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12198 SW MAIN STREET-1 IS NIVW MS 966ZI, Y� J i 1 _ c'n V IL z � 3 co 00 m r' � N W J 12198 SW MIN ST ,A�� Information M To Build'On FILE CO sobWELDING QUALIFICATION TEST v � Project Number: 689-06571 WPS Number: DE-SRS-1A-00 Tested For. DeShazer Restaurant Services Date: October 30, 2000 Spec. Code: AWS D1.3-98 Report No: 689-08571-1a Welders Name: John Freeman SSN: 551-15-6000 Filler Metal: AWS A5.1, Cla is E6011 F vwx: N/A Base Metal Spec.: ASTM A-653 to A-653 Preheat: 68°F Plate or Pipe: Sheet to Sheet Thickness: .600" Inches: 6" x 6" Type of Joint: Seam Fig. No.: -- Backing: N/A Single/Double Welded: Single Process, SMAW Single/Multiple Pass: Single Amp: 55 Current: DC Progression: N/A Volt: 28 Polarity: EP GROOVE WELD TESTS Position Radiographic Bend Tests Positions Thickness Process Tested Test I II Qualified Qualified Qualified 1G ----F—Passed Passed 1 G,1 F _ .061"& Up SMAW Visual Inspection (6.7)Acceptable: YES X NO 4Velding Test Conducted/Witnessed By: Professional Service Industries, inc./Steve Moore Mechanical Tests Conducted By: Professional Service Industries, Inc. Date: October 30, 2000 o Al Butzen, Dept ment Marager, Mechanical Testing 3 We certify that the statements in this record are correct and that the test coupons were prepared, o welded, and tested in accordance with AWS D1.3-98. 9 U Organization: DeShazer Restaurant Service By: Mr. Loren DeShazer Date: October 30, 2000 Professional Service Industries,Inc.-6032 N.Cutter Circle,Suite 480,P0.Box 17126•Portland,OR 97217.1 a 503/289-1778•Fax 503/289-1918 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 PUP Date Requested ��V ' Z AM PM . _ BLD Location / Z/ F Y S w jj7l��n _ Suite MEC _ Contact Persol1-7 cfrky _ Ph G Z'/ 4 0-() PLM Cootractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall FLR Footing Access: �` •� Foundation FPS _ Ftg Drain SIGN Drain Inspection Notes: -- Slab _— _ SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler rio Alarm ' u.;p'd Ceiling — Frof Misc: — Final PASS PART FAIL -- -- - P os &Beam - Under Slab T op Out _,- 1Arater Service Sanitary Sewer - Rain Drains UIV PART FAIL --- _— - -- -_ MECHANICAL Post ---^ --T--�— — Post& Bearn ----- — --- ------ Rough In Gas Line ----- ---- -- — Smoke Dampers Final -- -- - ---- — - PASS PART FAIL 0. ELECTRICAL - - --�----�—_— —`- — Service - -- -- ---- - ----- Rough In N W UG/Slab Low Voltage J Fire Alarm ED Final a PASS PART FAIL _ _ ------ W —_ W SITE Backfill/Gra ding `"'-- Sanitary Sewer Storm Drain [ j Reinspection fee of$ __—required before next inspection. Pay at City Hall, 13125 SUV Hall Blva Catch Basin Catch Line 1 ]Please call for reinspection RE:--, � _ I )Unable to Inspect-no access Firen ADA Approach/Sidewalk �� -� 0 Inspector Ext Other Date _ 1-i-lal PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00395 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 DATE ISSUED: 10/20/00 PARCEL: 2S 102AA-02300 SITE ADDRESS: 12198 SW MAIN ST SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBCT _ BLOCK: _ LOT: 003 _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCJPANrY GRP: LINK FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER L INE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Install reduced pressure backflow preventer, one dishwasher and one Ice machine. No change in EDU's. FEES Owner: - Type By Date Amount Receipt B-B-B PROPERTIES PRMT CTR 10/20/00 $79.80 27200000000 PO BOX 23952 5PCT CTR 10/20/00 $6.33 272.00000000 TIGARD, OR 97281 -- Total $85.18 Phone 1: Contractor: BRUNER r'LUMBING PO BOX 23985 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: Top-out Insp RP/Backflow Preventer Reg#: LIC 81837 Final Inspection PLM 26-445PB 1, C J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 0 9 Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. .Ui 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You maypbt'atrt ies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued y: Permittee Signature: �- �_ Call (503)6394175 by :00 P.M.for an Inspection needed the next business day Plumbing Permit Application Date received: p- -gyp Penatit n,).: City Of Tigard Sewer permit no.: Building ptr,it ro.: Address: Vi 125 SW hall Blvd,Tigard,OR 97223 — -- City of Tigard phone: (503) 639-4171 Projt cVappl.no.: Expire data: Fax: (503) 598-1960 Date issued:/D-,Pa-rw B •� Receipt no.: Land use approval: case file no.: r— Payment type: ;LJNcw family dwelling or accessory ommerrial/industrial f7 Multi-family ❑Tenant improvement construction U Additionalteration/replacement U Food service U Other: ess: _- (�J ��i S Description Qt . Fee ea. Total Bldg.no.: Suit,-no.: New ll-and 2-fa ly dweUings only: Tax map/tax lot/account no.: (incclludes 100ft.fortracharl�Uty iliection) O bath Lot: Block: Subdivision: e SFR(2)bath --- _ Project name: c �tV vs --o� _ SFR(3)bath _ City/county: `� � ZIP: Each additional bath/kitchen Desc 'ption and locadroll f we k on premises: Slieutilitles: Catch basin/area drain Est.date of co m Ietion/inspection: T'— Drywells/leach line/trench drain —_ Footing drain(no.lin.ft.)��WNIIINMIIHIIT I _ Manufactured home utilities Business name: V k,-JA f an olcs Address: Z3� S Rain drain connector City: I^' State: ZIP: Sanitary sewer(no. lin.ft.) Phone: Z .�` E-mail: Storm sewer(no.lin.R.) CCB no.: _ � Z Plumb.bits.reg.no: atcr service(no.lin.[t.) City/metro lic.no.: Fixture or kem: Contractor's representative signature: ��----- Absorption valve Back flow preventer Print name: yu...