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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) r K • • • 1 e 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