Permit CITY OFTIGARD
� ��.,:, r, , r; , DEVELOPMENT SERVICES BUIL.D-NS PERMIT
hi lli'I PERMIT # • BUP97 -03E7
!� " 1 3125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 AT" ISSUED: 08/11/97
PARCEL: cS 1 O2BD -01503
SITE ADDPEOS... : 12740 SW PACIFIC HWY
SUBDIVISION • FREWINGS OROHP4RD TRAM ZONINO:C - -G
BLOCK • LOT.- , ......: 1 .JIJRI`-?DICTION:TI
REISSUE L F ;_.00R AREAS-- - EX7ERI OR WALL. CONSTIT ICf IO'J
CLASS OF WORK.:: ALT FIRST 0 sf N: S : E: W:
TYPE OF USE...: COM SLGOI';D... . 0 - 1 PRrr 7C;T OPEN I i `O9 . . . . . _ . -..., - -. -
TYPE OF CONST. :5 -1HR ...: 0 sf N: S: E: W:
OCCUPANCY GRp . : M TOTAL - - -- - -•._ ...._ ; 0 sf ROOF CONST: FIRE PET
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE.,..: 0 sf OGCU SEP. RATED:
BSMT7 : ME7 Z? : REQD SETBACKS-------- REQUIRED ----------
FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOR DET..
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 1000
Remarks : Construct 1 hour mechanical shaft for hood. Carsichael's
Owner: - -- - ----- ----- ---- --- -
CARMICHAELS type amount by date recpt
12740 SW PACIFIC HWY PRMT $ 25.00 JSD 08/11P)7 77 298125
TIGARD OR 97223 PLCK $ 16.25 JSD 08/11/97 97- 298125
FIRE $ 10.00 JSD 08/11/97 97-298125
Phone #: 624 -0243 5PCT $ 1.25 JSD 08/11/97 97- 298125
Contractor : - - -- .----------- -- - - - - -- - - -.. - -- - --
TENANT PER APPROVAL FROM OWNER
Phone #: $ 52.50 TOTAL
Rey #.. : 0000 131 .
---- - ---•— REQUIRED 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
approved plans. This pereit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
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 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: ^ Issued By: ______
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++- + + + + ++ ++ +++ +++ + + + ++ ++ ++
Call 639 -4175 by 6:00 p.m. for .:kn inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + ++ +•i + + + + + ++
C• -r '.I = ■•• • '- ii• _..i' • •
City of Tigard 131:5 SW Mail 8tvd. Tigard, OR 97 =3
(503) 639 -4171
Jobsite Address: /a 7ya & , e, z /e ,44 y OFFICE USE ONLY
Tenant: 60/€ 1 eit' 4 Ec s Suite x Planck/Rec. # .• "•
Valuation: / / : ' .,�. �;
//I� Map • & TL ,•.,;., ::; :$ ; >:. >. ° ;
Owner. [ . ',10/ X, e., J S . ;.'
Approvals Required "'•'• ;::' :::.:
: ...
Address: 42 74/0 J. . J. , /,aerie ; .
>
Planning • '' ; > '•: ., •.;,;
--1- 26 - ,9) j e/' 9 722. 3 '...:.......,..
Enginee '' • s.*:'''''''.."` ; « es. .1 :...\''s"%.*
••. , "%
Telephone: 6 2 /- a 2' 3 c.c 5-.2y-6-6 y
.Other • • •.. , ,. :.. ..v:.:: ;: :.. : >. • ... .
Contractor. ,i%f /1-- v.--, , E;,- •
Address: /',' o S•` lUcr bT •
7 /6'7 a)f 4-7 ,7 9 Type of constr:
Telephone: d , Y -- 5 - 6 � Occupancy Class:
Contractor's License # Sprinkler? Yes No
(attach copy of current Oregon license)
Sq. Ft. Of Project •
intact name & telephone:
Story (1st, 2nd, etc.):
chitecf & Engineer:
• Proposed Use:
;dress:
Previous use:
Note: Plumbing & mechanical plans must
l!ephone: be submitted at time of building permit
application.
08 DESCRIPTION:
(Applicant - Ignature & Telephone Number)
leive by: Date Received:
. N.1ri.CCc -tcs71 -C/S6
'ERMITs count Description Amount Amt Pd. Balance Due
A v'fi Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) 1. Zf 1, E
Bldg.
Plumb.
Mech.
S
Plan Check (PLANCK) /l 0 2 /C' F S
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit T1F (TIF -MT) •
Commercial TIF (TIF -0)
Industrial TIF (TIF•l)
institutional TIF (TIF -IS)
Office T1F (TIF -0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) / b . (
Erosion Cntrt Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: S C °
1 nCCMT1.CCC (CS7) IC/S6
•
6/16/99 Activities for Case #: BUP97 -00387
2:13:31 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 APPlication received 8/11/97 DRA PASS JD 8/11/97
BUPC008 Permit created 8/11/97 JSD PASS JD 8/11/97
BUPC010 Check for prd. restrict. 8/11/97 JSD PASS JD 8/11/97
BUPC012 Plans routed to Plans Examiner 8/11/97 DRA PASS JD 8/11/97
BUPCO24 Plans Approved by CPE 8/11/97 RDP PASS JD 8/11/97
BUPCO26 APProved Plans routed to DSTs 8/11/97 RDP OTC JD 8/11/97
BUPC740 Framing Insp 2/17/98 RC FAIL J "H 2/25/98
BUPC760 Gyp Board lnsp 2/17/98 RC PART TLP 12/30/98 Pending other corrections.
BUPC802 Final Inspection 2/17/98 RC FAIL TLP 12/30/98 1. Unloading area at handicap
must be 8 -feet wide. 2. Need
• "Van Accessible" on HC parking
sign post. 3. Mechanical 4.
Need ladder for roof access. 5.
Handicap bath needs handicap
bath unisex bath sign with
braille text. 6. Door needs
occupied indicator. 5/14/98
letter sent to Carmichaels. "call
in for final BUP /MEC
inspections ". Jeanne T.
BUPC100 (F) Issue permit 8/11/97 JSD PASS JD 8/11/97
BUPC802 Final Inspection 12/31/98 TLP PASS JT 1/20/99 TLP reviewed file; all work
completed, case final
BUPC960 Case Finaled 1/20/99 JT 1/20/99
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 _ Business Line: 639 -4171 C� 7_ (3( 7
Date Requested 6 1 "3 �o AM PM BLD
Location 0.--7L0 4W AIay Suite
Contact Person r / QJ 104 Ail L Ph &ail - PLM
Contractor ' / Ph SWR
Tenant/Owner CA I2 M ELC
Retaining Wall ELR
Footing Access:
Foundation Nor � FPS
Ftg Drain U D SGN
Crawl Drain Inspection Notes:
Slab SIT
Post &BeamA GU / IJ� �.E / /I . & ..��..�.� -..� /.�1�Z,��i i
Ext Sheath /Shear ,(,(�,�- � -toms
Ina She /Shear
Framing t i t
g �Q
Insulation �j� 001-IMP
Drywall Nailing LQ 08 9 ,i/ l41,
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �•
Roof. ADA) e / r / , t �� //tee?
4 s
4 ;' 1 PART FAIL r
P' ' =1NG �' •
Post & Beam f
Under Slab r '"�
Top Out , /I 4
Water Service -■11;"
Sanitary Sewer 4
Rain Drains t
Final
PASS PABZ FAIL
CHANICAL�
Post & Beam
Rough In
Gas Line c. �
�
S11. ee
Ir ART FAIL
RICAL
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 , / 8 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.