Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit #: BUP201000201
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/07/2010
Parcel: 2S102AC00500
Jurisdiction: Tigard
Site address: 12490 SW MAIN ST
Subdivision: Lot: 0
Project: Tigard Liquor Store
Project Description: Lower ceiling.
Owner: FEES
WOODARD, CHARLES L AND Description Date Amount
ARLIE C, PO BOX 23303 Permit Fee - COM - New Construction 09/07/2010 $123.72
TIGARD, OR 97223 12% State Surcharge - Building 09/07/2010 $14.85
PHONE: Plan Review 09/07/2010 $80.42
Contractor:
WARWICK ENTERPRISES
PO BOX 2345
HILLSBORO, OR 97123
PHONE: 503 - 628 -5474
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $4,999
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $218.99
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
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 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the C1rPp• Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952- 001 -0100. You mqv ohtain n copy e rules or direct • uestions to OUNC by calling 503.246.6699 or 1.800.332.234
Issued By: ` _ - ermittee Signature:
C:11 • .'. . 9.4175 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.
Building Permit Application • /2E7, (7E k 7 ---- 7r ---
Commercial RECEIVED .1, UFFICL: USI: ONI.l
Cl of Tigard Received 9 / /e / Q P� Oh �/
`•1 g Date/By:
No.: btu V
lig 13125 SW Hall Blvd., Tigard, OR 9722 r p 0 1 2010 Plan Review q I �,
•
Phone: 503.639.4171 Fax: 503.598.19 Date/By: t Other Permit:
1 ,
1 l t . A l Inspection Line: 503.639.4175 Date Rea y: Ei See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: 7 /A --T/C4 Supplemental Information
BUILDING DIVISION Lt/,%1 a ,4 6 .7-Tr
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.
❑ 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: f .2 la fed AA ;`k New dwelling area: square feet
City /State /ZIP: j ,, r Garage /carport area: square feet
Suite/bldg. /apt. no.: Project na ` A r — 4 r 7 ae,4 e ,� a c� 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: I Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, d the profit for the
' DESCRIPTION OF WORK , ' work indicated on this application. 99, —
Valuation: $ < Wit- `/
o (' / 1 S_ t; Existing building area: square feet
'T New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: C e./i• 2 11/ ^ c' e p u ,, J Type of construction:
Address: / Occupancy groups:
City /State /ZIP: :
Existin
t. g
Phone: cc (p I - 1 t'( g.3 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:
CONTRACTOR
Business name: )k k fiAJ '- 4' /or)c:y$ BUILDING PERMIT FEES*
Address: I cL &Ix e-3 i-LS (Please refer to fee schedule) � p Structural plan review fee (or deposit):
City /State /ZIP:
^1 S4�v f o ?iii- FLS plan review fee (if applicable):
Phone: ( ) (03} — «O — 51 Fax: ( )
Total fees due upon application:
CCB lic.: 69 1 1)-3 l 6 7 ii ,?
Amount received: __-P ---..
Authorized signature: This permit application expires if a permit is not obtained
� / , J within 180 days after it has been accepted as complete.
Print name: L C/� i d Date: C / v • Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building\Permits\BUP -COM PermitApp.doc 10 /01/09 440- 4613T(11 /02/COM/WEB)
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Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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: \Buil ding \Permits \BUP -COM PemuaApp.doe 06/25/08