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Permit q CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00272 COMMUNITY DEVELOPMENT DATE ISSUED: 8/28/2008 J''? 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DC-04500 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO ZONING: C - SUBDIVISION: PP1995 - 013 LOT: JURISDICTION: TIG PROJECT: WINCO Project Description: Fire alarm modification for TI. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS 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: 2,269 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,875.00 Owner: Contractor: WINCO FOODS T & L COMMUNICATIONS INC 650 N ARMSTRONG PLACE PO BOX 87387 BOISE, ID 83704 2800 NE 65TH AVE SUITE A VANCOUVER, WA 98661 Phone: 208 - 377 -0110 Contact #: PRI 360- 737 -9725 FAX 360- 737 -9648 Reg #: LIC 67787 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/12/2008 $91.10 [TAX] 12% State Surch 8/12/2008 $10.93 [FLS] FLS Pln Rv 8/12/2008 $36.44 Total $138.47 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 es or •' ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue y: / ! ,W, 4 i ' Permittee Signature:y , P U 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. - 750' �z;0 i CU t I &)o Fire Protection System 10 Building Permit Applicatio .r n ,, FOR OFFICE USE ONLY • City of Tigard Da te /B e a v ' 4 - i' l - Permit No.: 6 .... )- J q 13125 SW Hall Blvd., Tigard, OR 97223 p L P lan Revie Phone: 503.639.4171 Fax: 503.598.1960 no t ) Date/B : 11 ii Other Permit: r '_ . ■ E� TIGARD Inspection Line: 503.639.4175 e r (•j ',. .4 {,jl � lateReady /By: Juris: n See Page 2for 0 Internet: www.tigard or.gov CI% 1� A•j° t �aNIVn y i� otified/Method: ��7 or T,9 Supplemental Information 1 �y�` TYPE OF jai:: 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 D Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- 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: 7501 Dartmouth Road New dwelling area: square feet City /State /ZIP: Tigard, OR Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Winco 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. Fire alarm modification for tenant improvement Valuation: $ 5,875.00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stones: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: T &L Communications, Inc. All contractors and subcontractors are required to be Contact name: Ross Bushaw licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: PO Box 87387 jurisdiction in which work is being performed. If the City /State/ZIP: Vancouver, WA 98687 applicant is exempt from licensing, the following reasons apply: Phone: ( 360 ) 737 -9725 Fax: : ( 360) 737 -9648 E -mail: office @tl- communications.com CONTRACTOR BUILDING PERMIT FEES* Business name: T &L Communications, Inc. (Please refer to fee schedule) Permit fee: Address: PO Box 87387 State surcharge (8% of permit fee): /C) / .9 City /State /ZIP: Vancouver, WA 98687 FLS plan review (40% of permit fee): Phone: ( 360) 737 -9725 Fax: ( 360) 737 -9648 (Due upon application.) 7y CCB lic.: 67787, Portland Me •• 6981 Total permit fees: /3 r y 7 Authorized signature: / Amount received: // ..,.. f .-------- � �_ This permit application expires if a permit is not obtained Print name: La : S • w Date: 08/12/2008 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permiis •S- Permit App .doc 03/23/06 440- 4613T(I I /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: I3UP2008MO272 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: f�.� }812000 Phone: (503) 639 -4171 i , �,�j 11' Inspection Requests (24 Hrs.): (503) 639 -4175 ', %'1 INSPECTION WORKSHEET FOR DATE: 10921/2 ;a8 TIME: 7:O0Am PAGE: 43 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WI NCO CLASS OF WORK: SUBDIVISION: pf.194r. t)13 LOT #: TYPE OF USE: PROJECT NAME: vow() DESCRIPTION: Firs alarm modification for TI. OWNER: WINCCO FOODS, PHONE #: 20G, 377 - 011f) CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360.137..9725. Inspection Request Scheduled For: Date: 1092 1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 958 Alarm final 076946 -01 360 - 737 -9725 .41- °o A.' 1 Corrections/Comments/Instructions:' �� PASS �� PARTIAL APPROVAL n CANCEL n NO ACCESS n F' / CALL FOR INSPECTION n ADDITIO AL FEES ASSESSED '------- Inspector: Date:? �� Phone #: (503) 718-