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Permit . . -. CITY TICS BUILDING PERMIT PERMIT #: BUP2008 -00156 ": COMMUNITY DEVELOPMENT DATE ISSUED: 5/30/2008 TIGARD.' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CC -00500 SITE ADDRESS: 13600 SW PACIFIC HWY ZONING: C -G SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG PROJECT: H MART Project Description: Racking. 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: 2N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 1,417 BASEMENT: sf AREA SEP. RATED: STOR: 1 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: $ 12,033.00 Owner: Contractor: 13500 PACIFIC CORP MATERIAL FLOW + CONVEYOR SYS BY CAP ADVISORS 11117 SW GREENBURG RD 38345 W TEN MILE RD, STE 170 TIGARD, OR 97223 FARMINGTON HILLS, MI 48335 Phone: Contact #: PRI 503 - 684 -1613 FAX 503 - 684 -5133 Reg #: LIC 00099999 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 5/8/2008 $91.75 [FLS] FLS Pln Rv 5/8/2008 $56.46 [BUILD] Permit Fee 5/30/2008 $141.15 [TAX] 12% State Surch 5/30/2008 $16.94 Total $306.30 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 r - or .' = t que . 'ons to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue. By: k - 1 ___ ` h j d , P ermittee Signature: .�� Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. VIII. H T k 9,13 - Kc y Building Permit Application Commercial , ,1. « - , 4 ;, FOR OFFICE USE ON LY � , a'T' a e �o�� Received rot � ., Permit No.: /�� - ous City of Tigard Re Date/By: Q !(/ oust 13125 SW Hall Blvd., Tigard, OR 97223 ep Ay Plan Rev' • C _ Phone: 503.639.4171 Fax: 503.598.1960 tV , ,aateB : 4� Inspection Line: 503.639.4175 Q� (rte Other Permit: iii r GAS T I GA R D ®� T1G l Ready /:y: Ju El See Page 2 for ris. . _ Internet: www.tigard- or.gov � � i �W GD L il,, , led/Method: AV , M� Supplemental Information t� 1 ' '-y)nota TYPE OF WORK ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING . ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. kg_ Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement Other: (E(' N4- 1u�0L -701 equipment, materials, labor, overhead, and the profit for the CATEGORY. OF CONSTRUCTION . work indicated on this application. ❑ 1 -and 2- family dwelling laCommercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: r: Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION • Total number of floors: Job site address: l 3(pco 3w Pc- pc_, f-{(6twfty New dwelling area: square feet City /State /ZIP: --r (G(() O1 c --4-aa_3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: N- A Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the . DESCRIPTION OF WORK work indicated on this application. /A &Y tL PALLET RRCL - qb "t 4t1Z tpl ftC— Valuation: $ l �� 3 5 Wei.Gta 1 cc»' 0(' 2rzo 7 Existing building area: square feet New building area: square feet • .❑ PROPERTY OWNER ® TENANT Number of stories: Name: (4-- m { \/CoNi, 11.1 IA Type of construction: N Address: 1 5( 0 0 s/G,..) PHe_IFtc (1(G lf(.t.P ( Occupancy groups: City /State /ZIP k ) J (Q q - 3 / Existing: t Phone: ( ) L 33-- 63L 7 Fax: (y)3) ( 2O- 1(S ( New: ❑ APPLICANT ® CONTACT PERSON NOTICE . Business name: MATER/ lL Fly F co IJ ,g(02 S.(S(`em s ( All contractors and subcontractors are required to be Contact name: �(2.IA L licensed with the Oregon Construction Contractors Board • under ORS 701 and may be required to be licensed in the Address: (( Q S w � 2 (7 • jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons // T( 6PtZ- , p R7Z apply: 3 Phone: ( ) (90 - I lD l 3 I Fax: : (ED3 ON— 5133 E -mail: b!' IOl.() r p mEctec(a. -cto w . COIrl CONTRACTOR Business name: m AT66f\ C- FLOI-v ` 6.,,,,,€ - Ya(Z 5 ,i5,,e7.45 (pc, BUILDING PERMIT FEES* Address: 5 tv G�� !R-D (Please refer wfeeschedule). ((1 7 Structural plan review fee (or deposit): City /State /ZIP: l 1 a (C. C( - (zz -- �/, �� q� f / FLS plan review fee (if applicable): '6, LI to Phone: )68q— I to 1 3 Fax: ( ) (OSY - J /3� � CCB lic.: � Total fees due upon application: / (4 ` / �6 , al • `�-� Amount received: / 1.