Permit A, C IT OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00072
�; DEVELOPMENT SERVICES DATE ISSUED: 2/24/2005
��' I ° 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD PARCEL: 1S1346C -00300
SUBDIVISION: GREENWAY TOWN CENTER 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 174 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: 2 3 OOO •O a
Remarks: TI: Walls and restroom.
Owner: Contractor:
BPP RETAIL LLC PACIFIC CREST CONSTRUCTION
BY BURNHAM PACIFIC PROPERTIES 24111 NE HALSEY ST
ATTN: JOHN WATERS STE 400
AN DIEGO, CA 92101 TROUTDALE, OR 97060
Phone: 669 -8570
FEES Reg #: LIC 00056255
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/24/2005 $525.50
[TAX] 8% State Surchari 2/24/2005 $42.04
[BUPPLN] Pln Rv 2/24/2005 $341.58
[FLS] FLS Pin Rv 2/24/2005 $210.20
Total $1,119.32
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: QAlee,( 5 ,6L)
Permittee 1 '
Signature: .( -,- Ak, j#
&all -4175 by 7 p.m. for an inspection the next business day
✓ >I \IE
Building Prriiit A 1�
• FOR OFFICE USE ONLY
City of Tigard Receive �J
City g s� DateB 24( 0 S 0 Permit No.: U ??„900.5 -000
FEB
13125 SW Hall Blvd., Tigard, OR 97223 3 2005 Plan Renew
Phone: 503.639.4171 Fax: 503.598.1960 � / ac df� I l 'i . Date/By: Other Permit:
Inspection Line: 503.639.4175 yT T rte; Date Ready/By: I / 0 See Attached Checklist for
Inte t: www. .tigard.or.us, I 1 ®� � � `- Notified/Method: I (C. \' Supplemental Information
-
o p a- : , P l ,,d4.901V` - ve gel' t = 2
TYPE OF WO ' �i, . , :REQUIRED DATA: 1- AN D 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.
Valuation: $
❑ 1- and 2- family dwelling jgCommercial/industrial
❑ 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: 1.2a-72„ Sa -n ` �� ' ,� G � Fi Avg New dwelling area: square feet,
'n/
City/State/ZIP: i kg�Q '-" Garage/carport area: square feet
Suite/bldg. /apt. no.: ``�� Project name: 11/14 n/ I NS anueNw/M Covered porch area: square feet
Cross street/directions to job site: S w 1 2.S TH DN 77-1er Deck area: square feet
g$ - /Nuns/ 5F-/C JPt1 CF�c-/2. Other structure area: square feet
1J // REQUIRED DATA: COMMERCIAL -USE CHECKLISTz
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: / 5 �' — �� .r CC) Indicate the value (rounded to the nearest dollar) of all
C) equipment, materials, labor, overhead, and the profit for the
' DESCRIPTION OF WORK' ' , work indicated on this application.
Valuation: $ 600 (X� . it
�IIJn 5p £ Existing building area: Z, 4, square feet
/ New building area: 4 1 Z g p square feet
❑ PROPERTY OWNER �,I'' TENANT Number of stories: ONE
Name: M- MrxfA7-4/ll) 6 — ii24A,0 " � / � MLeA/�, /14 Type of construction: ii/ �.e) L)HK, .
Address: ((o24 N' W 67uS / '� Occupancy groups: A,.2.
City/State/ZIP: i o / 2 - 17 z5:11 Existing: A -2
Phone: 6)3) 22 % _ p r o G Fax: ( 4. —Agi 7 New:
APPLICANT. ❑ CONTACT.PERSON ' NOTICE
Business name: ANgizcovi MO )A"1 .4' ireaT All contractors and subcontractors are required to be
Contact name: r!/lA 12.E - E S� /n/oSA under ORS with the and may Construction Contractors licensed Board
under ORS 701 and may be required to be licensed in the
Address: C07 S 14 M g 100 jurisdiction in which work is being performed-If the
♦ p applicant is exempt from licensing, the following reasons
City/State/ZIP:
�'0j
�� 7, / 9 apply:
Phone: ern, 52Zc. Fax: : (t5,03 --7-71 O
E -mail: (J) J
... , CONTRACTOR. .
Business name: )9 L C Cc ((
, f /� T77 L sf ;;BUILDING . PERI�IIT'FEES?' ' :
Address: 24'/ii NE J"74( 6 U �e, "' '' f f
5 c5 r Please re er ro ee schedule •
City/State/ZIP: irarr Qe . 917 a a � d
Phone: 603 �6 1 , ac--70 ( ) Fees due upon application i j �� "Gl 32
Fax:
CCB lic.: e.� &�S 7/ ) 7/0 Amount received
, Date received:
Authorized signature: .� /l 4 , 4 ` _ .. ; _ . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: %l,/( R� ES , I / t7SA Date:? / . /(� r *Fee methodology set by Tri- County Building Industry
MA F24 Service Board.
is\ Building \ Permits \BUP- PertnitApp.doc 12103 440- 4613T(11 /02/COM/WEB)
0 ,,
1
Building Division
�i ' �� i 1 1( P lan Submittal Requirement Matrix
�'` � � --- Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
' - Typ'e.:.of Submittal # of Plans
(Includes new, additions and alteration's.) - Required at
Submittal , ::z
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
■
P
S ite Work _ 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3 ** • , ' `
• Mechanical - • - 2 ' • . • '
•
Plumbing (building fixtures) • - , , , 2 '
Electrical . 2
Plan review is dependent upon submittal of a 'completed' application and plans.
1 e ,
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) .
•
* For over - the - counter commercial tenant improvements, submit 2 sets of p lans.
** "New" fire protection systems require that plans bear the original seal of an ' "
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Bui lding\Forms \COM- PlanSubReq.doc 12/24/03
• M , .'1
Building Division
� , r „ t...JA' l l1 � Accessibility: Barrier Removal Improvement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities
unless such alterations are disproportionate to the overall alterations in terms of cost and
scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 4 S OCb . ;
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 12 CO°
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order: •
(a) Parking $
e•
(b) An accessible entrance: $ V :3. o
e
(c) An accessible route to the altered area: $ 2110 •
(d) At least one accessible restroom for each sex or a single unisex p 0
restroom: $ '7 a
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms:
TOTAL (shall equal line [2] of Valuation Computation): $ /2 000.1
•
i:\ Bui lding\Forms\AccessImprvPlan.doc 11/25/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00072
l 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2124/2005
Phone: (503) 639 -4171 em e '�Qi i � ; ',�� iif
Inspe Requests (24 Hrs.): (503) 639 - 4175 ..' . t:_ I
INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7:09AM PAGE: 20
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCMENAMINS
j DESCRIPTION: TI: Walls and restroom.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: PACIFIC CREST CONSTRUCTION PHONE #: 669-8570
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006941 -01 503-793-7782 N
Corrections /Comments/ Instructions:
AM I
Or I -
hki '
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F' S ASSESSED
�/
--- 4:6/ 1 __) Inspector: Date: I Phone #: (503) 718 -