-i Date: p Z Backwater valve _ 0— Basins/lavatory Name: Clothes washer Address: Dishwasher Cit State: ZIP: Drinking fountain(s) City: Ejectors/sump Phone: Fax: E-mail: Expans;on tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hub Mailing address: — Garbage.disposal Hose bibb City: ZIP: Ice maker L Phone: -- Fax: �JE-mail: Interceptor/grease trap _ C Owner installation/residential maintenance only: The actual installation Primer(s) 0 will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) JOwner's signature: Date: Sump _ O Tubs/shower/shower pan Urinal _ 7�N _ Water closet U Water heater RP ity: State: ZIP: Other: -- hone Fax: E-mail: Total ro Not all uried;ctions acce credit cards,please caul jurisdiction r«more information. t. Minimum fee................$ a 1 M � Notice:This permit epp.xaUon ❑Visa ❑MasterCard expires if a permit is not obtained Plan review(al _ %) $ _ credit card number: within 190 days ager it has been State surcharge(8%)....$ Expires Name or cardholArr u shown on credit card accepted as complete. TOTAL .......................$ S l Cardholder Nltna,are Amounl 44101416(6MMMM) PLUMBING PERMIT FEES: - - PRICE TOTAL Now 1 and 24amily dwelllnes only: FIXTURES Indivlduall CITY ea AMOUPT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 16 80 for each utility connection) Lavatory One(1)bath $249.20 Tub or 1 ub/Shower Comb 16.60 Two 2 bath _ _ $350.00 Shower Only - 16.60 Three t3)bath $399.00 Wi tijr Closet 16.60 SUBTOTAL Urinal 16.60 _ 8%STATE SURCHARGE _ Dishwasher - 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage-Disposal 1660 T TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" - 16.60 PLEASE COMPLETE: 3~ 16.60 q" 16.60 Water Heater (`conversion O like kind 16.60 Quantl b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ ermitCa d MFG Home New Water Service 48.40 Sink _ MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 shower Only Drinking Fountain 16.60 Nater Closet _ Urinal _ Other Fixtures(Specify) 16.60 Dishwasher jo- Garbage Dis osal _ Laundry Room Tr-j _ Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3~ Sewer-each additional 100' 46.40 _ 4" _ Water;iervice-1st 100' 55.00 Water Heater Other Fixtures Water Service-each additional 200' 46.40 S eG Storm 8 Rain Drain-1st 100' 55.00 Storm P-Rain Drain-each additional 100' 46.40 Commercial Bacl,Flow Prevention Device 4640 T G Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Soecially - 72 50 Re ues!ed Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram Is require,,N 0jantity Total Is >9 "SUBTOTAL 71 gC -- __--- -- U) 8%STATE SURCHARGE _ / J� -J "PLAN REVIEW 25%OF SUBTOTAL m Required only it fixture qty total is>9 0 TOTAL JA a ,�g W J -- *Minimum permit fee is$72 50-8%state surcharge,except Residential Backflnw Prevention Dev'ce,which is sae 25+8%state surcharge *�AII New Commercial Buildings require pians with isometric or riser diagram and pian review I.\dshs\forms\plm-fees.doc 10/10/00 7 �� e j Accumulative Sewer Tally Tenant Name: _ This SWR# Address: I.Ai 99 ;;,•� " 191 T` This PLM#: § Fixture Value Previous Previous Credits Capped Fixture Fixtures New total New # Value Capped off value added# added #s Iota; Count off#s count value valu,ls Baptistry/Font 4 v __ Hath -Tub/Shower 4 -Jacuzzi/Whirlpool 4 Car Wash-Each Stall _6 - Drive Through 16 Cuspidor/Water Aspirator 1 _ Dishwasher-Commercial 4 _ -Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sinx -2 inch 2 3 inch 5 4 inch 6 Car Wash Drn 6 Garbage Disposal 16 -Domestic(to 3/4 HP) -Commercial (to 5 HP) 32 Industrial(ever 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas `.nation) 6 _Rec. Vehicle Dump Station 16 Shower-Gang (Per Head) 1 v _ - Stall 2 Sink- Bar/Lavatory 2 Bradley_ 5 Commercial 3 _ Service 3 _ Swimming Pool Filter 1 Washer-Clothes^ 6 Water Extractor 6 Water Closet-Toilet 6 Urinal _6 ~ TOTALS J Total fixture values: -__divided by 16 EDU := / f�e4 vb^P J HISTORY ►r, ��oo �' / ria /-�,�i�/ PLM# DU# 1-8WR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# S`JVR# PLM# EDU# SWR# PLM# EDU# SWR# is dsts\swrtaly.doc - /R,9oo /` eIlJ d1- /Y1/� �.,` d/ CITY OF TIOARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line:-639=4175 Busing;a Line: 6394171 BLIP _Date Requested /ebb �PM BLD Location /7'129 SuJ 01,401f. _ Suite _ MEC 14M —G0';,5rj Z Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC P etaining Wall ELR Footing Access: Foundation FPS Ftg Drain SON Crawl Drain Inspection Notes: Slab — SIT Post&Beam Ext Sheath/Shear In;Sheath/Shear Framing r057/ �-- Insulation Drywall Nailing _._-- _ 'OU _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiiiog Roof Misc: Final PASS PART FAIL PLUMBING Post& Beam -- -- Under Slab Top Out -- Water Service Sanitary Sewer _— Rain Drains Final ----- ---- ---- ---- •--- --- PASS PART FAIL _ --� — MECHANICAL Post& Bearn -- -- — _— —._—. ro 4-9 1� Ga,Line — -- ------_ �— -- _ — Smoke Dampers ASS ART FAIL tLECTRICAL Service _ -- — __ ----- — r Rough In UG/Slab ----------- --�-- _� r — ti Low Voltane Fire Alarm 3 Final D PASS PART FAIL 9 SITE Backfill/Grading s-- — — —— -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$— required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: [ ]Unable to inspect no access ADA Approach/Sidewalk. Other Date —__Inspector t-av -- Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARV BUILDING INSPECTION DIVISION MST 24-Hour Mspecfion Line: 639-4175 Business Line: 639-4171 BUP Zoo — UU��! Date Requested D ' '> AM PM BLD Location Suite MEC _! Contact Person _ �G� Ph PLM Contractor Ph _ SWR UILDINQ ! �i Tenant/Owner ELC a Hing Wall Y ELR _ Furling Access_ y CL Foundation �rr � IFPS1=tg Drain , Crawl Drain Inspection Notes: SGN — Slab _— � I., SIT Post&Beam / Ext Sheath/Shear / G Int Sheath/Shear Framing Insulation Drywall Nailing F• all Fir 'prinkle IAxle re Alarm Susp'd Ceiling Roof Misc: — — - -- -- A PART FAIL ---PEUMBING Post& Beam ---��- Under Slab 'Top Out - Water Service Sanitary Sewer —�A -- 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 ---'--- +— Sanitaiy Sewer Storm Drain { ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13'25 SW Hall Blvd Catch Basin { ]Please call for reinspection