Permit . CITY OF TIGARD BUILDING PERMIT
A PERMIT #: BUP2001 -00258
� � �
a �� DEVELOPMENT SERVICES DATE ISSUED: 7/30/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102CC -00500
SITE ADDRESS: 13560 SW PACIFIC HIGHWAY
SUBDIVISION: STARBUCKS 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: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 43 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 120,000.00
Remarks: Commercial tenant improvement. Existing Taco Time conversion 2075 s.f.
Owner: Contractor:
STARBUCKS COFFEE COMPANY WESTERN CONSTRUCTION SERVICES
2401 UTAH AVE S 4612 NE MINNEHAHA ST
SEATTLE, WA 98134 PO BOX 5768 gg�
Phone: Via oOUVi1u -6�q 9 ,-537768
Reg #: L1C 00063717
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 7/13/01 $534.50 27200100000 Electrical Permit Required
Plumbing Permit Required
FIRE CTR 7/13/01 $328.92 27200100000 Framing Insp
PRMT CTR 7/13/01 $106.44 27200100000 Gyp Board Insp
5PCT CTR 7/30/01 $65.78 27200100000 Susp Ceilng Insp
Final Inspection
(additional fees not listed here)
Total $1,751.50
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
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Sig
Issued By: , , _ , �Ly
Call 639 -4175 by 7 p.m. for an inspection the next business day
1
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• • Building Permit Application ':
Ai Datereceived: 9 Of Permit no.: Ci of Ti arcd 6u � '
III'
�" '' g Project/appl. no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 V
Case file no.: Payment type: ■
Land use approval: 1&2 family: Simple Complex:
O
_:,;.,..t.„:„::::,,,,,,;,„.„ . 4r ,r:c _ , T) PEOF,PER111IT y P
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family O New construction 0 " Demolition a
❑ Addition/alteration/replacement Tenant improvement ❑ Fire sprinkler/alarm ❑ Other:
.._'f •_. l JOB SITE INFORMATION - t ' '
Job address: l 3500 3 / J Fa, I :6 L 11, , , A / - 7� ��� '~„�/! cY 722s Bldg. no.: — Suite no
Lot: o Block: Subdivision: /' w o , "v _ 1 Tax map/tax lot/account no.: j 0
Project name: C- 7mA --S -- TT ,61.1 L , - ke±plate
Description and location o work on premises/special conditions: 7 :1 /V)t f l'D Ve/yt .44+ lvv •€X /,• h it
A' io�rz # ' ('f rY)111PAt(,10-.Q. 1044..4 I ttl III .
: O % EIt ; , FOR SPECIAL 1NFORMIATION ,"USE CIIECKLIST
Name: St/v o kt✓(D P. rely) U (Floodplain,septiccapacity solar,etc.) -,
Mailing address: S. U 1 & 2 family dwelling:
City: 5e,0_,-t( State: (D,ZIP: 9A /3 T Valuation of work $ P.
Phone: 2 .61 .15 -- I E -mail: -- No. of bedrooms/baths
'r.
Owner's representative: ,c Le',,..)/ 0 . Total number of floors
Phone: 241o• ; . y • 1 ax: — E -mail: --- New dwelling area (sq. ft.)
- - APPLICANT ./ -. Garage/carport area (sq. ft)
Name: Vf._ ( W ov c Ns&oc . Covered porch area (sq. ft.)
, L&
Mailing address: 7o s - e.Go Cuge_ # - 11 D Deck area (sq. ft.)
City: SeCA -ii / I State: W M ZIP: qg I O t.} Other structure area (sq. ft.)
Phone: 20 b.62,4. , 39 Fax: .' , . b2g • , E- mail:— Commercialrmdustrial/multi- family:
. ':' CONTRXCTOR Valuation of work $ 12.0, 00 O
'— C
' Existing bldg. area (sq. ft) 0 S . .
Business name:
I � -N Cj - `� 6 • New bid area (sq. ft.) 075 . .
Address: t. Z tAI N e A-ei P':6
+$- 1- Number of stories I
City: VATIC . I State:lAlki. ZIP: c 1„ ,
Type of construction V- N.
Phone: I Fax: I E -mail:
CCB no.: / .131 1
Occupancy group(s): Existing: $ res
New: l v -a -
City/metro lic no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: j het - '7 - Io Av( 1 i 1- , I VIC 2--b . ? • S , provisions of ORS 701 and may be required to be licensed in the
Address: 10940 I.F. 33rd. 1 ,,,. # Z jurisdiction where work is being performed. If the applicant is
City: IGV l� Q S iv, zip: Ct s,(70 ' exempt from licensing, the following reason applies:
Contact person: person: roir Obev Plan no.: --
Phone: '124 -- 027 • Moo Fax:yi• , E -mail:
i . ENGINEER ` N,
Name..1- l > Contact person:1ynj Sjsc 0 Fees due upon application $
Address: 2 -0. 2n4.1 Si- � D Date received:
City: '( fvt,a State: 10 ZIP: C g ( 4'0 7 Amount received $
Phone: 253. 4'12 .3300 IFax: qis 432 �I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not au jurianctions accept «edit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 visa ❑ MasterCard
work will be complied with, whether specified herein or not. credit card number: / /
Expires
Authorized signature: Sir,. V - , "• . e: 7 • D) Name of cardliokler as shown on credit card
•
Print name: 4111 ',AM i_ ' Cardholder signature $ A
d
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 ( OM)
ga'v S3 / 3gr•gI (05,7g
CITY OF TIGARD BUILDING INSPECTION DIVISION Ms
24 -Hour Inspection Line: 639 -4175 Business Line: 1
Date Requested M 13 AM PM BLD
Location 1 ,3S 4� P T( Suite MEC
Contact Person Ph :40 771- 12 7 .S1 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm ..
Susp'd Ceiling /
Roof
M al jiW
PART FAIL
r y/
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
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 1 ^>
Approach /Sidewalk
Other Q / Date 1 2 vo 7 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.