Permit (2) IthCITY OF TIGARD BUILDING PERMIT
n COMMUNITY DEVELOPMENT Permit#: BUP2020-00077
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/29/2020
Parcel: 15136DD07601
Jurisdiction: Tigard
Site address: 11905 SW 69TH AVE
Project: U&I Cafe Subdivision: WEST PORTLAND HEIGHTS Lot: 36
Project Description: Change of occupancy and ADA parking modification.
Contractor: STILSON CONSTRUCTION LLC Owner: SALARIE, MARZIE
9010 SW PINEBROOK CT 11905 SW 69TH AVE
TIGARD, OR 97224 TIGARD,OR 97223
PHONE: 503-957-5655 PHONE: 503-784-2305
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 07/29/2020 $509.05
Demolition
Occupancy Grp: A-2 Occupancy Load: 72 12%State Surcharge-Building 07/29/2020 $61.09
Dwelling Units: 0 Plan Review 03/12/2020 $330.88
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/29/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/29/2020 $203.62
Value: $30,000 Info Process/Archiving-Lg$2.00(over 07/29/2020 $8.00
11x17)
Wash Co Trans Dev Tax 07/29/2020 $7,936.76
Floor Areas: Tigard Trans SDC Improvement 07/29/2020 $6,004.45
Tigard Trans SDC Reimbursement 07/29/2020 $344.96
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $15,500.81
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: `94<E1/1 Permittee Signature: a v ,4-
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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
Commercial FOR OFFICE USE ON I.1
NOISING'•ONIO11118 Received
d'd City of Tigard Oc0!1 O Ain DateBy: 20 /ft— 'Able)- 77
• 13125 SW Hall Blvd.,Tigard,OR 97223 r� Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 oZOZ U T ovl Date/By.
y: "Z,),j Related Permit:
T I G A RD Inspection Line: 503-639-4175 Date Ready/By: /, runs ® See Page 2 for
Internet: www.tigard-or.gov ^ A ^ Notified/Method: (j{� f WI-- Supplemental Information
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
KAddition/alteration/replacement ❑ Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling X Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /1 Tor 5 f 6771;04 New dwelling area: square feet
City/State/ZIP: 723;/ze/ ne, 9'? -3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: to jt _ CA ! Covered porch area: square feet
Cross street/directions to job site: / Deck area: square feet
ed,nz f ret of i,v I. t /)4-i 5.py ",te S1 4t- Other structure area: square feet
S r��)�r ( REQUIRED DATA:COMMERCIAL-USE CHECKLIST
ubdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK�J _work indicated on this application.
,,-t rior K,rG ./ ,67'(Ai11. CIr,..t/i�+c ��Tf�s./) Valuation: $ 5e; 000
ram' Existing building area: square feet
� ,«.,-cal ua�k twr �� i✓43f�;' s/8
/J _ _ . / _\ ri�6. — /] •_n�,r w R�l ,k, New building area �',c-/8 square feet
,�^ pa PROPERTY OWNER 7°you TENANT TfrIMA,7�`' °'^tl• Number of stories: Z
Name: &PA24 621240`ie• 449P4?a,✓T1 Type of construction: V
Address: if?Os"— $-‘,0) 15171-4.0a Occupancy groups: 8 Ceoc,,,1�City/State/ZIP: pya q'j223
VC)
Og. Existing: 6 n
f
Phone:( �) /?1—2•jb s*.- Fax:( ) New: 6
0 APPLICANT--- al CONTACT PERSON BUILDING PERMIT FEES*
(PleasBusiness name: r-o C&IC Gov-.11 a4i Z C viewere(orer deposit):
Contact tle)
�'`�/ Structural plan review fee(or deposit):
Contact name: � 4/1e
FLS plan review fee(if applicable):
Po
Address: �S"K Total fees due upon application:
City/State/ZIP: gp�"y`r--y„4, /I cy, 97oc ?
! Amount received:
Phone:(5 ) 2f7o--4/2,8' Fax::( )
E-mail: d J 1 f e)��,Ql/. cqM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: , %L.ce Al C.0N-c y 7z,i +77e,h J Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 9'd/0 s 7 //i//4/Lev S7 Solar Installation Specialty Code checklist.
City/State/ZIP: 77� ~ OA - g 7a- -�1 Permit fee(includes plan review $180.00
/ and administrative fees):
Phone:(i 3 9.5-7— S4,5S Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: � a Q 3,f-d Total fee due upon application: $201.60
Authorized signaturesignaturrve This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�—•I"t/ g. /e�� Date: (J3/// �j� * Fee methodology 11ountyBilthngInd '
Print name: /Gl Service Board.
I:1BuildinglPermits1BUP_COM_PermitApp.doc Rev.04/21/2014 4440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= 4 Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 3 0 000
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 $ / 5-00
(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: $ 0C3.C1 O
(fl Accessible drinking fountains:and, S 1 I cCO
(g) When possible,additional accessible elements such as storage and
alarms: 57-ar+a /2ivt $ > 0-'O
TOTAL(shall equal line 121 of Valuation Computation):
I:\Building\Permits\BUP_COM PermitApp.doc Rev.03/05/2019
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ca rx/d-f2�'lxt'J7�
Site Address: k°O5 SvJ Lo'2i1- fcre.. Suite/Bldg#:
Project Name: U 9- T[ We
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T. I
Existing Business Activity: tiOUS(
Proposed Business Activity: res-Izcu r n-1
Verify site address/suite#exists and active in permit system.
CK River Terrace Neighborhood: ❑ Yes NT No
CZ Zoning: TM
21 Permitted Use: XI Yes ❑ No 0 Spec Space
Confirm no land use required.
1. Business License:
Exists: ❑ Yes TA. No, applicant was provided a business license application
Notes: N) IGtv►d loldz NUI►ro{ —400I IrcleI'tCAC
Approved by Planning: t l '1/� G L__ Date: 3' 1 2' 20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 47/2—/
Site Plans: #
Building Plans: #
Building Permit#: Cr nter building pe it#above.
Workflow Routing. 6] Planning Permit Coordinator Building
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: AI-Sign-off
original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
r•
By Permit Technician: Date: L
1:1Building\Forms\BldgPermitRvw_COM_NolandUse_l 1 1819.docx
Permit Coordinator Review
0-Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
12:1 SDC Fees Entered: Wash Co Trans Dev Tax: N. Yes ❑ N/A
Tigard Trans SDC: t$ Yes ❑ N/A
Parks SDC: 0 Yes , " N/A
OK to Issue Permit
Approved by Permit Coordinator: Aow L Date: 31 19/2-0
I:\Building\Fortes\BldgPermitRvw_COM_NolandUse 11 1 819.docx