RE: _—___^—_ [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk rQly/ Other Date Mapector ,,� Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00372 "2.M' I L 13125 SW Hall Blend Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1 PARCEL: 2S SI02 0 102AA-02300 SITE ADDRESS: 12198 SW MAIN ST SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 003 JURISDICTION: TIG CLASS ni WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: 1 _ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: GAS — 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 •30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50 } HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: — > GAS OUTLETS: 10000 cfm: Remarks: Hood served by exhaust Owner: _ -- FEES B-B-B PROPERTIES Type By Date Amount Receipt PO BOX 23952 PRMT CTR 10/19/00 '072.50 2720000000 TIGARD, OR 97281 5PCT CTR 10/19/00 $5.80 2720000000 PLCK CTR 9/15/00 $18.12 2720000000 Phone: Total $96.42 Contractor: LOREN DESHAZER 57615 HAZEN FAD ST HELENS, OR 97007 REQUIRED INSPECTIONS Hood Inspection Phone:799-3081 Final Inspection Reg#:LIC 64578 C D 3 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicablr, i,-4Ns. All work will be dons in accordance with approved plans. This permit will expire if worts 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 rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules olect que s to OUNC by calling (503)246= 189. Issue By: 1 Permittee Signature: Call(503)639-4175 by 7:00 P.M.for Inspections neededt e next business Plan Chock N CITY OF TIGARD Mechanical Permit Application Rend By 13125 SW HALL BLVD. Corpmerciai and Residential Date Recd -t "-Ou TIGARD, OR 97223 Date to P.E. - 0 (503) 6394171, x304 Print or Type Date to DST Incomplete or illegible applications will not be accepted Perms AY -.LA3L C:allad Name of Developmeni/Preject Description �! 7 Table 1A Mechanical Code _ Gty Price Total Job Street Address Suite s 1) Furnace to 100,000 BTU Address' includingduds 6 vents 1q.00 2) Furnace 100,000 BTU+ BIdpNCAYOW LP Including duds 6 vents _ _ 1_7.40 EII& t^7f 3) Floor Furnace Name(or name of buslinestir Including vent 14.00 011lh.rer 4) Suspended heater,wall heater Mailing Address or floor mounted heater 14.00 — 5) Vent not included in appliance Permit City/Slate Zip— Phone 6) Repair units 12.15 Check all that apply. *Boller Heat Air Name(or name of business) For Items 7-10,see or Pump Cond City Price Total footnotes 1,2 Com •• Occupant Mailing Address 7)<3HP;absorb unit to 100K BTU 14.00 CRY/State —Phone 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 9)15-30 HP;absorb Contractor Name unit.5-1 mil BTU 35.00 -e-A- e 10)30-50 HP;absorb Prior to permit Mailing Address unit 1-1.75 mil BTU 52.20 issuance,a _ _ 11 11)>50AP;absorb unit>1.75 nil BTU copy 4 "(113 TT ��f� c� � 87.20 of all licenses Cily/State �r phone 12)Air handling unit to 10,000 CFM are require)if - > �� f>< S " r ' / 10.00 expired in COT o Oregon const cont.Board lk.0 Exp.Date 13)Air handling unit 10,000 CFM+ database 17.20 Architect Name 14)Non-portable evaporate cooler _ 10.00 Of Mailing Address 15)Vent fan connected to a single dud 6.80 16)Ventilation system not included in Engineer Cilv/state zip I Phone appliance permit 10.00 17)Hood served by mechanical exhaust Describe work to he done: 10.00 •'"'� 18)Domestic incinerators New O Repair O Replace with like kind: Yes 0 No O 17.40 Residential O Commercial 1a Modification,AD 191 Commercial or industrial type incinerator Additional Information or description of irk: —_ 69.95 20)Other units,including wood stoves 10.00 NOTE: For Commercial projects only;Units over 400 lbs,located on the 21)Gas pir ng one to four outlets roof,require structural talcs.prepared by licensed engineer. _ 5.40 Type of fuel oil o raturet qas A LPG O electric O 22)Morr,than 4-per outlet(each) 1.00 Minimuci Permit Fee$72.50 SUBTOTAL , I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of __ 8%SURCHARGE the owner,that plans submitt�are Jr�cldmpliance with Oregon State PLAN REVIE1h 25%OF SUBTOTAL 'Q i I laws. , li / Required for ALL commercial permits only (J I ' 1*f a _s Signature o Owner/Agent mac` Date __ TOTAL J/�Iq R� _ Other Inspections and Fees: 1. Inspections outside of normal business hours(minimum ChMp-two hours) Contara Person Name Phone 372 50 per hour 2. Inspections for which no fee is specifically,indirated (minimum charge-half hour) $72 50 per hour Footnotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to plans(minimum 1 Provide full schematic of existing and proposed gas fine and pressure charge-one-hall hour)$72 50 per hour 2 Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required units "Residential Air-requires cite{,ran showing placement of unit I\dsts\formslrnechperm_rev doc 918100 1, r' in o0 O O-1 Nin N t%1 -+- C Q 1-9 b +J N � oN • � \ � � 0 = NM NM = p 43 t4 oN NJ � tn ca . �` ro t� .` aZ • p4 G LL 0 ' CCIL w b 3 > .2 a *0 0 2 _J QUIT �Cf) o ® a �8� a hoz Tw a �mN .. Uw , ^� U u w ti . w ` 4 Xu c WQ �. a w q» cnte �., T � ti 'D p v N O Ol� Q1, Ln C C C N Q m Li) ro � M v M 0 a N Q) M L Z p �n O }, Ln 4 LJ i v a � � t 1 W J J Z� ' Q r P BUILDING PERMIT — CITY OF TIGARD PERMIT 0: BUP2000-(10391 DEVELOPMENT SERV4VES DATE ISSUED: 9/22/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S102AA-02300 SITE ADDRESS: 12198 SW MAIN ST SUBDIVISION: TIGARD HIGHWAY TRACTS ZOP41NG: CBD BLOCK: LOT: 003 JURISO C:TION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: FPS FIRST: sf N: S: E: ri: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: st IN: S: E: W: — OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: III 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: $ 1,400.00 Remarks: Installing neva wet chemical fire suppression system to cooking hood. -- -- lig Owner: Contractor: B-B-B PROPERTIES NORTHWEST FIRE INC PO BOX 23952 3460 SW 209TH TIGARD, OR 97281 BEAVERTON, OR 97007 Phone: Phone: 643-3329 Reg#: LIC 69384 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 9/18/00 $62.50 27200000000 Sprinklei Final 5PCT CTR 9/18/00 $5.00 27200000000 FIRE CTR 9/18/00 $25.00 27200000000 Total $92.50 _ i This permit is issued subject to the. ,ulationt. 