Permit . 4 r C ITY OF TIGARD BUILDING PERMIT
1 , PERMIT #: BUP2003 -00009
CI A DEVELOPMENT SERVICES DATE ISSUED: 3/10/03
..� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13500 SW PACIFIC HY (BI MART) PARCEL: 2S102CC -00500
W
SUBDIVISION: 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: : 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: $ 8,000.00
Remarks: Install Security Gates
Owner: Contractor:
13500 PACIFIC CORP OVERHEAD DOOR CO OF PTLD VANCVR
BY CAP ADVISORS PO BOX 301457
38345 W TEN MILE RD, STE 170 PORTLAND, OR 97294
FARMINGTON HILLS, MI 48335
Phone:
Phone: 503 - 252 -5111
Reg #: 50- 485 - 888344
FEES REQUIRED INSPECTIONS
Description Date Amount Struc Steel Insp
[BUILD] Permit Fee 1/7/03 $120.10 Framing Insp
[BUPPLN] Pln Rv 1/7/03 $78.07 Final Inspection
[FLS] FLS Pln Rv 1/7/03 $48.04
[TAX] 8% State Tax 1/7/03 $9.61
Total $255.82
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: 674,6A41--
Permittee
Signature: 071 Q42plc
Call 639 -4175 by 7 p.m. for an inspection the next business day
- - Building Permit Application
' Date received: / - - p P 5
-0, 1,v City of Tigard t no.: �°O
`` Project/appl. no.: Expire date:
.1 ,. . City of Tigard Address: 13125 SW Hall �. trE I 9ED
Phone: (503) 639 -4171 C C �/ Date issued: Bye/6 I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: JAN 0 7 2003 1&2 family: Simple Complex:
I'YI') OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: /15 CCler l'elEnt Bldg. no.: Suite no.: '
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: , ► /rf • J'T
Description and location of work on premises/special conditions: eiarAo4,tX ° t Fit ; m da tha ••s
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: /g, - j!J',t/rr 0 A ( Floodplain ,septiccapacity,solar,etc.)
Mailing address: ,,1,2 v ,S' ,F A 1 & 2 family dwelling:
ESIMPR State:or ZIP: 9 7 gto 2.- Valuation of work $
Phone: 3 y1/4,4, 0 / Fax: 3y2 ya y/ E -mail: No. of bedrooms/baths
Owner's representative: _ r. yr/ S h .e e rS • Ant •4 Ye Total number of floors
Phone: 3yyob $ / Fax: y!/2 q w/ E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: p f Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial /industrial/multi - family: �J
CONTRACTOR Valuation of work $ ?i /100 -o0
Business name: o y 4461/40 it # . p 0o ®V APT 4q,q
Existing bldg. area (sq. ft.)
Address: I e ,_ _s1�nN
' 4.4 New bldg. area (sq. ft.
•
StatewL ZIP: , '2 A, Number of stories
Phone: s 47,/ Fax:,, `'1 /e +'; E -mail: Type of construction
CCB no.: 3 y Occupancy group(s): Existing:
City /metro lic. no.: New:
Notice: All contractors and subcontractors are required to be
ARCIIFTECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: S° provisions of ORS 701 and may be required to be licensed in the
Address: O 40/4 /OS jurisdiction where work is being performed. If the applicant is
City: ,K LitJ� State: p ZIP: f 7 p/ exempt from licensing, the following reason applies:
Contact person: T V Plan no.:
Phone: • S"; 19 3 Fax env E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied t t, whether s c a herein or not. Credit card number: / /
! /
Expires
Authorized signature: � /,1 I, Date: /AAA L Name of cardholder as shown on credit card
•
Print name: Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/)OICOM)
PnlT ONO 110
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Commercial Plan Submittal
el I! 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
Accessibility:
' ' uAl Barrier Removal Improvement Plan
City of 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: of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ A °Oo' •
6
multipl 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $
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 Value Computation $
is \dsts \forms\Accessibility.doc 06/07/02