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Permit ~ C IT Y OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00562 .iii DEVELOPMENT SERVICES DATE ISSUED: 12/2/2004 ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102CC -00500 SITE ADDRESS: 13500 SW PACIFIC HWY 42 PERFECT LOOK SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT 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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 31 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: $ 5,000.00 Remarks: New T.I. Owner: Contractor: 13500 PACIFIC CORP STEARNS CONSTRUCTION LLC BY CAP ADVISORS 17256 NE SACRAMENTO ST 38345 W TEN MILE RD, STE 170 PORTLAND, OR 97230 F- 8R MINGTON HILLS, MI 48335 Phone: 503 - 255 -3305 Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 12/2/2004 $91.30 Sprinkler Permit Required BUPPLN Pln Rv 12/2/2004 $59.35 Plumbing Permit Required [BUPPLN] Framing Insp [TAX] 8% State Surchari 12/2/2004 $7.30 Gyp Board Insp [FLS] FLS Pin Rv 12/2/2004 $36.52 Final Inspection • Total $194.47 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: _,yam S e U, � Signature: C.tiv1 a Call 639 -4175 by 7 p.m. for an inspection the next business day mifry Buildin' Yerffiit A I !._L ,,T al IVED FOR OFFICE USE ONLY City of Tigard Received : __ - _ 1 - _ l� , ' _ it 13125 SW Hall Blvd., Tigard, OR 972239EC ®2 2004 Plan Review , Phone: 503.639.4171 Fax: 503.598.19 G „na � f'�I h - Other Permit Inspection Line: 503.639.4175 '' - Date Ready El See Attached Checklist for Internet: www.ci.tigard.or.us CITY OFTIGAR® Notified/Method: Supplemental Information BUILDING DIVISION . TYPE OF WORK . REQUIRED DATA: I 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 ag,Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . CATEGORY OF CONSTRUCTION ' ' ° • work indicated on this application. ❑ 1- and 2- family dwelling $1 Commercial/industrial Valuation: $ ['Accessory building ID Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION - Total number of floors: Job site address: I Z C 3 0 0 tU t 9CIA A ; i,l, , _„ Sp y New dwelling area: square feet City/State/ZIP: —\"-', t rd 1-1 a� 3 Garage/carport area: square feet Suite/bldg. /apt. no.: J Project name: S Li4 ; - f - 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. / /1 (-till $, T " j I m Valuation: $ c `( - !✓1 I_ „ _ .o l /� oz��l Existing building area: square feet ' e • tr� New building area: square feet ❑ PROPERTY OWNER ' ❑ TENANT Number of stories: Name: E L Lk, �Scy , C . Type of construction: Address: 50 5 kJ PI ii _I e -- S V f y., O Occupancy groups: City/State/ZIP: 021- , OR , 97 0- Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE . Business name: C't- _ 4-r M 5 All contractors and subcontractors are required to be Contact name: ?—oo -r-I k A.m., with the Oregon Construction Contractors Board ]�� •11-0 under ORS 701 and may be required to be licensed in the Address: r 7c 5 t , (V 1 g'A 5 4 . ,r A yp e,lv 5 jurisdiction in which work is being performed. If the City / State/ZIP: p 2 ©�, c// p`.3 O applicant is exempt from licensing, the following reasons 5 .3 0 5 I I r '� - G 3 apply: Phone: (�p o25 r Fax: : (•• jai) a5 3 E -mail: ,. ,. - , - CONTRACTOR- - • Business name: , BUILDING PERMIT'.FEES* ddress: . • Please refer to fee schedule yit Phone: Fees due upon application ( ) Fax: ( ) • CCB lic.: f 5 9 r a p 1 ' / I -' Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:` WI t * Date: I 'a a 0 y * Fee methodology set by Tri-County Building Industry Service Board. i:\ Building \Permits\BUP- PennitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) 4 .. .., A " ''f�f� Building Division , t I, Plan Submittal Requirement Matrix "'I I Commercial & Multi - Family - New, Additions or Alterations City of Tigard • Type of Submittal - # of Plans ' (Includes new, additions and alterations.) Required at . Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. • ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVLSION' Business Line: (503) 639 -4171 MST Received Date Requ sted AM PM U Location /7)(5'06 ( I Suite 4 '- MEC Contact Person Ph ( ) A5 - 33PS PLM Contractor Ph ( ) SWR UILDI Tenant/Owner . Sid .T ELC Footing ELC Foundation Access: y� Ftg Drain ' / a ELR Crawl Drain P4,141 Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing L C �� — Cow Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • Roof Other: 4107: PART FAIL - = ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 El Reinspection fee of $ required before next inspect' n. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 1=1 Please cal for rein ection RE: Unable to inspect — no access Fire Supply Line ADA Date Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION" Business Line:• (503) 639 -4171 ��, BUP leer Received Date Requested 1 2 — / l) AM PM BUP Location / 3 S DO 6 ,,. Suite MEC Contact Person Ph (42‘.._) 5 3 - 71 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ami Insulation c jywall Nai TlTg- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot = • _ 1 PART FAIL � � , � / ' ING IiiI&V - Post & Beam • Under Slab A Rough -In Water Service Sanitary Sewer in F' Rain Drains Catch Basin / Manhole Storm Drain — Shower Pan Other: 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 Reinspection fee of $ required b: ore next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl Please call fo' reinspecti n RE: =■11r • Unable to inspect – no access Fire Supply Line � Approach/Sidewalk 10 o Date � L Inspecto /�� Ext pp ach/Sidewalk Other: Final D I NOT • EMOVE this Inspection record from the Job site. PASS PART FAIL