Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00381
" ,1i 4 DEVELOPMENT SERVICES DATE ISSUED: 10/06/1999
° �' J� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15660 SW PACIFIC HY A -6 PARCEL: 2S110DC -02200
W
SUBDIVISION: WILLOW BROOK FARM ZONING: C -G
BLOCK: LOT: 011 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 3.400 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 116 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: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 120,000.00
Remarks: Combining tenant spaces A -6 & A -7 for new restaurant
Owner: Contractor:
TIGARD, CENTER LP W LOWN CONTRACTING INC
9777 WILSHIRE BLVD #609 11161 SE WOOD
BEVERLY HILL, CA 90212 MILWAUKIE, OR 97222
Phone: Phone: 654 -9036
Reg #: SIC 00066743
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK BON 08/20/199E $313.95 99- 317813 Electrical Permit Required
Sprinkler Permit Required
FIRE BON 08/20/199E $193.20 99- 317813 Plumbing Permit Required
PRMT DST 10/06/199E $483.00 99- 318883 Framing Insp
5PCT DST 10/06/199E $33.81 99- 318883 Gyp Board Insp
Susp Ceilng Insp
(additional fees not listed here) Final Inspection ORIGINAL
Total $1,273.96 '
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 TrEN • ■ : e - , •n law requires yo follow the rules adopted by the Oregon Utility
Notification - enter. rules are s = t forth in • . A. s 2- 001 -0010 through OAR 952 - 001 -1987. You
may o fain a copy'of th - =e rules or direct • - -stion: o OUNC by calling (503) 246 -1987.
i
/ ' <I-- All
Permitee i0P i r-
Si6n�ure: •
Issued By: _� , /
C II 639 -4175 by 7 p.m. for an inspection the next business day
cc -NBC
,TY OF TIGARD Commercial Building Permit Application Recd By 4 125 SW HALL BLVD. Tenant Improvement Date Recd � -
Date to P.E. - 2-7 -
TIGARD, OR 97223 Date to DST Q - 3o
(503) 63b -4171 Permit# Rp'! „' s °Q^-�i';
Print or Type Related WR
Incomplete or illegible applications will not be accepted Called IV. °1 P
Name of Development/Project Existing Building New Building p
Job 1 A-o PiorAtAnnL
Address Street Address Suite Building
/-S-4,(00 Sur PAT- OtAiy 4- 4 of 4-7 Data
Bldg # City/State Zip Existing Use of Building or Property:
1`16 O 0 l2 7 /p, L
Name
Proposed Use of Building or Property:
Property Ti 6Al2,9 CIM {lam L
Owner Mailing Address Suite ,i � ?11
( s
°7777 Lut[4 �.11_ ai vi llOc No. Of Stories: /
City /State Zip 9 O 2_I Z Phone ( 3 I ())
6 J r ('( U e C A 274% 0177 Sq. Ft. Of Project:
Occupant Name 31 0
11i t A� S O „ Occupancy Class(es)
Name �C' �
Contractor kil LOW n1 Th,L Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy � (( Will this project have a Fire Suppression System?
of all licenses ` ( D SO 11Ha
Yes No p
are required If City /State Zip Phone
expired in C.O.T. ,s-0; Americans with gabilities Act (ADA)
database VIMAw 04 c l) 2 - 2 " 1 -- bgte - 9 03 a . . Valuation X 25% = $ Participation ext1Pp-o'
Oregon Const. Cont. Board Lic.# Exp. Date ; � '' Complete Accessibility Form
(p fvl -1 3t 5 i7 Project $ /� 000
Name Valuation
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite / on back
City/State Zip Phone 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
that plans submitted are in compliance with Oregon State Laws.
Engineer Name
gn -3 re o • � •ent Date T /Z�/
C
Mailing Address Suite
act Person N. • e Phone S03
City /State Zip Phone 3/ LL. La ��ti Gib/ — 3 11
? S' / 3 113 Vhab r L
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration
Repair 0 Other 0 "j Z , Notes:
Description of work: (� 1
e0►M$I Pe a S eAce ( rP►4 -1 TIF:
.0C l � /3 9 s —.
