Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00414
�1�;� DEVELOPMENT SERVICES DATE ISSUED: 09/27/1999
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103DD -01000
SITE ADDRESS: 13935 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 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:
Remarks: Demo existing Boston Market. Sewer to be capped and inspected.
Owner: Contractor:
PACIFIC GAARDE PARTNERS LP YORKE + CURTIS
562 MISSION ST 4480 SW 101ST AVE
SUITE 201 BEAVERTON, OR 97005
SIN oneAl Wa99 Phone: 646 -2123
Reg # :.LIC 55644
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Cap sewer line
5PCT GEO 09/27/199E $1.75 99- 318645 Misc.lnspection
Final inspection
EROS GEO 09/27/199E. $26.00 99- 318645
ERPC GEO 09/27/199E $8.45 99- 318645 L, 1, �
ERP2 GEO 09/27/199E $8.45 99- 318645 IGINAL
(additional fees not listed here)
Total $69.65
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Permitee J,, /� A
Signature: n J,
,,,,,,* I
Issued By:
f
Call 639 -4175 by 7 p.m. for an inspection the next business day .
' • 4 c/o- 2 C )911/4a.S
G GI Y OF TIGARD Commercial Buil Permit Application Recd By
13125 SW HALL BLVD. New Construction and Additions Date Recd
Date to P.E.
TIGARD, OR 97223 Date to DST
(503) 639 -4171 Permit #O(, //0 /44rf— 6o W51
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project
Job CSC) Sro c> r GAR -\A...,..N
Existing Building$,New Building ❑
Address Street Address Suite
13935 Pl kiz_ Building
Bldg # City /State Zip Data
- ri ( 6 (Z Existing Use of Building or Property:
Name
Property ?t\(:4 c / PFiTa.I S L. P. . '
Owner Mailing Address Suite Proposed Use of Building or Property:
SL 2- n/\ I5c\ o-, ST J 0 I ! J FM U
City /State Zip Phone
No. Of Stories: 1
..0,-,,i ca..li_IS a -jr:S y1T c-N 9313
Occupant Name Sq. Ft. Of Project:
S 3n0 SP
Name Occupancy Class(es)
Contractor
Prior to permit Mailing Address Suite Type(s) of Construction
issuance, a copy
of all licenses -J L1 E0 S Lti 1 u 15 r A3 - C 1 l.)
are required if City/State - Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. Yes ❑ No ❑
database 6E,-;0,:. ✓+ o/- i jc)0 ytiS ki 2.113 /►
Oregon Const. Cont. Board Licit Exp. Date r`g� i1 Americans with Disabilities Act (ADA)
Valuation X 25% = $ Participation
5 Li (-/ vl WO/ Complete Accessibility Form
Name
Project $ P al o4 1, 'Lc', "'"
Architect - 3 0 A i< r '-+ s' E c r S Valuation
Mailing Address Suite ' `.� ` ,
:tn / i\ ;\ SI 01 • -r? ' •f- 7 c'3 Plans Required: See Matrix for number of sets to submit
City /State - Zip Phone on back
f;t •,' -,•,,, (J-C! )/C+4 epos =Pr- 5410 - 9313
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agent Date
City/State Zip Phone
Contact Person Name Phone
Indicate type of work: New 0 Addition 0 Demolition
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work: Map/TL# Land Use:
i) o r.x, -�i l vc inf'y Notes:
Parks: Estimated # of Employees TIF:
If the above figure is not supplied at the time of application, the city will
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEW.DOC (DST) 5/98
a
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED
atiOratifitiffiiiii:FtittiNtIOaii0;41:1:::00.toRKIpolappmp#Orliijggot contain the
signature of the supervising electrician before PloolitPY4wiEptl
After plan review approval, Plans Examiner will contact the applicant to request
OdditidhOt:1410034:0141P1'00,1j#10#00*00i!"(9fij„Y:IfOr Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Total # of
TYfit O F SUBMITTAL KEY:
Submittedm
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
*8 or 1110111111111
fie3 iag0;!
NOTES:
1:\dsts\forrns\rnatrxcom.doc 10/30/98