Permit A*. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00247
-- •x,6 ``4"111 DEVELOPMENT SERVICES DATE ISSUED: 7/16/01 .
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AA -02800
SITE ADDRESS: 14055 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: 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: A3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 24 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: $ 30,000.00
Remarks: Commercial TI to convert NW corner of dining room to bar.
Owner: Contractor:
DANNA BROTHERS PROPERTIES MCCARTHY MANUFACTURING INC
9800 SE STARK ST 1727 SE HOGAN RD
PORTLAND, OR 97216 GRESHAM, OR 97080
Phone: Phone: 503 - 665 -2662 —.
• Reg #: LIC 115423
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 7/6/01 $208.52 27200100000 Electrical Permit Required
FIRE CTR 7/6/01 $128.32 27200100000 Framing dsp
Gyp Board Insp
PRMT CTR 7/16/01 $320.80 27200100000 Final Inspection
5PCT CTR 7/16/01 $25.66 27200100000.
Total $683.30
r
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 -6699 or 1 -800 -3 2 -2344.
Pe rrn ittee
Signature: G �L/. —
Issued By: ;('t ' , t. . i?'A / )
Call 639 -4175 by 7 p.m. for an inspection the next business day
- O �C 7. A /('1o
'r • Building Permit Application jik
Date received: 7 4 Qi Permit no.: ��0 /— OO.Q�7
\
;, I C o f T • • �� � ` Projecdappl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 0
Phone: (503) 639 - 4171 r. C" Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Gar /'A/ E/�
i &-A./ 6- ■
_ Case file no.: Payment type: p R.
Land use approval: Dec r4 PI CH.9AI I &2 family: Simple Complex: \
fc/A/G E40..(4/RE71E
❑ 1 & 2 family dwelling or accessory 1B( ommerciaUindustrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition /alteration/replacement 1aTenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 14055 SW Pacific Hwy . , Tigard, OR Bldg. no.: Suite no.: •
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name: Elmers Restaurant
"c Description and location of work on premises/special conditions: Northwest corner of existing dining room
partitioned off wall for bar.
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Danna Brothers Properties ( Ilo o d plain , septic capacity, solar, etc.)
Mailing address: 9800 SE Stark Street 1 & 2 family dwellin
City: Portland IState:OR (ZIP: 97216 Valuation of work $ •
Phone: 503- 253- 449fFax503- 252- 7tail: No. of bedrooms/baths
Owner's representative: Joe Danna Total number of floors
\ Phone: Same Fax: Same E -mail: New dwelling area (sq. ft.)
•
Garage/carport area (sq. ft.)
/ Name: Dennis McCarthy Covered porch area (sq. ft.)
/ Mailing address: 18030 SE Hogan Road Deck area (sq. ft.)
City: Gresham I State: OR I ZIP: 97080 Other structure area (sq. ft.)
Phone: 665 -2662 Fax: 667 -5706 E -mail: Commercialdindustrial/multi- family:
Valuation of work $ 30, 000.00
Business name: McCarthy Manufacturing Inc . Existing bldg. area (sq. ft.)
Address: 1727 SE Hogan Rd . New bldg. area (sq. ft.)
/ Number of stories
City: Gresham I State: OR I ZIP: 97080
Phone: 665 - 2662 I Fax: 667-57061E-mail: mccman @heva Type of construction
sting:
CCB no.: 1 11/3/`61"/ net . com Occupancy group(s): ExiNew:
1 54 3
City/metro lic. no.: 13901 Notice: All contractors and subcontractors are required to be
ARCIII i EC17DESICN 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: I ZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.: •
Phone: Fax: E -mail: •
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: 'ZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
-
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All rovisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be compli i vy ; is specified herein or not. C redit card number: Expires
iy �
Authorized signature: �AI Date: 6 / 7 9 / 0 1 Name of ca rdholder as shown on credit card
r Print name: Dennis McCar . $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 18 4matter it has been accepted as complete. 440-4613 (WOacotrt)
i R a
`�SPc rJ / 9.6 . 3d- g�
2 33 ( �`,
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•
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
•
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
.Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I: \dsts \forms\matrxcom.doc 10/27/00
CITY OF TIGARD BUILDING INSPECTION DIVISION i �I
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
Date Requested 3— /b AM PM BLD
Location ! 4. s Suite MEC _
Contact Person Ph ZO 6 Li L/7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner 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 ' Q
Insulation � Q !S `y� ,i
Drywall Nailing
Fire wall 61.4/1c-CA CL%tE iJ ,Ul �C.CrZ 4.-¢ �ci!
Fire Sprinkler
Fire Alarm 4& JO V
Susp'd Ceiling �'
Roof
Mi •
•
S PART FAIL
1 MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam -
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
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 ;) O t he oach /Sidewalk Date j u 1 ' Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.