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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00424 141I DEVELOPMENT o -639 -4171 DATE ISSUED: 8/25/2005 - 13125 SW Hall PARCEL: 2S101 DA -01200 SITE ADDRESS: 07165 SW FIR LP 200 ZONING: C -P SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK LOT: 014 JURISDICTION: TIG Project Description: TI - walls & corridor 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 62 BASEMENT: sf AREA SEP. RATED: STOR: 2 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: $ 24,000.00 Owner: Contractor: AMERICAN PROPERTY MANAGEMENT OWNER 2154 NE BROADWAY SUITE 200 PORTLAND, OR 97232 Phone: 503 - 281 -7779 Phone: FEES Reg #: Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/25/2005 $273.70 [TAX] 8% State Surcharl 8/25/2005 $21.90 [BUPPLN] Pln Rv 8/25/2005 $177.91 [FLS] FLS Pln Rv 8/25/2005 $109.48 Total $582.99 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 • o follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 1101 -0010 U ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by c:Ili ng 503 - 246 -6.e' oA 1 0 0- 332 -2344. r / I. sued By: l� % Permittee Signa • 3 + _- �I � � Call 503 - 639 -4175 by 7:00 a.m. for an inspecti. • at 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. i Building Permit Application t FOR OFFICE USE ONLY `J • Cl Of Z'I and � � ` Ee 4m I� /� 1 . Permit No.: r .. / mr► _ 13125 SW Hall Blvd. Tigard, OR 97 3s � Phone: 503.639.4171 Fax: 503.598.1960 q�- ) kter �u��i A , � 'fi� Date /By: Other Permit: 1 Inspection Line: 503.639.4175 � P �� `'_1 Date Ready/By: pi in 0 See Attached Checklist for Internet: www.ci.tigard.or.us O � �O S A0 Notified/Method: Supplemental Information IZ Z r, .; � - TYl'•E WORK - REQUIRED,DATA: f - 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 LM Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ', , .CATEGORY OF- CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ommercial /industrial Valuation: $ .0 ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: "JOB ,SITE I : AND - LOCATI , , : . Total number of floors: Job site address: 7/6 ( .5 . 4, f 1R L p !S/l�N Cij)I Su/yg c New dwelling area: square feet City /State /ZIP: � X4 J (0 r /v 9 7z z 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Z ( Project name: 60467 ,..,__,S7-; Covered porch area: square feet Cross street /directions to job site: Deck area: square feet Other structure area: square feet . . ' w REQUIRED DATA: COMMERCIAL =USE CHECKLIST Subdivision: 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 • • - - ' work indicated on this application. 7 l / t �edt -foo4. -7 iFJ(1 J5 / /A/C �l°/SICL. Valuation. $ � l�' QOO. Od /Veal /"beV - s7A'0(7 X, 13 % edit) A.i/4.-S . Existing building area: square feet 4.c/ C.I 71i j+' .420V1 New building area: 6022, ok, s square feet 11.10 PERTY Owl ❑ TENANT Number of stories: Name: �/vO�/G�� P/20/044 x / l � " t )y Type of construction: 6 Address: /5 NE 0/ � � Y p d Occupancy groups: _ City /State /ZIP: .) 2s 3 Z C �eR7LgAi - © d`V 9 7 Existing: Phone: 903 j b/ - 7 7 7 9 J Fax: ) New: a, APPLICANT - -- ❑ CONTACT,. PERSON; ; 4 NOT Business name: � � � / �( �� � toazefri All contractors and subcontractors are required to be Contact name: , �� licensed with the Oregon Construction Contractors Board v' under ORS 701 and may be required to be licensed in the Address: 62 7 20 <S A/ .,1,D,9"1 e v c�� 0 jurisdiction in which work is being performed. If the . City /State /ZIP: )RTG 0 0 . 9'741 applicant is exempt from licensing, the following reasons �7 apply: Phone: 0 'b/ 7 77? F ax:: Sao) z i " / 7,/ C7 E -mail: :i, ONTRACTOR�` Business name: �� ��..- a BUILDING PERMIT FEES* Address: CsS. ietJ • /Q Dha1 Please refer to fee schedule. City /State /ZIP: 't, Fees due upon application Phone: ( ) Fax: ( ) Amount received CCB lie.: / �_ /f Date received: • Authorized si: nature: ``� \,,+f' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:, r , Date: ® 26-05 * Fee methodology set by Tri- County Building Industry 0 + Service Board. is \Building\Permits\BUP -11- PermitApp.doc 12/03 440- 4613T(t I /02/COM/WEB) • Building Division 1 1 1 1 i Plan Submittal Requirement Matrix _Adj. t7 Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type: of Submittal. #'of Plans - (Includes new, additions and alter'ations.). Required' -at Submittals Demolition Permit 2 . (site plan required showing location and square footage of all buildings to be demolished) • Site Work 2 , • (must include location of all accessible parking) • Plumbing (site utilities) 2 • Building • • Fire •' otection System Mechanical 2 ' Plumbing (building . es) • • Electrical : 2 , Plan review • ependent upon submittal of a com i leted application,-and :. •. Afte • an review approval, the Plans Examiner will co 'tact the applicant to request at . rtional sets of plans for distribution purposes (for contra tor, City of Tigard, ashington County, and Tualatin Valley Fire & Rescue) , * For over - the - counter commercial tenant improvements, ubmif 2 set's' 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 \Permils\BUP- TI- PermitApp.doc 12/03 440.4613T(11 /02/COM/WEB) - -_. �� --' ' --- . BUILDVG DIVISION PERMIT #: 0UP2005-00424 . 