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Permit r. C ITY OF TIGARD • '' ' ,, BUILDING PERMIT PERMIT #: BUP2006 -00418 � i � t DEVELOPMENT SERVICES DATE ISSUED: 10/2/2006 : it 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102BD -01900 SITE ADDRESS: 12910 SW PACIFIC HWY ZONING: C -G SUBDIVISION: HUDSON PLAZA LOT: OOD JURISDICTION: TIG Project Description: Setup of a prefabricated movable, 160sf commercial structure. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: 160 sf N: NR S: NR E: NR W: NR TYPE OF USE: CMS SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: N S: N E: N W: N OCCUPANCY GRP: B TOTAL AREA: 160 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 2 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 10 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:U BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: 0 VALUE: $ 2,000.00 Owner: Contractor: HENDERSON, MARILYN DOROTHEA TENANT JENSEN HUDSON TRUSTEE 11795 SW KATHERINE ST TIGARD, OR 97224 Phone: Contact #: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/29/2006 $62.50 [TAX] 8% State Surcha 8/29/2006 $5.00 [BUPPLN] Pln Rv 8/29/2006 $40.63 [FLS] FLS Pln Rv 8/29/2006 $25.00 Total $133.13 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: , Q ` ( e l f 1 Lr i_ - Ad--Z 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. � tmn e ial T e��t Im o v em ent ( g Co er -( 01� enapt � '! �` �� � � 1� �� , ado Building Perm A p pl i c a t iv h �' ��' I c►rl lci: I sr: ol City of Tigard �< < Received' F ern[ $" g Date/By.. I ;St Ob J " 0Df7�U / /,II ° 13125 SW Hall Blvd., Tigard, OR 972233UG` L' 2006 Plan Review • Phone: 503.639.4171 Fax: 503.598.19 � ' Date/By. / t) - ei - ! J' 6 Other Penn' T i C n It 0 Inspection Line: 503.639 Date Ready/13y: J 65 See Page 2 for Internet: www.tigard- or.gov 'e `y t i . f;1 ;l, Notified/Method: J Supplemental Information DI( TTT It AThT' ""V^T TTC; TCV TYPE OF WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING O ❑ 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 Other: P`t F 4 «41.1 sln,c{•,.k equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. - • ❑ I- and 2 -family dwelling Commercial /industrial Valuation: S A ❑ Accessory building ❑ Multi- family Number of bedrooms: d/A ❑ Master builder ❑ Other: Number of bathrooms: 4(/Z4 JOB SITE INFORMATION AND LOCATION 5'4 ATION Total number of floors: / — A I/ Job site address: / a 9 / U S&J Pac. 4�j c_ H f 1 ,../ New dwelling area: A i/4 square feet City / State/ZIP: / ;IAA Q R 6 1722 3 Garage /carport area: ^ /IA square feet Suite/bldg. /apt. no.: Project name: MAAn;4 Kar4 a ,[/_ w Covered porch area: A/ /A square feet Cross street/directiio to job site: ,p l TT7�T Deck area: A/,A square feet .5 W /hat / /a GI flies 1/' 1,-n Other structure area: /t/ /A square feet / REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivis ion: Lot no.: / 7 a Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: G SS Ey / .2 /� 7d 2 rti A 4 /,Q 9 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: • �v aluation: $ Seife 0.4 a 4e�,a 6.�1r.Jfir.P /7Ie A / -..r ey, ; a -Ge Po Art �ipt -1 S'Iltreha Existing building area: square feet New building area: M j square feet tit PROPERTY OWNER I ❑ TENANT Number of stories: I YAAi Name: "4; /ye, An deg s t•+ Type of construction: p _ F ‘i,'a.