-Ii". Authorized signature: 46— This permit application expires if a permit is not obtained o f within 180 days after it has been accepted as complete. Print nameT tt .}1...:) Date: 51o8 %" * . V ' Fee methodology set by Tri- County Building Industry Service Board. k iuilding \Permits\BUP -COM PermitApp.doc 2/23/07 I 440 4613T(11 /02 /COMIWEB) Mir Building Division Accessibility: Barrier Removal Improvement Plan TIGA'RD. 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 per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ • • ELEMENTS: 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: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (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 Valuation Computation): $ I:\ Building \Permits \BUP -COM PcrmitApp.doc 10/30/07 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. BUILDING DIVISION T I G A li'D`' TRANSMITTAL LETTER TO: AA/ % /d)gr./ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAY 2 7 2008 FROM: Tesory S-e CITYOFTIGARD COMPANY: N - Ju ART BUILDING DIVISION PHONE: 5 4-e - BY err RE: 13 © 0 S O r1 CW Is( K (Site A dress) I ( ermit/Case Num er) (Probe ct name or subdi ision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: Po c 1(//1) Ca/c ( b75\0/1/5 FOR OFFICE USE ONLY Routed to Permit Technici . Date: Initi Fees Due: ❑ Yes No Fee Description: Amd ue: Special Instructions: Reprint Permit (per PE): n Yes o ❑ Done Applicant Notified: Date: Initials: I: \Building \Forms \Transmittal Letter- Revisions.doc 4/4/07 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200B -OO156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/30/2008 Phone: (503) 639 -4171 „ �4;�M .' Inspection Requests (24 Hrs.): (503) 639 -4175 — INSPECTION WORKSHEET FOR DATE: 6/2.,x. TIME: 7:00AM PAGE: 21 SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE: PROJECT NAME: H MART DESCRIPTION: maw OWNER: 13500 PACIFIC CORP, PHONE #: CONTRACTOR: MATERIAL FLOW + CONVEYOR SYS PHONE #: 503 -684 -1613 Inspection Request Scheduled For: Date: 6/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 071870 -01 503-888 -8496 Y Corrections /Comments/ Instructions: • LG PASS rA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i _ / '� Inspector: Date: . 6 26 fir, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008.00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/30/2003 Phone: (503) 639 -4171 !11 it Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 6/4 /2008 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE: PROJECT NAME: H MART DESCRIPTION: Racking. OWNER: 13500 PACIFIC CORP, PHONE #: CONTRACTOR: MATERIAL FLOW + CONVEYOR SYS PHONE #: 503 - 6841613 Inspection Request Scheduled For: Date: 6/4 /2008 Pour Time: . Code # Inspection Description Confirm # Contact # Message 299 Final inspection 070843 -01 503 -620 -6120 N Corrections /Comments /Instructions: Co (Z.f F , f gc Th CZ-7r c/Z- ofd CG1 1 ,‘ , � . - r4 c c-, e *PLc 1721 s Pct-( q— _qv 1 0 2 // ■ 1 1/. . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r • Inspector: Date: (v 6e Phone #: (503) 718- A V 06/26/08 THU 10:01 FAX 503 670 9147 CARLSON TESTING Q002 Carlson Testing, Inc. Office Bad Offlat ��.wa) Le nod. y,.., COMM r , ( 19a,e LIM aura /knew n ulws)lf ASV' qm, waaw4 r4.c n0.