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Permit BUILDING PERMIT C ITY OF TIGARD PERMIT #: BUP2001 -00340 lti0 DEVELOPMENT SERVICES DATE ISSUED: 9/24/01 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: 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: $ 900.00 Remarks: Installation of fabric awning over drive -thru. Owner: Contractor: STARBUCKS COFFEE COMPANY GRAPHIC AWNING + SIGN 2401 UTAH AVE S PO BOX 301038 SEATTLE, WA 98134 PORTLAND, OR 97294 Phone: Phone: 256 -3938 . Reg #: uC 63616 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 9/19/01 $62.50 27200100000 5PCT CTR 9/19/01 $5.00 27200100000 PLCK CTR 9/19/01 $40.63 27200100000 FIRE CTR 9/19/01 $25.00 27200100000 Total $133.13 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. Permittee , Signa - - W. I A Issue • :y: 1 � 0 �`► Call 6 9-4175 by 7 p.m. for an inspection the next business day or TIlq ( oi , Building Permit Application 4,‘ Date received: f /9 G/ Permit no.: Pao/ Cd, I ) y 4.;���,,� City of Tigard - ,i� Project/appl. no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 - Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family 0 New construction ❑ Demolition 0 Addition/alteration /replacement ❑ Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: I : 3 6 6 0 W ' I l e , F / C ti_u) Bldg. no.: Suite no.: Lot: (Block: (Subdivision: (Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: Al S T/5 1 LLA T70 A-) OF' C4Aete AW,) //17 OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST Name: C A P b5R 2 'I /ELLIDTr A s.00f/4TZ'S ( Floodplaiu , septic capacit }',solar, Mailing address: 5T) NA) I' ti„.._ 1 5 -- r -- ,... y0 0 1 & 2 family dwelling: City: po R - 7 _ , AN C State: OP_ Z I P : - o & Valuation of work $ Phone: 57) 2.2,y Y l f (E -mail: No. of bedroom e . r Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft Garage/carpo -sq, ft.) Name: &AAP N(c AO Pi G f .cl& Cov .. .. rch area (sq. ft.) Mailing address: h -5 0/0 3 Deck area (sq. ft.) City: par - f CAA. (, State: Ql� (ZIP: /1,251( Other structure area (sq. ft.) Phone: ;1 Z Fax: Email: 7 Commercial/industrial /multi - family: , 00 CONTRACTOR Valuation of work $ 900 Business name: G IA _ Existing bldg. area (sq. ft.) Address: CD A /(,{ � A 5 4 04W) New bldg. area (sq. ft.) City: ( State: ( ZIP: Number of stories Phone: ( Fax: (E -mail: Type of construction CCB no.: ( Occupancy group(s): Existing: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCH ITECI /DESICNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: (ZIP: exempt from licensing, the following reason applies: Contact person: I Plan no.: 7 Phone: Fax: E -mail: Name: (. 0, Ti c 1,10,, ' 1/41C,• Contact person: Fees due upon application $ Address:9 ? J. ' , , t- [anl(c' %w62Tf/- 4 / Date received: City:PrLr, (State: 0 (Z1P97. /- Amount received $ Phone: ( Fax: (E -mail: - Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard work will be complied wi , whether s . - cified herein or no . Credit card number: / / Expires Authorized si ature: / , 01144,1 Date: Name of cardholder as shown on credit card Print name: 7)ec n 'la U 0 vi- Cardholder signature $ Amount Notice: This permit application expires if a W rnit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM) COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX 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). TYPE OF SUBMITTAL Total # of (Includes New, Additions or Plans Alterations) Submitted Site Work (must include location of 4 all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 *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. is \dsts \forms \COM- matrix.doc 9/4/01 Se 19 O1 02:31 Gle Won /�aOW - �3 '/d Sep P g 503 256 -5326 Y.1y' � .: i �`'� � ' ���1 u � l h ' L 11r � p . 1 y _ 11 �th/11111i f 1.)71 itflEthil1[' l <<u�?l'f�"'j '�ll1:1�1 11tR-�llel 11LllL1111J11 -4 C ertff tc ate v o f .sre, � o`C ; :4os ,� REGISTERED .... • APPLICATION • . • �` CONCERN No. tssuED BY • � �` °ap'' �• @�� GLEN RAV MILLS N � • •• K , , it,. _ s� 1831 !d P ARK AVE tI C. . ,, • g, GLEN RAVc "fi • • 919 -227 —I, 11 n 6-' This is to certify that the materta�s described .. •. r � /JO l'••• e scribedon the re retardant treated ( (t� ,�•� • are inherently nonflamable), v „ ` r � .�.3 R te'' . IIC�pppp `�' ASTRUP COMPANY :a�r.•t AT 2937 WEST 25th STREET • . •)t CITY CLEVELAND -- - - ' •" STATE OHIO 44113 Certification is here6 1 y made that: (Check "a" or "b") 7 (a) The articles described on the reverse side of _ retardant chemical approved and registered by this the State Certificate Marshal 5 t and �he application ©J 1� pp 1 of said chemical was done in conformance with the laws of the State of California and the Rules and Regulation of the State Fire Marshal. N of chemical used ( � Method Chem. Reg. No. ___ __ i , . ethod of application — — I X i (b) The articles described on the reverse side hereof are made from a fume- resistant fabric or material registered and approved by the State Fire Marshal for such use. 72 : ; The � Trade name of flame. resistant fabric or material used.. Q eg. No.—F-368 . f 'Ai '' flame Retardant Process used - (will or will not) GI_ rN RAVFM tail t S.T11tr ..- Name of Production Superintendent By i a Title cY .. P I 1ni1��j1�TIIR?t71t°T lt f.. )�I1G :q! � cF ��� �. , --1 t We hereby �x..�/'.��1��'.�k?'!s�f � � ��ta � j by certify this to be a true copy of the original "CERTIFICATE OF FL A.A41 RESISTANCE" issued to us, "original copy" of which has been filed with the California State Fire Marshr:i. The ASTRUP COMP t NY By f/ Control /lot Quantity 8.00 YD MARY S Customer order # UNBRELLA FIRESIS T 8608,60 BLACK Description Astrup Invoice # 07893 898608 -6 Product Code _ GRAPHIC ILLUMINATED AWN. 12785 N.E. WHITAKER WAY PORTLAND FOR 97230 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUPdQO rJ O3'/ Date Requested Gd — ( AM PM BLD Location l 2S(od Suite MEC Contact Person Ph 7g/ 6 9e3 PLM Contractor Ph SWR LDI Tenant/Owner ELC ng Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear ��L�� S Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling II Roof Misc: A a . , - AI A,4 . PART F UMBING Post & Beam ( Under Slab Top Out j) 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 �� l 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 i call for caor rens ection RE: Fire Supply Line [ ] Please p [ ]Unable to inspect - no access ADA Approach /Sidewalk Other Date /G 1 / 7 /U ,Inspector 1 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.