> i S /.R.rw • Address: i/ 7 / r SW /` a ,1Lre,e1 e Si/., 1 Occupancy groups: City /State/ZIP: 1 , Q /e 972 2 3 Existing: Phone: (303) t, 9 - VS 3 7 Fax:( ) New: ❑ APPLICANT ' ❑ CONTACT PERSON S4/s NOTICE Business name: �AtAi ^i �� A ago, All con and subcontractors are required to be s wi g , / i e A r /i t S, licensed with the Oregon Construction Contractors Board Contact name: 7;0 under ORS 701 and may be required to be licensed in the Address: S"/ y y/ SE /nsARd, jurisdiction in which work is being performed. if the applicant is exempt from licensing, the following reasons City /State/ZIP: 7)/€j f p A're / 6 9712 apply: Phone: (;03) ,(5-7.... do 72 I Fax:: (sij) 0 5/ — 'S(2 E-mail: SCOi.ci Mid "A 6V1are'** /• /O pi., CONTRACTOR Business name: BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State/ZIP: • FLS plan review fee (if applicable): Phone: ( ) I Fax: ( ) CCB lic.: Total fees due upon application: 3 Amount received: 133. /3 ?4f( Authorized signature: r T s pe it application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: eh fr ,4 s, f,,• ft I Date: Val 1 C * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits\BUP -TI- PermitApp.doc 0323 /06 4404613T(I1/02 /COM/WEB) r • A + 1 Building Division Plan Submittal Requirement Matrix T I G n R D Commercial & Multi-Family - New, Additions or Alterations Type of Submittal • # of Plans (Includes new, additions and alterations.) Required at ° Sub '.al • 4. Demolition ' - "V (site plan r- • - • showing location and square • footage • .1 buildings to be demolished) Site Work Y O w� � � ° ' ' 2 • ° (must include location of all accessible parking) • - ' • Plumbing (site utilities) '{j 0 00t-6-) 2 • 4. Building 1* Fire Protec n System * *.. ° Mech . Plumbing (building fixtures) u,stA4 ' 2 y 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, City 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 "3" technicians. I:\ Building \Permits \BUP -TI- PermitApp.doc 03/23/06 ' CITY OF TIGARD - SITE PLAN REVIEW ...�E...h.— ..__ - -. -_ BUrLDING PERMIT NO.: i h u.41:106 —arzJKrii . ' Figure , ` `PLANNING DIVISION: • Required Setbacks: 121 Approved ❑ Not Approved Proposed Location for Morning Rush Coffee Side: Street Side: Front. Garage: Rear: 12910 SW Pacific Coast Highway Visual Clearance: Approved 0 Not Approved • r.1...,:...... Build ag H ' .� ..... Tigard, Oregon 97223 CWS Service Provider Letter Required: ❑ Yes �'�� ❑ Receiied` Teri and Charles Swift B} : Date: 9 /zff 5 653 -60 ENGINEERING DEPARTMENT: • Actual Slope: % Approved ❑ Not Approved Traffic Signal Site Plan: &Approved ❑ Not Approved SW P HIGHWAY • By :'� Date: g. - 0 � Notes: _ m —�� — _ . — .=- .�.— .�•s�•.ra� r� �_ �-� ter= .�'� �-.�s� .�� rac•� . c.: SIDEWALK p ' SI DEWALK Cli J ' • ...: TRI —MET BUS EXIST. LA' F A9', POLE O I SHELTER II — _ SIGN _ 1 U 12 1 UDST. SIGN PLANTER � � `\ ..._ ._ — — •� O � — � � - - � - �'� `� .� .�. . � �..; ....::: • � � lA �' �� I ,, ;'`.ice:: _ 4 - % 1►1a ::::: R:: ` :-.