Permit CITY OF TIGARD
4, t��i DEVELOPMENT SERVICES BUILDING PERMIT
p PERMIT # • BUP99 -0073
.__, - 13125 SW Hall Blvd., Ti ard,OR97223(503)639 -4171 DATE ISSUED: 03/25/99
PARCEL: 2S1O2CB -03101
SITE ADDRESS...: 12950 SW PACIFIC HWY #2A
SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK • LOT -021 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 845 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. : 5N .... 0 sf N: S: E: W
OCCUPANCY GRP.:M TOTAL 845 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:1HR
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 25000
Remarks : Interior alteration for tenant improvement.
Owner: FEES
P J AMERICAN INC type amount by date recpt
9109 PARKWAY EAST PRMT $ 170.50 GEO 03/02/99 99- 313379
BIRMINGHAM AL 35206 SPCT $ 8.53 GEO 03/02/99
99- 313379
FIRE $ 68.20 GEO 03/02/99 99- 313379
Phone #: 888 -512 -4539
Contractor:
MARKET CONTRACTORS LTD
10250 NE MARX ST
PORTLAND OR 97220
Phone #: 255 -0977 $ 247.23 TOTAL
Reg #..: 006283
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with S u s p C e i i n g Insp
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 95210101987.
You .any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature. O . � ., J _ -d By
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + ++
,TY OF TIGARD Commercial Building Permit Application Recd By 0 3 - 0W (2
13125 SW HALL BLVD. Tenant Improvement Date Recd 3 - a -9
Date to P.E. 3'7' 99
TIGARD, OR 97223 I 1< �� Date to DST V P
(503) 639 -4171
3 11<1 - 191
a Permit # ,a - 9 9— 6 073
Print or Type Related SWR #
Incomplete or illegible applications will not be a cepted Called 3 - /G 9
L FFr 1G /ilss.a -
Name of Development/Project Existing Building New Building ❑
Job (9A-? A 300 ") PIZZA
Address Street Address Suite Building
(c150 sw 1?ActctC th"( Data
Bldg # City /State Zip Existing Use of Building or Property:
T1 C , E•,t•( 9 r f i A- aCE5r:
Name
Property p S A-MOzt CA i 1� G
Proposed Use of Building or Property:
Owner Mailing Address Suite
1 ?to' PA- tao4j --r No. Of Stories:
City /State Zip Phone /
PD1 t21 eft .. 2b4 M S 12-153`f Sq. Ft. Of Project:
Occupant Name
G�
P Ai) A 0i Nil 'S P aZZA Occupancy Class(es)
Name 6
Contractor _ , M fir ." rd • Type(s) of Construction `!
A Prior to permit Mailing Address ; A1 Q >6T S uite `�
issuance, a copy -
- /oS� A �„ A Will this project have Fire Suppression System?
of all licenses , --1' 5` < < -
Yes No ❑
are required if City/State Zip Phone
`� �S e Americans wit Disabilities Act (ADA)
in C.O.T. _ L � ( )
database �'
�? -`k Valuation X 25% = $ Participation C,o+y7C�
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
(091 Id- - r3 Project $ _
Name Valuation 7�C�C,d
Architect !1 -414.0 M. KO S 44 AZScc • ftaLW I nt i Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
1912o SW ttPICAO0A. Air LLD
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
P fl 0 C+, al ��S -i la) given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agent Date
Mailing Address Suite 3- a - Z f
Contact Person Name Phone
City/State Zip Phone / _„ , 4,E7.1.1) o a/4-5-.7 t
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition Demolition O Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other I& 7 CAI eiJT f ALA 000.00/1- Notes:
Description of work:
TIF:
Note: Site Work Permit Application must precede or accompany Building se , . tevh-2 ,
Permit Application
•
4
I: \COMNEWTI.DOC (DST) 5/98 i 3d
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
. n Revte r �s dependent upon subm ttaE of BOTH plans AND s .COMPLETE. >::
srg nature ctf the su rvt
rqtrlai : :;p w.:.a .pp �. val, :::.:: :::::
�:....P a t'� �......... �a1., WifI ac#
c�n�the �> #a:re...
.......::::..::.:::..........
add tint at> lan sets t':
: � :.::.:::::.::.::.::.:::.::.::.::.::.: �!.:::.::.::.;::.:. ::..:.::.::.:.::�l•;d�atnbut�an ur ....... es..... Go ��r Op�tr�ctar.. �;: �Gi....:.::.::.: :.::.;:.;:: <.:::.::.::.:.::.:..
UiL KEY:
tted
S (Private) 1 ::::.::::.::::. S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
NOTES:
I:\dsts \forms\matrxcom.doc 10/30/98
MAR -15 -1999 11 :58 ANKROM MOISAN 503 245 7710 P.02/02
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EXISTING ENTRANCE t y } 3
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EXI8TWG ezei Auc in
5W PACIFIC HUN •
AN IC ROM MOISAN �� i i g I d p /A 10148.1 12950 SW PACIFIC HIGHWAY
ASSOCIATED ARCHITECTS ® � ` /
J I z Bet Ingredients. TIGARD, OREGON ••» •••••,�••.. '- • ••�„° . 4 ' 1
I . • Bauer P1sse.
