Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00328
COMMUNITY DEVELOPMENT DATE ISSUED: 10/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102CC - 00500
SITE ADDRESS: 13500 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG
PROJECT: HOME TURF SPORTS PUB
Project Description: Hood fire suppression system.
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: 5N sf N: S: E: W:
OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 1,400.00
Owner: Contractor:
13500 PACIFIC CORP FIRE EXTINGUISHER SERVICE CTR
BY CAP ADVISORS 3460 SW 209TH AVE
38345 W TEN MILE RD, STE 170 BEAVERTON, OR 97005
FARMINGTON HILLS, MI 48335
Phone: Contact #: FAX 503 - 626 - 9993
PRI 503 - 643 - 3309
Reg #: LIC 69384
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/29/2008 $62.50
[TAX] 12% State Surch 9/29/2008 $7.50
[FLS] FLS Pin Rv 9/29/2008 $25.00
Total $95.00
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 • . -stions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By � Perm iltee ignature:
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.
tfcwE7 (3 ` ,) L Y
Building Permit Application
. Commercial FOR OFFICE USE ONLY
City of Tigard /� Date ed "- !J ' , J/
Permit No.: a
. • 13125 SW Hall Blvd., Tigard, OR 97223 ® Plan Revie •
Phone: 503.639.4171 Fax: 503.59 Da R : t ` ,' ri � 2r Other Permit: m u� 0 T I G A K D Inspection Line: 503.639.4175 `� Date Ready/By: Jung: 61 See Page 2 for
Internet: www.tigard or.gov §3 "" <A) Notified/Method: `� j(�� Supplemental Information
TYPE OF WORK 0 0 REQ b DATA: 1- AND 2- FAMILY DWELLING
❑ w cons ❑ D Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Ad dition/alteration/replacement ❑ O r: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this a
❑ l- and 2- family dwelling ommerciallindustrial Valuation: j
❑ Accessory building ❑ Multi - family Number of bedroo s:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: �, l ( Jr -p-� �' New dwelling area: square feet
L
City /State /ZIP: 1 3 00 61. ciL +1 ii "' f Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: /balk �/- f fi t; 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. �� d
at a 1 ( �j�C � i5 pyt Valuation: $ J .
�` �� cal l J 5 �"°' V 1 i � 5D� ` A1A--e I iL 3c (J °—{r' Existing building area: square feet
d J 1 p (7 New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Po M,e 'r'vlr� =� 5 .�' Type of construction:
Address: )3 - C 'S Cv fJ fi-fi'cJ , C/ Occupancy groups:
City/State /ZIP: OR 9�� Existing:
Phone: ( ) J Fax: ( ) New:
APPLICANT 0 CONTACT PERSON NOTICE
Business name: fi Vi 6-6 -6.t/ All contractors and subcontractors are required to be
Contact name: ( ex I licensed with the Oregon Construction Contractors Board
U - tin �� r _ under ORS 701 and may be required to be licensed in the
Address: .3 A MI J'/UC� jurisdiction in which work is being performed. If the
City/State /ZIP: 7 L��� C.." q 7 applicant is exempt from licensing, the following reasons
�/ /� / apply:
Phone:) 613 331 Fax:: (S/f,3) 3 i /
E -mail:
CONTRACTOR
Business name: c _ 4 A r . � al, � , cep+ BUILDING PERMIT FEES*
Address: (Please refer to fee schedule) l t TO
City/State/ZIP: -,L, Structural plan review fee (or deposit): 62 5 FLS plan review fee (if applicable): S 4.25— Phone: ( ) Fax: ( )
CCB lic.: 693 g 7 Total fees due upon application: ¶
Amount received: R ,S
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 6L Date: 7 /�y 'o g • Fee methodology set by Tri -County Building Industry
Service Board.
1:\Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(I 1/02 /COM/WEB)
11 R
a Building Division
I
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
• ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given •
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1: \ Building \ Permits \BUP -COM PermitApp.doc 10/30/07
CITY OF TIGARD
BUILDING DIVISION #:
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/10/ Ui3 ?.S
1
Phone: (503) 639 -4171 ;. �,y,,;j, :Ili 101 t0/20(i8
Inspection Requests (24 Hrs.): (503) 639 -4175 ,....� `__,
INSPECTION WORKSHEET FOR DATE: 10/16/200 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: HOME TURF SPORTS PUB
DESCRIPTION: Hood fire suppression system.
OWNER: 13 900 PACIFIC CORP, PHONE #:
CONTRACTOR: FIRE EXTINGUISHER SERVICE CTR PHONE #: 503 - 6433309
Inspection Request Scheduled For: Date: 10/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1D=lit WI
299 Final inspection 076773 -01 503 - 886.3101 Y
Corrections /Comments /Instructions:
4 1‘. ' ----- :. °! -A
J lg.. a
(..,g0 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL %] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i° 6 b g Phone #: (503) 718- 2-6