•: _�, NEW PAINTED il f ► : : g`' T. ; i► PARKING STRIPES 4e , ' 0 o il U NEW PAINTED SCHP, i . PARKING STRIPE a q 1 Q 44.... ,�„ Proposed Structure Le > = 1. .87 8 -foot x 20 -foot I / 1 P I 1 11 4 1' .1..1 ,_o _ 1 .. ,' —' I Kiel■ 1 y _ , .,,, 11 11 0 e - is:- . L..J._,..,_......,_._,_ lc ,_. , - ----J--.? •,-, T , , , , 1 111111111_. p m p PLANTER ; — DRAINS i 13 — �� _ _� = — � � / � ill THRU URB -� A % F L IG T. , Re 0 ! LIG, T -°© ° _______ EY. I S ; �' % C 'C fC . SEE NOTE r ^ " 0 k. BOL ` ,RD till --,- 80 I . -- v J 9123 11‘ -e T.B. L = `� GARBAGE & RECYCLE �� SET •� r'' a BRA CREV I CE N lu��unliuuinu I GFATE = 188.43 2 KALE: 1" =20' : ..L. 88 I PT .71 I z PLANTER 8 Z LOC WAL # V i I 1 m � N 0 1 C n c CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP 00&0041B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2:006 Phone: (503) 639 -4171 ism Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/4/2007 TIME: 7 :0OAM PAGE: 31 SITE ADDRESS: 17910 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: HUDSON PLAZA LOT #: 00D TYPE OF USE: PROJECT NAME: HUDSON PLAZA DESCRIPTION: Setup of a prefabricated movable, 160sf commercial structure. OWNER: HENDERSON, MARILYN DOROTHEA, PHONE #: CONTRACTOR: TENANT PHONE #: Inspection Request Scheduled For: Date: 1/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 041773 -01 503-708-6321 N Corrections /Comments /Instructions: , ,10 -- ( - 0 - 2, f ZJGrS /0 I, 0 r -Sr n PAS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL • CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED Inspector: A Date: Phone #: (503) 718- CITY-; TIGARD BUILDING DIVISION PERMIT #: SUP 0 qt y 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10l20006 Phone: (503) 639 -4171 1iu�dgm� Inspection Requests (24 Hrs.): (503) 639 -4175 / INSPECTION WORKSHEET FOR DATE: 12/22/2006 TIME: 7 :00A4+M PAGE: •13 SITE ADDRESS: 12910 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: HUDSON PLAZA LOT #: OOD TYPE OF USE: PROJECT NAME: HUDSON PLAZA DESCRIPTION: Setup of a prefabricated movable, 160sf commercial structure. OWNER: HENDERSON, MARILYN DOROTHEA, PHONE #: CONTRACTOR: TENANT PHONE #: Inspection Request Scheduled For: Date: 12/22/2006 Pour Time: 11 :00 Code # Inspection Description Confirm # Contact # Message 805 MFG - Structure gradingffooting 041477 -01 503-624-6393 N Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL 1 NO ACCESS n FAIL r CALL FOR INSPECTION ADDITIONAL F ES ASSESSED Inspector: �� Date: 2 � Phone #: (503) 718- C-friltOF TIGARD BUILDING DIVISION PERMIT #: BUP2006.00418 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/212006 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/22/2006 TIME: 7 :00AM PAGE: 12 SITE ADDRESS: 12910 SW PACIFIC H Y CLASS OF WORK: SUBDIVISION: HUDSON PLAZA LOT #: 00D TYPE OF USE: PROJECT NAME: HUDSON PLAZA DESCRIPTION: Setup of a prefabricated movable, 160sf commercial strudure. OWNER: HENDERSON, MARILYN DOROTHEA, PHONE #: CONTRACTOR: TENANT PHONE #: Inspection Request Scheduled For: Date: 12122/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 810 MFG - Structure set -up 041476 -01 503- 624 -6393 N Corrections /Comments/ Instructions: A tik ms ' s vs. I er u imo PASS 1 I PARTIAL APPROVAL I I CANCEL n NO ACCESS FAIL I CALL FOR INSPECTION 1 1 ADDITIO AL F ES ASSESSED Inspector: Date: l Phone #: (503) 718 - 006