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Permit A CITY OF TIGARD , BUILDING PERMIT P ERMIT #: BUP2001 -00014 ,wIA' DEVELOPMENT SERVICES DATE ISSUED: 1/25/01 r�l I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12388 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00500 SUBDIVISION: PP1993 -057 ZONING: C -G BLOCK: LOT: 001 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: U2 TOTAL AREA: 0.00 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: $ 7,500.00 Remarks: Remodel of drive through - To Include 43" high retaining wall Owner: Contractor: MCDONALD'S CORPORATION JOSEPH HUGHES CONSTRUCTION,INC 036/0002 7035 SW HAMPTON PO BOX 662lLL07gp6 TIGARD, OR 97223 C P I hone: 0 503- 531 -56 Phone: 624 -7100 Reg #: LIC 45645 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection 5PCT CTR 1/11/01 $9.61 27200100000 Final Inspection FIRE CTR 1/11/01 $48.04 27200100000 PLCK CTR 1/11/01 $78.07 27200100000 PRMT CTR 1/11/01 $120.09 27200100000 Total $255.81 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. Pe rm itee Signature: 4/' Issued By: tire - % i Call 639 -4175 by 7 p.m. for an inspection the next business day .X lc? 1114101 It A " Building Permit Application n ilk Date received: /_/ /_O( Permitno / - / ; : i iii City of Tigard a - Project/appl.no.: Expire date: � City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Phone: (503) 639 - 4171 Date issued: By: I Receipt no.: Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: 0 TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory 't Commercial/industrial ❑ Multi family ❑ New construction ❑ Demolition •'`, ❑ Addition/alteration/replacement i= Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: 1 1 g g 5 V Sr h al S F:tr r l Bldg. no.: Suite no.: Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: 0 r• t-e - I-hry OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: / 0n41 ' S (Floodplain, septic capacity, solar, etc.) Mailing address: 4 0 0 f use / S n4 3 p ;It 2 ou 1& 2 family dwelling: 2< City: La, /4 05 fre o (State: Or IZIP: 970 Zs' Valuation of work $ Phone: V3 ('1- 9?Jty] E-mail: I No. of bedrooms/baths Owner's representative: Total number of floors • Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: / (r 4-2 Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: SD j • 74 —111/4 N Fax: E -mail: CommerciallindustriaUmulti- family: CONTRACTOR Valuation of work $ r-S 0 0 X Existing name: Tos f h /Al /.4 S New f , N wting bldg. area (sq. ft.) J ew bldg. area (sq. ft.) 7,,, Address: 3S s w. /{ iw, City: T, . r1 State:0 I ZIP: 9 7L2 Number of stories Phone: Sis3 42 y - 7/00 I Fax: I E -mail: Type of construction ` tS6 5/ S Occupancy group(s): Existing: CCB no.: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: I State: I ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: (State: (ZIP: Amount received $ Phone: I Fax: I E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa 0 MasterCard work will be complied wittJ, whether s red herein or not. Credit card number: / / �/ Expires /VP ' Name of cardholder as shown on credit card $ Print name: Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6R10/COM) °I -(e CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 L P tt BUP ©l -GDO / Date Requested 2-1 AM PM pLD Location II- 3 ' -Se-- 7 •7 0, Suite MEC Contact Person RU 6 Ph 703 y '/ -' PLM Contractor Ph SWR � BUILDING Tenant/Owner 'f� � T�4v MA ( - n -G ELC ELR ounda 't Access: FPS • • rain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall Nailing Insulation 1 � r / • �_ \ n �p Drywal �J ►lam �►J �R.�- -f�C�� Fire wall i � J� Fire Sprinkler !/' J� Fire Alarm Susp'd Ceiling Roof �iW' S PART FAIL - ' BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS 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 6; `0 ( Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.