Permit n CITY OF TIGARD BUILDING PERMIT
P #: B
COMMUNITY DEVELOPMENT DATE ISSUED:
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104 B B -07900
SITE ADDRESS: 14300 SW BARROWS RD ZONING: C -C
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT: 002 JURISDICTION: TIG
PROJECT: ALBERTSON'S
Project Description: Replace existing Starbuck's kiosk with new.
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: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 86,000.00
Owner: Contractor:
ALBERTSON'S INC #576 NORTHVIEW CONSTRUCTION INC
PO BOX 20 191 SAND CREEK RD BLD #2 STE 22
BOISE, ID 83726 BRENTWOOD, CA 94513
Phone: Contact #: PRI 925 - 956 - 8361
Reg #: LIC 168455
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 12/17/2007 $350.68
[FLS] FLS Pin Rv 12/17/2007 $215.80
[BUILD] Permit Fee 1/4/2008 $539.50
[TAX] 8% State Surcha 1/4/2008 $43.16
Total $1,149.14
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 ' Y . cation 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 dire que .• to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu d By: � .,_ L / A %f :V Permittee Signature: !• _
w — //
Call 503.639.4175 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 Apflication
MS ® � «1 �
II
Commercial 1 - FOR OFFICE USE ONLY - '
City of Tigard , CEJ Date/By: Received / / y
D P ermit No.: U �t 7-7/064.9_
° 13125 SW Hall Blvd., Tigard, OR 9-722 Plan Review � �� ,
1 I • Phone: 503.639.4171 Fax: 503.598.19`0 -C 1 7 tOO! Date/By: � � -ICJ -�/
Other Permit:
Inspection Line: 503.639.4175 r� Date Ready /By: / J ® See Page 2 for
T:I . Internet www.tigard - or.gov CITY OF CIGRID Noti ed/Method: ! tl. _ - -_ / / , Supplemental Information
sUentnarnlulSl ®N / /./ ' ` 7' _ �, �.� .,_.
TYPE OF WORK - '1 Q I' D DA' 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: / L j 300 S a '22 oo 4.0 New dwelling area: square feet
City /State /ZIP: LT G ) i 02 722-'3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ' / ! 9 ,I - t? i , /s f kv „,L . , J-1 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: 1 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, and the profit for the
DESCRIPTION i OF WORK work indicated on this application.
I�e��O e } °t • St��1 1 k f Valuation: $ ��
AA(( ie! JOk-.1 s ,
01J t k OJk fhJfe -i'Le
4 i P J cepkt.� 1_J L /1!° w k i 0i� Existing building area: square feet
id i P SVo--s ` 0 u0,41 06. b New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 4/! e,- 440ii Type of construction:
Address: /Li J ?0 Ott t 20 Occupancy groups:
City/State /ZIP: ,' 5 7 Existing:
Phone: ()3) S ,- OCL 6 7 Fax: ( ) New:
\FIAPPLICANT ❑ 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
,1' app
Phone: ( ) Fax:: ( )
4 -mail: Sli , La`1fi1% /)Or v;Bl.). 6 ohs7 - /4v1si -- ff7h v C. oi -i
CONTRACTOR
Business name: p f, Vt i°t 0 ( n BUILDING PERMIT FEES*
Address: / 91 �. ,19 L i o ` go ei I '2 s,,, . 2,24, (Please refer to fee schedule) /
City /State /ZIP: r+ (.400 �� C / . / a LLin 3 Structural plan review fee (or deposit): — j6, p
� / FLS plan review fee (if applicable): a( 5• ,
Phone: (725) j`- / 1:,, 3 � Fax: ) SIlJ •`t'b
Total fees due upon application:
CCB lie.: t
ti Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
] within 180 days after it has been accepted as complete.
Print name: „,
aw,,.,r i bofe f Date: / 21/7 fo '7 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits \BUP- COM.PermitApp.doc 2/23/07 440- 4613T( /COM/WEB) -
1.11 ill
11 Building Division
i s
Accessibility: Barrier Removal Improvement Plan
TIG'AiRD
,
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: \Building \Permits \BUP -COM PcrmitApp.doc 10/30/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2007 -0Of42
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2008
Phone: (503) 639- 4171 , t
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ! a l ∎ -'I �..