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 b,l may ,btain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. �II Pe rm it ee Signature: Issued By: - Call 6394175 by 7 p.m.for an Inspection the next business day I L i Fire Protection Permit Application Plan C — CITY 01= TIGARD Commercial or Residential Recd B -�r 13125 SIN HALL BLVD. Date Recd 7 ��— TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or Illegible applications will not be accepted Date to DST Permit# Called— Job Name of D�veloomenl4 lect — /• Type of System (Complete A or B as applicable) Address Address C /.-?, , ��✓ �� A.)Sprinkler Wet ❑ Dry ❑ Name Standpipes Owner Mailing Address — Hazard Group City/State -- Z.ip Phone Additional Information Density Name — Design Area Occupant Mai!ing Address K.Factor City/State Zip Phone — A.1) Sprinkler Project Valuation $ — Contractor Name (Sprinkler or _ r, _ B.) Fire Alarm Alarm Company) all Address Prior to permit �,t f Submittal Shall Include Battery Calculations YESTT — ISsuance,a Cl /State Zip Phone Individual Component _'YES= COpy -�� Cut Sheets of all licenses - are required if State Const.Cont.Board Lic.# Exp.Date B.1)Fire Alarm Project Valuation $ expired In COT / �� - database (l� Project Valuation Subtotal(A&or B) $ /u� Name Architect Mailing Address Permit fee based on valuation $ (see chart City/State Zip Phone 8%Surcharge $ o O _ 5-' I'l tTescrr1be work A.)New O Addition O Alteration 0 Repair o FLS 4n Review 40%of Permit $ d c% 11�(') to be done: TOTAL $ 9 'g ,570 q B.) Modification to sprinkler heads only: - 1. 1-10 heads=No plans required ii 2. 11—Plan review required Plans required: Submit three sets of plans,Including a v cinity map and " --------------—--------------------- the location of the nearest hydrant. Number of sprinkler heads: I hereby acknowledge that I have read this application,that the Information given Is tine of Work: corrrd,that I am the owner or authorized agent of the owner,aid that plane s.cbmkted Additional Descri p � �/9��/ are in compliance with Oregon State laws. i S _ Sign oe re of Own pent Date d A.)In Existing Build in New Building a t– Building — U) Data e.) Commercial Residential Cont rson N e Phone I No.of stories: -- FOR OFFICE USE ONLY: C0 Plat# Map/TL#: W Sq.Ft' - Notes Occupancy Class Tyge of Construction - -- [1 is\dsts\forms\firesupr.doc 2/2/0fj 1 -j z J 3 [J O Lt Z W 1,10 I-rd zW 0 Va. .,it W u> ICU0 LJ W o $%j >I Q z v+N ri X�111 U z W N IJ L'i -- ah C' \ Q L,ro m p v_vi u J N ii NZY n It-Ld Ck f aia JJJ](W QZJ J Q m.40 C.1 in~ (U 7 WWW S x T (Y❑ LJ 2 lil ~ Z o � (u > � Zv6 A S ° -- ----- w 4,u a a 't Z J Ll I'- Q 4 It W. ._. (L a Z a a a W t U NNS tnYx fU V l.9 4�N OD W ;p WZ A ti -W O JQJ W �K a' 0 f W N ✓QQ L` (uH l� IO C1 Z J c a�� 0 IL Li a a J N _ a CITY OF TIGARD m a Approved. ..................... ................. .(yt):z r,� J W F N + Conditionally /approved.......................... [ 1, ti° For only the work as described in: 0" PERMIT NO. jk&P A►�- wD'i41 -, A [ �; �IxSee Leiter t0: Follow. ........................... �-a 0 Attach..................... Joh Address:LIAR R tay mA By: DMe:1j—%AW /� ¥/b ru m G2 }}§ I % . kf– «2 . 22q fCO3k 2 | fJ\ . ru q r $)§ ) «6< � % - =m ®2� g --- - - S ~ ,lam r $3t\ ,m » — - - i�, ` #}� � §� � • j _ T- M @. , f f ■ ` ( cIT l \ f4c m §j\ ]> -0 / ( � m / ri xj „ � ° � mem ^/ d0\ , ) V, X-4 § rur §� i4�_< f § §rl-q ° < w «tq § ri�4 @ 55 § mommomommmr 2 2 1> _0 . z J,r �� . The Wet Chemical Fire Suppression SystemRAM QMW 3-21 Nozzle Summary Table d-2. Nozzle Summary Perimeter Diame' ter • Length]NI A ' • Duct 50"(165.1 cm) 15.91"(39 cm) Unlimited.. ADP/1 Length Plenum 10'(3.0 m) 4'(1.2 m) "V"Hank or Single Ai.IP/1 'Hazard Iriches/7- Inches/cIn lhches/�rn Fovr•BumerRarxje 28X28(71x11) 20to42(52tol0/) within 9(23)rdd. of mid point. P/1 Single Vat Deep Fat Fryer(Drip Boards 1 to 6[2.5 to 181) 18 X 18(46 x 46) 27 to 45(69 lot 14) 45°to 90' F/2 �inge e Fft2R ripBo_' s<_�2. 4 Split Vat Deep Fat Fryer 14 x 15(36 x 38) 27(69)to 45(117) 45'to 90' FR �pLal y eep_Aa.E �dryer Low Proml z ty 3 0 6 ,.._.0 Woks 14 to 28(36 to 71)Uia. within 2(5) 3 to 8(8 to 20)Deep 35 to 56(89 to 142) of mid point. GRW/1 U rp��f"il8 e s Sala ariders) 8 lo,�� 0 t1ra Closed Top Chain Broilers 28 X 29(71 x 74) See 3-12 See 3.12 ADP/1 POUT -h-ffn-Wrop 16" 111 Aril Zlw- Pumice Rock(Lava,Ceramic)Charbroiler 22 X 23(56 x 58) 24(61)1o48(122) 45'to 90°; 2 Layers of rock FR 0 Electric Charbroiler(Open Grid) 24 X21(61 x53) 24(61)to48(122) 45 GRW/i Mesquite Charbroller(Chips,Wood,Logs) 30 X 24(76 x 61) 24(61)to 48(t r2) 456 to 904; 10(25)Fueldejgh DM/3 OWYAL241MM Tilt Skillet and Braising Pan 24 x 24(61 x 61) 27.5 In(70 am)to 48 In(117 cm) whhfnpedrm* F/2 Nozzle Nozzle Part Identilicatti• ADP(Appliance-Duct-Plenum) 8120011 1 e GRW(Gas Radiant-Wok) 8120013 1 aKnmani DM(Mesquite) 8120015 3 U.L.I. Ex 2458 3-21 Manual Part No.919,, X00(9/97)_ledger Fire Protoctlon The Wet Chemical Fire Suppression System �� '� 3-13 Range RANGE One'K'nozzle will protect one four burner range with a maximum hazard area of 28"x 28"(71 em x 71 em). The nozzle Is to be located directly over the midpoint of the hazard area and anywhere within the area of a circle generated by a 9"(23 cm) radius about the midpoint. The nozzic ath;jl not be more than 42"(107 cm) nor less than 20"(51 cm) from the midpoint of the hazard area.aimed at the m;dpoint. (See figure 3-25) NOTE:SUAPE OF BURNER NOT t114PORTANT 10 11'(44 an)DUL —42'(107 an)MAX (Fran Tp of Range Surhoo) �OCATEb LANYWMERE WYTHIN THE SHADED AREA 20'(St an)MIN. AIM PT.