Permit (149) BUILDING PERMIT
.. A CITY OF TI GARD PERMIT #: BUP1999 -00487
l v, DEVELOPMENT SERVICES DATE ISSUED: 01/06/2000
``�'," 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1156A -00100
SITE ADDRESS: 16200 SW PACIFIC HWY Z
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 184 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 2 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 65,000.00
Remarks: Branch bank located within Albertsons grocery store. This is a pre- manufactured office unit.
Owner: Contractor:
IBJ SCHRODER BANK + TRUST CO MARKET CONTRACTORS LTD
BY ALBERTSONS INC #565 10250 NE MARX ST
ATTN: CORPORATE ACCTG DEPT PORTLAND, OR 97220
B Phon'eID 83726 Phone: 255 -0977
Reg #: LIC 0062833
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
FIRE BON 11/15/1996 $200.50 99- 319760 Sprinkler Permit Required
Framing Insp
PLCK BON 11/15/1995 $325.81 99- 319760 Susp Ceiing Insp
PRMT BON 01/06/200C $501.25 00- 320962 Final Inspection 1
5PCT BON 01/06/200C $40.10 00- 320962 NA L
Total $1,067.66
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 -0010 through OAR 952 - 001 -1987. You
may obtain a cop of th- - rules or direct questions to OUNC by calling (503) 246 -1987.
Pe
rmitee j PFAiuppIPh11 1
Signature: A: q/
OP
Issued By: I / ' -,,
Call 639 -4175 by 7 p.m. for an inspection the next business day
10/18/99 MON 11:55 FAX 503 598 1960 CITY OF TIGARD IJ002
CITY OF TIGARD Commercial Building PenMit Application Plan Ch /_ A/ -C.
13125 SW HALL BLVD. Tenant Imprxtent Recd B •
-
TIGARD OR 97223 Date Recd -
Date to P.E - $ "
(503) 639 -4171 Date to DST t 26Igq '
. ' Print or Type Permit* �uPt' i7
Related SWR 0
Incomplete or illegible applications will not be acce ted Called (Z- 3 Derr •
QU - 77Z0� (Q
Name of Development/ Existing Building W New Building ❑
Job ( A � T i 4 Stp£
Address Street A ddress sulfa - Building .
. / (v 280 "A Z, Data _
Bld # City/ Zip Existing Use of Building or Property:
N ame � D� ��'� `-1 / [,
Property 5
Proposed Use wilding or Property:
Owner Mailing Add ss Suite ` ' fi�-
2 C/ a f Lu 0. NO. Of Stories:
Cl . r r to Zip Phone
L�, ' I fa 03 4° c , -6 Sq. Ft. Of Proeec .
~ Occupant ' ame "�' i -
U 5 ` Phuid_. - Occupancy Class(es)
Name LI
Contr ?ctor - Type(s) of Construction
Prior to permit ailing Address Suite
issuance, a copy c4 , }� Will thi pro ject have a Fire Suppression System?
of all licenses �02� /V�
Yes i f No El are required if Ci /State Zip Phone �(�
expired in C.O.T. Om_ Americans wi Disabilities Act (ADA)
database Zi�lt7 4 � Valuation X 25% _ $ Participation
Oregon Const. eont. Boa u 6cp .Date 100 Complete Accessib ility F Form (P 25 '33 ! / / Z/ 13 Project $ C� 0d Name Valuation ,
Architect i ..v . , il:�� /t_, .� on back
• C / v a c . Required: See Matrix for number of sets to submit
....
Mailing Address Suite .
ed O�� Lair
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
5i £ 1 , U�` /I f U - 9X 0/ 216 , 682 5To given is correct, that I am the owner or authorized agent of the owner, and
tha - ubmitted : - n complian • - with Oregon State Laws.
Engineer Name
• ur • • er /Ag= Date
Mailing Address Suite �_ / • i��q
M Co t . Person Name Phone 210(0'6e2-'FOOD
City/State Zip Phone i1i ,/ �l�i� D,, -�
.
FOR OFFICE USE ONLY O
Indicate type of wort. w k: $1 Addition 0 Demolition 0 , -': � :° _` tea°
Accesso Structure 0 Foundation 0 Alteration0 - . :l _= = = <r ='
Repair 0 Other It T /.
_ •- . �: _ . -}
- Notes - _ _ �..,
Description of work: L 4
, ,
� �.-c �j v /aG�i 7� �.. -`4y � r��..
/454 nek.J TIF: G -. y ;: ":.._
as •00,1&- In State e et f( eca.+4 'A, -G_ ti / : ;
�,/ Al -tom 04 � � ___• ...
Note: Site Work Permit Application must precede or accompany Building J u yr t rJ
Permit Application !{ �O ,S
1: \COMNEWTI.DOC (DST) 5/98 f •a --
Sent By WRG DESIGN INC.; 503 603 9944; Aug -10 -99 2:16PM; Page 14/14
SUBJECT: ACCESSIBILITY •
BARRIER REMOVAL IMPROVEMENT PLAN
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 of all renovation, alteration or modification being done
excluding painting, wallpapering. (1] $ I ,4i'(. i cy2o,oe
multiply: 25% Barrier removal requirement. :25
BUDGET FOR BARRIER REMOVAL [2] $ I'a' I scG .v
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 $ i7OI • w
tee
(b) An accessible entrance: $ CvM l_1 Ai4G11.-
(c) An accessible route to the altered area: $ (.,o , t'.10
:
(d) At least one accessible restroom for $ ( o nn \91,1 Pc .1 c
each sex or a single unisex restroom:
(e) Accessible telephones: $
r •
(f) Accessible drinking fountains: and $ or,,, l,t ►>,-t cps
(g) When possible, additional accessible ,cts! •
elements such as storage and alarms: $ " ( fit.► rc,.l�
TOTAL: Shall equal line 2 of Value Computation P l op' •
•
I: �