TOTAL P.02
6/29/99 Activities for Case #: BUP99 -00073
12:36:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 APPlication received 3/2/99 GEO RECD GEO 3/3/99
BUPC008 Permit created 3/3/99 GEO DONE GEO 3/3/99
BUPC012 Plans routed to Plans Examiner 3/3/99 GEO SENT GEO 3/3/99
BUPC015 Plan Review Ltr. to Ofc. Svcs. 3/3/99 RDP NOTE RDP 3/15/99 called - require accessibility
forms.
BUPC018 Revised Plans Received 3/15/99 RDP APPR RDP 3/15/99
BUPCO24 Plans Approved by CPE 3/15/99 RDP APPR RDP 3/15/99
BUPCO26 Approved Plans routed to DSTs 3/15/99 RDP APPR RDP 3/15/99
BUPC740 Framing Insp 4/8/99 RC PART AKJ 4/8/99 All walls except where plm is
installed
OK to sheetrock one side on
plm walls
BUPC760 Gyp Board Insp 4/14/99 RC PASS AKJ 4/14/99
BUPC762 Susp Ceilng Insp 5/3/99 RC PART AKJ 5/3/99 1) Truss repair approved
2) Need perimeter around hood
reattach missing splay wire at
hood -strut
3) Rehang loose T bars at
hood, OK to place tile except
around hood
BUPC802 Final Inspection NOTE RDP 3/15/99 Be sure the Van Accessible
parking stall has been installed,
that signage is up, the curb
ramp is installed, and that the
slope of the space in all
directions to include the
• accessible route does not
exceed 4 %.
BUPCO29 DST Post Review Completed 3/16/99 GEO DONE GEO 3/16/99
BUPC090 (F) Ready to issue 3/16/99 GEO PASS GEO 3/16/99 Need Contractor Lic information
prior to issuance. CCB Lic
•
• information provided.
BUPC100 (F) Issue permit 3/25/99 GEO PASS DST 3/25/99
BUPC762 Susp Ceilng Insp 5/4/99 5/4/99 5/4/99 RC PASS No Hold AKJ 5/4/99
BUPC762 Susp Ceilng Insp 5/10/99 5/10/99 5/10/99 TLP PASS No Hold AKJ 5/10/99 Light boxes in ceiling
BUPC802 Final Inspection 5/24/99 5/24/99 5/12/99 TLP PASS No Hold AKJ 5/24/99
BUPC960 Case Finaled 5/24/99 • AKJ DONE No Hold AKJ 5/24/99
BUPC950 (F) Issue Cert. of Occupancy 5/12/99 TIG TLP DONE No Hold JMT 6/29/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
��9 BUP gel --0073 –
c Date Requested AM / PM BLD
Location i Ju P4e LiAr Suite MEC
Contact Person Ph / PLM
Contractor (Vlan� Cfl t• Ph S(q' // � ., iV- SWR
LDIN`G� Tenant/Owner 4)-4 ,71-6/1,-LK ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear • //
n iio�n
Drywall Nailing
Firewall
Fire Sprinkler v
Fire Alarm /�i2d ` /lNa
Susp'd Ceiling /� �- —+�-� �h`'�
Roof O /
Misc:
Final
PASS FAIL
PLUMB •
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
Other oach /Sidewalk Date L/ — o — Inspector P--61: . � t Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 q � Business Line: 639 -4171 BUP Q 7 nl
- 00 - n
Date Requested 6 1- L i - `79 J AM ?( PM BLD
Location ( ZgStD P &G ilt04 Suite MEC
Contact Person ()UAL Ph Sig - // Z 1 PLM
Contractor Ph SWR
IttlitDII ' 4 Owner PG( � � � ,7�1 /[�
� ELC
Retaining Wall ` ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
5r wall Nai in
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F' a
P S PART FAIL
P ING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Other oach/Sidewalk Date Inspector Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP (4 9 -Oh 3
Date Requested 5- 2 1 AM ( ,/ P A M sup (�{�,c1� -QOI ( 9
Location I2- ) PAL6 11t4i Suite 3t2 MEC I -�
Contact Person 4 1J J1 , Ph S /9 '1 'iZ (/ PLM
Contractor Ph SWR
UILD ) 4a - . , Owner 0 P S ELC
Retaining Wall ELR
Footing Access:
Foundation /r'_,.,�� 1 4� FPS
Drain G��+
Ftg Drain C.�.� I qq I C•�� SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam , �
Ext Sheath /Shear m Mr? 9
Int Sheath /Shear •
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
� 13 PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
0 1 ,s
PASS PART FAIL
EC H
Post & Beam
Rough In
Gas Line
Smoke Dampers
i�
e`L0 PART FAIL
TRICAL
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
Other Date /7 / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.