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8Q512005 Phone: (503) 639-4171 . kaki Inspection Aoque�a(24Hro.):(503)839'417G .��a� *��� INSPECTION WORKSHEET FOR DATE: 1O/4/2005 TIME: 7:13A1v1 PAGE: 6 SITE ADDRESS: 07165 SW FIR LP 200 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK LOT #: 014 TYPE OF USE: PROJECT NAME: PACIFIC COAST RESTAURANT DESCRIPTION: TI - walls & corridor OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 603-281'7779 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10m/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 017204-01 503-264'6133 N Corrections/Comments/Instructions: � � ' � '' � � ^ L ' (/::',F;'- �� ----- /� � ' . �����w� _ �� ' \\ ^ . (---7 ASS , 0 PARTIAL APPROVAL Ill CANCEL * n NO ACCESS I FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED . I nspector: W Date: | es — Phone #: (503) 718- . , . CITY..®FTIGARD BUILDING DIVISION PERMIT #: BUP2005.00424 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/25/2005 Phone: (503) 639 -4171 /uyjn Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/10 /2005 TIME: 7:04AM PAGE: 125 SITE ADDRESS: 07165 SW FIR LP 200 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS GTR -VARNS PARK LOT #: 014 TYPE OF USE: PROJECT NAME: PACIFIC COAST RESTAURANT DESCRIPTION: TI - walls & corridor OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 503 -281 -7779 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 017781 -01 360-574 -9143 N Corrections /Comments /Instructions: 1 k AI 1 9 ` �... : - 410, _ f W411P n/PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i Inspector: Date: (0 Phone #: (503) 718 I CITY' 'n F.TIGARD . A SUIL ING' DIVISION PERMIT #: BUP2006 -00424 ` 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/25/2005 Phone: (503) 639 -4171 *4jpiul�li�l�� Inspection Requests (24 Hrs.): (503) 639 -4175 J ' :_.. INSI c.TION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 108 SITE ADDRESS: 07165 SW FIR LP 200 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CTR -VARNS PARK LOT #: 014 TYPE OF USE: PROJECT NAME: PACIFIC COAST RESTAURANT DESCRIPTION: TI - walls & corridor OWNER: AMERICAN PROPERTY MANAGEMENT, (ty - .ONE #: 503- 281 -7779 CONTRACTOR: OWNER �� �C. HONE #: Inspection Request Scheduled For: Date: 10/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 019243-01 503 -284 -6133 N Corrections /Comments /Instructions: WJ, - a . I . 1 A.- ,R---* _.-79 ,___ Of _ ______________A ( 1 ./I\ cef f____C ( ________Wrer • • 11_,- S ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED a Inspector: Date: Phone #: (503) 718- CITYOF;TIGARD BUILDING DIVISION PERMIT #: (jfZ - Cozy 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 u 4lIq ° ,I� Inspection Requests (24 Hrs.): (503) 639 -4175 °'I_L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: '� �' �f �� I � L� CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION:, OWNER: 1'gt/t e- R2 P_T' PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message F w ,62 I 4 `z"?-- r 1 Corrections /Comments /Instructions: 1. /I i _ • a —PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS _ FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: \ Date: �i 1 vd Phone #: (503) 718 - CITY' OF`TIGARD BUILDING DIVISION PERMIT #: BUP200& -00424 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/25/2005 Phone: (503) 639 -4171 (� / wnb�lm� ii ' �I Inspection Requests (24 Hrs.): (503) 639 -4175 ` __.. INSPECTION WORKSHEET FOR DATE: 11/28/2005 TIME: 7:05AM PAGE: 31 SITE ADDRESS: 07165 SW FIR LP 200 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CTR -VARNS PARK LOT #: 014 TYPE OF USE: PROJECT NAME: PACIFIC COAST RESTAURANT DESCRIPTION: TI - walls & corridor OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 503- 281 -7778 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 285 Drywall nailing 0224/9-01 360-574-9143 N Corrections /Comments /Instructions: v� `u mr. °ta. his l „„,„ ASS ❑ PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIO AL FEE , ASSESSED tag Inspector: AMMO Date: (( 2 0 � ' -Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005-00424 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: f/25I200 Phone: (503) 639-4171 44• Inspection Requests (24 Hrs.): (503) 639-4175 1 — INSPECTION WORKSHEET FOR DATE: 1/6/2006 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 07166 SW FIR LP 200 CLASS OF WORK: SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK LOT,#: 014 TYPE OF USE: PROJECT NAME: PACIFIC COAST RESTAURANT DESCRIPTION: TI - walls & corridor OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 503-281-7779 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: / Date: 1/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 024452-01 503-284-6133 ¥ - 4 1L.-42/1 - ;4it- . Corrections /Comments / Instructions: / IL ef)--v-4-peS' PASS PARTIAL APPROVAL fl CANCEL NO ACCESS fl FAIL I I CAL FOR INSPECTION E] ADDITIONAL FEES ASSESSED . L Inspector: Date: "7 ( P% , Phone #: (503) 718- e/VO