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Permit
j " CITY OF T I G A R D BUILDING PERMIT PERMIT #: BUP2000 -00492 , � o , DEVELOPMENT SERVICES DATE ISSUED: 12/15/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 PARCEL: 2S112DA -00300 SITE ADDRESS: 15230 SW SEQUOIA PKWY 130 SUBDIVISION: ZONING: I -P 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: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 15 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: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 11,000.00 Remarks: Tenant Improvement for fast food restuarant Owner: Contractor: PACIFIC REALTY ASSOCIATES FRANK CHU 15350 SW SEQUOIA PKWY #300 -WMI 5515 N CONCORD PORTLAND, OR 97224 PORTLAND, OR 97217 Phone: Phone: 503 - 891 -9985 Reg #: LIC 72524 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 12/5/00 $96.79 27200000000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 12/5/00 $59.56 27200000000 Plumbing Permit Required PRMT CTR 12/15/00 $148.90 27200000000 Framing Insp 5PCT CTR 12/15/00 $11.91 27200000000 Gyp Board Insp Susp Ceilng Insp Total $317.16 Final Inspection 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. Permitee I, I t it Signatu . - / - Issue y : ' . , 3 , 9 -----, / / I / I' Call 639 -4175 by 7 p.m. for an inspection the next business day '4 i 1. 4 110 . B uilding Permit Applicat City of Tigard Date received: a;, az) Perm' o.: 20129 -00 - ^. _ Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 Date issued: By:. Receipt no.: N f Fax: (503) 598 - 1960 rU 6 ( Case file no.: Payment type: Nt Land use approval: 1 &2 family: Simple Complex: a • TYPE OF PERMIT ❑ I & 2 family dwelling or accessory ❑ ommercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition P P ❑ Addition/alteration/re lacement Tenant improvement ❑ Fire sprinkler/alarm ❑ Other: JOB SITE INFORMATION . Job address: / 2.30 54/ , ' . • / Bldg. no.: /r{- Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: , ; , , Description and location of work on premises/special conditions: 7 aG« nee✓ B ' hrg-ti Poet. 0.015 - r 4leot 0 Pia," b it fo st - ooct rest. OWNER - FOR SPECIAL INFORMATION, USE CHECKLIST Name: 1ZtGjtearA O on (Floodplain,septic capacity,solar, etc.) Mailing address: / , e; 541 - Ike/ Rot 1& 2 family dwelling: State: qQ ZIP: 100 _ Valuation of work $ Phone: Fax: E -mail: 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.) Covered porch area (sq. ft.) Mailing address: / Loye.or ' Deck area (sq. ft.) ZIP: - 21 7 Other structure area (sq. ft.) Phonerso,) a'gl -qq, 7 Fax: ZriO- an 8 E-mail: Commercial/industrial/multi- family: CONTRACTOR Valuation of work $ ii . ODD ea Business name: , ��k � Existing bldg. area (sq. ft.) ef 4D IA Chu s o a~i 'ee�! - ro.r - New bldg. area (sq. ft.) Address: i ,(i n , Number of stories ZIP: 472 ( Type of construction V Phone: saa , - / - - 1 Fax: L , -o 1; E -mail: Occupancy group(s): Existing: )3 Z CCB no.: 7 $ Y 0 New: 8 Z- City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIITECT /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: State: 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: Fax: 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 with, whether specified herein or not. Credit card number / / Expires Authorized signature: Date: Name of cardholder as shown on credit card Print name: Cardholder signature $ Amount Notice: This permit application expires if a permit ' not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/0OICOM) A t o a\ e∎ 1 , -' PERMIT 'PLAN 7 1 Elegy tr ii I Permit ELI %l IOU I ILIh t ,tatus FIST: EP r Name: PACIFIC REALTY ASSOCIATES Updat. d: 12 -05 -00 JMT General Address: 15230 SW SEQUOIA PKWY 130 - IG Description: Master #IBUP2000 -00492 I Project: IBIG TOWN HERO J Service Feeder - Misc. Plan Review > =4 Residential Units in 1 Structure: I SVC /FDR 225 amps or More: I� > 600 Volts Nominal: Classified Area /Special Occupancy: n Type of Use: I ''t .' II ea PERMIT "'PLAN I ---- 72 7.1 5.---7 4— / / A --- cA -72,1-- s_ejLetco,00-7/ a i e iihia c./ „ , , ..., 00 ,/ V 10 4 / / 0 I, VA G Ai r 'AV Copyright © 1997 -1999 Tidemark Computer Systems Inc. 2/7/2001 /(2.....6.6 4(4 #A" ' / All Rights Reserved. P 1 g (Y1/1 CITY OF TIGARD BUILDING INSPECTION DIVISION , ' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP sL UG • 2 Z y Z f�. Date Requested / AM PM BLD Location n / J 2 3U .3 4 11 5 16(.0/4-- Suite /3 v MEC - � Contact Person JGe Ph g/ P LM Contractor Ph SWR BUIL Tenant/Owner ELC Retaining Wall ELR Footing - Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab _ SIT Post & Beam • Ext Sheath /Shear - Int Sheath /Shear rm Insul d rywall Nailing . Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof - Misc: • - F' PASS ART FAIL PLUMBING • 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 J 7 A 1 pproach /Sidewalk Date 9 � / - L ' L ' )4) t I nspec t or Ext Other Final PASS • PART FAIL • DO NOT REMOVE this inspection record from the job site. 7& = CITY OF TIGARD BUILDING INSPECT SION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST l - 6D ` .4) • ~� Date Requested . 41P" . r )' f'k. AM PM BLD Location / SL 3 U S 4 ..Se -- Gl e4- © 1lW Suite MEC Contact Person J Ph g9/ - 9i 7 4i0D s t- - e ' b Contractor Ph SWR UILDIN; Tenant/Owner • ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear ____ Int Sheath /Shear ---_ Framing ��.- Insulation �.. Drywall Nailing . Firewall • Fire Sprinkler i' Fire Alarm - / f S usp'd Ceiling q - L C..- / _ Roof Mis • • __ • PASS PART FAIL ) — 11 . s-4,940 (;...„/A-,47q7-----r„ , Post • :eam Under Slab Top Out Water Service Sanitary Sewer Rain Drains -S ASS PART FAIL •", . NICAL . Post & Beam - Rough In Gas Line - Smoke Dampers Final PASS PART FAIL ' ELECTRICAL ' . ' 1 l . . Service v J Rough In I 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk / "o 6/6 InS actor Ext Other Date Inspector l Final . PASS PART FAIL DO NOT REMOVE this inspection record from the job site.