Permit • t
BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2003 -00129
— 13125 SW ` ._� I�' i DEVEL Tigard, ICES 639 -4171 DATE ISSUED: 4/16/03
SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO PARCEL: 1S136DC-04500
SUBDIVISION: PP1995 -013 ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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: 3N : 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: $ 5,096.00
Remarks: Tenant Improvement - Meat/Deli area
ELECTRICAL, PLUMBING AND MECHANICAL PERMITS REQUIRED
/ Owner: Contractor:
WAREMART INC SNODGRASS CONSTRUCTION INC.
BY BURKE + NICKEL PO BOX 12146
3336 E 32ND ST #217 PORTLAND, OR 97212
TULSA, OK 74135
Phone:
Phone: 503 - 282 -7255
Reg #: LIC 67637
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] Pln Rv 3/20/03 $65.59 Electrical Permit Required
FLS FLS Pln Rv 3/20/03 $4 0.36 Plumbing Permit Required
[FLS] Framing lnsp
[BUILD] Permit Fee 4/16/03 $100.90 Gyp Board Insp
[TAX] 8% State Tax 4/16/03 $8.07 Final Inspection
Total $214.92
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 rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 4i /1A)
Pe mi ittee
Signature: . 41 i d i
p "
• Or
✓al9-4175 by 7 p.m. for an inspection the next business day
7-so / 0Am%1100r#' /t0A_40
Bui1di t Permit Application,.
V FOR OFFICE USE ONLY
Y Received Building �, //
Date/By:, �� Permit No.: (/ X./03 —OD /a/
City of Tigard Planning Approval Other
Date /By: Permit No.:
13125 SW Hall Blvd. MAR 2 0 2 A I Plan Review f Other
Tigard, Oregon 97223 Date /By: ! -!0 - 0 3 / Q Permit No.:
j7 ` f Post- Review Land Use
Phone: 503- 639 -4171 Fax 503 -S�+ Y9 T • " 116',
— ( G - d 3 Cas No.
Internet: www.ci.tigard.or.us BUILDING t„!„,6.4. ! Contact (ern ® S ee Page ge for
24 -hour Inspection Request: 503- 639 -4175 Name /Method: e i . ...( Supplemental Information
❑ New construction ❑ Demolition 0 ill 0
If Addition/alteration/replacement El Other:
CATEGORY OF CONSTRUCTION ' ` Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ® Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
JOB SITE INFORMATION and L O „ C ' nE - „, No of bedrooms: No of baths:
Job site address: Akftha '(Z.OA-o Total number of floors
New dwelling area (sq. ft.)
Suite #: 75 / Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: (,J h) (,p 2_3 .- /'1 ifirriptr t for Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
OFF Jew y / 9 NggT (. S TGO Other structure area (sq. ft.
Subdivision: Lot #:
-1:,-1. ° ”' .. . - _ . i .
Tax ma. /. arcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
, _ 71 1 ® e . � , the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application. /
Valuation $ S 0,(A
Existing building area (sq. ft.)
New building area (sq. ft.) 88
Number of stories
ROPER ' ° ` ` °`' `' s ` Type of construction
Name: W N (,a Occupancy group(s): Existing: /1
1 V`T�' New:
Address: p? Q, 1p i00
City /State /Zip: WOO 1. uj (J pi. q 3
Phone: ` ; 2. t-1--- ax: NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
'Y ``, 0 COr ACT E -� -` provisions of ORS 701 and may be required to be licensed in the
Business Name: C . e. J;v00 G xiiii t jQ jurisdiction where work is being performed. If the applicant is exempt
Contact Name: 23 E,,,Traf, from licensing, the following reason applies:
Address: 1 p, x_ 1Zt
City /State /Zip: Pater / OP_ 97 2.12--
Phone: 280 - 2557 I Fax: 3 $ -pp.)) , .... n �
E- mail:J,6R k e- C.A..rcaote A.0 est . Gan r
�. ;; 1 ;
CONTRACTOR : awl/eau-fa- °„f ,.. :.' . � , .� : ,., ,..
Business Name: e, 9 , f� p f7 GQ,A -�S•s Fees due upon application $
Address: , ? V, A ac 12.1V b
City /State /Zip: fi -,,j -d 1 OK.., Mil-- Z JL Amount received $
Phone: 2$0 - 2557 lax: 335 - 3901 Date received:
CCB Lic. #: 0 6 (. 3 7
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: y'r Date: 3,18 u3 180 days after it has been accepted as complete.
A S 6' g �T T .-G *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
NT /00 SID Cr is \Dsts\Permit Forms\BldgPermitApp.doc 01/03 k (05.581 ( 9 , 14 ` 2
I - a
I
A l h e Commercial Plan Submittal
_,191411V Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \dsts \forms \COM- matrix.doc 9/24/01
• -
• • • . . t \ 0 (1
(9" ,
• /,
. ,- .
e
I - .. ' • .. • . ,
• / * II
. .. .4
f _v
• w ,
I m -..1 . ••• - .• ,4
• ;. fl) •,• ... - ' • ' " .:•,, ...: 'r \ le - 1 L7 . ‘ f\ u'r
tri l e ..;: I
fl ir- f l./ ...
1 , . , • (`.1 . bi Ect ca rt Z.4 tn , .:- ' . • 6 f 7
.
