Permit (2)
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2010-00011
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/28/2010
Parcel: 2S 115 BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY X
Subdivision: Lot: 0
Project: Marshalls
Project Description: TI - dressing rooms and cashier area remodel.
Owner: FEES
SN PROPERTIES PARTNERSHIP Description Date Amount
1121 SW SALMON ST Permit Fee - Additions, Alterations, 01/28/2010 $553.13
PORTLAND, OR 97205 Demolition
PHONE: 12% State Surcharge - Building 01/28/2010 $66.38
Plan Review 01/14/2010 $359.53
Plan Review - Fire Life Safety 01/14/2010 $221.25
Contractor:
ABAYLA CONTRACTING SERVICES INC
38 BETA COURT UNIT C-7
SAN RAMONE, CA 94583
PHONE: 925-820-2034
FAX: 925-820-2512
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $33,450
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,200.29
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 ac a with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is s pended for more the
days. ENTION: Oreg law re s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar set f in OA
95 01-0010 through OAR 2 01-0 00 You may obtain a copy of the rules or direct questions to OUNC by calling 503.24 or 32.2344.
I ued By: - Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that b E . y.
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.
l~uilcling Permit Application
Commercial ) ~f FOR,OFFICE USE ONLY
City of Tigard RECEIVED RRecei
eived Permit No.:
Daty:
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
a Phone: 503.639.4171 Fax: 503.598JAM 1.4 2010 Date/B : ~I ~ `L~ Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: J~ 0 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ti l I Qr. Supplemental Information
01 111 n1hin NVIRI(PI
TYPE RK REQUIRED DATA: I- 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 Valuation: $
❑ Commercial/industrial
❑ Accessory building ❑ Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
PV 8tJ to-R W .S 4 New dwelling area: square feet
Job site address: n
City/State/ZIP: r 6-A& Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: 'M rLS d 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.
Valuation:
04- $ k O
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: QdPF_Q-r(f ~~T►JQt~IP Type of construction:
Address: 1!5LAj oA Lt1O1J 5 Occupancy groups:
City/State/ZIP: V~bQ- Wlrt b Q R. Q7 9,05- 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:
CONTRACTOR
Business name: 6AAA BUILDING PERMIT FEES*
Address: fL _ Please refer to fee schedule
Structural plan review fee (or deposit):
City/State/ZIP: N ~ LA-
Phone: (9~Fax: (q2.5j 1$9, FLS plan review fee (if applicable):
CCB lie.: Total fees due upon application:
Amount received: ~ a
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: M - 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)
Building 1 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 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:\ Building \Permits \BUP -COM PermitApp.doc 06/25/08 1