Permit CITY OF TIGARD
q, DEVELOPMENT SERVICES BUILDING PERMIT
tl 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # BUP98 -0537
DATE ISSUED: 12/10/98
PARCEL: 25112DD -01300
SITE ADDRESS...: 15650 SW UPPER BOONES FERRY RD
SUBDIVISION • ZONING:C —G
BLOCK LOT JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST . 2570 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL : 2570 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 81 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE.$: 3000
Remarks : Burgerville TI - relocate existing espresso area w /minor partition wall
changes.
Owner: FEES
THE HOLLAND INC type amount by date recpt
109 W 17TH ST PLCK $ 25.03 DLH 12/08/98 98- 311349
VANCOUVER WA 98660 PRMT $ 38.50 DLH 12/08/98
98- 311349
5PCT $ 1.93 DLH 12/08/98 98- 311349
Phone #: 360- 906 -4432 FIRE $ 15.40 DLH 12/08/98 98- 311349
Contractor:
OWNER
Phone #: $ 80.86 TOTAL
Reg #...
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
/
/�
Permittee Signat�_�re: ' . �� �.
• • 4 !% 1...
++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
1
11/30/98 MON 11:12 FAX 503 598 1960 CITY OF TIGARD I) 001
•
Pte/ -pia /6
CITY dF TIGARD Commercial Building Permit Application Reed By 2)
13125 SW HALL BLVD. Tenant Improvement Date Redd iZ,Q' , P
TIGARD, OR 97223 ��c- Date to P.E. • d is -401.1 (503) 639 -4171 �' Dam to °� 1.21 o� ' i ' r° Permit t r r - Os--.?_3-
Print or Type /J'5:-
Related SWR •
incomplete or illegible applications will not be accepted Caned / Z/ ° SS ? oz,r.'
Name of Development/Project Existing Building New Building ❑
Job Burgerville #40 Remodel
Address Street Address u pprp goonl suite Building
15650 S.W. UBF Roa Data
Bag t City /State ZIP Existing Use of Building or Property:
LakeOswego,OR 97035 Restaurant with Drive -up
Name
Property The Holland, Inc.
• Proposed Use of Building or Property:
Owner Mailing Address - Suite SAME
109 W.17th St. No. Of Stories:
City /State Zip Phone One
Vancouver,WA 98660 360/906 -4432 Sq. Ft. Of Project •
Occupant Name Bldg. 2,570SF / Area affect 200SF
Burgerville Occupancy Class(es)
Name A-3 .
Contractor Owner Type(s) of Construction
Prior to permit Mailing Address Suite V - N
issuance a copy Will this project have a Fire Suppression System?
of all licenses Yes ❑ No
are required if City /State Zip Phone
expired In C.O.T. Americans with Disabilities Act (ADA)
database Valuation X 25% = $ 750.00 Participation
Oregon Const Cont Board Licit Exp. Date Complete Accessibility Form
Project ' $ •
Name Valuation 3,000.00
Architect Architects Associative, Inc. Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
1
8515 -b NE HazelDell Avenue
City/ate Zip Phone I hereby acknowledge that.I have read this application, that the Information
Vancouver , WA 98660 360/574 -7019 - 9tien Is correct, that I am the ovyner or authorized agent of the owner, and
Engineer Name that plans :/ bed are In compliance with Oregon State Laws.
• 4m • N/A SIgnat . s f Date
Marling Address - Suite F r %4 -- J 2 -4 -
Contact Person N - Phone
Ciy/State ZIP Phone Timothy R. Brunner 360/574 -7019
FOR OFFICE USE ONLY
indicate type ofwork: NewO Addition 0 Demolition 0 mutant •: - - __,_ aA -m- - - --z_- ____
Accessory Structure 0 Foundation Only 0 Alteration 0 �, `" =za - _ r�r ` : `_ ='s f ' a -` - ,
Other �(.�/ q cG' i- a G^r.__ ..�i:l'.__,.t.T- _Pa:arm �i
R Othe )0( - PW9c a
v��G TPFVZV T��G a = =C....'r.:„.!..; --=' o IiYS ^ - A: ' — .._�. �-
Repair 0
Description Of work: l ii _ F. o c 1 r l, . 7 , a =— „ �� :s
•.• III D EPT Si I 11 • �TI r•y' ' � �w
Relocate existing espresso area Minor t LL `er_ - 'y�� hS::PFc i
��.T 1r i0 =1 = -T _� _ _- LYSa_i
1 Or rT v ' _� "
r l- 5 { J . rPS7L !� .14: = :-_ c fi _a
�ea _� =a.-: :.ti3� ���-, g = .�vae�r�: �� e. � =4 �_ +
t _ ::_
- ^v*= � _ . _ c ;, "� r c r . = , = s -:s =e v aVi v � I �. -_ '. f ._ =�=.:
`partition wall chancier. � p..- . ;r_ :_ ; ri��v_ceRe a . � -a ::ti� _ _ _
n� _ _ r:::!--"17 - pa x r _ er Y _
2 � -r
:. : SF�O,-- v- r: - ? = . =P _ _a Sin mvc _ °?"-. � _:r l . cae� __ / . ' . _ _ _ -.,_ _-- „ �_;.:
Note: Site Work Permit Application must precede or accompany Building �/A2 /..E v v (r —6--
Permit Application
l:1COMNEWTI.DOC (DST) 5/98 l
VD /
. 03 -
3
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ` rrii
� ff BUP �.S3
,, _ !I hl . Date Requested i (� Z l c i 9 AM +/ PM BLD
Location / S („6 (tio ( ' -rJYLg ,, —) Suite MEC
Contact Person 4 ' Ph 3&) - (oO7 - I2,2,0 PLM
Contractor Ph SWR
•
i
DING Tenant/Owner �3 L7/1 , ELC
a�a Wall r ELR
Footing Access
Foundation jr,, ,. . ,, �o ,, i.yil► FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: 8 , <_ /eL cji A/G��2
Slab ���/ %�-WJ "� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation �' ll .1/ - e
Drywall Nailing ` ._ �1 / sf
Firewall //l /
F
7
ire Sprinkler ) 1, � %� : '.-% / ! /�
Fire Alarm i ° °
Susp'd Ceiling
Roof ---.,
Misc:
, mow' e /-- // _ or c
q
\----
.•. . ART FAIL
BING Z - - l' '' -
P Beam ■11•11/
Under Slab _ ■
------)
Top Out
Water Service )
Sanitary Sewer
R ' rains
in
SS PART FAIL CA ---(:
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
Approach /Sidewalk 2 /f � � � '
Other Date // 99 Inspector ` Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .