Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00548
,
4 *-4 , 14 , 1 DEVELOPMENT H O BMEN SERVICES 1639 -4171 DATE ISSUED: 1/9/03
SITE ADDRESS: 13185 SW PACIFIC HWY B -1 PARCEL: 2S102CB -00302
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: C -G
BLOCK: LOT: 033 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: UNK : sf N: S: E: W:
OCCUPANCY GRP: B 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,000.00
Remarks: TI
Owner: Contractor:
ALADDIN MOTOR INNS TENANT PER APPROVAL FROM OWNER
BY BENZENISTE, IRVING
10155 SW CAPITOL HWY
PORTLAND, OR 97219
Phone:
Phone:
Reg #: LIC 00013125
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUPPLN] Pln Rv 12/19/02 $40.63 Final Inspection
[FLS] FLS Pln Rv 12/19/02 $25.00
[BUILD] Permit Fee 1/9/03 $62.50
[TAX] 8% State Tax 1/9/03 $5.00
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: Za il.,2_,
Pe rm ittee
Signature: C c _ 4____--
Call 639 -4175 by 7 p.m. for an inspection the next business day
I , ... ,
. •,
Building Permit Application
� � Date received: /_ fi_ Permit no.: - EO i3 x -ot) � q
� City of Tigard \
y .... ,
Address: 13125 SW Hall Blv 7f2 Project/appl. no.: Expire date:
City of Tigard
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 DEC 1 9 1D01 Case file no.: Payment type:
Land use approval: Gi y of TIGARD 1 &2 family: Simple Complex:
' fl'PE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition IA
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
' ._ JOB SITE INFORMATION
Job address: 3 I . T --_-_— e R Bldg. no.: Suite no.: ,
Lot: Block: Subdivision: • map /tax lot/account no.: i%
Project name: 561 u a_do r-S
Description and location of work on premises/ pecial co dit'.ns: A_) t-t.) CO r- S r) r d i'O._taJ _ j A
C°ti+J _o n A `UN
'• ' , •, . FOR SPECIAL INFORMATION, USE CHECKLIST
• Name: r^... _ L —r- (Floodplain,septic capacity, solar, etc.)
Mailing address: , 1 IS I & 2 family dwelling: c90
0 City: _ • , • W Stat- r ZIP: Valuation of work
Phone :5 - f5/- y Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: 6L.1 v G-d v L._ c. - e - 0 S Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
. 1?hone: Fax: E -mail: Commercial/industrial /multi- family:
CONTRACTOR Valuation of work $
' Existing bldg. area (sq. ft.)
Business name: New bldg. area (sq. ft.)
Address: , SEA ke 776
Number of stories
City:, State: I Z
Type of construction
Phone:, ' I Fax: I E -mail:
Occupancy group(s): Existing:
CCB no.: New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
t, • ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
O Contact person: ", Plan no.: -
Phone: % Fait: • - E -mail: •
t _.
c•S ` ENGINEER
Name: Contact person: Fees due upon application $
v Address: Date received:
1
City: (State: IZIP: Amount received $
, )1 Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Na all jurisdictions accept credit cards, please call jurisdiction for more information.
a attached checklist. All provisions of laws and ordinances governing this O Visa Cl MasterCard
work will be complied with whe pecified herein or not. Credit card number: Expires
xpi
Authorized signature Date: Name of cardholder as shown on credit card
$
Print name: r L 01'0 S Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 d ays after it has been accepted as complete. 440-4613 (6/00/COM)
//
, j ,3;.1,) .
t�'.1 - r.
.2 C CO rl-..
•
•
Commercial Plan Submittal
Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
• Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 1 • 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.
is \dsts \forms \COM- matrix.doc 9/24/01
D 24 -Hour
BUIL Inspection Line: (503) 639 -4175 T =' Ily
INSPECTION D ION Business Line: (503) 639 -4171 _ S 4 g
BUP
Received Date Requested i. AM PM BUP
c� ,-
Location / 3 / d paz,-- Suite g—( MEC
Contact Person Ph ( ) S S" 5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Note . IT
Post & Beam 4
Shear Anchors
Ext Sheath/Shear OP
Int Sheath/Shear
Framing —
Insulation
Drywall Nailing v I ..e...,..----- 1 /) ei G 2 0 °2 - Do 4 4- C 2- - t P �--1^
] 1
Firewall — 16 j-Ck d _. cJ
Fire Sprinkler
Fire Alarm /f
Susp'd Ceiling ; ,
Roof
MI III ._ w _ ' d _.� ___
Other: I
air" Of r , S `.k ,P S
PASS PART AIL I
PLUMBING iv `� 1 ''N./—
Post r Slab Beam P AI J R-2, --- Unde r -� 4f:.f cry c-e LSO
Rough -In /e r---.
V a v v " � l � t
Water Service � � - r
Sanitary Sewer 0 -Q- 4-Z L-e_xei■3
Rain Drains
Catch Basin / Manhole " 0 $-t. c
Storm Drain
Shower Pan �..0 l ��,
Other: .v ' 1
Final
PASS PART FAIL 1,2-04-A----
MECHANICAL t�v� ?1.___>c--0...-c S �' Post & Beam i
Rough In - +
Gas Line n k ( v, . . .. ._ , Cs—`f\
Smoke Dampers b -
Final
- �,,�L C�t.._ C� L- L�
PASS PART FAIL
" _
ELECTRICAL � ' �f) 1 /t,h 1 '-e..-0C ` r 4
Service -�
Rough -In i e C G... 6 erf
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA '5 Approach/Sidewalk Date 1 ` 0 ( 6 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
4 4
BUILDING Inspection Line: (503) 639 -4175 6 O7
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP �� 4
BUP Z J
Received Date Requested AM PM BUP 6U 5
Location 131? f Suite MEC p — D O 59 (
Contact Person Ph ( ) 5' 3 F-5 7g) .�U y Z 7
Contra Ph ) vi -(0 SWR
(iLDIN& Tenant/Owner � ELC
� '� ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm Susp'd Ceiling O c7/
Roof �
Other: �L� ��
v1� rte. C�
a1 , PART FAIL
! BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PA T FAIL
ECHANICA
Post - &
Rough -In
Gas Line
Smoke Dampers
Ml; PART FAIL
'zi,q;-;" ICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date / � 3 � v Inspector Ext
Other:
Final DO NOT REMOVE t his Inspection record from the job site.
PASS PART FAIL