- MIDPOINT (From Tp of OF HAZARD AREA • Range surface) AIM POINT 21"(71em) MAX HAZARD AREA 14'(34 em) MAX BURNER LENGTH CENTr:RLINE TO CENTERLINE 3. 14'(36 cm) MAX BURNER CENTERLINE TO CENTERLINE 28-(71 an)MAX. HAzARDVVIOTH Figure 3-26.TWVo Burner Aim Point Center of Hazard Figure 3-25. Four Burner Range 18"(48 cm)DIA. —42"(107)MAX. SINGLE lUWNER RANGE A'R'NOZZLE MAY BE ILLOCATED ANYWHERE Special care is to be taken when aiming the'R' WITHIN THE SHADED AREA. nozzle over a single burner range. The alma g point is U) to be located 7"(18 cm) from the center c•:the burner. C The nozzle placement shall fall within a cylindrical AIM PT. J area generated by a 9"(23 cm)radius about the aiming m point. The nozzle must be placed no more than 42" 0 (107 cm) nor less than 20"(51 cm) above the hazard 20"(51 cm) MIN LU area. (See figure 3-27) 7"(1d cm)FROM BURNER CENTERLIVE TO AIM POINT CENTERLINE l Figure 3-27. Single Burner Range U.L.I. Ex 2458 3-13 Manual Part No.9127100(9/97)Badger Firs Probation The Wet Chemical Fire Suppression System MM GUM AN F NOZZLE MAY BE LOCATED 3-5 Deep Vat Fryer and Griddle ANYWHERE WITHIN THE GRID -- 45"(114 cm) / SINEP SINGLE VAT DEFAT R WITH D MAX DIAGONAL FROM BOARDS AIM POINT One F nozzle or Plenum nozzle will protect one 45"(114 - u"(tea*) Single Vat Deep Fat Fryer with a maximum hazard MAX area of 18"x 18"(46 cm x 46 cm)and an appliance area 18"x 23"(46 cm x 58 cm)for fryers with a drip board. The nozzle is located at an angle of 45 degrees or more from the horizontal. It shall not be more than MIDPOINT OF 4`;"(114"om) nor less than 27"(69 cm)from the top of HAZARD AREA the a opliance and aimed at the midpoint of the hazard area.The nozzle can be outside the perimeter of the r appliance. (Hazard Area 18"x 18"(46 cm x 46 cm) - 1e" / 2�" See Figure 3-7) (4 �) ( m) S8 c J MAX" ` DRIP BOARD I� 18"(46 cm) MAX .r Figure 3-7. Single Vat Deep Fat Fryer 1ar") Max GRIDDLE -FIAT COOKBVG SURFACE One ADP nozzle will protect one griddle(with or without raised ribs)with a maximum hazard area of 30"x 42"(76 cm x 107 cm).The nozzle is located at t any point on the perimeter of the appliance and (76 1]• aimed at a point 3" (7.6 cm)from the midpoint of the MAXI ) hazard area.It shall nc•h;more than 48"(122 cm) j _Top ofAp &we nor less than 13"(33 cm)above the edge of the appli- Aa n 3-Raewn ftm dN ance perimeter.Positioning the nozzle directly over --I10477y,x__� VWPW ofHawdAm the appliance Is not acceptable.(See figure 3-R.) Figure 3-8. Griddle-Flat Cooking Surface AN F OR PLENUM NOZZLE MAY BE LOCATED ANYWHERE WITHIN THE GRID 41" MAX DIAGONAL FROM SPLIT VAT'DEEP FAT'FRYER AIM POINT 11 One F nozzle or Plenum nozzle will protect a Split 45" 43- (114 cm) (114 cm) Vat Deep Fat Fryer with a split vat hazard area maxi- MAX" - rp mum of 14"x 15"(36 cm x 38 cm)without drip board and 14"x 21"(36 cm x 53 cm)with a drip board. The nozzle is located at an angle of 45 degrees or more AIM POINT: -� from the horizontal. it shall not be more than 45" MIDPOINT OF HAZARD m 0 14 cm) nor less than 27"(69 cm)from the top of the CENTERED ON DIVIDER appliance and aimed at the midpoint of the hazard 27"(69 emjMIN J area.The nozzle can be outside the perimeter of the 16" 21"(114 an) appliance. (Hazard Area 14"x 15"(36 cm x 38 cm) - (se 011) INTERIOR See figure 3-9) MAX OVERALL DRIP BOARD I « 14"('e"m)� MAx Figure 3-9. Split Vat Deep Fat Fryer U.L.I. Ex 2458 3-5 Memel Part No.9127100.(9/97)Badger Firs ProtecW 1 February 13, 1996 City of Tigard 13125 SW Hall blvd Tigard, OR 97223 Permit#BUP95-0168 Portland Pizza Co. 12198 SVI Main St. Tigard, OR 97223 To Whom It May Concern: We received a notice dated February 1, 1996, concerning the above building permit. The project has not been completed due to a depletion of funds, and we would Ike to request a 90 day extension on the permit. If there are any questions or concerns, please cap for Jim or Mike Montgomery at 591-7903. Sincerely, IL !inn and Mike Montgomery owners Page No. 1 CASE HISTORY FOR CASE NO.: 9UP95-0168 JAMES MONTGOMERY 12198 SN MAIN ST 02/13/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ----------------------------- -------- -------- ----- ------------ ------------ ---- --- -------- --- PTIPCO07 Application received / / / / / / 05/15/95 DS BUPCO10 Plan check deposit paid / / / / / / 05/15/95 DS RUP,C_O;�O Plan check by 05/15/95 / / 01/05/95 APPR JHF 07/05;95 JHF Bl7PC030 FPS review / / / / / / 05/15/95 DS BUPC040 Check for prcl, restrict. 05/15/95 / / / / 05/15/95 DS SUPC100 (F) Issue permit / / / / 07/07/95 PASS SKN 07/07/95 SN BUPC460 Devel review cond. met / / / / / / 05/15/95 DS SUPC740 Framing Insp / / / / 07/18/95 door locked FAIL TLP 07/19/95 TLP BUPC740 Framing Insp / / / / 07/21/95 PASS TLP 07/27/95 1„P SUPC750 Insulation Inap / / / / / / 05/15/95 DS BiTPC760 Gyp Board Insp / / / / 07/21/95 PART TLP 07/27/95 TLP PIIPC762 Susp Ceiing Ins• / / / / / / 05/15/95 DS SUPC799 Final Inspection / / / / / / 05/15/95 DS Q. _m W J BUILDING FE R� �CITY VF TIGARD rr ?MI # . . U ')% Q11GLl COMMUNITY DEVELOPMENT DEPARTMENT DATE: I5SUED: 07/07/95 13125 BW Hall Blvd.Tigard,Oregon 97223N1199 (503)130,0177 J. PARCEL : 2S10`AA-02300 'jITC ADDRr:GG. . . : 1,=103 SW MAIN ST �UDDIVISION. . . . r TIC-ORD HIGHWAY TRACTS �� /� � ZONING: CBD :_'L 7C1�. _._w____�-.___--__LOT_. ------------------ _TV__-�.__-e-_i!..��'!_'.G� ------------------------- UE. --_w_____.________-- ItiCICI:;UE: FLOOR ARCA5- - ------ EXTERIOR WALL CONSTRUCTION— CLASS Or WORN,. :ALT F I RST. . . . :450 s f N: 91 Er W: VYVIE OF USE. . . :COM SECOND. . . i sf PROTECT OPENINGS?----------- TYPE OF CONST. :5N THIRD. . . . : s f N- S: E: W: OCCL117ANCY GRP. B3 TOTAL--- r 450 s f ROOT CONST: f'1 RE RET'" OCCUPANCY LOAD:30 BASEMENT. s sf AREA SEP. RATED: CTOR. : IIT. : ft GARAGE. . . : sf OCCU 13EP. RATED: BSMT? : MEZZ^: RCQD SETBACKS-_.