Permit CITY OF TIGARD BUILDING PERMIT
$ , COMMUNITY DEVELOPMENT Permit #: BUP2013 00068
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013
T I �; A R p g Parcel: 1S136DC04500
Jurisdiction: Tigard
Site address: 7501 SW DARTMOUTH ST 100
Project: Winco Subdivision: 1995 -013 PARTITION PLAT Lot: 2
Project Description: Install (1) illuminated wall sign
Contractor: VANCOUVER SIGN COMPANY INC Owner: WINCO FOOD LLC
2600 NE ANDRESEN RD #50 ATTN: TAX DEPARTMENT
VANCOUVER, WA 98661 PO BOX 5756
BOISE, ID 83705
PHONE: 360- 693 -4773 PHONE:
FAX: 360 - 693 -2747
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee - Additions, Alterations, 04 /25/2013 $149.75
Demolition
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Building 04 /25/2013 $17.97
Dwelling Units: 0 Plan Review 04 /25/2013 $97.34
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 04/25/2013 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,300
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $266.06
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 Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 9952- 001 -0090. You mayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /J4 1 � Q l u Per Si gna t ure:
/
Call 503.639.4175 by 7:00 a.m. for the next available inspe on date.
This permit card shall be kept in a conspicuous place on the job site unt completion of the project
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE: I'SE ONLY
City of Tigard RECEIVED Date/13 : - 3 711 y i r � 3- 0006 2 8 '
Permit No..
II I III • 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review -!
Phone: 503- 718 -2439 Fax: 503 - 598 -1960 MAR 2 7 2013 Date/B : - ,L( Ea (3 other Permit:
Inspection Line: 503 - 639 -4175 Date Read" lu + t 0 See Page 2 for
fIC;ARD / 2 ����
Internet: www.tigard- or.gov crr OF TIGARD Notified/Method: N �3 / o Supplemental Information n ^
— BU DIVISION -e- _
TYPE OF WO UIRED DATA: 1- AND 2- FAMILY DWELLING
,aNew construction ❑ Demolition Permit fees* are based on the value of the work performed. t
Indicate the value (rotnded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the c%
CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ 1- and 2- family dwelling 4 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: 7,s-op 6w >) «ct , not 0 R c i New dwelling area: square feet
City /State /ZIP: T :col" k c»< 17 ? Z -A Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: b0; v L o (F Covered porch area square feet
Cross street/directions to job site: � Deck area: square feet
72 NO V a.ftl vi U-tr ` Other structure area: square feet cfr
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, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
( Valuation: $ ! 3O( OiurninfAter Wu1� 5 1q{�
J Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER El TENANT Number of stories:
Name: (A 11 In.LA9 Pooets ,1 \_ Type of construction:
Address: 7500 S 1,0 L.) of et?'YlDtit I'1 Occupancy groups:
City /State /ZIP: 1 tQu fci, OR C� 7 Z z 3 Existing:
Phone: ( ) J Fax: ( ) New:
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
, I (Please refer to fee schedule)
Business name:
AI. V Gl V�.0 l7 t x f l° r S l Structural plan review fee (or deposit):
Contact name: S . f
R l r Ili d n C !1 FLS plan review fee (if ap
Address: 2 60 Q ^/E A rizif ee, pm Ad , IF SCE
City /State/ZIP: ua n G O U u
cif. )l1 q $ (n an Total fees due upon application:
Phone: (36,0) 1„9 3 .Lt 773 I Fax: : 4360) 1'13 Z747 _ Amount received:
E -mail: I t { PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: VQ Iry 11 (l! P.c.... 5 I.Na Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Z( 0 0 N E A Aft( r s M ` , c , n Solar Installation Specialty Code checklist.
City/State /ZIP: G Permit fee (includes plan review
and administrative feesL $180.00
VQ�.h t-R U4 r w l-� _
Phone: (3w) 4.7q 3 4 773 Fax: (360) b l 3 274/.7 State surcharge (12% of permit fee): $21.60
CCB lic.: ( 2 et 1� 7 Total fee due upon appication: $201.60
Authorized signature: /`� �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Q e ,t d ( t c C V V ) I Date: 3 l 113 * Service me Bo dollo . gy set by Tri -County Building Industry
1: 1Building \Permits\BUP_COM_PennitApp.doc Rev. 12/11 /2012 440- 46l3T(11 /02/COM/WEB)
III a
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:\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012