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12035 SW GREENBURG ROAD Y i2035 SW Greenburg Road CITY V F 'TIGARD --- BUILDING PERMIT PERMIT#: BUP2002-00474 DEVELOPMENT SERVICES DATE ISSUED: 10/28/02 -- k 13125 SW Hall Blvd.,Tittard. OR 9722: (503) 639-4171 PARCEL: 2S102AA-01100 SITE ADDRESS. 1 2035 S\.N GREENBURG RD SUBDIVISION: KINGSTON ZONING: C G _ JIIPISUI BLOCK: __ LOT:- 1-7 - Cr�ON: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR 14ALL CONSTRUCTION : GLASS OF WORK: ALT FIRSTsf N: — S: E: W: TYPE OF USE: COM SECOND: sf _ _ PROJECT OPENINGS? -- TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA,SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft BSfAY? MEZZ?: REQD SETBACKS ____ REQUIRED___ FLOOR LOAD: psf LEFT: ft f2GH"f: ft FIR SPKL: T SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft Flit ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE. $ 1,`i00.00 Remarks: -� amwrl repair/masonry and sheathing repair. Owner: Contractor: TIG ARD AUTO STOP PARTNERS JOSEPH HUGHES CONSTRUCTION,INC 300 ADMIRAL WAY#200 7035 SW HAMPTON EDMONDS, WA 98020 TIGARD, OR 97223 Phone: 624-7100 Phone: 624-710() Reg#: LIC 45645 FEESA _ REQUIRED INSPECTIONS Description Date Amount Masonry Insp Framing Insp ]BUILD] Permit Fee 10/28/02v $62.50 Misc. Inspection (TAXA R°io State Tax 10128/02 $5.00 Final Inspection Total $67.50 This permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicably law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 de;s 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)2.46-6699 or 1-800-332-2344. f _ Issued By: -- Permittee / Signature: — G.�------------ — -- Call 639 4115 by -r' p.m. for an inspection the next business div Building Permit Application_ „�,. Uatereceived: (J- -6):. Permitno.:( t �� �- 7y City of _igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate: City(47ignrd - Phone: (503) 639-4171 Date issued: By: ' % Receipt no.: Fax: (50) 598-1960 Case file no.: Payment type: Land use approval: _ 1&2 family:Simple Complex: it I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addit;on/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: 1 ' SITE INFORMATION Job address: v 35 $!✓ till Bldg.no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: 4c .1) S�?4, Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Solaro Mailing address: G/c) ;� �.� ,• - 1 &2 family dwelling: City: t State: 4•:, ZIP: i Valuation of work........................................ $ Pht,nc: •? 1.7- FUX: E-mail: No.of bedrooms/baths................................. Oti ner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq,ft.) .......................... Garage/carport arca(sq.ft.)..................... Name: Covered porch area(sq.ft.) ......................... ----- Mailing address: - - Deck area(sq. ft.) ........................................ -- Other structure arc, fs R,'.......................... City: __Stnte:_ ZIP: _ Phone: Fax: E-mail: Commercial industrial/multi-family• Valuation of work........................................ $ LA�., Existing bldg.area(sq.R.) Business name: � � �i.�4•S ��.r t�, .,•....................... --- New bldg.area(sq.ft.) ................................ Address: S 5 !u, Number of stories ---- City: State) 7.1 P: e�71z1 ---- Phone: ,�' (.