Permit CITY OF TIGARD BUILDING PERMIT
114
COMMUNITY DEVELOPMENT Permit#: BUP2021-00069
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/12/2021
T r f7:�p.p 9 Parcel: 2S102AD03200
Jurisdiction: Tigard
Site address: 9045 SW BURNHAM ST
Project: Little World Childcare Subdivision: 1998-032 PARTITION PLAT Lot: 2
Project Description: Add wall to install small pedestal and(2)small toilets.
Contractor: ADEPT PDX CONSTRUCTION Owner: TKWA LLC
PO BOX 2058 4900 SW GRIFFITH DR#124
BEAVERTON, OR 97050 BEAVERTON, OR 97005
PHONE: 971-228-9797 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/07/2021 $210.59
Demolition
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Building 04/07/2021 $25.27
Dwelling Units: 0 Plan Review 03/29/2021 $136.88
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/07/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/07/2021 $84.24
Value: $9,000 Info Process/Archiving-Lg$2.00(over 04/07/2021 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $561.98
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 503232.1987 or 1.800.332.2344.
Issued By: Ho vawvDe/Wege Permittee Signature: 0 rev Ahyl, atto-n
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 13- 3 15 21
Commercial RECEIVE+;,, FOR OFFICE UM;tlAI ,
Received 2 Z -aYJ69
114 City of Tigard � ,L2021- - Permtyo.:B(!p O 1
4 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 2021 Date/By:
lan Revie
■ Phone: 503-718-2439 Fax: 503-598-1960 _ ., Date/By: j 1l _4 `" Related Permit
T t G A R U Inspection Line: 503-639-4175 C'I'Y Oi- i I. Ah U Daze Ready/By: n t''�-r RI See Page 2 for
Internet: www.tigard-or.gov null fI��r ri11"IO + ified/Method: t% 7I 1 6 Supptementallaformatioo I
i
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Qg.Addition/alteration/replacement 0 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: 4000 $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: CI)
Job site address: Gj'pyt S& j1I114N --(' New dwelling area: dj square feet
City/State/ZIP: -f-t4 A•Z O 0`Y 1?--22-3 L r 41tt Ljeln.l a r�' Garage/carport area: 9 square feet
Suite/bldg./apt.#: c/peir I Project name: off` Covered porch area: ((/J't square feet
Cross street/directions to job site: 6 JZ,y/Jr2-d`/ of r/' Deck area: 0 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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 work indicated on this application.
A jp Pii...) WA 11 40 ,N/Sr/r4i/Z,® . �7 5i„ - g57o4//J'v) Valuation: $ 9000
/,ri 916(( 401I- /1N6 e -4 Doo4- K)4•S ,,4.57TI"Z. Existing building area: 2r4 -O square feet
.ti"f0 aery New building area: 0 square feet
❑-PROPERTY OWNER 6 TENANT Number of stories: /
Name: c; It e "/) 7'-r/ >;,,u,S \/.a i JC£i/-v t/4 -Type of construction: xgp
Address: 9 O1 r se, i a3v 2A/ -6tt eI sr Occupancy groups:
City/State/ZIP: Ci 4 20 V Z 3.3 Existing: 14 j'U
Phone:(Cj'}I ) 325 la° Fax:( ) New: $
ig APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
schedBusiness name: /T� ? p. �,4 2.y' l°tits {Please refer to fee
osit):le)
Structural plan review fee(or deposit): / e•eg
Contact name: P'L-: ipO -}a
Address: 7 05-(p /t/t t) A E cc 2 L- ) t-E 3 ter
FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: 141 t i S ao 10 / (0e- g�)23
�q Amount received:
Phone:(q�)) Z2J� l��}�' 1_ Fax: :(�j) }C/�C�i.)��
E-mail:, FIV1-? L.CO�I STitA/c-h�0 ,4,,,JA4/L ci>� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 6 - Pj)a< e..?l,✓jTGM+G-A.)-d lW L Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1_91b /t/Gt& /1-11,0 C e- _Pe-- 51,t77z 3/S Solar Installation Specialty Code checklist.
`City/State/ZIP: f�I Permit fee(includes plan review
�j/� D aj� ( 2� and administrative fees): $180.00
Phone:(fir)) ) -22dr.'?9 Fax:( rei))?-(1 ?0e)T 9 State surcharge(12%of permit fee): $21.60
CCB Lie.: 2/ t 3 v /j /3/b—&- Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
f within 180 days after it has been accepted as complete.
Print name:/0Z-As)O .&t'/.4y Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
14 ' Accessibility: Barrier Removal Improvement Plan
'
Commercial & Multi-Family - Additions or Alterations
TIGARD 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] $
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_PemvtApp.doc Rev.03/05/2019
34rs(z.l
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
'PIC
T GA Building Permit Review — Commercial - No Land Use
IBuilding Permit #: Bup2oZ/-000679
Site Address: 9045 SW Burnham St Suite/Bldg#:
Project Name: Little World Childcare
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T.I. existing tenant
Existing Business Activity: Daycare
Proposed Business Activity: Daycare
❑o Verify site address/suite#exists and active in permit s�ystem.
QRiver Terrace Neighborhood: ❑ Yes ILI No
El Zoning: MU-CBD
ElPermitted Use: Li Yes U No U Spec Space
ElConfirm no land use required.
❑r Business License:
Exists: ❑ Yes Q No,applicant was provided a business license application
Notes:
•
Approved by Planning: Date: 3/17/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 105/202/
Site Plans: # 5
Building Plans: # 3
Building Permit#: a-Enter buildingRermit# above. �
Workflow Routing: Q Planning [J Permit Coordinator 2-Building
Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: la-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: G�J (/ZN/
C 1Bu i ldingTorms\BldgPerm itRvw_COM_NoLand Use_11 1819.docx
Permit Coordinator Review
❑ 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 Applica't:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Tran bey Tax: ❑ Yes ❑ N/A
Tigard Tran DC: ❑ Yes ❑ N/A
Parks SD . 0 Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordina I r: Date:
I:\B uilding\Forms\B IdgPermitRvw_COM_NoLandU se_I 1 1 819.docx