Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00421
,L .�i�� DEVELOPMENT SERVICES DATE ISSUED: 9/2/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102CC -00500
SITE ADDRESS: 13500 SW PACIFIC HWY (BI MART)
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: $ 108,607.00
Remarks: Re -roof, full tear off and recover.
Owner: Contractor:
13500 PACIFIC CORP MCDONALD + WETLE
BY CAP ADVISORS 2020 NE 194TH
38345 W TEN MILE RD, STE 170 PORTLAND, OR 97230
F ,, RMINGTON HILLS, MI 48335
Phone: 667 -0175
Reg #: MET 4 0 4 000 8 011996
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Dryrot after tear -off
[BUILD] Permit Fee 9/2/2004 $779.40 Final Inspection
[TAX] 8% State Surchari 9/2/2004 $62.35
Total $841.75
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 - oug\OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli (503) 246 -6699 a 1- 800 -33 44.
Iss ed By: h , i I 1A_.:1 L /
Permittee A
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
ip
Building Permit Ap$lication FOR OFFICE USE ONLY
City of Tigard Date ed /�` ,'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /� AA gip; ; Date/B : Other Permit:
Inspection Line: 503.639.4175 IL. Date ReadyBy: ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: ; - Supplemental Information
• , .. TY PE 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: RP. [ 0 0 F 1 N G equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling m
omercia1/industrial Valuation: $
El 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: 1 3 5 O 0 PAC ( F. t c A v e fv Ly-e New dwelling area: square feet
City/State/ZIP: Ti c ,_ ACU7 O i 9 ) 2 ) - Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: f' — - f Covered porch area: square feet
Cross street/directions to job site: ---ri 5 ?, , J e_1 ? 12C e_ 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.
Tax map /parcel no.: 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.
1 l - - eA-2 —cDC p `' (1r �t9 F- 4 e €200F Valuation: $
Cu 4-k 3 t ' l i•-> 5J (e-() (V3 d `{ M�t I 2e i 0�z �c eti Existing building area: square feet
Si I e - p I Ale 6 , New building area: square feet
<PROPE ( IT ' T ` y, OWNER . : - • ❑ TENANT . Number of stories:
Name: E I ( j e,- l' sp, S p c 4 T e S l Type of construction:
Address: 5 s w e z /' ,_ < s+, a-0 ( Occupancy groups:
City/State/ZIP: r -'02_T ( �� 9 20(f Existing:
Phone: CS 2- 2'( - (p 7 R Fax: ( ii 31 CO ci New:
' . yLAPPLICANT ❑ CONTACT PERSON NOTICE
Business name: (V..c_'(5 sk.a.A- ( A d_ 1... a? (-( e� All contractors and subcontractors are required to be
Contact name: K ( licensed with the Oregon Construction Contractors Board • under ORS 701 and may be required to be licensed in the
Address: p (Ve l C L(}kS _ , jurisdiction in which work is being performed. If the
City / State/ZIP: )o Q � G� 2 0 applicant is exempt from licensing, the following reasons
.. C'� apply:
Phone: ()3 ( p sP 7- 0 i is I Fax: : ((aGST o fc f/
E -mail:
CONTRACTOR.
Business name: S'Fl - e11`2 AA � (l 051101-. .. . .. BUILDING PERMIT FEES*
Address: 11 .
Please refer to fee schedule.
City/ State/ZIP:
Fees due upon application
Phone: ( ) Fax:( )
Amount received
CCB lic.:
/f Date received:
Authorized signature: •/ This permit application expires if a permit is not obtained
- V / within 180 days after it has been accepted as complete.
Print name: 'Ta 20 /c . Date: J 1" 2 Ti? * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building\Pemits \BUP- PemtitApp.doc 12/03 440- 4613T(11/02/COM/WEB)
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Alio .
•
Building Division
4, _ ii Plan Submittal Requirement Matrix
AA - Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(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.
•
i:\Building \Forms \COM- PlanSubReq.doc 12/24/03
•
Front of Building
S1 Roof B Metal ' "l 7 7 ,
sj Roof C
Metal
® qi Other Tenant
Area
•
o- sJ Roof A J
s
2
r
__ I
#4
Gutter Gutter
Back of Building _
ROOF AREA sQ.f-r. • ELLIOTT & ASSOCIATES, INC.
I Approximate I BI-Mart Mark et Place - Tigard, Oregon
Roof k 31,006 sf 4' SCALE : NR DEM. eV : DAl
Roof B: 1,156 sf - I of 1
Roof C: 119 sf
DATE 1041413 f ., nEo- r' '
Total: 32,281 sf A-TECH NORTHWEST INC.
SHERW00D 503.628.2882 1... IEYx
As.Bullt Drawing I PROJECT NUMBER:
03225
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION- Business Line: (503) 639 -4171 BUP ADO 1-D 0 4 7 1 - 1 -
Received Date Requested /° / AM PM BUP
Location 1.. 0 P Suite MEC
Contact Person /�- Pij'td Ph ( ) 7 ' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ( Cam' ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Sus
•'d Ceili
'o•
Ot
• PART FAIL
• • = ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for r: nspe• ion RE: f Unable to inspect — no access
Fire Supply Line
ADA /A1
Approach/Sidewalk Date e, Inspector Ext
Other:
Final D NOT REMOVE this Inspection record from the job site.
PASS PART FAIL