The URL can be used to link to this page

Permit CITY OF TIGARD BUILDING PERMIT IIIIII 0 COMMUNITY DEVELOPMENT Permit #: BUP2009 -00128 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/30/2009 Parcel: 2S115BA02600 Jurisdiction: Tigard Site address: 16230 SW PACIFIC HWY 120 Subdivision: Lot: 0 Project: Little Caesars Pizza Project Description: Interior TI. Owner: FEES SN PROPERTIES PARTNERSHIP Description Date Amount 1121 SW SALMON ST Permit Fee - COM 07/30/2009 $462.70 PORTLAND, OR 97205 Plan Review 07/14/2009 $183.85 PHONE: Plan Review - Fire Life Safety 07/14/2009 $113.14 Plan Review 07/30/2009 $116.91 Contractor: Plan Review - Fire Life Safety 07/30/2009 $71.94 STEARNS CONSTRUCTION LLC 12% State Surcharge - Building 07/30/2009 $55.52 17256 NE SACRAMENTO CDC Bldg Review, COM 07/30/2009 $143.50 PORTLAND, OR 97230 • CDC Plan Review, COM 07/30/2009 $143.50 PHONE: 503-255-3305 CDC Plan Review, COM - LRP 07/30/2009 $42.00 Park - Commercial and Industrial 07/30/2009 $1,364.44 FAX: 503 - 255 -3263 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $70,000 Floor Areas: Total Area: 0 Accessory Struct: 0 • Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 . Garage: 0 Mezzanine: 0 Total $2,697.50 • Required: Required Items and Reports (Conditions) 1 PIn Gen PLNG DIV. FINAL INSPECTION Fire Sprinkler: Yes Parapet: 2 Pln Gen INSTALL 12 ADDTNL PKNG SPACES Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No Accessible Parking: 0 / mitisissued subject • the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will e done in accordance with app• • • • plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 ays. ATTENTION: Oregon I- - s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR • 52 - 001 -0010 through OA - • @V n r 1 i • ou may obtain a co•y of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.234 Issued By: / / i, Permittee Signature: - /'+� r Call 503.639.4175 by 7:00 a.m. for an Inspection that bu ness day. ll�� \` This permit card shall be kept in a conspicuous place on the job site unti completion of the project. Approved plans are required on the job site at the time of each Inspection. • t 1TL C A 4 I &z kWW C20 Building Permit Application Commercial RECEIVED FOR OFFICE ISF: ONE) City of Tigard Received Dazes • 1 A Permit No: .f 004 , 00 . • 13125 SW Hall Blvd., Tigard, OR 97223 JUL 14 2009 I �� , e Phone: 503.639.4171 Fax: 503.598.1960 Date B Review : / L, © Ul Other Permit: V 6 i , 2 ,Q002C TIGARD Inspection Line: 503.639 CITY OF TIGARD Dale Ready : . � �^ I p,, Juri See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Noti : , ethod `7 �I/ 1 Supplemental upplemental Information TYPE OF WORK REQUIRED DATA: I- 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling g Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 16230 SW Pacific Hwy, Suite 120 New dwelling area: square feet City/ State/ZIP: Tigard, OR 97224 Garage/carport area: square feet Suite/bldg. /apt. no.: f Project name: Little Caesar's Pizza Covered porch area: square feet Cross street/directions to job site: Durham Road Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. 1" generation tennant improvement buildout Valuation: $$35,00 09�V l j Existing building area: 1,200 square feet New building area: 0 square feet ❑ PROPERTY OWNER ® TENANT Number of stories: I Name: Oregon Pizza Inc. Type of construction: 5- B -Spklr Address: P.O. Box 91542 Occupancy groups: City/State/ZIP: Portland, OR 97291 Existing: B Phone: ( ) Fax: ( ) New: B ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Stearns Construction, LLC All contractors and subcontractors are required to be Contact name: Tom Shaw licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 17256 NE Sacramento jurisdiction in which work is being performed. If the City/ State/ZIP: Portland, OR 97230 'S`f applicant is exempt from licensing, the following reasons —�`-� apply: Phone: (503) 255 -3305 F ax:: (503) 255-3263 E -mail: tshaw(stearnsconstruct.com CONTRACTOR Business name: Stearns Construction, LLC BUILDING PERMIT FEES* Address: see above (Please refer to fee schedule) Structural plan review fee (or deposit): City/State/ZIP: Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: 154128 1 t d . ` Total fees due upon application: � _ / Amount received: Authorized signature: 7 /1 5 /I//7/J This permit application expires if a permit is not obtained Print name: Thomas Shaw Date: 7/14/09 within 180 days after it has been accepted as complete. ' Fee methodology set by Tri -County Building Industry ' ' This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 11111 • BUILDING DIVISION T I G A R D TRANSMITTAL LETTER a / TO: � A/EG.S c DATE RECEIVED: DEPT: BUILDING DIVISION R JUL 17 2009 FROM: TO//ii %A-A) CITY OF TIGARD - r ,� BUILDING DIVISION COMPANY: a 11E -P /4 l Ur1ST (ZA/ ' L © L C/ PHONE: (P2 ') z= -- -3 - 05--' B — RE: / 6 '3a stv .o9' /�G / by S7E /ao aGt/7'O 00 /..2P (Site Address) / (Permit/Case Number) 2 / 7 7Z-E % TS 6 S r/ 2 Z,..9- (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: - Copies: Description: . . . Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: `,4 \ i,/ to Po-P---T £ l pi i c- L1/ '"- ,n, , 6%!..-14/1-4:t1 7 e44 r i�o 0 Id wi ■tp Lf ry 11'4 - 4100 ,4 t FOR OFFICE IJSE ONLY ,� Routed to Permit Tech D ate: --- 7(2 �7 + O Initials: Fees Due: ❑ Yes [9'No Fee Description: Amount Due: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: l: \ Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07