INSPECTION WORKSHEET FOR DATE: 1f18/2008 TIME: 7:O2Aivi PAGE: 49
SITE ADDRESS: 14300 SW BARROWS RD CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: ALBERTSON'S
DESCRIPTION: Replace existing Staibucles ldosk with new.
OWNER: AL.t3ERTSON'S INC #576, PHONE #:
CONTRACTOR: NORTHVIEW CONSTRUCTION INC PHONE #: 025 - 95&.8361
Inspection Request Scheduled For: Date: 1/180008 Pour Time:
Code # Inspection Description Confirm # Contact # Message V "
299 Final inspection 083500 -01 208.949 -1995 N
Corrections /Comments /Instructions:
(-\\ : ‘
d {
PA n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: k " (111 Date: V‘k( a Phone #: (503) 718 - "--)1-2-5.1
CITY OF TIGARD
BUILDING DIVISION ,, #: BUP 007 OCtS12
13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 1/4/20013
Phone: (503) 639 -4171 _ tli 1.1:. I)'i •
Inspection Requests (24 Hrs.): (503) 639 -4175 -«i
INSPECTION WORKSHEET FOR DATE: 11.0/2008 E: 7:00AM PAGE: 55
SITE ADDRESS: 14300 SW BARROWS RD CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: ALI:3ERTSON'S
DESCRIPTION: Replace existing Starbucks IdockwitFe new.
OWNER: ALBERTSON'S INC 70, PHONE #:
CONTRACTOR: NORTHVIEW CONSTRUCTION INC PHONE #: 925- 956 -8361
Inspection Request Scheduled For: Date: 1/10 /2008 7-/of Pour Time:
Code # Inspection Description Confirm # Contact # Mes - • -
275 Framing 062939-01 208-949-1995
Corrections /Comments /Instructions:
-PASS ❑ PARTIAL APPROVAL _ CANCEL I I NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector Date: Phone #: (503) 718 -
2.:.--(2--y-
—
CITY ������W�������� - '`
��n� m OF un�m��nn��
BUILDING DIVISION PERMIT #: B11P2007-00612
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/4/2008
Phone: (503) 639-4171
Inspection Roquea��4Hmj:�Q3)83Q~4175 "�
INSPECTION WORKSHEET FOR DATE: 1M0/2008 TIME: 7:00Akd PAGE: 36
SITE ADDRESS: 143O0GWBARROWS RD CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: A|-BERT5ON^G
DESCRIPTION: Replace existing Strhuck's kiosk with new. `
\
OWNER: ALBERTSON'S |WC#57G. ~
�Y PHONE #:
CONTRACTOR: NORTH V1FW CONSTRUCTION INC PHONE #: 925-956-8361
Inspection Request Scheduled For: [)ate: 1/10/2008 Pour Time:
? Code # Inspection OeonripUon # Contact Message
x�_"� ~
Misc. - /'/ 062963-01 2013-849-1995 Y
Corrections/Comments/Instructions:
kijASS .
| I PARTIAL APPROVAL EI CANCEL EI NO ACCESS
0 FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES,ASSESSED
Inspector: V VZ--- Date: ~/ Phone #: (503) 718- — ` \
CITY
, !GARD ‘ ,.
BUILDING DIVISION PERMIT #: BUP2007-00&12
13125 SW Hall Blvd., Tigard, OR 97223
:ritti DATE ISSUED: 1/4/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ...._-_.,, ' —.
INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 14300 SW BARROWS RD CLASS OF WORK: •
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: ALF3ERTSON'S
DESCRIPTION: Replace existing Starbuck's kiosk with new.
OWNER: ALF.%ERTSON'S INC /1676, PHONE #:
CONTRACTOR: NORTH VIEW CONSTRUCTION INC PHONE #: 925-956-8361
Inspection Request Scheduled For: Date: 1/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062855-01 208-949-1995 N
Corrections/Comments/Instructions:
11 1 (0 ce../ vi ce. (7) 5 .
e;gi . a"A_c-,-c- e,-- L..,-,.,- ..0.--
At
1 I PASS - PARTIAL APPROVAL fl CANCEL fl NO ACCESS
AIL I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 9-4--t
Date: 1— a9- S Phone #: (503) 718