. • • • . •
• •
•
I. • .
, _ . •
. _
. . ... _
r•--, : c:3 ..s
— c,43
„b,2fr , . ,., i A
i ti-- P 6 I • ti. 9.- 4 1 5 7 ti 1 ' 1 I 119 • .
' '` ----- ,
a Z - i t
' .--
i .
zt
0.1 1
• . . I m i.. ' 11. .- •••••••
. i .
... .
:. . , •_
. .... 2. 1/
'
• i
-I 110h,
• .
• '' "'" ' - ' MIMI ‘."" 1 ,....- ',..% - • 1
----‘,. .
lc . •
' • *' *.P .
• .. . . f ' •
m • . .
• t '
. , .
. ' •
•• .
._ _ ___ ....1 . - - - _. ._. - ... .. . .
..-„, ...
I 7"---, - """" ' -.. ..- ---- -, ••••••-• "? ' -. --'. - _. • - --- - --- - --- - ---
.
.
. .
4 .. :. - . ... v Lit . _ r•--••
I - •, I 644:■ ; • ' • '' - ' 2 -
. Eh. V - .. ;1' :, .....
. t ' ,.. ... W 101•1101111 • - -
. ,
. • , .: " . ,-"' •
4- 1. .d. *:.'',. r:.• 0.. ...: : '
.. :-.• :, , , ,.-, . • - 7 '
I 00 I(I3 ,I.S.$ . ' fX dt 4•••-• . ,
9 * i'Z . I t. .. .! ' • = - A:4 1., - •
• . 1 ... i.0 •
1.-- ' c="
• C2 It
AM .1 - • • - • '
T • •
•
a —
• . , \ X i
at C:t . i
Y• . • , ,.. • , • • • - • 3 !.. i..,
40 -
&ow 1 .-- c ,.. ..... p.
/a •. .. . ... . . .
, • .. . . I _
: . • i
. . • .. c-Pi r.
.
rt..
Al . . . ...
Cr , % • 1 ' '''. ...-1 a. ,1 .... .
Y
0 Omit. .• a .
1 <I
____
. -- ...-
, • ,...
1 -•
1 i • --I - • - < I ._ _
1
. . 1..
• . . . • ,.
. . f
.. ••
.. . . • •
. ..
• • . \ dt-( .
1..s- 2 . - '• - • - ...- ., t g . - .,....'•-••• . " • . • - • • . •
•
•••_...., .
. • , . -• v .
1 . • . . •
. •
i . . .
. .1.i..1
• ' If °
• ,
• - . •
. .
. • - - .., - - - - - ' C) T.- . • . . • . • . •
. .
- .
N. fl p, • 81 . • . • - • - . I • II I:.?- izzl :
IX . • I.- ,.. .. . . . • ... '. .. (1_, fi7 . :,..., - . -f?..• :• .: i• , - -' . • •
, tp...si ... .. ,. • LI I .- • - • •
• I- ' ' • ' -'• •-. • ": • • r. ' ' - . ' -., ." - . • ' - : :!`"' . • : '. : ti - ......'''• ' - ' • ' it ' 1 . ..... ,•• .. • . •• ' 0
II i a , • •
--I < .
' ' L . '..'— - . <'- -
7 0
11 4
. , .
.. , • • .. .
1 _ 1 .3 .,.,. "r 4. '*..:...!
- I CD • . .
.. ' . . . i • ca
,
0 •:- . - •
....*....., .11.-- ILI c^.1 • •
ILI , • 1 C C) . ....1 0 7'.• ' V.11 - l
' , I
. I .. .
• •
<TC (1) •
• ' tfl
Id 1 . : '
. . .
. .-
CO • - ..
. .
. • .1 P
D . .
- • -
•
(-1 •
C.)
It ' : .. .. 74t$"*".7. • .. . . • -. " :--• :::" . Cl ea tn " e o lY V:1 0e APP. work : ! .. ,nbeILI T . 0 1. 0 9 / Alk : :: . •:..... .(.
1 . . .
' • '. . • • ' • . .• - ' • - • .-..".... irli... s jBeobr. .: id l:: : g o : sr...to: to: 13 4...51. j . vo ' 0 n: 01.4..r... . .. 0... . . ..,...
,. ..
* _ - I - : . •• . - .. .. - . -
•
:1 •
* •
. , • . . . . .
... . .
1 • 1 S .• .
. • •
_ • .f. . . •
, 1 . _ . _ .
1 • ..._. ,. •
_ • , .
. • .
•.. ••
. ... ,
I • • .
,,..: .. F . • . ..
- ,
•
f . 4
'
, AI .•
----_--------„,_ AVIV t4 ' 0 NOO. 1 •
.., -
• •
l■
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION ' Business Line: (503) 639 -4171 MST
BUP 3 - j°
Received Date Requested 3 AM PM BUP
Location 7 5b ( Suite / MEC
Contact Person Ph ( )30 7 - at.3$ PLM
Contractor 1 Ph ( ) SWR
BUILDING Tenant/Owner LiktAl ELC
Footing
Foundation Access: ELC
Ftg Drain D ELR
Crawl Drain ` y
Slab Inspection Notes: SIT
Post & Beam C
Shear Anchors — /7 . J
at Sheath/Shear l�
Int Sheath/Shear
Framing
Insulation X r/ V Q c
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
U PART FAIL
• - MBING
Post & Beam -
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: LI Unable to inspect – no access
Fire Supply Line
ADA Date 5 7 3 0 /D3
Approach/Sidewalk Inspector `f Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL