Permit •
CITY OF TIGARD
e A, DEVELOPMENT SERVICES PERM U # 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 CES BIDING PERMIT
TF'99 -0047
DATE ISSUED: 02/17/99
PARCEL: 1S134BC -00600
SITE ADDRESS...: 12390 SW SCHOLLS FERRY RD
SUBDIVISION • PP1993 -057 ZONING:C —G
BLOCK • LOT •002 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :ALT FIRST 30 sf N: S: E: W:
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :3N ...: 0 sf N: S: E: W:
OCCUPANCY GRP. :U2 TOTAL 30 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STO R.: 0 HT: 0 ft GARAGE...: 0 s f OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 5000
Remarks : Addition to McDonald's existing freestanding sign.
Owner: FEES
THOMPSON & DAVIDSON LEASE type amount by date recpt
12475 SW MAIN STREET PRMT $ 50.50 B 02/11/99 99- 312726
TIGARD OR 97223 SPCT $ 2.53 B 0`/11/99
99- 312726
PLCK $ 32.83 B 02/11/99 99- 312726
Phone #: 620 -2184 FIRE $ 20.20 B 02/11/99 99- 312726
Contractor:
CUSTOM SIGN
9316 SW 12TH DRIVE
PORTLAND OR 97219
Phone #: 246 -8324 $ 106.06 TOTAL
Reg #..: 72764
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with ? AM-L,
approved plans. This peruit 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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987. •
Permittee Signature: 1_ / a..4,/ Issue By: 1 I '4 4
+ + + + + + + + + + + + + + + + + + + + + + + + + ++ +++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Z- 3lG
C ITY OrTIGARD Commercial Building Permit Application Recd By
I'
13125 SW HALL BLVD. New Construction and Additions Date Recd . . � .
TIGARD, OR 97223 Date to P.E. %-
Date to DS 'L I,- t ' g i
(503) 639 -4171 Permit# DU "t-
- DO -1
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called A - 1 - V > , :;
c-7---p-1 ^7 (i %°
Napi Develop / menUProj %� t Was r C Job rac,i �f�l e, Lay 11
E . .ldin9 -O
Address Street Address / Suite
123qo Sul SCiwits Building
Bldg # City/State Zip Data % /'� ,7'/ :-0 i►'eQS 4 7:1K
l / 4V g--77.7;s Existing Use of Building or Pro ' :
Name
Property at fila4ixofr.alviistdaat 1ID Vi.
Owner Mailing Address Suite - Proposed Use of Building or Property:
/PIK rid / r
City/ to Zip Phone
ayX q72-2-3 law 24,34 No. Of Stories:
1
Occupant m Sq. Ft. Of Project:
l is ce 4 004 Ow Wta- -r � o
Name Occupancy Class(es)
Contractor C(�( W I{I 1CO3
Prior to permit Mailing Address vi {/ 1' Suite Type(s) of Construction
Y �/1/ /�
issuance, a copy 1?/ (1 /r_ , � / .� /,) v
of all licenses
are required if CI /State Zip Phone Will this project have a Fire Suppression System?
expired
database V in C.O.T. O / i l a k / . /a 724 4 7. �/' /07�f � _ , / Yes ❑ No ❑
Americans with Disabilities Act (ADA)
regon Const. Cont. "/ !' nt. Board Lic.# Exp Date
Valuation X 25% = $ Participation
4 Complete Accessibility Form
Name Project $
Architect Valuation
✓ 3QJ
Mailing Address Suite p 5
Plans Required: See Matrix for number of sets to submit
City/State Zip Phone 3 on back
Engineer Name I hereby acknowledge that I have read this application, that the information
� kQ J/r EPletiervi given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite
that • - s submitted are in compliance with Oregon State Laws.
Q 67 5 W (P /AV • ure of Own ent Date
Ci tate Zip Phone / v /� /% B
9
/ ! a v 9'722:5 b20 web • ntact N am Phone
Indicate type of work: New 0 Addition 0 Demolition 0 (Nos t f 1O s0t, bzo e i [/ `"
Accessory Structure 0 Foundation Only 0 Alteration $
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work: Map/TL# Land Use: C
Add th k 1I J l S/ h Notes:
Parks: Estimated # of Employees TIF: 'n
If the above figure is not supplied at the time of application, the city will ll ■' 1 '
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building F.01 L \ SD -I)
Permit Application 1 �
I: \COMNEW.DOC (DST) 5/98 q ZO
• _ •
r
• .
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan :Revie r is dependent upon.su of BOTH-t AND a COMPLETED •
application. `For an :•electrical submittal, the appl c tion u t contain the
signature of the . supervising. electrician before plan review will-be:'conducted.
After•plan review' approval, Plans Examiner will . contact: applicant to request
additional..p sets for distribution purposes (Copy for Contractor. City,
Washington County, Tualatin -Valley = Fire. &Rescue). .
.
Total #of
TYPE > flans • KEY:
.: • • . :Submitted
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
*S or B:: &_>M (Alt)-. . 1 • .
*BA IA (Alt) 3: .
* B 4 M : . A P< & E(Alt) ` 3 • •
• *B &MAP`& :&l (alt }.::.,, 3 •
:
NOTES:
*Shaded areas :designate. ALT submittals-only. : :-
I \dsts \forms\matrxcom.doc 10/30/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: BU e: 639 -4171 9 CbCIy
I
Date Requested - 3/ a a AM \ (PM BLD
Location ' 2 O i',I ),61' L Suite MEC
Contact Person J • Ph PLM
Contractor Ph SWR
:UILD - . Tenant/Owner C),/51 ELC
Retaining Wall ELR
Footing
Foundation FPS
Ftg Drain NOT REQUESTED
Crawl Drain I FOUND DURING RESEARCH SGN
Slab NO INSPECTION(S) FOUND IN FILE SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear
Framing QO 1 4 T S ", n 0
i v� �jlJ ���
Insulation G �
Drywall Nailing 0 \f - ..A—r51% N r ,
Fire wall (� t mil' `4 v ' v r n
Fire Sprinkler [ v ZA}J- f.,
t_ • C�✓�� r
Fire Alarm
Susp'd Ceiling
Roof P L4, t , P \ S A- n e_
Misc:
• S PART AIL 1 /.6/\ '
PLUMBING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date "�
2 V Inspector r C s - Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.