Permit Ali CITY OF TIGARD BUILDING PERMIT
PERMIT I BUP2006 -00488
i# DEVELOPMENT SERVICES DATE ISSUED: 11/2/2006
AL 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 102 C B - 01804
SITE ADDRESS: 13305 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Installation of canopy at drive thru area.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 2,420.00
Owner: Contractor:
TACO BELL CORP #06 -578 ES & A SIGN & AWNING
PO BOX 35370 1210 OAKPATCH RD
LOUISVILLE, KY 40232 EUGENE, OR 97402
Phone: Contact #: PRI 503 - 542 - 2100
Reg #: LIC 163470
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/10/200E $72.10
[TAX] 8% State Surcha 10/10/200E $5.77
[FLS] FLS Pln Rv 101101200E $28.84
[BUPPLN] Pln Rv 10/10/200E $46.86
Total $153.57
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 -800- 332 -2344.
Issued By: Permittee Signature: ala(11✓t
Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
/ /30$ .Pct,Cicele 14 ivy
Building Permit Application FOR OFFICE USE ONLY
City of Tigard "' '\ Date/B e : if r 4 --/ , ft" Permit No:. i ,, — # a 1. ;
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
"
Phone: 503.639.4171 Fax: 503.598.1960 ' . . 11 ' 4 111i11 1\ _ r V Date/B : = II - I '" 06 Other Permit:
Inspection Line: 503.639.4175 „ Date Ready /By: See Attached Checklist for
Internet: www.ci.tigard.or.us ��'. -�� (. _ ® ,_ _ , Notified/Method: Supplemental Information
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: /WAN 1 equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I - and 2- family dwelling %ommercial /industrial
Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I 2,3 05 SLA, New dwelling area: square feet
City /State /ZIP: ii frifilit.01 G a,. Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: TAU) plea Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
. Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
I A' [ k 1 ' C T1 • Oppi TIU a ,.� A Valuation: $ 1-474) 1-474) �•
IrJ/` �.ti�l `J �1�� Existing building area: square feet
New building area: square feet
X PROPERTY OWNER ❑ TENANT Number of stories:
Name: Wep al TL .Ppotses Type of construction:
Address: &4c C.OM £I4 Z4 r' Occupancy groups:
City /State/ZIP: betapieN6 I o 2 7 402/ Existing:
Phone: 94 I) toi l ti, r Fax: ( ) New:
Iti■PPLICANT CONTACT PERSON NOTICE
Business name: esA 15141N A- bow 04,&,... All contractors and subcontractors are required to be
Contact name: 0.14,,e4„; ��� licensed with the Oregon Construction Contractors Board elot
under ORS 701 and may be required to be licensed in the
Address: 12,( 0A-g- AO jurisdiction in which work is being performed. If the
A �y applicant is exempt from licensing, the following reasons
City /State /ZIP:
G I oII V ' iA 7/' apply:
Phone: (9.11) qr. G` I Fax: : ( 941) tt X 13
E -mail: ( 41.er_ &Weil .,2511 cITr6i * Uric.
CONTRACTOR
Business name: &1 4imi j) 4IiUM lm BUILDING PERMIT FEES*
Address: Tyro 04.1,L.N.n.a+ go
Please refer to fee schedule.
City /State /ZIP: bighle G a_ q ') q b Z
-
UN ! r,,� Fees due upon application
Phone: ( 'T[ I 4 �� S�4 I Fax: ` , I) "S& s
CCB lic.: I (o3 l Q Amount received
ill
7 /� ���� �j Date received:
Authorized signa[ure ��/tl��'`"a -l.G � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print named H a m 'Proem Date: * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440.4613T(II/02/COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200& 00488
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/
Phone: (503) 639 -4171
V i �
Inspection Requests (24 Hrs.): (503) 639 -4175 "I ..
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 13305 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TACO BELL
DESCRIPTION: Installation of canopy at drive thru area.
OWNER: TACO BELL CORP #06.578, PHONE #:
CONTRACTOR: ES & A SIGN & AWNING PHONE #: 503 -542 -2100
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
299 Final inspection 045348 -01 541- 485 -5546 KoS7---
Corrections /Comments/ Instructions:
a
0 PASS le RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ IL / • ' 1 FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■_ Date: 2 Phone #: (503) 718 - /7