-____.._._. REQUIRED--.___.________.___-__. r-I_CIOR LOAD. . . . : ps-F LFT-T: ft RGHT: ft f I R SF'I;L:N SMOK DET. . :N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC: Y 13F_DRM�C- : BATHS: IMP, URFACE: PRO CORP;Y PARKING; VALUE. !: 1500 Remarks : Expand into adjacent space Uwner: ------------------------------------------------------- FEES ,TAMES MONTGOMERY type amount by date r-ecpt 1219E3 SW MAIN STREET PRMT ! 25. 00 SW 07/07/95 — RLCt! ! 16. C5 JHF 07/05/()5 - T IEARD OR 9*722 3 FIRE t moo JHr- 07/05!95 Phone #: 59E1--:1191 5PCT ! 1. 25 SW 07/07/95 Gantractor- : -- .__..- _. -_---------.------_-_._. OWNER r-I 1 o ri e #: ! 52. 50 TOTAL_ Rey ff. . 00000121 - --- REQUIRED INSPECTIONS This perait is issued subject to 0e regulations contained in the Framing Insp _ Tigard Municipal Ccde, State of Ore. Specialty Codes and all ether Insulation Insp applicable laws. All work will be done in accordance with Gyp Board Insp _ approved plans. T> is perait will expire if work is net started 5i-rsp Cei lny Insp _ ^ within 180 days of issuarce, or if work is suspended for aa-e Final Inspection _ than 180 days. "ei-mi tee Signatur-N : G. _ted By . e� OVA QQ _ Call for inspection - 639-4175 Ergis -Buil i to Pty 6f rry„d 1.9125 SW Hall Blvd regard, OR 97223 (503) 639-4171 blob alta Address: /a? t3 X W Li//7 /J— ,'Tenant: sults# Valuation: Owner: �Q�n� /h�7 r_�u217 e,yyl Address: Phone: S-9 8, Contractor. Add-pis: _ Type of const:� S r/�' Occupancy class: a <3C c��) Phone: Contractor's License#t Sprinklered? Yes No (attach GCpy of current Oregon Ilcensa) Sq. ft. of project: ;a Contact name & phone: Story(1st, 2nd, eft.)_ � hiteProposed use:c� ct/ ginaor• r ,F �.�,�, Previous use: Address: L Note: Plumbirra d mechanical plans C must be submitted at time of F) building permit application. Phone: J p , U JOB DESCRIPTION: b7 1_r�,� �Q Lw /ec�e�i }Cp„ 1- y ;p A/ jal4. J _ �--- �- _"R-1/9/ r9� 790 Applicant Signaturarl Phone tuber Received by:.,., �i. ��1 n Date Received:_!5 10 Permit# Account Description Amount . Pd. . gal. Due BWp. Permit (BUILD) Z�'� c� 2- I..�� Plumb. Permit (PLUMB) Mach. Permit (MECN) _ Stem Tax (TAX) Bldg: Plumb: Mach: Plan Check (PLANCK) /G 25 Bldg: Plumb: / Mach: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (FKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF MF-C) Industrial TIF (TIF-I) Institutional TIF (TIF-IS) Office TIF (TIF-0) _ Water Quality (WQUAL) _ IL Water Quantity (WQUANT) N Fire Life Safety (FLS) J m Erosion Cntri Permit (ERPRMT) .Wi Erosion Planck/USA (ERPLAN) Erosion PlancklCOT (EROSN) _ TOTALS: G'� , i May 16, 1995 CIW OF TIGARD OREGON James Montgomery 12198 SW Main Street Tigard, OR 97223 Project : Portland Pizza Company - Plan Check #5-26C 12198 SW Main Street Subject : Building Plan Review (1991 UBC with Oregon Amendments) The plans for this project were reviewed for conformity with applicable codes . Please submit the following items for completion phe plan review process at your ear:.iest convenience: Floor plan on sheet 1/1 does not clearly correlate with existing floor plan and size of existing space. �flr� Submit a demolition floor plan. �Q 3 . $1, 500 for this project appears extremely low. Provide justification and documentation for review. Submit wall details for review. Provide diagonal bracing for walls exceeding 10 feet in length to the structure above. Submit a reflected ceiling plan for review. Submit a typical installation detail of the suspended ceiling (if_ installed) for seismic zone 3 . Submit two copies of a site (vicinity) plan for location of this buildingand suite on theproperty. 8 . Removal of architectural. barriers up to an expenditure of 25 percent of the total project cost is required per UBC Section 3112 (a) l . Please look at accessible items A-G and submit a price list which tot3l3 25 percent of the project cost with i the plans corresponding to such items . Indicate the location of restroom facilities for this tenant space. w't/I br r 10/f ��c l J� 1.7 13125 SW Hall Blvd„ Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 James Montgomery Page 2 1� May 16, 1995 Handles, pulls, latches, locks and other operating devices on ► doors, windows, cabinets, plumbing fixtures and storage facilities shall have lever or other shape permitting operation by wrist or arm pressure and not requiring tight grasping, pinching or twisting to operate. The force required to activate such equipment shall be not greater than 5 pounds force (Section 3109 (c) l) . 11 The highest operable part of environmental and other controls, dispensers, receptacles and other operable equipment shall be within at least one of the reach ranges specified in Section 3109 (b) , and not less than 36 inches above the floor. Electrical and communications systems recept& a son walls shall be nmiunted a minimum of 15 inches high above the floor (Section 3109 (c) 2) . 12 . Clearly indicate all new walls and any relocation of existing walls and/or permanent equipment . Provide one-hour corridor at the rear Qxit door. The door to C , be a 20 minute fire-rated assembly, self-closing with smoke i gaskets (Section 3305) . S��In 14.; The required width of corridors shall be unobstructed. Doors in any position shall not reduce the required width (44 inches) by more than one half (Section 3305 (d) ) . The new rear exit door needs 22 inches minimum clear space when the door is -� 900 to the outside wall of the building. Please make these corrections on the appropriate pages of the drawings and resubmit three copies of each page to the City of Tigard for review. This plan review does not include electrical or plumbing plan reviews . Electrical concerns can be directed to Washington County at 640-3470 and plumbing concerns to Mike Sheehan at the City of Tigard at 639-4171 exter3ion 312 . If you have any questions or concerns, plea,3e do not hesitate to call . Sincer David Scot P.E. Building Official DS :wh PRNsYs\ROCUTIENT\BUP95_01.68\PC1526C.DDC CITYOFT11FARD CERTIFICATE OF COMMUNITY DEVELOPMENT DERAnh �1 OCCUPANCY 07 PUHMIT M. . . . . . . I HUP92-03e-1 0 g� ts 13125 6W HrM Blvd P.O.Ba23307.T1Wd,OmUon 97=(50) 1,i-OL ISGUEDs 02/04/93 ,,)I I H ADURESU. . . t !jW P4104 �)l PARCEL i2GIOaAVi EPLWD 11.)1 C.31 ON. . . . : 1100RD 111014WI-1Y tRiv FS ZONINUo CED BLOCK. . . . . . . . . . LOT. . . . . . . . . a - e . 