11688 SW PACIFIC HIGHWAY 11688 SW PACIFIC HIGHWAY
�, a : r'.. •� �..;: ,-, `a�.� bas—.. : 05725
CITY OF TIGARD 1
63 �/J
BUILDING PERMIT �jo✓/vO x/'o DATE uecembcr 00 r _tg8:
TAXMAp1S1-3tiG1) LOTNO. -------SUBDIVISION
Jonn u. Alexander 11668 Pacific }tighway
OWNER— JOB ADDRESS _ _— ---.-----_---�_
BUILDER Ii.orthei:n-csuild@r.9 STATE REG.NO.
,—_.—.-..__...EXP.DATE_--
BUILDER'S PHONE 639-0214
ARCHITECT_ -----..-.___.__---_--- _.. __}_j-------------__.__ PHONE ----------_ OTHER _.
STRUCTURE I-I NEW 0 REMODEL r_] ADnITION REPAIR C.j MOVE I OTHER __F] DEMOLITION
I ! RESIDENCE ., COMM I—'_EDUCATION C l IND L] RELIGIOUS Fl ACCESSORY GARAGE 1 7 OTHER FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT _
_ Cungtruct addition kind remodel to existing building Per
-� approyev. plans and code requirements
SEWER PERMIT N
t:—r1C 300 �
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
_BUILDING DEPARTMENT SET BACKS FRONT 20-+ REAR 16') LEFT SIDE `' ' RIGHT SIDE- 1l.
Permit 140.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
_ yl X33 REGULATIONS ANP ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI DANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT IVC
PI F Ck r� +J S6.2U RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSi14ESS
_ S.fl� TAX PERMITS.SEPARATE PERMITS REQUIRED FOP SEWER.PLUMBING AND HEATING.
State Tax
Total 293.b� SDC APP ICA ORA —
_ I �N
147.53 PDCN
Prepd.
- - 146.12 - Receipt No. �' AbDpE9S 'i^'�-------'-- _---PHONE
Ral.-Due --- Issued By_-_.I__�._----- Approved By ��
REMARKS P'-UMBING DATE
DATE INSP. TYPE INSPECTION —
// Contrac'.)r
<^ Permit No,
Rou ih•In
— --/OC .. FI lure _.
f�ten�r
LLICIS �EI'Al�j Inal -
/ HEATINGjig -
-- Contractor
Permit No.
Gasor011 -_
-- Rough-in -
- Final
- ------ -- - SEWER
Final _
— DRIVEWAY
- �- Final
_— — Storm Drainage
-- `-- (Hein Drain)Final
Sidewalk -
- `--- _ Curb A Street Final
-�- Approach
BLDG.DEPT.FINAL CERTFICATF QCCUPANCY CEVIFICATE OCCUPANCY Final
Landscaping
Zoning Final
flldll HE- 111Rt RM1111H ENV
P U BOX 127 0 TUALATIN, OREGON 97062 0 PHONE 682-7601
STEIN—FJ—CVRGc_14 Serternher 19, 19c)`-)
11688 6, W. Pacific Wy.
Tiqard, OR 47223 1+924— 1
2520 —053-000 Insp. Type RFF
Dear John Alexaoder,
Tt _; is a Fire and Life Safety Plan Review and :s based on
the 1962 eiitions of the State of Oregon Structural Spe-
cialty Code and Fire and Lire Safety Code (U3C ) , the State
of Oregon Mcchani cal. Specialty Code and Me-harlical Fare and
Life Safetq Code WMC ) , Uniform Fire Code (IFC ), and other
local ordinances and regulations
Fanic hardware is required and shall be ;:counted at a height
of not less than 30 inches nor more than 44 inches aho•:e the
floor. The !unlatching force shall riot exce_ld 15 pounds when
applied in the direction of exit travel UGC 3304(d )
ProviJe and maintain "EXIT" and directional "EMT ' signs at
every required exit donrway arid wh?re'aer otherwise required
to clearly indicate the direction of egress. The exit sign
shall have letters not less than 314 inches aide and at
least 6 inches high. Exception: The Building Official nay
authorize the omission of exit signs at main exterior exit
dOOT's which are obviously arc clearly identifiable as exits.
UFC 12. 114 (a ) (b ) , UBC 3314 (t `
An appointment time shall be rrade with a renter of fire
prevention for the following inspections at least 24 h.• urs
prior to the anticipated tire and date the inspection is
needed. VRC 305 framing and final inspections.
Approval of submitted plans is not an approval of omissions
or oversights by this office or of non—cu,-iplianc-e c;ith any
applicable regulations of local. government.
If you desire a conference regarding this plan revie,.. or if
you have questions, please f,-el free to contact m.- at ( 503)
6e2-2601.
V
Marie Willia,,s
Prevention Bureau
MF260 OCCUPANCY FILE LIST SEP 20, 19E5 .11 : 19: 41,'
TUALATIN R. F. P. I). Page 1
KEY SCREEN
1 Name STEIN-N-BURGF_R
Zane-C7cc #: 252C -053-000 5. Spe_ ial Sortl '
3. Address 11688 SW PACIFIC h14i TI 6. Spe(. iai Surt2:
4 Category 7. Special 5(.)rt3:
BASIC SCREEN
1 . Occ Phone ( 503) 6:.1?-02 14 16. Census Tract: 3Cj6
2. Manager ,John l,lexander 17. Code Edition- 19'73
3. Phone ( 503) 639-5788 18. Bldg Value $ 2221, 600
4 Mail - Apt#: 19. Content Val $ 11.0, 000
5. Address : 11688 S. W. Pacific. Hwy. 20. Other Value $()
6 Cty, St, Zp : Tigard, OR 97223 21. 901 Occ Use 161 Restaura
7. Bldg Owner .John Alexander 22. UDC Occi/ft 13 A-3/ 1770
S. Phone ( 50'1) 639-02.14 23. Fire Alrm Sy: NONE
9. Suite-Apt: 24. Alarm S-4st #: NONE
10. Address : 11688 S. W. Pacific Hwy. 25. Prop in Use Y
11. Cty, St, Zp : Tigard, OR 97223 26. Date Built 6 -01/01/6C
12. Emrg Contct 27. Date Remodel : 09/19/85
13. Emerg Phone.
14. Ins Type/Mo: INF / 12
15. ISO Class 3
FIRE PROTECTION! SCREEN
1 . Alarm Shutoff Location NONE
2. Power Shuhoff Location I-S
.3. Water Shutoff Location 0-N
4. Natural Gas Shutoff Location: 0-E
5. FDC Location NONE
6. Sprinkler Control Location NONE
7. Stand Pipe Location NONE
8 Attic Access Location NONE
r. Special Hazard Type Code :
10. Special Hazard Type NONE
11. Special Hazard Location NONE_
12. Water Source Location HYDRANT
13. Stairway/Vert Shaft; Prot Y/N: 1 stairs enclosed # vert shaft - 0
CONSTRUCTIGN SCREEN
1. Const Type 50 V-N 16. N Prop Line /
2. Grnd Area 1, 770 17. Wall Prot :
3. Basmt Area 1, 770 18. S Prop Line /
4. Total Area 2, 540 19. Wall Prot :
5. # Stories 1 20. E Prop Lint-
6.
int 6. Height-ft 10 21. Wali Prot :
7. Inter Co!mn: 10 LT WD FR 22. W Prop Line /
0. Roof Const 10 WD JOIST 23. Wall Prot :
9. Roof Cover 04 ORD UNKNO 24. Area Wal:
10, Roof Area 0 25. Area Wal :
11 . UDC Occ2/ft: 26. Area Wol :
12. UBC Occ3/ft: / 27. flan Loc : 0
13. UDC Occ4/ft•: / 28. Mis,_ :
14. Avtt_, SP Use:
15, Auto FA Use:
City of Tigard Mechanical Permit
Fee_— _
New InstallationCJ Replace [JRelocation ❑ Addition FJe _._._.Atteration �_I 3%Stat
TOTAL_Y.__.__.
CONTRACTOR _^ --_ OWNER
ADDRESS___—__ _ -- _—_-- __-- WORK ADDRESS— --
PHONE —__- __ APPLICANT—
Heat Input Rating (BTU Per Hour) Vent Size — Flue Size----.-
FUEL
ize --_.-FUEL OIL ❑ GAS C.1 ELECT Ll OTHER,
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit 3.00_ Air Condition Compressor 15 to 30 HP _^ 10.00
New- Under 100,000 BTU 4.00 Air Handling 10,000 CFM 3.00_
New- 100,000 B•rU &over 5.00 Air Hardling Over 10_,000 CFM 5.00
Floor Furnace _ `4.00 Evaporative Cooler 3.00
Wall - Floor-Suspended 4.00 Range Vent Fan_ 2.00
Install Vents OnivJ �— _ 2.00_ _Vent System 3.00
Repair- Heat&Cooling 4.00 Hood Curnmerciai —` 3.00_
Air Condition Compressor Under 3 HP _- 4.00 Commercial Duct System — 10.00
Air Condition Compressor 3 to 15 NP 7.50 _—
INSPECTOR'S COMMENTS __ — ----
CJY BUSINESS LICENSE REQUIRED FOR ALi. CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE _ ISSUED P, __ DATE
RECEIPT NO.
774 Signature of Applicant
i
Address //i�,�s� �,� 1ccct< _ Permit No. /3iY
Permit charge
Owner ��_, � ;,r .' „tet_ ��a ,_ ` ak1 Connec tion fee
Paid by
Type of building �_�_��.�2(./�L! _ Date connected
:3 w ,
Service rate ; 70,)-XA Inspection fee
Contractor _ Paid by _ Date,
Size of connection Assessment Paid
d
i
PERMIT TO CONNECT r
Tigard Sanitary District
PERMIT N9 1.318 DATE ��--- — _-
r
PERMIT IS GIVEN TO t
OF ~~
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DENCRIDPI) PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $.... .............................TIGARD SANITARY DISTRICT
d B9
CONNECTION INSPECTED AND APPROVED
_-Daly Superintendent