Permit CITY OF TIGARD BUILDING PERMIT
•
4 1 1• PERMIT #: BUP1999 -00460
� 4• ? j l � J DEVEL ACES 639 -4171 DATE ISSUED: 10/26/1999
PARCEL: 2S 10X8 -02700
SITE ADDRESS: 13050 SW PACIFIC HWY
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT: 020 JURISDICTION: TIG
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: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 13 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: $ 3,000.00
Remarks: Restaurant tenant improvement
Owner: Contractor:
CAPONE, ANTHONY M DUFFIELD SERVICES
13056 SW PACIFIC HWY 8895 SW EDGEWOOD
TIGARD, OR 97223 TIGARD, OR 97223 ORIGINAL
Phone: Phone: 503 - 639 -4759
Reg #: LAC 100830
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT KJP 10/26/199£ $59.25 99- 319355 Gyp Board Insp
Susp Ceiing Insp
•
PLCK KJP 10/26/199E $38.51 99- 319355 Final Inspection
5PCT KJP 10/26/199E. $4.74 99- 319355
FIRE KJP 10/26/199E $23.70 99- 319355
Total $126.20
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Signa y...1--- P , \ Q Sil ik ev
Signature: /` l c
Issued By: . --e..-e-A7-6
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
CITY OF TIGARD Commercial Building Permit Application Recd By
• 13125 SW HALL BLVD. New Construction and Additions Date Recd
Date to P.E.
TIGARD, OR 97223 Date to DS i f .i. 4 5i
(503) 639 -4171 of Permit # / ✓wPf i - Q'7�(e0
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted Called
•
Name of Development/Project
Job J toci-ia -Aka I P Existing Building New Building p
Address Street Address Suite 7.*.
/
43 CIS 7 S 1) PgciT;(i4 _ Building
Bldg # City /State Zip Data
f,&0 ,0 W22-3 Existing Use of Building or Property:
Name ti
v. 1i .7s v- .
Owner Mailing Address Suite Proposed Use of Building or Property:
I SC- TX6-C)U1- - ,4iu9/0 POct
City /State Zip Phone
No. Of Stories:
I c • ct 3213 62q R251 o A/ e
Occupant ! #�me niO( P L C •LAV - Sq. Ft. Of Project: C.
Name Occupancy Class(es)
Contractor D J , ED) S L- ROi.c(:S 4/
Prior to permit Mailing Address Suite Type(s) of Construction )
issuance, a copy (� Q C �/
of all licenses 0 /J SLv-E�6rt()(k06 _
are required if City /State - • Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. --1�i�h 02 9 �ZL3 y � Yes ❑ No jar
database /
Oregon Const. Cont. Board Lic.# Exp. Date
/0 3� 3 0 -D O� Americans with Disabilities Act (ADA) Valuation X 25% = $ ' - Participation
Complete Accessibility Form
Name Project $
Architect Valu tip on 6+9
Mailing Address Suite - ' {( "` y J � " y �—
Plans Required: See Matrix for number of sets to submit
City /State Zip Phone on back
_ 1
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agent Date
City /State Zip Phone /T'
J TuA ►416 C3 Aitil
Contact Person Name Phone
indicate type of work: New 0 Addition 0 Demolition 0 hU1MP690 2 – _ SW U
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work:
Map/TL# Land Use:
Soafic f � v /r, A0 Gee. , 9d .
ter ✓ f z t pV 7 1 Y icy L 4( P t.e /f / 7 j Qc'c Notes: •
•
Parks: Estimated # of Employees TIF:
If the above figure is not supplied at the time of application, the city will
• calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I:\COMNEW.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
in . .... ..... ET
�rt �.::': u nta €n t16 > > ><"<
::.............:........................... ..............:................