93 CLASS OF WORK. SALT I YPE OF USC. . . v COM OCCUPANCY (3RP. -.Bic OCCUPANCY LOAD IP-0 TENANI NAMF. . . tORIGINAI_ PORTLAND PIZZA CO. Ramark% - Tenant Impr: The Original Pavt ? mnd Pi2zfa Company. Carry out only. Owners BURTON/DERTULEIT 1ilie0i, SW MAIN ST TIGARD OR 97223 Phone #-. 639--1129 Lontractori CONTRACTOR NOT ON FILE Pholie #3 Occupancy of the above referenced building is hereby given, and certifies the compliance with the Stott Of Oregon Specialty Codes fOt- the grOUP, ocrupancy, and use tinder which the referenved permit WM% iSSued. I R r I)F[.--ARTIIFNT 131111- INC,) INSOECTUR -1 LDINU OF'rICIAL. POST IN CONSPICUOUS PLACE INSRCTION MOTILE City of Tiyasd Bailding oe*asrlaest �1e 1312S M Ball Blvd. Tigard, Oregon 973 nwpecttssn Line (Rec-O-Phons 639-4175 Business Phone 639-4171 Inspections — Footing Plbg. Underslab Mach. Rough-in Appr/8dwlk Pound. Plbg. Top Out Gas Line FINALS Lost/Seas Struct. San. Sewer Framing ` -Bldg. Post/Beam Nech. Rain Drain Insulation -Plumb. \ Plbg. Underfloor Water Line Gyp. ad. Dnte Rsqueateds Times AN PN r {./ L -�� Addrsu e - Permit is s. .fat i, Builders TR& FOLLOWING CORRNCTIOMS ARB RNMIRiDI C r J a J Inep9ctore Dates APPROVED DISAPPROWM APPROVRD SUBJECT TO ABMM Call For Reinsp. www�w CITYOF TIFARD +CO`MMUWY DEVELOPMENT DEPARTMENT or�oN 13126 SW Him Blvd P.O.ft 2X W,TIMd,Onpon Yi'na(ow)e3w1 7s PERMIT #. . . . . . . : PLM92-0178 639-4171 DATE ISSUED: 11/06;92 SITE ADDRESS. . . : 12198 SW MAIN ST PARCEL: 2SI02AA-02300 !SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING: CBD I BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 -------------------------------------------------- CLASS ------------------------•-------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . ; OCCUPANLY 6RP. . :B2 FLOUR DRAINS. . . . . . . : 1 TRANS. . . . . . . . . . . . . . e STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . ; CATCH BASINS. . . . . . . : FIXTURES----------- LAUNDRY 'TRAYS. . . . . . : SF RAIN DRAINS. . . . . : aII4KS. . . . . . . . . . :2 URIN14LS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . it LAVATORIES. . . . . : OTHER F I XT'URES. . . . . ; TUB/SHOWERS. . . . : SEWER LINE WATER CLOSETS. . : WATER LINE (ft ) . . . . DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . Remarks: Tenant Impr: The Original Portland Pizza Company. Owner: ------------ ----------------------- -___- ------ ___-- FEES ---.------------ .JIM MON16UMLRY type amount by date recpt 16930 SW TALLAC WAv PRMT $ 30. 00 JH 11/06/92 - PLLK $ 7. 50 JH 11/06/92 - BEPVERTON OR 97007 SPLT f :. 50 JH 11/06/92 - V'hone #: 591-7903 Conte•actor: -----------•----•----------------- )YBORN' S PLUMBING 19990 SW CIPOLE ROAD T UALAT I N OR 97062 ------.-------------._-______-__-__------ Phone #: 692-4139 t 39. 00 TOTAL Req #. . : 44110 ------- RFUUIRLD INSPELTIONS ------- This permit is issued subject to the regriations contained in the Rough-in Insp Tigard Municipal Code, State of Ore. Rrecialty Codes and all other Top-out Insp applicable laws. All Mork will be :one in accordance with Final Inspection _ approved plans. This permit will expire if work is not started - L within 196 days of issuance, o, if work is suspended for more — r than 196 days. p Permittee Signature 9 U issued Lay : c J - ---— - Call for- inspection - 639-4175 CITYOFTIFARD .%&MUNITY DEVELOPMENT DEPARTMENT oS oN MECHANICAL 13,25 ew we BW P.O.Som 23W.7pwd,Orepn 07n3(503)630.3175 PERMIT . . -9 - 639-4171 DATE ISSUEDt 11/06/92 bITE ADDRESS. . . : 12196 SW MAIN ST PARCEL: 2RI(62AA-02300 SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING: CBI) BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 13 -- -----------.-----•----------------------- CLASS OF WORK. . .-ALT FLOUR FURN. . . . : EVAN LUULLHbs TYPE OF USE. . . . :COM UNIT HEAfENS. . : VE-NT FANS. . . s OCCUPANCY URP. . :B2 VENTS W/O ANF'L: VEN1 SYSTEMS r 1 STORIES. . . . . . . . . I HUILEHS/CUMPRESSUN5 HUOUS. . . . . . . : FUEL l YNE S----------- 0--3 HN. . . . : DOMES. I NL I N N :/GAS/ / / 3-15 HP. . . . : COMML. INCIN: MAX 1NPUT:240000 BTU 15-30 HP. . . . : REPAIR UN176: 1- I RE DAMPENS?. . :N 30-v0 HP. . . . : WOUDSTUVES. . : GAS PRESSURE. . . jL 50+ HN. . . . . LLO DkYER6. . : NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 1 FURN ( 100K PTU: <= 10000 cfm: GAS UUTLE.TS. : l FURN ) =100K STU: > 10000 cfm: Remarks: Tenant Impr: The Original Portland Pizza Company. Ownerc -------------------------------- ----- ---------------- FEES -------------- JIM MONTGOMERY type amount by date recpt 16930 SW TAL-LAC WAY PRMT ! 25. 00 JH 11/06/92 - PLLK ! 6. 25 JH 11/06/92 - BEAVEHTON OR 97007 :aPCT $ 1. 25 JH 11/06/92 -- Phone #: 591-7903 Cont Tact or^: --------------------------------- RAYBURN' S PLUMBING 19990 5W CIPULE ROAD TUALATIN OR 97062 ------------------------------------ Phone #: 692-4139 ! .52. 50 TOTAL Reg #. . : 44110 - ----- - REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Invp _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I,nsp _ applicable laws. All Mork will be done in accordance with Final Inspection - approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more i -than 180 days. "- Permittee Signatur Issued B y . Lall for inspection - 639-4175 CITYOFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 13126 SW HMO Blvd P.o.ewraM,T4W,omWo7 (&13)SW417S PERMIT #. . . . . . . a BUP92-0321 639-4171 DATE ISSUEDa 11/12/92 SITE ADDRESS. . . : 12198 SW MAIN ST PARCELS 2SIO2AA-02300 E;UBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONINGS CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION- LLASS OF WORK. :ALT I-IRST. . . . : 1018 sf N: Sa Es WN TYPE OF USE. . . .