Permit I
. t^ ..f
IN CITY OF TIGARD BUILDING PERMIT
N. COMMUNITY DEVELOPMENT Permit#: BUP2009 -00064 .
T I G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/17/2009
Parcel: 2S115BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 160
•
Subdivision: Lot: 0
Project: BISCUITS CAFE
Project Description: TI
Owner: FEES
SN PROPERTIES PARTNERSHIP Description Date Amount
1121 SW SALMON ST Permit Fee - COM 04/17/2009 $914.50 •
PORTLAND, OR 97205 Tax - 12% State Surcharge 04/17/2009 $109.74
PHONE: Plan Review 04/13/2009 $266.44
Plan Review - Fire Life Safety 04/13/2009 $163.96
Contractor: Metro Const. Excise Tax - Commercial 04/17/2009 $234.00
PACIFIC CREST STRUCTURES INC Use
7233 SW KABLE LN SUITE 900 Plan Review 04/17/2009 $327.99
Plan Review - Fire Life Safety 04/17/2009 $201.84
TIGARD, OR 97224
PHONE: 503 - 968 -8949 '
FAX: 503 - 598 -6658
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $195,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
'Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
. Total $2,218.47
Required: Required Items and Reports (Conditions)
1 Pln Gen PLANNING FINAL INSPECTION
Fire Sprinkler: Yes Parapet: No 2 Pln Gen COMPACT SPACES SHALL BE MARKED
_ Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
Accessible Parking: 0
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 spended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul are set forth in OAR
952- 001 -0010 through ?AR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by callin 45�G r 1.800.332.2344.
Issued By: / n^ ^ Q I \4 Permittee Signature:
u ��J n ` Q. Call 503.639.4175 by 7:00 a.m. for an Inspection that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Ailitecie
- Building Permit Application )1 1-'l . 0.09 -opa' 4 wieve ,44-p
• Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard 1�: Received : 0 Q9 Permit No.: 6( /2g-0216
q 13125 SW Hall Blvd., Tigard, OR 97213D0 1 '� , -":I Plan Review ► 7r
Phone: 503.639.4171 Fax: 503.598.0` DateB : MAS ra O Other Permit:
T I C. A R D Inspection Line: 503.639 G ,� DD Date Ready /By: ® See Page 2 for
Internet: www.tigard -or.gov CITY
OFTI IVISION Notified/Method: Supplemental Information
BUILDING D
TYPE OF WORK REQUIRED DATA: 1- 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
❑ Addition/alteration/replacement Igi Other: NEW -T. I. • equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ACommercialal
Valuation: $ —
❑ Accessory building El Multi-family Number of bedrooms: ..
—
I: Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: —
Job site address: I (p 2" o S 1r\I PpIC,IFI c. 4 ,,,, . New dwelling area: — square feet
City /State /ZIP: -T c,ARD i pg el 7 z2.4 Garage /carport area: _ square feet
Suite/bldg. /apt. no.: S{ I c 0 Project name: 'gI S cu ITS r (1_, k.F.e r. Covered porch area: square feet
Cross street/directions to job site: SW A C.IF1 c.. 14W y 4 'DURHA,M R 17. Deck area: — square feet
- - T1C.A2D - TOWNC ::t ■AC2.1= E) 0PPINCa C. -- Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: _ Lot no.: -. Permit fees* are based on the value of the work performed.
2 S �, 15 = - Lo-T 2(p o0 Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.:
W ��M equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work irk.ated on this application.
N EW 7 T lwt IZAV 1 OF �
Valuati n.
P T L e a� �� PAC 6 1 rf OGbas
Existing building area: 8 4- square feet TbTpec
EX1cs 2,LAIL.DING - vANlt_LA St+ELL. FoR
\SG.A.AVTS C-ArC New building area: 2, 56, 5 square feet
PROPERTY OWNER I -p ❑ TENANT Number of stories: O N i E
Name: 4 A+rRSG1} I N V�S"TWI .. NT 1 [2nPE P-T I Type of construction: 8
Address: II-2_ \ 5 , W . S prL,M ON - Occupancy groups:
City /State /ZIP: 1:(5-(2-1%.,ANID 1 O 972 G S Existing: NA
Phone: (5b3) 2 '(-Z - 2100 Fax: (SO3) 2:71- • 21 0 3 New: A. Z,
Ix APPLICANT ❑ CONTACT PERSON NOTICE
Business name: L as - Ap,,,t41T6GTS ,„„N0 pl..AnlNSR All contractors and subcontractors are required to be
Contact name: -[� licensed with the Oregon Construction Contractors Board
\� r �TF k5eu‘i under ORS 701 and may be required to be licensed in the
Address: Go SW I t t +VI AVE . t SU1, E 2 O jurisdiction in which work is being performed. If the
City /State /ZIP: Q Q o to applicant is exempt from licensing, the following reasons
ItPtV E.RTO N i 1 ) apply:
Phone: (503) (p1-1- • 4-2Z2 Fax:: (SO' ci • G056,7
E -mail: _.(2..1 W... . P t ? L EE1 NG . Co
CONTRACTOR
Business name: `PSI F t G G2>E Sr c L►R Q BUILDING PERMIT FEES*
Address: ^ 2 ow is LE LA-Ni E 1 S k ['[ E 10 (Please refer to j� schedule)
Structural plan review fee (or deposit): ?/4. «4'
City /State /ZIP:
' Poc� - T t ft, 1 0 9 72.-2.. 9-
FLS plan review fee (if applicable): /45 .5)
Phone: (503) 9Pn8 - 2,149 Fax: (5 3) S • Co (os $
CCB lie.: OR ( IS Total fees due upon application: y60, 4/v
Amount 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: aRw- pF'C r iz sA 1 ,4 Date: 4- . /0 . 2 007 • Fee methodology set by Tri -County Building industry
/ Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440 -4613T(I 1/02 /COM/WEB)
l 6/ 30 5e-v 149-c-- (w/ i &d
.0/ 6 eez - DATE: PLANS CHECK NO.:
a do eeo 6- , v�� 0,0061/ PRO T TITL .
