Permit ■ CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT # • BUP97 -0531
- II - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/24/97
PARCEL: 2S1O2CB -00303
SITE ADDRESS...: 13165 SW PACIFIC HWY
SUBDIVISION • NORTH TIGARDVILLE ADDITION ZONING:C -G
BLOCK • LOT •033 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:OTR FIRST • 0 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.:U1 TOTAL 0 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:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK 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. $ : 15000
Remarks : Burger King freestanding sign 8' X 8' w/ a 4 X 6 readerboard
Owner: FEES
STEIN SIGN type amount by date recpt
39810 CROWN POINT HWY PLCK $ 32.83 JSD 11/04/97 97- 300652
CORBETT OR 97019 FIRE $ 20.20 JSD 11/04/97 97- 300652
SPCT $ 5.53 JSD 12/24/97 97- 302043
Phone #: 695 -3220 PLCK $ 39.00 JSD 12/24/97 97- 302043
FIRE $ 24.00 JSD 12/24/97 97- 302043
Contractor: PRMT $ 110.50 JSD 12/24/97 97- 302043
STEIN SIGN CO
39810 CROWN POINT HWY
CORBETT OR 97019
Phone #: 695 -3220 $ 232.06 TOTAL
Reg #..: 000643
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. 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 188 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-' UL _ ssued By:
- 10'
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit // / 'K ° B i
13125 SW HALL BLVD. New Construction and Additions Date Recd -
Date to P.E. / d ra i
TIGARD, OR 97223 Date to DST 1(30 '
(503) 639 -4171 Permit* % ? • OS-3/
Print or Type Related WR it
Incomplete or illegible applications will not be accepted Called /T( � 7?A
Name of Development/Project Existing Building ❑ New Building ❑
Job
uat5 r#2... K-i Nf
Address Street Address - Suite Building
I3((,5' 5'0 fAt i' c y,, Data
Bldg # City/State Zip Existing Use of Building or Property:
'ioteij 04 97070
Name
Property
Proposed Use of Building or Property:
Owner Mailing Address Suite
No. Of Stories:
City /State Zip Phone
Sq. Ft. Of Project:
Occupant Name
Occupancy Class(es)
Name
Contractor $' 7' S S ,,( Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy .„ this project have a Fire Suppression System?
of all licenses 377/ C2owk, PI tli` p PP y
are required if City/State Zip / Phone Yes ❑ No ❑
expired in C.O.T. '95' Americans with Disabilities Act (ADA)
database C"DitatTr Jt, 970 / '7 frq.)- 3.2a to Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
6 `/3 q 2/23 / g Project $
Name Valuation /50 D O a
Architect
Mailing Address Suite Plans Required: See Matrix for number of sets to submit
on back
City/State Zip Phone
I hereby acknowledge that I have read this application, that the information
N ame given is correct, that I am the owner or authorized agent of the owner, and
Engineer that plans submitted are in compliance with Oregon State Laws.
Mailing Address Suite Si lure of Owner /Agent D
City/State Zip Phone ntact - erson ame h Pho e
e"
-.44d1--- 4 Indicate type of work: New 0 Addition 0 Demolition 0 FOR OFFICE USE ONLY •
Accessory Structure 0 Foundation Only 0 Alteration O MaplTL# fie:1 6 ^ / 6(—
>
Repair 0 Other 0
/�, /, v
Description of work: S� nl
C //,4 NS i µ/ 0 v 7 �$1 "1 '� Notes:
-PO4._ N �w ON 4. Cgcv49 Ca- i( frrJ TIF:
Parks: Estimated # of Employees f
,/1 f
Note: Site Work Permit Application must prec de or cc mp ny Build!
Permit Application
I:ICOMNEW.DOC (DST) 8/97
( '
• -r.k ;. -. COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- --
P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) --
B (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B & M & P E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
.:...: .:. : .:..:..::..:..............
M.�:" ..3 :: { <'�< >�' »<� >� =: :: > " <:�� : 'x;22:::: o : : > -' <:
;;::::<: »:::<
M F E AID ::::1::: : : : 1 :::....:..:.:E,: : :..:::.:..1...: ..:.. . o :. ,- :. 2 0,0) :..:. ::.
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f = Fire P = PLM
u =USA E =ELC
b: >:: a „ >. nh .<:>::::: ::>::>:::::«<::::< ::
:>:<:>:<:; <::<: >:<: >::<: >:::<::«<: »:: >::> w = Wash. Coun F = FPS
;:. S d areas deli t : ; '< sub s. 0:: .::::::::.. .:::::::::.::::::::::: ty
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / / .2 — 30 —c 7 7 A.M. P.M. X MST:
Location: / 3/ (v 5 , fit (. -th,-C /
Z JJ BUP: 7?-053/
Tenant: rC,- t_
&til - l✓!� (t. /71.0._ f )0) Suite: Bldg: MEC:
Contractor MA'? r Phone: ' J 'q13 •Pc !? PLM:
Owner: 6c75 �
� Phone: � t.E. .4'L. ELC:
Cl- 73,e_ -'Y'. ELR:
.__rzyy.r 'tU { / --�— 72 Z L� /J,a/U --
BUILDING BLDG (con't) PLUMBING MECHANICAL ) ELECTRIC • ' - SITE
Site Post/Beam 'Post/Beam Post/Beam Cover /Servi - Sewer /Storm
o Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved — , Approved Approved Approved Approved
Appr /Sdwlk t - Apptd"ved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
0 Call for reinspection O Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: .."‘ Date: / Z 3 O T 2 Page of