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Permit
i.�'v CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2010 -00103 TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/18/2010 �,r er Parcel: 1 S135BC00202 Jurisdiction: Tigard Site address: 10763 SW GREENBURG RD 110 Subdivision: Lot: 0 Project: Spec Space Project Description: Demo interior partition walls to create spec space. Owner: FEES BELANICH, ROGER M Description Date Amount 22020 17TH AVE SE #200 Permit Fee - Additions, Alterations, 05/18/2010 $164.96 BOTHELL, WA 98021 Demolition PHONE: 12% State Surcharge - Building 05/18/2010 $19.80 Plan Review 05/18/2010 $107.22 Contractor: ROBERT TODD CONSTRUCTION INC 4080 SE INTERNATIONAL WAY B113 MILWAUKIE, OR 97222 PHONE: 503 - 653 -5704 FAX: 503- 653 -5729 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $5,800 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $291.98 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit ' -. .'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be d• - in accordance with - • •roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 d s. ATTENTION: Oregon law - • - , ou to follow the rules adopted by the Oregon Utility Notification Center. Those rul- . - - set forth in OAR •52- 001 -0010 through OAR 95 .41-0 •0. ou may obtain a copy of the rules or direct questions to OUNC by calling 503 • • • 99 or .800 [•32.234 . Issued By: � Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. C Building Permit Application 22i 77 ( , Commercial ��� EC '��' ����' "��' of l icy !u�l n��l � „ ,� • � °' , ..,., .1., ,,, �; a = g ��� 0 City Of Tigard n Date/B ea i / D ie 1' Permit No.: • a0/ am 3 14 13125 SW Hall Blvd., Tigard, OR 972 ® gAY O IO Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Date/B I I �; A K I)' Inspection Line: 503.639.4175 CITY D Notified/Method: Ready/By: luris. la See Page 2 for Internet: www.tigard -or.gov BUILDING t DING DIV S ON Date Ready /By: Read tethod: 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 O Addifion/alteration/replacement ❑ 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: $ ❑ 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: . i 6.7 t //9 LJ Gvv_ e b f G r ed New dwelling area: square feet City /State /ZIP: ` -` I" Garage /carport area: square feet Suite/bldg. /apt. no.: 1 Project name: ' 1 A , i 1( . S L t 1 Covered porch area: square feet Cross street/directions to job site: l Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. D .exv...., 1 / 00"`'-‘ 6f Valuation: $ 5 � 0 ro \ rr// Existing building area: squar et C 1 0 Pih,s—. feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: %APPLICANT ❑ CONTACT PERSON NOTICE Business name: a, 0 b e ,,� j i t 4 awt.L ,^ All contractors and subcontractors are required to be Contact name: ` �� K licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: � : b g 0 Sc L. 1 ,„,,, a — ) 1 3 jurisdiction in which work is being performed. If the � � applicant is exempt from licensing, the following reasons ¥ City /State /ZIP: � ,\ „ ' 0 P. / Z 2 Z C_ )) �� •� / apply: Phone: (53) l0 `� 3 . 