Note: Site Work Permit Application must precede or accompany Building
Permit Application f � _5 a-
/ J
I:\COMNEWTI.DOC (DST) 5/98
5/
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N SUBMITTAL
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COMMERCIAL
REQUIREMENT MA
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I: \dsts \forms \rnatrxcom.doc 10/30/98
12/17/1999 Activities for Case #: BUP1999 -00381
2:06:16 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC008 Permit created 08/27/1999 BON DONE No Hold BON 09/17/1999 Letter from Wash. Co. Health
Dept. enclosed.
BUPC005 APPlication received 08/20/1999 GEO RECD No Hold BON 08/27/1999
BUPC012 Plans routed to Plans Examiner 08/27/1999 BON DONE No Hold BON 08/27/1999
BUPC015 Plan Review Ltr. to Ofc. Svcs. 08/30/1999 NOTE No Hold RDP 08/30/1999 To typing pool
BUPC018 Revised Plans Received 09/30/1999 RDP DONE No Hold RDP 09/30/1999
BUPCO24 Plans Approved by CPE 09/30/1999 RDP DONE No Hold RDP 09/30/1999
BUPCO22 Plans Approved /Routed to DSTs 09/30/1999 RDP DONE No Hold RDP 09/30/1999
BUPC520 Mechanical Permit Required 09/30/1999 09/30/1999 No Hold RDP 09/30/1999
BUPC530 Electrical Permit Required 09/30/1999 09/30/1999 No Hold RDP 09/30/1999
BUPC540 Sprinkler Permit Required 09/30/1999 09/30/1999 No Hold RDP 09/30/1999
BUPC565 Plumbing Permit Required 09/30/1999 09/30/1999 No Hold RDP 09/30/1999
BUPC740 Framing Insp 09/30/1999 09/30/1999 10/28/1999 GS PASS No Hold GES 10/28/1999 brace walls to structure
SHAFT FRAMING NOT IN
HOOD BACKING PLATE NOT
IN
BUPC760 Gyp Board lnsp 09/30/1999 09/30/1999 11/01/1988 TP PASS No Hold TLP 12/07/1999
BUPC799 Final Inspection 12/07/1999 TLP PASS No Hold TLP 12/07/1999
BUPCO29 DST Post Review Completed 10/04/1999 BON DONE No Hold BON 10/04/1999
BUPC090 (F) Ready to issue 10/04/1999 BON DONE No Hold BON 10/04/1999
BUPC100 (F) Issue permit 10/06/1999 GEO DONE No Hold DST 10/06/1999
BUPC758 Firewall lnsp 11/04/1999 11/04/1999 11/04/1999 TLP PASS No Hold VT 11/04/1999 shaft for type I hood.
BUPC950 (F) Issue Cert. of Occupancy 12/07/1999 TIG TLP DONE No Hold JMT 12/17/1999
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
o- �� ,.�M p BUP / O gf
e` • Date Requested /2 ? AM PM BLD
/ f
Location f ( r/o C� / uite ' MEC "1 (
9q / q
Contact Person h - 7R 1 -,3/ 73 PLM 11 � 1
Contractor Ph i3vP (q' q - aoy
D Tenant/Owner l t_) j,(� ELC (3,)19 (q9 9 —00869
mg Wall LR
Footing Access: �1 � FPS
Foundation � , rG,/C� 00 57-7/6 pv ' / d� i ,
' SGN
Ftg Drain ` `
Crawl Drain Inspection Notes: f' j
Slab P , ` SIT i�,., ►,r
Post 8 Beam G G G�
Ext Sheath /Shear ` _ L • 040 l
Int Sheath /Shear [[/
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler r
Fire Alarm
ro
Fes/. S (G y L
Susp'd Ceiling J
Roof
Misc:
- • RT FAIL
1
• earn
Under Slab
Top Out
Water Service
Sanitary Sewer
R - in Drains
S PART FAIL
,,' i rl� L
Rough In
Gas Line
�oke Dampers
4i
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
Other oach /Sidewalk Date / 2 1 7 / �9 Inspector (01 Ext
/ r
Final
PASS PART FAIL DO NOT REMOVE this inspection record. from the job site.