Permit •
,t r r i ® Y O T 0 BUILDING PERMIT
PERMIT #: CO MMUNITY DEVELOPMENT DA ISSUED: B /31/20 -00569
� � � � PM 10/31/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DC-04500
SITE ADDRESS: 07501 SW DARTMOUTH ST 100 ZONING: C -
SUBDIVISION: PP1995 -013 LOT: JURISDICTION: TIG
PROJECT: WINCO
Project Description: Install dairy doors on walk - in dairy area.
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: sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 23,740.00
Owner: Contractor:
WAREMART INC EWCO SERVICES
BY BURKE + NICKEL 18055 NE SAN RAFAEL ST #2
3336 E 32ND ST #217 PORTLAND, OR 97230
TULSA, OK 74135
Contact #: PRI 503 - 661 -3964
Phone:
Reg #: LIC 175509
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/31/2007 $219.80
[TAX] 8% State Surcha 10/31/2007 $17.58
[BUPPLN] Pln Rv 10/31/2007 $142.87
Total $380.25
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 . -s or •• ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu -d By: A O/ L/ id ___ __ Permittee 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-• e project.
Approved plans are required on the job site at the time of each inspection.
B - 1'`t 1 Permit Application
Commercial i ° � -, r v ii i. , ` F OR r o FFiCE U O ` " l k 4 w � � `
.+.,>whd .rr4,: Z R m �l�t '« r�,v.a� y i..ik'`rRW.+sI'' 4:�'L..uc➢;aiw'5idL �_� ._.E d ., -7+1r �u'.rlt r .r" „ rf_ Yf
Received
:0 , City of Tigard Date/By: ( v 3/ 67 Permit No / , -60 56 y
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
® I,i Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
''' ` Inspection
Internet: www.tigard or.gov Notified/Me t ection Line: 503.639.4175 Date Ready /By: )uric: ® See Page 2 for
,;TI G "1 R l9 Supplemental Information
�
TYPE. OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit 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.
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
ID Master builder ❑ Other: Number of bathrooms:
75 JOB SITE INFORMATION - AND LOCATION Total number of floors:
Job site address: 1350 S L. v' 'ar - i- inou4-h Ed New dwelling area: square feet
City /State /ZIP: ' I 19a co \ Or Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: rixAes-bOCICC 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: 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.
71 4 l �. 1
2,1,r' ci Valuation: $ 3 C?
1.1 1
Gl[7t7� 5 � l ; �n1 k • t,o d ,
Existing building area: square feet
New building area: square feet
❑ PR OPERTY OWNER ❑ TENANT . - Number of stories:
Name: \kJ i .,l C p Ca l-og_ r /0c. Type of construction:
Address: ? 34 E r 4�4 5 ''.,P-/ 7 Occupancy groups:
City /State /ZIP 1._ Gll 74 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON '
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail: rl y
v
ONTRACTOR' .
Business name: € U9 C 0 t�QQt t t P. (UtllMt!,t64L 4' to . ()Jo-. • BUILDING PERMIT FEES*
Address: 1 L1 DaS , I v SAN R a i (Please s ejer tojeee sc
Structural plan review fee (or deposit):
City /State /ZIP: P ocm r q7 3
/ FLS plan review fee (if applicable):
Phone: ( 5D' 66 ( q ` 39 Lt4 Fax: (5G3) 52$ v
CCB lic.: / 7550 ! 677 /Ail/ Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
.� y4
• Building Division
Accessibility: Barrier Removal Improvement Plan
TI,GARD'
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] $
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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): $
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l:A Building \ Permits \BUP -CONI PcrmitApp.doc 02 /23/07