COUNTYWIDE 2) Z /sere/ 3) it,e r4 / L- -
TRAFFIC IMPACT FEE , APPLI AN • ,o ��� .� -
WORKSHEET - -
MA ILIN ADDRESS: �
1-0 o // C if--1M] y '
(FOR NON - SINGLE FAMILY USES) - ._...---------- - - - -. -
CITY/ZIP/PHONE:
RATE PER TAX MAP NO.: /l 2 p,G
LAND �, g
$339 .00 _ _ ... _ _ - .._._ _
- SIUS NO AD - T '
USE CATEGORY TRIP SS:
�� //� 0-2--&z90 /o
►_
111 RESIDENTIAL
BUSINESS AND COMMERCIAL
$382.00: s XeiR .2 �X Z3 ��� N •• /‘
III
OFFICE
INDUSTRIAL 0 �.0 /�R 5,60. 5 2. 0 32--ei� •
• . . $327.00 /
• INSTITUTIONAL $141.00 a > /SCV/ ir5 / 2..-56-5-iiii11----
/� �...i / Af -Pe& RI /6,
3 t-F n /4, re 3
PAYMENT METHOD: / ITV: ��
CASH /CHECK 7 612 4-e �6eSC 7-70 lV
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY DESIPTION OF WEEKDAY AVG. TRIP WEEKEND AVG. TRIP
i f DEFER TO OCCUPANCY - �3a� I USE • l�e v' H RATE /c I RATE
TI r • • O I a_
J _ 4,1,-,.e_ 1,..k ✓t c 6 c.— 7- ar7c.D� /oo �iP /PMHP, 8 d�v/'�PS
FA /D e5 SO -7--7. .1
2 e p ) Pr4Ar7�9 2 � 2 �x = I � / �
R�s� u,2 �1`r- !off' — - T2, P3
1' 1= ?) 73mcur1 -5 •A 2, , 5" OFT+e /oe = Z SIa,S
• 3 J T-eT /1-- �. I-6.3 5,c, ` / ` -r 075
• eQw/' Lcy
5 • /om a 5t .geva/i p770^( 35t'iE/E /cam et/P1 -0 -f Er
. i tell G✓ea.se1. w,'( ; lo..,/ = 1 to 4o.
6�5,,D j 1'"'" /T P --
w' 235 -E 203 Z =z 3 5 / ee5
�. efsev►A, - 35/t 5 y 7-3-x= ! 1 DES
J 5 • 3 Re- 1L- / 14.7c, 34.-0 5 : , ; _4, 7 p..... : 8 Ee • PROJECT TR1- - NERATION:
- — E ' - EE, 2 FEE: '
7' AKs =es ARE /Nfrooefl /91.A0e.*7 j ..)&1/41s- - o■cmpA.oYEc5 . .
7--- m 'sip./ FA = A° / 92 • co j FOR ACCOUNTING PURPOSES
ADDITIONAL NOTES: A e$S�ie/r�/t 1,,w_ 3.
� rfd • 'V/ I�NLY
c� S7 Z
�•N�r� , l �f5 331,0 fC���
, Z 09�o•Co"�` ROAD AMT.:
V 7V • / 79, /, � f 4 / 2 � GO ' ' 557 L = d 7 5 28 TRANSIT AM .:
YE�s ee., 55 /, ` 00 • at
/ c r i PREPARED BY* 094
June 30, 2008 Wo sheet 08 -09.d O�r77 - / /,C" �� / . s 5-zoc_ ' 9L , r ///I y ��C ro
S „
CC: WASHIN O OUNTY TIF NO OK C , / 779z._ Z3 !> /ia/its /� '9 , C
C(• GOcS 77oA
iG Se , CdeptA,IfC - �E .