(610N) 10:21 i 2g30 50359819 0 P. 001
05/21/2007 10:14 FAX 5035981960 CITY OF TIGARD C KwP 11 001
Building Permit ApplicatlEC E I V ED :
Fire Protection System agar ' 20 2007 FOR OFFICE USE ONLY
City of Tigard 5 ' 7 3 ' ■ 207-02-7
13125 SW Hall Blvd., Tigard, OR Y OF TIGARD t R - T � ;
- . , Phone: 503,639.4171 Fax: swam 1r. 1 ING DIVISION °ate • 46-211 A ' ` ' anvl t:
4
Line: ti 503.639.4175 Date Ready : Y c ' O Sty hip 2 for T I c; \ it p I ga<d NotiSed/Mathad: (Q 118 /( - Supplemental Informatrea
l n spection el nt e tu: www. .
•••: •. AMY LYDWEii: NG
L •.•.,........•..:
.:.. ...: 1- AND.?,F
:.: :. RBQUD' ar ba r ed on the value of the work performed
O New construction O Demolition
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement 0 Other equipment, materials, labor, overhead, and the profit for the
" ., •••�' .� ;:•:: ' *fiA?FGORY OF.•'CON3.:11 • •
.
indicated on on. ••
. ..::.__. _ ._.,. .. •
n rs aPP
. � ••. . . �' valuation: S
0 1 and 2- family dwelling 111 Commerciaytndustrial
• O A rmy building ❑ Multi - family Number of bedrooms; •
O Master builder -- — 0 Other: —
N umber o bathrooms: '
• • .- • . number of floors
...:.....: ••:`':• . ?os srrlE ; 'ta1pO�A�1px,.AtYD�LOt'aITI :::. ; • .. • :.
Job site address: 111130 SW PAC tC; G 11,0 Y. New dwelling area: square feet
City/Stete/ZIP: T ef 0 R s q 7 7-3 Garage/catport area: square feet
Suite/bldg.(apt. no.: 1 Project name; DAVi4 Son f ft uAL. DI »i m5 COVered pow area square feet
Cross street/directions to job site: Deck area square feet
Other structure area: square feet
' .:•.REQUIRED COW,A RCIAL -UE Cl .IST :.
Subdivision: ] Lot no.: Permit fees' are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
• ' :. • :':'.:. iIO1 OF ... *ogler . . . : :: ::' .... : • • •• : • work indicated on this application- • t t.L— 360 ti inJ.e 4 o PmR $ppr>t ,vn s)& ii. tieo valuation f 2. �°
Existing building area: square feet
New building arca: 'square feet
• 11. 4 . P'ROP'ERTY • :OWNER • • • • • 0. TENANT Number of stories:
Name: jtrC K (064- Type of construction:
Address: 1 28 3 o sit/ PA.c. ': L - N 4''y fancy gaups:
City /State/ZIP: T l a OA ¶7 't t 3 Existing
Phone: ($o3) 63q_ Si ll Fax: (503 ) 131— 9 5S/ Of New: .
` :'• ... :• , • ' . :Egl APPLICANTt : ' • • ®' CONTA0 SON •' • NOtICE .:.' ::• .
Business flame: Mt -ro S�t4l4 4. )SEC f 'r t- All contractors add subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
Ron I'r9 eyd under ORS 701 and may be required to be licensed in the
Address: 1 tf 3 t ( ,r{,,. .StI o_ jurisdiction'in which work is being performed. If the
City/State/ZIP: LIP: ��jlhd GbQ. 9 7 2 33 applicant is exempt from licensing, the following reasons
aPPlr• 7A- •4,
Phone: ( 50 ) 23/.- z 499 Fax:: (so3) 256— 4/69/ 5;7
E -mail: • �p
a+� -ti H
BUII.DING• �'::
Business name: inc .& 0 SA.A Jc ge / h e . Permit l• ' .
Address: 1 43 7 y S£ 5.1 z)c f State surcharge (8% of permit fee):
City/State/Zi.P: pig& li d, D R ci? t-2:5 - Fli lan review (40% of permit fee):
Phone: (533 ) 23) — 2-4'99 Fax (503 ) 2,51— 1497 . (Due ran application.)
CCB lie.: ( I • Total permit fees: 1 a 6 u
f/ �� � . Amount received
Authorized signature:
l�try This permit application spires If a permit is not obtained
Print name: p f * fix,5 1 _Date: S Z/ 07 • within 180 days after it has been accepted as complete.
A O h • Fee methodology set by Tri-County Building industry
Service Board. w'
FAsuldiaglrm ,almlYPSPQmitApp.doe 03/2306 ado aetrf(tw7/eoMn s) /O /° . -/
I "
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: 13UP2007- 00283
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Cif }9/2007
Phone: (503) 639- 4171 °1�
Inspection Requests (24 Hrs.): (503) 639 -4175 F _ L �
INSPECTION WORKSHEET FOR DATE: 3/20/2008 IME: 7:02AM PAGE: 57
- SITE ADDRESS: 12130 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FREW NGS ORCHARD TRACTS LOT #: OOA TYPE OF USE:
PROJECT NAME: DAVIDSON'S CASUAL DINING
DESCRIPTION: Fire suppression: Hood upgrade.
•
OWNER: DAVIDSON.1NILt.IAM C + DIXIE L, PHONE #: 503.639 -111
CONTRACTOR: METRO SAFETY AND FIRE INC PHONE #: 5032.31
Inspection Request Scheduled For: Date: 3/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess - • -
MI roc.
299 Final inspection 066831 -01 503 -231 -2999
Corrections mments /Instructions:
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7 c
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1
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I!, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
MI FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `4 j (i Date: 37 2 ' 6 / 0 O Phone #: (503) 718 - Z-'" ( f 2-1