578 y /covi.s (Sv 6 ` 5 � � �'f E- mail: r• '1 ro t/e p 7 , r4 -4odr ? . GO✓h CONTRACTOR Business name: i BUILDING PERMIT FEES* Address: (Please refer to fee schedule) • p City /State /ZIP: t ): /6)y . r 6 F r eview ee t • A 7 . a-2 Phone: ( ) Fax: ( ) CCB lic.: 7t5 7 �/ / 9'y /,` / ? • 9 0 i I Amount recived: a 9/ . �1 if Authorized signature: / This permit application expires if a permit is not obtained ' within 180 days after it has been accepted as complete. Print name: I2,0 b„Gi 4 1 ) e S Date: S--- 1 g - / o * Fee methodology set by Tri- County Building Industry Service Board. L\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB) Building Division 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: 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 06 /25/08 ■ I ° Building Division Over- The - Counter (OTC) Building Permit TicAi° Check List Description of Project: GENERAL INFORMATION . Class of Work:* T Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* COM First floor: N: S: Type of Construction: c cg Second floor: E: W: Occupancy Group: Third floor: Openings Protected Y /N ?: Occupancy Load: a 7 Total sq ft.: N: S: Stories: / Note: Combine total floor area for E: E: Height: all floors above third floor and Roof Construction: Floor Load: add to the third floor s . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: REQUIRED ITEMS Fire sprinkler: Handicap access: Smoke detector: Protected corridors: Fire alarm: Parking spaces ( #): Notes: Total Valuation: $ INSPECTIONS FEES DUE Footing /foundation Firewall $ Permit Fee Post /beam structural Smoke detector $ State Surcharge Shear wall Misc. inspection $ Plan Review Fee Masonry Approach /sidewalk $ FLS Plan Review Fee Framing $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ Total Fees Due *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. I: \Building\ Forms \OTC - BUP.doc 08/19/08 (c) f 1,L) bittevIlovo P. WI. . . 0 . f . bZ . ' • . 1 . ts) • V f 1 ' al 1 fa . • 0 5 o . _. w . r . • o . o re i 5 1-- F- . 43ill s Z < 71 a_ r e. o I 111 0 ; <4 CI . . d ' EE 5 0 . a. E- 0 CITY OF TIGARD 0 = Approved .5 pvrtt-T 6..., d ma i Conditionally Approved. [ ] See Letter to: Follow - [ ] . w @ „ . 1 Permit Number: Attaiheyi i J alii- -.----. Esisl)ir i 1 zo , ....9 RWAragt /40 5 qw il ii- co V s g 5 Addressi 0 ?6.3 5:-) 4 / in 111 -T- By: PIA ,,/ Date: .5---1 0 01 ]() uq { -0- -.• I 4, elOCCI WO - cm • OFFICE COPY 1 1 ,,,,, ... . . 8' -II" �, • ±28' -IO" 12'-0" 26'-0" II' - 6" CLF2 EXISTING � (15) PULL TIL TO LET -00M !2\ VERIFICATION • 101 App STOREFRONT • 106 FACE OF —v • • `vim E B-G E ,1, 1 ' Np i. 0 :: ; i N E' \ � ■� 1 N E l +45 3/4E �� N Q ADA COPIER ` 41N li N / AI1►HI.A\ N ` I O i N i■11/UA\\\ - 15 ., ., O M ■E *■rte 11/ O , N « ^ N © i■■Jlr!f� \II\ • • : p _ N SAFE U ' N .- D O N I lLaUll1inalir�■► N 11 : ' /'►1� h N ROOM _ 1 N - N N i 1-J'!I■YIi+ Y r r"•: ■ ■■�1 ■ ■ ■ ■ ■■■■■■■ i -- o WALL • l 108 N w . 0 PHONE N �� •1 stramnig Erl1/gl■ is ■ ■ ■N ■■[IMIIII ■■ ■! i9\� ► " 6 o- m 0) GB d `N Ark 0 ®' +60 ' tw�■1Rr ■111■ ■6'■ ■■II ■■IiiE1■■ ■ ■■ ■ ■�!1{ z N �IG1 � u11 ■ ■Fi ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ 1 J }-• 0 il E N 1 ----- NW �® TELLERS ,r\►� ■ Ir mall 1■r 1 VERIF W / 105 ■r�L ■� i�i _ ■ 11 � 0 N I�rm I>cr__'■r� LOBBY • 1;0 11 GB TENANT PRIOR /r \ \�%!/1 ■tIIr IOO OFFICE � \ ` � To PURCHASE n 421PINW�■■ it 42 IlLabil•Pinniw I 0 Q II 0- C 0 L ALIGN it N- dium IS _ 1 �, REVISED ; N_ m tv `=' FILES illy, 41011111615.1111 l• COUNTER +55 I N 104 Q O W 1w Wax ■■ww� a ® 102 p • E +43 • E E \11/ ip E. O . . 1 �mvatri7I HIM ,E.P �1 E•1 �U L G Sai� � . E au . °.ate..» :.... _ ., _ d �� P E D 8' >11" F ACE OF MANTRAP 1 --.,, ADD NEW PARTIAL 103 9 .. o I *21 - GYP. SD. HT. WALL EXIST 1 VJ - /2\ t28' -II" • /' RELOCATE MANTRAP] 103 2 P:• - <i. ED FLOOR PLAN 1 _ 2 SCALE 1/8" = r-0" • • • ---r ., • ADD NEW PARTIAL ACCE33 PANEL wt. WALL a ) X/ x � _= x x Ni _ i C T -1I" ( � i _— _ c _ l!!1 = b �II — b � a ____ le owsiimil -- _== b > Z :::: si . I Id _� = == .ii 11 b f a = — a __ I Pi d II I \ • _ _ ( ADD OUTLETS I�_ 6 CEILING PROPOSED REFLECTED CEILING PLAN R1= 1.-OCATE MANTRAP= 103 . SCALE I/8" = 1' -0" .