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Permit (18) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2023-00062 Date Issued: 6/1/2023 T R AR;D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135BC00700 Jurisdiction: Tigard Site address: 10831 SW CASCADE AVE Project: Rose City Futsal Subdivision: None Lot: None Project Description: Replacing structural work for replacement RTUs. Contractor: JH KELLY Owner: CASCADE FUTSAL LLC 2000 SW HANNA HARVESTER DRIVE 5010 NE OREGON ST MILWAUKIE, OR 97222 PORTLAND, OR 97213 PHONE: 503-656-7400 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/31/2023 $2,797.15 Occupancy Grp: B Occupancy Load: Demolition 12%State Surcharge-Building 05/31/2023 $335.66 Dwelling Units: Plan Review 05/03/2023 $1,818.15 Stories: Height: ft Tenant Improvements in Existing 05/31/2023 $489.00 Bedrooms: Bathrooms: Development Value: $380,000 Info Process/Archiving-Lg$2.00(over 05/31/2023 $10.00 11x17) Info Process/Archiving-Sm$0.50(up to 05/31/2023 $17.50 Floor Areas: 11x17) Total Area: Metro CET 05/31/2023 $456.00 Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $5,923.46 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 50 . 87 .800 32.2344. Issued By: � -•* Permittee Signature: all 503.639.4175 by 7:00 a.m.for the next available inspec' n 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. Binding Permit Application • Commercial I ORZ 01 I ICI=1_:SI.U11_1 Ci Of Tigard 1 ® . D Received camp, - `0,,,, az `J g `f ...tee..., ateB i,_ � . � 11 W 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review tt S II Phone: 503-718-2439 Fax: 503-598-1960 �}7 DateBy: S-_2_ - 2 1 itt -Uz& c- i.l�.n 1`[�, Inspection Line: 503-639-4175 MAY 3 202 Date Ready/By: J inns: ®See Page 2 for Internet: www.tigard-or.gov Notified/Method�(� � I Supplemental Information CITY OF TIGARD — 0(,/"r/ TYPE OF w14LDING DIVISION 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 g„Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ,+ Valuation: $ '3 V uO Oa ❑ 1-and 2-family dwelling jfa Commercial/industrial / ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION yy�� Total number of floors: Job site address: I O�'3 I s G., C i'S G 4 Q �/�6 G��1 Fi New dwelling area: square feet City/State/ZIP: "'r l(,A 2 0 02 ( Z? Z 1 Garage/carport area: square feet /c.C� Suite/bldg./apt.#: Project name: `+t ciT' xdJ I5I(L., Covered porch area: square feet Cross street/directions to job site: Deck area: 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Rg P c -CO'' o e Tv is Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 9 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: tQ�jil.# 'I dWls) Structural plan review fee(or deposit): /, / Contact name: .XJ-Lr' '�`,llpo 4 if— FLS plan review fee(if applicable): Address: 1450 co -'i INN( {v -', liA f1(14 4.1/G R. /� 7 Total fees due upon application: City/State/ZIP: r111 4 W () c-�; op_ q� L 2i , Amount received: Phone:('SQL,) 6 6O/`_ ^ It/2.I Fax::( ) t� , PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: )a 4 Il Gr. LKr I( &C i- tam Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: / �Id I( L.L . V Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 42j t •3f d AQV Solar Installation Specialty Code checklist. City/State/ZIP: f `/ , (� 4€ Permit fee(includes plan review LBNfr .1. �� � • `'ID $180.00 and administrative fees): Phone: 3 G,9 Li?,3 — 5S't 0 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 11 I ( Total fee due upon application: $201.60 Authorized signature: 4l O --' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri-County Building Industry �� [ ��Z rS '� 3/L 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 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] $ ✓'©/od o 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.03/05/2019 City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT I Building Permit Review — Commercial - No Land Use TIGARD Building Permit #: J(�,�(f�_3, &7 ( 2- Site Address: 10 .ti j SUJ C CU-0�:. i\t/e-. Suite/Bldg#: Project Name: 20S-r`.. C.tt/ 'i' A\— (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review ,' Proposal: '�.�`�,l`� �.-� `�—�V Existing Business Activity: (WR CnZ + Iti ,i Proposed Business Activity: It erify site address/suite# exists and active in permit system. ❑ Rj.i..y.er Terrace Neighborhood: 0 Yes ,[ Io Pe tied Use: ,,n1 Yes 0 No 0 Spec Space Co.firm no land use required. usiness License: Exists: Yes ❑ No, applicant was provided a business license application Notes: 11l) ,L 11311111'l)�-, Newea, fbi VICtInc--e. 2 v>- .T l,l C 1a'JP L . Approved by Planningler :„® --. 1 ate: S / '3 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal > Original Submittal Date: .2-- Site Plans: # Building Plans: # Building Permit#: . I nter building permit#above. Workflow Routing: i canning ermit Coordinator i$Building Workflow Sign-off: LI Sign-off for Planning(include notes from planning review) Route Application Documents: E uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: —�� By Permit Technician: r Date: .p7: ,2-- I:\Building\Forms\BldgPermitRvw_COM NoLandUse_09072022.docx Engl •eering Review ❑ Slope a building pad: ❑ PFI Per • #: ❑ Conditions et"prior to issuance of permit El Easements (en, oachments) per engineering conditions of approval and plat(not typical on SD: CUP) El Water Quality/• antity Facility: Assess Water • ality Fee in-lieu: ❑ Yes El No Assess Water Qu. tity Fee in-lieu: El Yes ❑ No LIDA Facility on 1. : El Yes ❑ No Add Fee: El Yes El No ❑ NOT Approved by En:'neering: Date Notes: Approved by Engineering: Date: Revisions (after Building Submittal on Reviewer Date Revision 1: ❑ Approved ❑ N.t Approved Revision 2: ❑ Approved ❑ Not 'pproved Revision 3: ❑ Approved ❑ Not A .roved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of permit ❑ Approved,NOT Released: Date: ❑ ENG Revisions Required: Date: Notes: ❑ SDC Exemption ❑ A .lied for ❑ Recei,-d ❑ Does not apply ❑ Fees Entered: Wa Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred Tgard Trans SDC: El Yes ❑ N/A El Deferred Parks SDC: El Yes L N/A El Deferred LIDA Fee: El Yes ❑ /A ❑ OK to Issue/A.proved by Permit Coordinator: Date: Revisions (afte :uilding Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision : ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Fonns\B1dgPennitRvw_COM NoLandUse 08162022.docx