Permit CA4411V6E O-F
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00648
* DEVELOPMENT
O
SERVICES
-639 -4171 CES DATE ISSUED: 12/16/2005
Blvd.,
PARCEL: 1 S 135DD -03301
SITE ADDRESS: 11945 SW PACIFIC HWY 228 ZONING: C -G
SUBDIVISION: HOFFARBER TRACTS NO.1 LOT: 002 JURISDICTION: TIG
Project Description: CHANGE OF OCCUPANCY.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: 14 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Owner: Contractor:
TIGARD PROPERTIES INC
2106 SE OCHOCO ST
MILWAUKIE, OR 97222
Phone: Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/16/200: $62.50
[TAX] 8% State Surchari 12/16/200; $5.00
[FLS] FLS Pln Rv 12/16/200` $25.00
Total $92.50
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 C- ter. Tho • es are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy oft -se or direct iuestions to OUNC by
calling 503 -246 9 o 1-800 -332- .
Issued B • Permittee Signatu e:
Call 503 - 639 -4175 by 7:00 a.m. for an inspe • ion t :t business day.
This permit card shall be kept in a conspicuous place on the 'ob = ite until completion of the project.
Approved plans'are required on the job site at th- ime of each inspection.
if _.
kig.CEIV ED
Building Permit Anvion FOl( OFFICE. USE (
City of Tigard ®FC 1 6 ZOOS Receive t, PetlnitNo.. —
13125 SW Hall Blvd., Tigard, OR 97223 Da R • `��
Phone: 503.639.4171 Fax: 503.598.1960 j Plan R Date/B . eview `
C ITY OF TIGA r 'Ylli Other Permit:
Line: Inspection Li 503.639.4175 BUILDING D IV 1 4....0- �_ Date Ready/13y: ® See Attached Checklist for
w.c et: ww gar .onus Notified/Method . Supplemental Information
In ��� i cn � r v o� 7.0 it); �J� ,
TYPE OF WORK 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms: •
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: //9 ,/s S &J pa, �5c /,/ . y' #�1f New dwelling area: square feet
City / State/ZIP: r` / 0e2 9 7 ( Z 3 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: / / I Project name: 172 e ea p, z 2c, k, !{-c pi , h Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.
0 11,49-6E, C .O ' fl C! /D U !)/5L /UC Valuation: $
rl lip C� (_ CJ tr /�'/ Existing building area:/a/2 ((( square feet .
New building area: ,..----- square feet
❑ PROPERTY
9 OWNER c I ❑ TENANT Number of stories: /
Name: kY 1 s T le1C/t \ P -& (e— • Type of construction: 5 -3
Address: T Q -E l V , gici 3 Occupancy groups: liti 1p
City /State/ZIP: " e,;;Av A., i-01,1 , 0 � 4 \ 0 Existing:
Phone: (571) g (p b _ Z Z l of Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board .
under ORS 701 and may be required to be licensed in the
Address: • jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State21P: apply: ea.l.. )
Phone: ( ) I Fax:: ( ) 5
E-mail:
CONT'-CTOR _-----'7,,r) _ A 5
. f --4 • � , 4 BUILDING PERMIT FEES
Address: ��
Please refer to fee schedule
City / State/ZIP: Fees due upon application
Phone: ( ) I Fax: ( )
CCB lic.: Amount received
Date received:
Authorized si This permit application expires if a permit is not obtained •
within 180 days after it has been accepted as complete.
Print me: //44 3 pLa el/ I Date: /2 Y. Industry
Os 1 • Fee methodology set by Tri- County Building
Service Board. 3 .
i:tBuildin cool 1.1P- T1- PennitAppAce 12/03 440- 4613T(11/09JCOM/WEB)
a S its or ft 00 Ai5t,)5 9 ,‘.
Building Division
� �i Plan Submittal Requirement Matrix
`- Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
. ' ubmittal •
De • lition Permit 2
(site p : required showing location and square
footage . f all buildings to be demolished) .