*). »ov it1Ja /1MO4IJ Construction Materials Testing & Inspection Special Inspection FINAL SUMMARY LETTER • June 25, 2008 T0807356 City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 -8199 Attn: Building Department Re: H -Mart — Tenant Improvement 13600 SW Pacific Highway— Tigard, OR Permit No.: BUP2008-00156 Dear Sir or Madam: This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Installation of Adhesive Anchors All inspections and tests were performed and reported according to the requirements of Project Documents and. to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material testedfinspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Neil S. Shann • Project Manager NSS /ld cc: Viking Construction — K C Choi City of Tigard Building Division - Information / . �To Build On Engineering • Consulting • Testing TESTED FOR: H Mart PROJECT: H Mart Attn: Terry Seo PERMIT NO.: BUP 200846&tflS pd /C6' 13600 SW Pacific Highway Tigard, Oregon 97223 PROJECT SITE: 13600 SW Pacific Highway Tigard, Oregon DATE: June 3, 2008 REPORT NO.: 702- 80195 -I INSPECTION TYPE(S): Post - Installed Anchors, Special inspection (new inspection, post - completion, continuous) REMARKS: Locations /Items: (26) Hilti Kwik Bolt TZ '' /" diameter x 5 '/" length wedge anchor torque testing PSi on site to perform post - installation torque testing of (36) Hilti Kwik Bolt TZ /2" diameter x 5 %z" long wedge anchors (model /type provided by client on site) fastening steel rack shelving located in northwest area of store. I rack leg (west end) front at required 40 Ibs; back (I) at 20 lbs in pull out and (1) inaccessible. 2 rack leg front (I) at 40, (I) at 30 lbs in pull out; back (I) at 40, (1) at 20 lbs in pull out. 3 through 7` legs all (4) each tightened to required 40 lbs. 8' leg front (I) at 40 lbs., (I) at 20 lbs in pull out; back (1) at 40, (1) 30 in. pullout. 9' leg (east end) all (4) at 40 lbs. *Units referred to as lbs. are ft. lbs. torque as determined by torque wrench #K -I 1. *Torque requirements from page 5 table 1 ICC -ESR -1917, expiration date 9/1/09. In all (36) cases anchors previously installed at tops show signs of saw cutting; unable to positively verify type, hole diameter, embed depth or hole condition. PSI was informed prior to arrival by the contractor that the above listed anchors were used. Refer to the above noted results for leg I, 2 and 9 for torques below stated installation torque requirement. Engineer's acceptance required. To the best of my knowledge; the work was in accordance with the building department approved design drawings, specifications, and applicable workmanship provisions of the IBC except as noted above. INSPECTOR: L. Basel, OBOA 805 Respectfully submitted, Professiot • I S rvice Industries, inc. J' rn Eakman • Construction Services J E/A W c: City of Tigard These rest /inspection results relate only to the specific test locations noted. PSI is not responsible for any other location or elevation. Reports may not be reproduced, except in full, without written permission of PSI. 6032 N Cutter Circle, Suite 480 Portland, Oregon 97217 Phone (503) 289 -1778 Fax (503) 289 -1918 CCt3 License# 176269 CITY OF TIGARD BUILDING. DIVISION PERMIT #: BUP200B- 01)166 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/30/2008 Phone: (503) 639 -4171 .ws' t Inspection Requests (24 Hrs.): (503) 639 -4175 ...'' °I I.. INSPECTION WORKSHEET FOR DATE: 6/2/2008 TIME: 7:02AM . PAGE: 27 SITE ADDRESS: 13600 SW PACIFIC HWY CLASS OF WORK: ' SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE: PROJECT NAME: H MART DESCRIPTION: Racking. OWNER: 13•00 PACIFIC CORP, PHONE #: CONTRACTOR: MATERIAL FLOW + CONVEYOR SYS PHONE #: 503 - 684 - 1613 Inspection Request Scheduled For: Date: 6/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 070622 -01 503 -407 -9564 N { orrections/Comments/Instructions: 1 t- S { e-- i c---� ...,�. , it %1 4� l 1.--a - ' r ,.;/%65 i C lsl i i -' - 11 , • Sri V C t � - itt PL-_ . , - l i , 41 PP vi t F'Kc cir & VS t I-t t -1_ ('. ) C-'IGE12 y . �42a 0 1- n'o sk.o xi 7 .4, ,,, PASS r PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector ,. Date:41/45 Phone #: (503) 718 - /6