-COM SECOND— : sf PROTECT OPENINGS?----------- TYPE OF CONST. :SN THIRD. . . . : sf N: Sa Ea Wo OCCUPANCY GRP. :B2 1OTAL ------: 1018 sf ROOF CONSTaB FIRE RET? sY OCCUPANCY LOAD s 20 BA�JEMENT. a sf AREA SEP. RATED s STOR. : 1 HT. : 14 ft C-pRAGE. . . a sf OCCU SER. RATEDa BSMT?:N MEZZ?:N READ SETBACKS-------- REPUIRED-------------------- FLOOR LOAD. . . . : 1O0 psf LEFT: ft RGHT: ft FIR SPKLaN SMOK DET. . :Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRMaN HNDICP ACCaY BEDRMS: BATHS: IMP SURFACE: PRO CORRIN PARKING: VALUE. f s 10044. Remarks : Tenant Impr: The Original Portland Pizza Company. Carry out only. Uwner: _____.__--_-.-. ---------------------------------------- FEES -----____------ BURTON/BERTULEIT type amount by date recpt 12202 SW MAIN ST PRMT f 60. 50 JH 11/12/92 - PLCK f 52. 33 JI_H 11/O3/92 233346 TIGARD OR 97223 SPCT $ 4. 03 JH 11/12/92 - F'hone #: 639-1129 Contractor: ----.--------------------------- CONTRACTOR NOT ON FILE_ ------------------------------------ Phone #: f 136. 86 TOTAL Reg #. . . ------- REQUIRED 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 Insulation Insp applicable laws. All work will be done in accordance with Gyp Boar; Insp approved plans. This permit will expire if work is not startled Susp Cei ing Insp 4. within 180 days of issuance, yr if work is suspended for more Final Inspection than 180 days. H jN -- -� 1 er-mittee Signature/: ' _ W 1SSlled By . Call for inspection - 639-4175 1 PLA_( l • 13125Swli,unnd. PLNCK/RECT N CITY 1 OF IGARD � OBox `�vru� PERMIT q COMMUNITY CVELOPMCNT DEPARTMENT (50'63'x"' DATE ISSUED JOB ADDRESS: T _ TAX MAPNAPP VED TO US E *" SUB: LOT: LAND US I. VALUATION: /D, N D OWNER SPECIAL NOTES NAME: Li"lhi 601'To �) / 014,ViEz- REISSUE OF: —� ADDRESS: 17 - S �lj MAIN �T, _ LAST REISSUE: o)Q `) 7 zZ3 FLOOD PLAIN/ PHONE: 5-03 ,, �6 3`) - I17`j SENSITIVE LAND: QONTRf&TOR ---' �� - L/ APPROVALS RCQUIREp NAME: % PLANNING: C5>0"-< r -� ADDRESS: ;' ' -- 14 d4,, ENGINEERING: r - _ - - FIRE DEPT: _ PHONE: h'� OTHER: &2 /f \2G- CONTR. BOARD A: � EXP DATE: --p--w- ITEMS 9.wITEMS REQUIRLD SUBCONTRACTORS: PLUMB: l LIST/SUBCONTRACTORS: - _ BUS TAX: ARCH/ENGINCER CALCULATIONS: NAME: L44L L 'li'1 !S_ TRUSS DETAILS: _ ADDRESS: IU01,27?V C/aU, ^IHER• LIND U � 7217 . a PHONE: � �3) ZYS -�> I8 f> PROPOSED BLDG. USE: X175 7- U N ' i/"y Lup-le-Y�� - COMMENTS: -te APPLICANT SIGNATURE ` . . .a Received By: h- `_�� Un� -� _ Date Received: � Jr PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE 10-432 00 Building F,!rmit Fees :Sb,`� CEJ«SCS 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) 4.03 4. p Building Plumbing Mechanical � 3 10-433 00 Plans Check Fee X33 Building Plumbing _ Mechanical 10-230 06 Fire _ 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TT-F Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storax Drainage Syst Dev Chrg CL (SSOC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) ; 0 TOTAL !.?�.8 _ = �Z' nm,/3587P.WPF ,- ') TUALATIN VALLEY FIRE A RESCUE AND BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE (503) 526.269 POSTED: OCCUPANT `jj /� fi► r 1►U cJ I I �? 1 ! �--'� CONTRACTOR BLDG. PERMIT 0 PROJECT NAME PLAN REVIEW 0 LOCATION JURISDICTION: Is Be. 2= Du, 3= K.0 5= Tu. 6= Eh. 7- Wi. 8= CC 9= WC 0= MC COVER ( FNAL) SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls ❑ Sprinkler System If ❑ Shaft El Fire Dampers �,001tiad/Underground) ❑ Alarm System ❑ Hood' Extng Systems ❑ Conference C Spray Booth ❑ Ceiling Cover ❑ Other i a -- m I - Dates Inspector: `4` Ly ;f TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.U. Box 4755• Beaverton,OR 97076• (503) 526.2469• FAX 5262538 November 18, 1992 Mr. Jim Montgomery 16930 SW Tallac Way Aloha, Oregon 97007 Re: The Original Portland Pizzia Company 12198 S.W. Main Street, Tigard, OR 97223 FMZ 6089B-122-000 (for "Main Bldg" at this location) Tigard Permit JBUP 92-0321 Dear Mr. Montgomery: This is a Fire and Life Safety Plan Review and is based on the 1988 editions of the Unif^•-m Fire Code (UFC) and those sections of the Uniform Building code (UBC) and Uniform Mechanical Code (UMC) specifically referencing the fire department, and other local ordinances and regulations. Plans are conditionally approved subject to Tigard Building Department requirements and the following items: 1. Address Required: The tenant space number must be prominently displayed on the : -.reet front where it is readily visible to drivers and officers of responding fire apparatus and other emergency vehicles. UFC Sec. 10.208 2 . i'r'e Extinguisher Requirements: Not less than one (1) approved fire extinguishers(s) with a rating of not less than (*) shall be provided for each (**) square foot of floor area CL or fraction thereof. The travel distance to an extinguisher from any portion of the building, shall not exceed 75 feet. N UFC Sec. 10. 303 (*) 2A10B:C - Light and Ordinary Hazard ® 4AlOB:C - Extra Hazard C7 (**) 3,000 - Light Hazard 1,500 - Ordinary Hazard 1, 000 - Extra Hazard (See note on Page 2 of this letter. ) "Work/nt"Smoke Detectors Save Lives Page 2, November 18, 1992 Jim Montgomery Re: original Portland Pizzia Co. NOTE: Where flammable or combustible liquids are used, "B" ratings of extinguishers may need to be higher and travel distances shorter. See Requirements in National Fire Protection Association Standard 10--1. If I can be of any further assistance to you, please feel free to contact me at 526-2469. Sincerely, Bert ar e Fir Mar hal C: 111892 .L BP:bjl cc: File Tigard Bldg. Dept.