Site Work 2
(must include . • tion of all accessible par mg)
•
Plumbing (site ut' ies) 2
Building 1*
Fire Protection System • 3 ** •
Mechanical 2
"\ 7
Plumbing (build' %g fixtures) 2
•
Electrical
Plan review is depende - t upon, submittal of a completed application and plans.
After plan review a ; proval, the Plans Examiner will contact the applicant to request
additional sets of p . s for distribution purposes (for contractor, City of Tigard,
' - Washington Co • ty, and Tualatin Valley Fire & Rescue)
* For o er -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 \Pennits\BUP- TI- PermitApp.doc 17/07 440-4613T(I1 /07/COM/WEB)
•
IN NIUMINIUMMIN • ■ ��i■ ■' ■iii■
■ i
1111■ ri ■11 1111 11 ■■ ■■ ■ii■
■ 61■1111■■ •■ ■�." ■■11 ita:
lumnamendiguragrag ■rr■■ ■r
■■' 1 �JC 11`11■■■ ` om ,� � ■■1111 ■ ■
gam .�N► ■■i■■ mr ■r■
N . i��r,�■■■i 1111 ■_
I i�ir �� ��■ 11■■ ri■ ,,, 1111 ■ ■ 1
III Immonsmang. 1111 1111 i ■ ■ ■ ■
■ i4111,43-...,fttscr.7.4-7.101111111111101111_1111111 �irm.�ir■��■r� � 1111 ■ 1111■
■■iii
MINN iiii IIIIIIIIIIiIII I I � w _
■■1111 ■1111■ ■■11 ■ �
1111■■ ■■r■■■
I ,■ ■ ■_
1111111111111111111111111 ■■, �gro, 111 ■11 ■� 1111■■ ■r
1111 ■ ■�;:■ 1111 ' ..��11 ■ .-
{ ■ 1111■■ 1111■ ■ ■ ■ ��, . --- •
� ■■■!V ■■■ ■ n ■ ■ ■
■�r■■■ ■ n■■ ■ ,
• ■►1111 ■1111 n■ - _-
■ ■ ■ ■ 11 11 , � o , -
11'11■ M■ ■■ ,i ■
■ ■ ■■1111 1 11111111 i ii! 'rt or
1111 1111111111111111111111 r■■ r ■ ■
ii11r 111 r 1111 _ � . ,
Wain
■ ■■■■ ■ ■■ ■■ 1 ■ •
1 ■■ ■ 1111■■■■■ 1111 ■ ■ �rrri
�^ 11 +
1111■■■ � � j _1111 critic �'� ��.
1111■■ tI ■1111 . • . ■ .......... .,
■ � a . .�, . ;
, •
!III I ' rj
il. 1111■■ r.Z '.� ` I
� ■■��■■.�■ 11 11■■■ ■�, .
( , ■NNMR 11111111111111 -
\ \ccArk c -i22ct ¥ -ke *.
CITY QF TIGARD
BUILDING DIVISION PERMIT #: 13t1P2005 -00M8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1612005 Phone: (503) 639- 4171a
Inspection Requests (24 Hrs.): (503) 639 -4175 . P__..
INSPECTION WORKSHEET FOR DATE: 2/2317006 TIME: . 7:01AM PAGE: 20
SITE ADDRESS: . 11946 sw PACIFIC HWY 228 CLASS OF WORK:
SUBDIVISION: HOFFARBER TRACTS NO.1 LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD PIZZA Kii CHEN
DESCRIPTION: CHANGE OF OCCUPANCY.
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date 2/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 027431 -01 503- 860 -2218 Y
Corrections /Comments /Instructions: Irz-
.------- la i .
L \OAC .......
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Inspector: � � � • Date: 13 6 Phone #: (503) k k z - -3
p Phon ( ) 718 -
I � �