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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2010 -00060 T f G ARb 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/02/2010 Parcel: 2S104BB07900 Jurisdiction: Tigard Site address: 14300 SW BARROWS RD Subdivision: RUSSELL'S SCHOLLS FERRY SUB Lot: 2 Project: Albertsons Project Description: Interior TI. Owner: FEES NEW ALBERTSON'S INC Description Date Amount ATTN: 70428 - CORPORATE TAX, PO BOX 20, Permit Fee - Additions, Alterations, 04/02/2010 $4,539.95 250 PARKCENTER BLVD Demolition PHONE: Plan Review 03/19/2010 $2,950.97 Plan Review- Fire Life Safety 03/19/2010 $1,815.98 12% State Surcharge - Building 04/02/2010 $544.79 Contractor: Metro Const. Excise Tax - Commercial 04/02/2010 $840.00 CURT FAUS CORP Use 5775 JEAN RD STE 105 LAKE OSWEGO, OF 97035 PHONE: 503 - 699 -1103 FAX: Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $700,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $10,691.69 Reouired: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: No Smoke Detectors: No Manual Pull Stations: Yes Accessible Parking: 0 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 ^ n ac ce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work isr suspended for more the 180 ays. ATTEN Ore gon law r- • s you to follow the rules adopted by the Oregon Utility Notification C enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR - 001 -010.. ou may obtain a copy of the rules or direct questions to OUNC by callin-� 03.246.6699 or 1.800 332.2344. Issued By: 1/ Permittee Signature: /1 /Apj. ■ • Call 503.639.4175 by 7:00 a.m. for an inspection that busine - ay. 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. Building Permit Application R EC E V E D r A p y , i .r r R l i t fr'. 3 +" 7P 4. 4, MK - f l t , “ J 1 , +.,: ,,■} ' , Commercial ; .tr 1 . 1 F R OF ONLY r n 4 r�. w�J ,,. atf>7;"tvhr � t "a . s•,- h a�' , -i - - ' ..r ,) iti` i7 ,ri ° . "'r� °�r C of Tigard MAR 19 2013 Received Permit No. / � r ' w o L-rr ` dr >5 Date /B � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 8I n Y OF TIGARD � > �' .,II)iik © Other Permit: 1- Phone: 503.639.4171 Fax: 503.598.196 7 Date/B t Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By: � � dw / l0 See Page 2 for 'T1GA ? L I�DII� �'' g =h 4 Internet: www.tigard-or.gov ified M Supplemental Information TYPE OF WORK QUIRED DATA: 1 AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION ' work indicated on this application. ❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB' SITE INFORMATION AND LOCATION Total number of floors: Job site address: 14300 SW Barrows Rd New dwelling area: square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Albertsons #0576 Covered porch area: square feet Cross street/directions to job site: Southeast Corner of intersection Deck area: square feet with SW Murray Blvd 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. Tax map /parcel no.: 2S104BB07900, R20755 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Interior Alteration: Minor decor changes, relocation of sales gondolas and new Valuation: $700,000 refrigerated or frozen case sales fixtures. Exterior work limited to cleaning Existing building area: 39998 square feet and repainting of fire lane. New building area: 39998 square feet ❑ PROPERTY OWNER El ,TENANT Number of stories: 1 Name: Albertsons, LLC Type of construction: III -B Address: 250 E Parkcenter Blvd Occupancy groups: City/State /ZIP: Boise ID 83706 Existing: M g� Phone: (208)395 -4711 Fax: (208)395 -4103 New: M ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Lundin Cole Architects, PC All contractors and subcontractors are required to be Contact name: John Cole licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 208 SW Stark St - Suite 200 jurisdiction in which work is being performed. If the City/State /ZIP: Portland, OR 97204 applicant is exempt from licensing, the following reasons apply: Phone: (503) 241 -3174 I Fax: : (503) 241-3186 E -mail: jcole @lundincole.com CONTRACTOR Business name: Curt Faus Corporation BUILDING PERMIT FEES* Address: 5775 Jean Rd - Suite 105 (Please refer to fee schedule) City /State /ZIP: Lake Oswego, OR 97035 Structural plan review fee (or deposit): ash 1, FLS plan review fee (if applicable): 1 81 5.9 g Phone: (503) 699 -1103 Fax: (503) 699 -1106 CCB lic.: #149775 Total fees due upon application: J Amount received: Lot (0. r Authorized signature: � b This permit application expires if a permit i not obtained within 180 days after it has been accepted as complete. Print name: John Cole Date: 03/18/2010 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP - COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)