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Permit (161) 111 CITY OF TIGARD BUILDING PERMIT PE RMIT #: BUP2008 -00287 ° COMMUNITY DEVELOPMENT DATE ISSUED: 10/15/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 115 BA -00102 SITE ADDRESS: 16200 SW PACIFIC HWY P ZONING: C -G SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG PROJECT: MCDONALD'S Project Description: TI. New beverage center. 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: 5N sf N: S: E: W: OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 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: $ 65,000.00 Owner: Contractor: MIKE KENNEDY GA BENTLEY CONSTRUCTION INC 8255 SW HUNZIKER ST 203 PO BOX 363 TIGARD, OR 97223 GRESHAM, OR 97030 Phone: 503 - 519 -9524 Contact #: PRI 503 - 661 - 2103 Reg #: LIC 30870 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 8/25/2008 $285.16 [FLS] FLS Pln Rv 8/25/2008 $175.48 [BUILD] Permit Fee 10/15/200E $438.70 [TAX] 12% State Surch 10/15/200E $52.64 Total $951.98 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 Utili Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direc q - -tions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issu d By: ._ ill / ) l _, ` ,yI 1 i Permittee Signature: _AL al Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. yV� �` �s I(�2Sj r( L. 1 - lctuy Building Permit Application Commercial D FOR OFFICE iISI:; ONE 1 City of Tigard R ECEIN I Received Permit No.: , 13125 SW Hall Blvd., Tigard, OR 972 3 Date/B . , ) �,, - t i t • IN " p 2 � Plan Review ��'� � � Phone: 503.639.4171 Fax: 503.598.1960 Date/13 : �ja%Air 4 /� Other Permit: T t G n R D Inspection Line: 503.639.4175 A U G Date Ready/By: El See Page 2 for Internet www.tigard- or.gov O� •I a„, Notified/Method: �� Supplemental Information arl TYPE OF � mi n MIS I – rla F ' m • REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. .../...Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement X Other] �, / Vt'//I equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. XCommercialfmdustrial Valuation: $ • ❑ 1- and 2- family dwelling X ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Off: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /�aov 4J 104 G1 d�ic�- New dwelling area: square feet City /State/ZIP: 7i� �� �� J d 6/7-a_ Garage/carport area: square feet Suite/bldgJapt. no.: e I Project name: 41 e-if)t necK Covered porch area: square feet Cross street/direc to job site: Deck area square feet r ai / / 0 9 3- So Other structure area: square feet /l REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the / DESCRIPTION OF WORK /l . . �� work indicated on this application. / Xm 7/4 �AAT �. A // Valuation: $ b " /� 0 — e i , / Existing building area: square feet "'�' New building area: /Ogle /Y X PROPERTY OWNER I 0 TENANT Number of stories: Name: /1,4,,/, � , , f� / / y �i ��L Type of construction: PS Address: �i %sue c 41 iy�I�- / 2o3 Occupancy 1?� r t'rouPs= City /State/ZIP: , , /- 4 / Q9-02.4?-3 ����,[[ Existing: Phone: J S � Fax: ( New: n4 � ``/ [ Q l A 14., - ' PPLICANT . CONTACT PERSON NOTICE Business name: , 757tJ –G All contractors and subcontractors are required to be Contact name: /1/7/7-E_77/(/ 4/4-r.,6"--/ licensed with the Oregon Construction Contractors Board / � under ORS 701 and may be required to be licensed in the Address: / /Ode) 1-4 iG� /,� , ft' /x�/ jurisdiction in which work is being performed. If the City/State/ZIP: / �' `� � � t � ' applicant is exempt from licensing, the following reasons 9,5 e ft 5 9 Fax: : 4a4k5 if �ro 5964 p it apply: Phone: y- � – E-m 74� i 1 ,4 -Gy® . % � �, cd").7 CONTRACTOR Business name: A– 7 t/ .60JJ57 t( �UAJ / BUI DING PERMIT FEES* — Address: An u a 3 (Please refer to fee schedule) Structural plan review fee (or deposit): City /State/ZIP: 5 -H D� 9 7630 �O Phone: (�p3? 64/. 9,703 I Fax: ( ) FLS plan review fee (if applicable): / 757 4 CCB lie.: go 670 Total fees due upon application: « ) 6 , 5 4 /C A I Am ount received: �'/(rJ . (' 1 Authorized signature: 4,,r41), l . 7 4 J ' EC) This permit applica ezpires If a perm within 180 days after it has been accepted as complete. it is not obtained ,� /) t , / ^ ©! (z /of Print name: / "� J ` l / v l�� Date: (t7 I • Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008- 00207 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2008 Phone: (503) 639 -4171 TI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/17/2008 TIME: 7 :00AM PAGE: 21 SITE ADDRESS: 16200 SW PACIFIC HWY P CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE: PROJECT NAME: MCDONALD'S DESCRIPTION: TI. New beverage center. OWNER: KENNEDY, MIKE PHONE #: 603.519 -9524 CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE #: 503 -661 -2103 Inspection Request Scheduled For: Date: 11/17/2008 P tAtnd Pour Time: potg L�a Code # Inspection Description Confirm # Contact # Mes•. • • - ( �" 299 Final inspection 078123 -01 503-61%8569 !�� Corrections/Comments/Instructions: (.../ 2oc.,S- 005 95 l /- /` /-og ( (7/a) r',y,a) f;', i 2 J4 , g - oo 395 // - /' /- o& (g 5 ) • M AS ?ar ` -(ah 5 (G 5P k 1-No..\ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ?S Date: / .7-460 0 g Phone #: (503) 718- a`/a 3