� y ir. Fax: E-mail: Type of construction.................................... —-�--- Occupanry group(s): Existing: New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the Address: jurisdiction where work is being performed. If the applicant is City: til,ilc: t.11': exempt from licensing,the following reason applies: - Contact person: Plan m, ---- Phone: Fax: IiI-mail: — — 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 1 have read and examined this application and the Not all iudidictionh accept credit cartlt,pleare cda Juriedktion for more infortnetinn. attached checklist. All provisions of laws and ordinances governing this U visa O MaeterCord work will he complied with,�vhether;Kcifted herein or not. Credit card m,mhet _ - / / Authorized sign are: r1'K �—,__ Date: i' —Name of cardhoider u Chown on credit card Expires Print name:_P't b _-� --- i Cardholder signature Amount Notice:This permit application expires if a permit is not obtained withir. 190 days after it has been accepted as complete. 4404611(bavroM) Commercial Plan Submittal i Requirement Matrix 00,,of Tigavi/ TYPE OF SUBMITTAL _ # of Plans (Includes New, Additions or Alterations) Required It SubSite Work 4 (must include location of all accessible parking) Plumbing - Site U'l-ities 2 Building 1* Fire Protection System I -- Mechanical Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, laity of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "?" technicians. i dstsdorms\coM-matnx.doc 9124101 CITY OF TIGARD inspection line: (5031539-4175 our BUILDING MST INSPECTION DIVISION Business line: (505) 609-4171 SUP Received _ Date Request,: /`tea AM_---_—PNI _ - BLIP Location �� © � —_ —Suite — MEc --� Contact Person ___ __ Ph( - _ 7_T!-'� PLM C0 � _ _ _ Ph( ' SWR FLC BUILDING Tenant/Owner -- --- -- --- Foundation Access: ->� / Ftg Drain U ` 'E6 / �� <j EI.R ---- Crawl Drain - v-`- SIT _- Slob Inspection Notes: j Past&Beam -� '-- �CShsai Anchors Ge:�- — --- -- Ext Sheath/Shear Int S ath/Shear Insulation Drywall Nailing - - Firewall Fire Sprinkler Fire Alarm Suspd Ceiling Roof _//%✓f�GL[�/L y t��__ �'� �'- PART FAIL. _._—__.__----------------P PLUMBING Po �.._ -----f--- - - - st&Beam Under Slab -- Rough-In Watei Service Sanitary Sewer _ Rain Drains Catch Basin/Manhole __- Storm Drain Shower Pan Other: Final _PASS PART FAIL - - - MECHANICAL --- - Post& Beam Rough-In - Gas Line Smoke Dampers J - Final _ PASS PART FAIL --- - - ELECTRICAL - - Service Rough-In UG/Slab Low Voltage --- -- - -- Fire Alarm Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE _- I Please call for reinspection RE: - Unable to inspect-no access Fire Supply Line ADA Dato //Zi0b "7 � inspector.. Ext Approach/Sidewalk ---- -- - Other: Final -- DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL moo► CITY OF TIGARD 24-Haar BUILDING inspection Line: (503)639-4175 MST INSPECTION D1W'Z iON Business Line: (503) 639-4171 BLIP -2 -y- -` Received _-_ Date Fequested -'U AM---PM - -- RUP __ - -- - --- � Suite MEC - Lor motion }S ✓�Al/ Quite �,..efi r� _— Contact Person _— ---- --- Ph(--) 7f2 c/ V t PLM - Contractor Ph( _.) SWR 11LD1 ' Tenant/Owner � 'y`' __ ELC - --- -- Footing ELC -- Foundation Access: / Q /J / G FLR Ftq Drain - - - - - CjaWl Drain -- Inspection Note,,: SIT - Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- - _ Insulation _ Drywall Nailing Firewall G Fire Sprinkler �— — Fire Alarm - Susp'd Ceiling Root r -. .-•-..._... - __ SS PART FAIL IN_G - - -- Post& Beam— Under Slab Rough-In -- _ Water Service —�- Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain - ---- Show ar Pan - -- -- - Other. --- Final ------- PASS_PART FAIL MECHANICAL ---_ -- -- - - -- Post&Beam _ Rough-In — Gas Line Smoke Dampers — -- Final _ PASS PART FAIL — ELECTRICAL — Service - Rough-In - UG/Slab Low Volta jo - ----- - - - Fire Alarr, Final F] Reinspection fee of$—__ reouired before next inspection. Pay at City Hall, 131ka SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Daft_�a 3�) O Z. Inspector � (,� _ _ _ Ext Approach/Sidewalk m - Other: _-- Final DO NOT REMOVE this inspection record U;olm the job sle. PASS PART FAIL