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Permit
a CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00300 ° COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA - 00903 SITE ADDRESS: 12090 SW MAIN ST ZONING: CBD SUBDIVISION: RITE AID SHOPPING CENTER LOT: 004 JURISDICTION: TIG PROJECT: MCDONALDS Project Description: TI. Installing 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: 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 65,000.00 Owner: Contractor: MCDONALDS CORP 036/0041 GA BENTLEY CONSTRUCTION INC PO BOX 66207 PO BOX 363 AMF O'HARE GRESHAM, OR 97030 CHICAGO, IL 60666 Phone: Contact #: PRI 503 - 661 - 2103 Reg #: LIC 30870 FEES. Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/2/2008 $285.16 [TAX] 12% State Surch 9/2/2008 $175.48 [BUILD] Addl Permit 10/2/2008 $153.54 [TAX] 12 %.State Surch 10/2/2008 $52.64 (additional fees not listed here) 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 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: ' •,-(' 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. l e 1 - 5Go OitNt 0 r Building Permit Application , Commercial FOR OFFICE ESE nil,, ' i " ed City of Tigard _ DateB : _ Z � D1 Permit N o.: • i • 111 13125 SW Hall Blvd, Tigard, OR QQ to Phone: 503.639.4171 Fax 503.59 �oO Pin lier,ew J / �� g Other Permit: A 1. DateeR : M P T 1 G n R D Inspection Line: 503.639.4175 v !� .. r ® See Page 2 o Internet www.tigard- or.gov � A � A / ��` ', Supplemental f In formation ®� 1 C► 15 � 0 � e 7Y10 r ' e'Yn/1S'\.� • TYPE OF WOO �� ® � 1~ REQUIRED DATA: 1- AND 2-FAMILY DWELLING — ❑ New construction 0SaiOn Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all y ❑ Addition /alteration/replacement � / � G�/j p //17f?�YP/79� equipment, men t materi labor, overhead, als, ad, and the profit for the � CATEGORY OF CONSTRUCTION work indicated on this application. ❑ l- and 2- family dwelling AtCommercial industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other. Number of bathrooms: JOB SITE INFO TION AND LOCATION Total number of floors: — Job site address: /o ©q - - / in New dwelling area: square feet • City/State/ZIP: 77y iO 1 ) D2 y1 713 Garage/carport area: square feet Suite/bldg./apt. no.: I Project name: 0 4-Anueds Covered porch area: square feet Cross street/directions to job site: n Deck area: square feet 5 /l/ / � �N /n �'1°c�v Sea l KJ �t A 76G L(// Other structure area: square feet 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 work indicated on this application. in /4 ! 1- � `eX- t� a . -- / A! , Valuation: $ / MO 0 • - - .v.e- f/ft 6 a-4' - Existing building area: square feet New building area: square feeebvve`L- PROPERTY OWNER I ❑ TENANT Number of stories: Name: Ali/e6:7' ` , / ,t, Z) )/ ^� �, Type of construction: OS Address: g S A) ,1/21,7a.,-,c_ ( 2f!3 Occupancy groups: 41- City/State/ZIP: 7-76-1-06 [T ; 9 7 2 3 Existing. / �� Phone: (,S ) Si9� -f5 Fax ( ) New: 17 0. eh ,411CT[� - APPLICANT Pit CONTACT PERSON NOTICE Business name: S?`� All contractors and subcontractors are required to be Contact name: �/9-‘ 44.46,i4 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the e° Address: Yo X d L. W 4 �Q a4,,e -, jurisdiction in which work is being performed. If the City/State/ZIP : � s us 9 ii � �(�� [/� QO33 applicant is exempt from licensing, the following reasons Phone: Fax: (` 5 gfe; - 59 , p apply: � _ E -mail: IYIel tT7A/ h44� -/ �/ /Go/r4 CONTRACTOR n_ Business name: ( w et- f�.. rJTL E - e i) A) J/ C-T cui 1„t, B UILDING PERMIT FEES* Address: Po ' x &'3 (Please refer to fee schedule) Structural plan review fee (or deposit): 'a l( City/State21P: gt5 14 C,2 ( 1703n 7 Phone: (g0 l . a(0 3 I Fax: ( ) FLS plan review fee (if applicable): V CCB lic.: 0 IVO Total fees due upon application: 00 6 I! -011 Amount received: (UV Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I Date: • Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits\BUP -COM PerrnitApp.doc 2/23 /07 440- 4613T(11 /02/COM/WEB) i' CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008 00300 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1017/200t1 Phone: (503) 639 -4171 v� n ; Inspection Requests (24 Hrs.): (503) 639- 4175l INSPECTION WORKSHEET FOR DATE 10123, 008 TIME: 7 :00AM PAGE: 5 SITE ADDRESS: 12090 SW MAIN ST CLASS OF WORK: SUBDIVISION RIl E AID SHOPPING CENTER LOT #: 004 TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: TI. Installing beverage center. OWNER MCDONALDS CORP 036/0041, PHONE #: CONTRACTOR GA BENTLEY CONSTRUCTION INC PHONE #: 503.661.2103 Inspection Request Scheduled For: Date 10/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mess- 299 Final inspection 077111 -01 503- 519-8521 CO Corrections /Comments /Instructions: de PAS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL %J CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r Inspector: Date: /o 434 1S Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: 131.1P2008-00300 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/212006 Phone: (503) 639 -4171 tltei r Inspection Requests (24 Hrs.): (503) 639 -4175 .� "' I �.. INSPECTION WORKSHEET FOR DATE: 10 /20 /2006 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 1' SW MAIN ST CLASS OF WORK: SUBDIVISION: RITE AID SHOPPING CENTER LOT #: 004 TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: TI. Installing beverage center. OWNER: MCDONALDS CORP 036/0041, PHONE #: CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE # : 503-661-2103 Inspection Request Scheduled For: Date: 1W20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 076909 -01 503 - 519.6521 N Corrections /Comments /Instructions: _ P — CO ao o. i /V — G ! i C llb -V-A-----r-2- 4 . r Sc 0 SS c U % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Num. 1 ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� Inspector: Date: i& 0 6 Phone #: (503) 718 - z i lib _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: 13UP200B -00300 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1W2/2008 Phone: (503) 639 -4171 °/° �° Inspection Requests (24 Hrs.): (503) 639 -4175 .�'.� "'I �.. INSPECTION WORKSHEET FOR DATE: 10/11i/200B TIME 7 :00AM PAGE: 3 SITE ADDRESS: 12090 SW MAIN ST CLASS OF WORK: SUBDIVISION: RITE AID SHOPPING CENTER LOT # 004 TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: TI. Installing beverage center. OWNER: PHONE #: CONTRACTOR: MCDONALDS CORP 036/00l1, PHONE #: GA BENTLEY CONSTRUCTION INC 03- 661 -2103 Inspection Request Scheduled For: Date: 10/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mess 236 Misc. inspection 076755 -02 503.618 -8621 0 Corrections/Comments/Instructions: SP�Z/42_-- • k.) e__17c4_ , a A) -S i77_4 i \--z- = S PA/ 4-L �uS f- oti is j=oIC IN G►- M - s "a `70 7f nCO AJ —<046/V /C 6-1 k.c or 7 c pommy o P `L.0 t NtiSS/A)&1 . L.-- 1---- / i // a 1,/ 0.__6 - 0 vf 6 ..:---- /* F- - ; /C) I F 4.Z1 fs "' 02 . 1e c vt o L./ Cam— C AS p-c Pc-/W5 -.i . . I. r - • ' ' SS • 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS PI :gar e A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ ` — ' T Date: to /g10,3 Phone #: (503) 718- 26 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008.00300 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1012/2008 Phone: (503) 639- 4171µ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/15/2008 TIME: 7 :00AM PAGE: 4 SITE ADDRESS: CLASS OF WORK: 12090 SW MAIN ST SUBDIVISION: RIl E AID SHOPPING CENTER LOT #: 004 TYPE OF USE: PROJECT NAME: MCDONALDS DESCRIPTION: Ti. Installing beverage center. OWNER: MCDONALDS CORP 036/0041 PHONE #: CONTRACTOR: GA BENTLEY CONSTRUCTION INC PHONE #: 503 Inspection Request Scheduled For: Date: 10/15!2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 076755 -01 503-519-8521 N Corrections /Comments/ Instructions: I / G_ Pkgril 14-1 F-I tT /C_, ( 6 / c. i ❑ PASS .1 • R`AL APPROVAL ! III CANCEL ❑ NO ACCESS ❑ FAIL % . ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: _ Ib /3 Phone #: (503) 718- 2-4 y