Permit CITY OF TIGARD BUILDING PERMIT
a. ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00198
Date Issued: 11/07/2019
T i(;AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S136DC04500
Jurisdiction: Tigard
Site address: 7501 SW DARTMOUTH ST 100
Project: Winco Foods Subdivision: 1995-013 PARTITION PLAT Lot: 2
Project Description: Replace produce wet rack cases.
Contractor: ENGINEERED STRUCTURES INC A CORP OF IDAHC Owner: WINCO FOOD LLC
3330 E LOUISE DR STE 300 ATTN:TAX DEPARTMENT
MERIDIAN, ID 83642 PO BOX 5756
BOISE, ID 83705
PHONE: 208-362-3040 PHONE.
FAX: 208-362-3113
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/07/2019 $1,468.35
Demolition
Occupancy Grp: B Occupancy Load: 200 12%State Surcharge-Building 11/07/2019 $176.20
Dwelling Units: 0 Plan Review 08/13/2019 $954.43
Stories: 0 Height: 0 ft Building Misc Fund(copies/prints) 11/07/2019 $4.25
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 11/07/2019 $406.00
Value: $160,000 Plan Review-Fire Life Safety 11/07/2019 $587.34
Info Process/Archiving-Lg$2.00(over 11/07/2019 $46.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 11/07/2019 $115.00
11x17)
Total Area: 0 Metro Const.Excise Tax 11/07/2019 $192.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,949.57
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
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 Oregon Utility Notification Center. Those rules are se forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234
Issued By: T Permittee Signature . .
,
Call 503.639.4175 by 7:00 a.m.for the next avail ble inspe ion date.
This permit card shall be kept in a conspicuous place on the job site unt' completion of the roject.
Approved plans are required on the job site at the time ach inspection.
•
Building Permit Application
Commercial RECEIVEDFOR OFFICE USE ONLY
City of Tigard AUG 8 2019 Received �+/e / „e,,s._ y/go/, b j/pd'
Plan Review
o ��fpt/ Permit N C
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-196 pp .- i Related Permit:
gCITY OF TIGARD Date/By: ',D � h�
TIGARD Inspection Line: 503-639-4175 Date Read y: I �� 1 ® See Page 2 for
BUILDING DIVISION Ready/By: Jutis: Supplemental Information
Internet: www.tigard-or.gov otificd ho '
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit tees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
jiit Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: '7*,1 012.-R �,� t112 l.r-+ �, New dwelling area: square feet
Amick City/State/ZIP: b �cy�LZ./� 1 e: et-72Z3 Garage/carport area: square feet
Suite/bldg./apt.#: (U(-() Project name: kuNceD 5J*2. Covered porch area: square feet
Cross street/directions to job site: S lm p rlc, ("I icti4.,,,t A Deck area: square feet
.p
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: J Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK /'. work indicated on this application.
Q r�l_t nr k i' � E c 'B�J Valuation: $ 1�I1��/ "
"'C `'�"` ` f Existing building area: square feet
New building area: square feet
li PROPERTY OWNER ❑ TENANT Number of stories:
Name: I!"`ill�IJL, FCc,pst .". Type of construction:
Address: 6�Q 1 A2 5�-Z-O N 1�-- L-Z Occupancy groups: [ ,�
9 City/State/ZIP: cZ I IC) g3 C) Existing: to 1 —
Phone:(24$)57 7 -0 I 1U Fax:( )
New: a<,
IZ, APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: —rr_t2S ,C (Please rejer to jee schedule)
L� a' � A � Structural plan review fee(or deposit): 5y, vs
Contact name: nANN cARD1,4 1
/�, 1►�v FLS plan review fee(if applicable):
Address: .47c) Vt. ,.•t7S.71L, S•rn►stsT
City/State/ZIP: 1+�+�-� Total fees due upon application:
G�I4�, w . 8 "�o�i
Phone:(246)34 -14672 Fax::(Zee) _ i 47 Amount received:
E-mail: b k w PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
.x ..' , `rC�- , GC ivy
Commercial and residential prescriptive installation of
CONTRACTOR,-,±c �j� x
,,;�, roof-top mounted Photovoltaic Solar Panel System.
Business name: 6,v6 i v fee.P s 7&C/c.,KE<_ f S- Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
33 o L c(,/ l 5( /�2; $ % O(2 Solar Installation Specialty Code checklist.
City/State/ZIP: Mole D( A--,-' l) 8'3 tvy 2 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 2C7 (2 3 ^ 3 '/U Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lie.: -7 7/6 6 (v//le4/
1 I Total fee due upon application: $201.60
Authorized signature /1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:t------- Nr,i0/001,,,teu. Date:zT�' / 1 Wer /401 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PemiitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
IN ■
T 1 c n R o Building Permit Review — Commercial - No Land Use
Building Permit #: dit,fi�®!?'Zia/ Fe
Site Address: 'S-DJ S3Q ' a �) Suite/Bldg#:
Project Name: 4)n w
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review✓�
Proposal: ,�L'p% ( /aVitict GUeLil- /"4CL C'a S
Existing Business Activity: 4S v e r4,4 44 "/
Propo ed Business Activity: //
Ver. site address/suite# exists and active in permit sysstte�
Ill, ver Terrace Neighborhood:
/ ❑ Yes �d No
p,..���°ning: j R
I! rmitted Use: L/I Yes ❑ No ❑ p
Spec Space
VC firm no land use required.
is Business License:
Exists: 1YJ Yes ❑ No, applicant notified to obtain business license cense
Notes:
l
Approved by Planning: --------- Date: g/A2 /9
Revisions (after Building Submittal only) Reviewer
Date
Revision 1:
❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: er/e/ 7
Site Plans: # .3
Building Plans: #
Building Permit#: 'tT Enter building permit#above.
Workflow Routing: 'Planning ❑ Permit Coordinator B"Suildin
Workflow Si off: g
- (.0- Sign-off for Planning(include notes from planning review)
Route Application Documents: (Lg.-Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
Z)(41C21/,-/"."71.._____ Date: dy01
1:\BuildingWorms\B1dgPermitRvw COM_NoLandUse 060116.docx
.
Permit Coordinator Review
D Conditions "Met"prior to issuance of building permit ,.a/f
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal on\\zpiplican'
Revision Notice 1: Date e t:
Revision Notice 2: Date nt to A plicant:
Revision Notice 3: Date S nt to Applica' :
❑ SDC Fees Entered: Wash Co Trans '0 ev Tax: 0 Yes ❑ N/A
Tigard Tra - DC: 0 Yes ❑ N/A
Parks IC: ❑ Yes 0 N/A
0 OK to Issue Permit
Approved by Permit Coordinator: Date:
I
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docxLII
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■
'I Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 160 CZ)
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 401 COO
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 $ 4e)1 pG=:'
(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): $
FeZASE-. rIo'-e.a lac u14r l�s
rr-i 1 - c-c'm P[--e"
tT4 x = - c)tt•lcI
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
751 (se oe- rpt foapf /oo P,3(.6o20/7-00/77
P E T E R S E N • S T A G G S LETTER OF TRANSMITTAL
ARCHITECTS LLP
NCARB CERTIFIED
5200 W.STATE STREET, BOISE, IDAHO 83703 I DATE: JOB NO:
PHONE:(208)345-1462 FAX:(208)345-1532 I 08/07/2019 1902
EMAIL:osatO.Dsarch.c0 ATTENTION:
"1ECEIVL U Plan Review/ Brandon Taggart
TO:
503-718-2439. AUG 8 7019
RE:
City of Tigard — Building Division CITY OF TIGARD WinCo Food Store#23 - Produce Case Re
13125 SW Hall Blvd. BUILDING DIVISION
Tigard, Oregon 97223
ITEMS SENT ARE: X Attached For Pick Up Sent via
COPIES DATE DESCRIPTION
1 Building Permit Application
1 Structural Calculations
3 Sets Drawings
3 Project Manual
ITEMS SENT ARE:
For your use _ As requested _For review and comment Other
COMMENTS:
Please acknowledge receipt and let me know what the fees are and if you require additional information.
Thank you,
COPIES: SIGNED:
FILE
PLEASE NOTIFY PSA IF ENCLOSURES ARE NOT AS NOTED.