,; : ■3 • lan sets for distnb. on > u:': o es : Ca : for Cti tr r> iCi: " ": <> > _ > >;> > >
::::::.;:.:::::
<iiCoun i alati :: alleskFre< "f
•isi�'>"'1':;' <.�.:::: ill ..:.:::.:::::: ::::::::::.::.;:;:.:;::.::.::�. ark::.::::.::.;:.::.::.::.::
KEY:
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 • Add = Addition
B & F & M & P & E • 3 Alt = Alternation to Existing
(New , Add) Building
`.`' i �' '`i'i' f`'.'` "' fi`� ?' ?' � L a'ill` iii iii ?ii ii "'`'`.``'. ".'` �' _
:::::::3i7.: &:::M :: &:% ::: ::: :::i :: A lt):::::::: i ::::::::::::=4ii :: ::::�::::::::::
NOTES:
I:\dsts\maxtrixl .doc 07/06/98
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: — 1 - 1 -- — Cciee d P
CLASS OF WORK: FLOOR AREAS: 6 7‘ EXTERIOR WALL CONSTRUCTION
TYPE OF USE: FIRST SQ. FT. N: S: E: W:
COM
TYPE OF
CONSTR: ✓ SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 12 , TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS 61A4 • FEE MENU
Foot/Found Post/Beam $ Permt Fee
Masonry rams $ 3 IGG( Plan Review
Insulation Shear Wall $ 4 8% State Surcharge
Firewall yp o ard $ 23 FLS Plan Review
usp-nded Ceilin• Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT= alteration; ACS= accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS=fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 9/99 -
-, •
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
•REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the
restroom, telephones and drinking fountains are readily accessible to individuals with
disabilities, unless such alterations are disproportionate to the overall alterations in
terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed
disproportionate to the overall alteration when the cost exceeds twenty-five percent
(25 %).
VALUATION of all renovation, alteration or modification being done - -2 ydv
excluding painting, wallpapering. [1 ] $
multiply: 25% Barrier removal requirement. .25 •
BUDGET FOR BARRIER REMOVAL [2] $ ‘;e6 7,f'v
In choosing which accessible elements to provide under this section, priority shall be given to
those elements that will provide the greatest access. Elements shall be provided in the following
order: r
(a) Parking $ /O Of
(b) An accessible entrance: $
(c) An accessible route to the altered area: $ O K
L
(d) At least one accessible restroom for
each sex or a single unisex restroom: 7 -U
(e) Accessible telephones: _ -
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: • $ . .
•
TOTAL: Shall equal line 2 of value computation $
12/09/1999 Activities for Case #: BUP1999 -00460
9:55:39 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 10/22/1999 BON DONE No Hold BON 10/22/1999 Permit created before OTC
appointment as various other
permits were submitted before
the building permit appointment
on 10/26/1999.
BUPC008 Permit created 10/22/1999 BON DONE No Hold BON 10/22/1999 Letter from Washington Co.
Health Dept. is supposed to
accompany the building permit
application at the OTC.
BUPC012 Plans routed to Plans Examiner 10/26/1999 KJP DONE No Hold KJP 10/26/1999
BUPCO26 APProved Plans routed to DSTs 10/26/1999 RP DONE No Hold KJP 10/26/1999
BUPC762 Susp Ceilng Insp 10/26/1999 10/26/1999 No Hold KJP 10/26/1999
BUPC740 Framing Insp 10/26/1999 10/26/1999 11/12/1999 TLP PASS No Hold VT 11/12/1999
BUPC760 Gyp Board Insp 10/26/1999 10/26/1999 11/16/1999 TLP PASS No Hold VT 11/17/1999
BUPC799 Final Inspection 10/26/1999 TLP PASS No Hold TLP 12/01/1999
BUPC100 (F) Issue permit 10/26/1999 KJP DONE No Hold KJP •10/26/1999
BUPC950 (F) Issue Cert. of Occupancy 12/01/1999 TIG TLP DONE No Hold JMT 12/09/1999
•
Page 1 of 1 •
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP 1944"60 51 kO
Date Requested i (1 lq? AM PM BLD A A
Location (3o (- 1 Suite Anil Contact Person C Ph 3/3 ( y PLM ■WF/
MIEP
Contra Ph SWR
UILDING Tenant/Owner ELC
g Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling c
Roof
Misc: � c C9
4„,
ilia PART FAIL
BING
Post & Beam __
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS FAIL
E CHANICAL-)
oPa eam
Rough In
Gas Line
Smoke Dampers
i.
4r) PART FAIL
CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA C/l'
Approach /Sidewalk Date [ / / Inspect E
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION • �\ MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 ' Ov `K‘06
/ / 01. BUP ' ♦ Q;
Date Re uested _ j(1 D(e0 AM PM / BLD ,-
Location 13o.SQ Pace - C 441 Suite MEC ra7
Contact Person la Ph 71 3087 PLM Woor
Contractor Ph SWR -
BUILDING Tenant/Owner SaAACAt Z (a Ll e a-) ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation � 77 / ,lJ7Z S 00R
Drywall Nailing ® o'er
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PbRT FAIL
MECHANICAL)
Post & Beam
Rough In
Gas Line
S i ke Dampers
•s ;
f PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspe tion RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other D Inspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•