Permit VitATM CITY OF TIGARD BUILDING PERMIT
a
COMMUNITY DEVELOPMENT Permit #: BUP2010 00128
Date Issued: 06/15/2010
T [ G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 102AA00600
Jurisdiction: Tigard
Site address: 11940 SW PACIFIC HWY A
Subdivision: Lot: 0
Project: Pacific Plaza
Project Description: TI
Owner: FEES
ALPROP CO Description Date Amount
6149 SW SHATTUCK RD Permit Fee - Additions, Alterations, 06/15/2010 $134.54
PORTLAND, OR 97221 Demolition
PHONE: 12% State Surcharge - Building 06/15/2010 $16.14
Plan Review 06/15/2010 $87.45
Plan Review - Fire Life Safety 06/15/2010 $53.82
Contractor:
WALLOWA RIVER TILE & MARBLE INC
PO BOX 715
BEAVERCREEK, OR 97004
PHONE: 503 - 829 -9760
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $3,600
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $291.95
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors: No
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 e 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in 0 • ,I
952- 001 -0010 through OAR 952- 001 -0100. Yo •• - obtain - - or direct questions to OUNC by calling 503. • • • • < <' ' . .4.
Issued By:, . . // / Rern ittee Signat
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.
Building Permit Application
Commercial �� P - OR 0 1(1 L l 0 v l y . ..
City Of Tigard C1 " DateB 6 5_41m ' ).t , Permit No 0 )0 10 �
13125 SW Hall Blvd., Tigard, OR 97223 �� Plan .
C Phone: 503.639.4171 Fax: 503.598.1960 \ 1 fj » DateB R : i � �L ti�l � � P Other Permit: - " u --.e ( !
I I I` ' u : Inspection Line: 503.639.4175 ,� \`► ,� Date Ready : y: See Page 2 for
Internet: www.tigard -or.gov OF ,. 1 -\G Y' tified/Method / Supplemental Information
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TYPE OF WORK �v �\,. \ 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
® Addition/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 ® Commercial/industrial
Number of bedrooms:
❑ Accessory building ❑ Multi- family
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11940 SW Pacific Hwy New dwelling area: square feet
City/ State/ZIP: Tigard, OR 97223 r Garage/carport area: square fcbt
Suite/bldg. /apt. no.: A Project name: Pawn s P� G j 41 i (�/ tick Covered porch area: square feet
Cross street/directions to job site: Pacific Plaza 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.
New, interior non- bearing partition walL Electrical
Valuation: $$3,600.00
Existing building area: 3,734 square feet
New building area: N/C square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: ALProp, LLC Type of construction: VB
Address: 6149 SW SHATTUCK RD Occupancy groups:
City/ State/ZIP: Portland, OR 97221 Existing: M
Phone: ( ) Fax: ( ) New: N/C
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: NW Precision Design All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Darin Bouska under ORS 701 and may be required to be licensed in the
Address: 22605 SW Pinehurst Ct jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Sherwood, OR 97140 apply:
Phone: (503) 680 -6444 Fax : :( )
E -mail: Darin @NW- Precision.com
CONTRACTOR l
Business name: (3 A 1 ... Lie 014A R. t Je1L T t ki -- .4- (Y L itv c • BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: (gyp apyt 7 ► S Structural plan review fee (or deposit):
City/State/ZIP: Z .oujitr.‘It.cgt.4. e it, 1 ODAA
FLS plan review fee (if applicable):
Phone: ( Sol) 8 L A - 47 I, 0 Fax: ( )
f Total fees due upon application: /, Ct S
CCBIic.: 1t� l� j?)(1
Amount received: }
Authorized signature: This permit application expires if a per it is not obtained
within 180 days after it has been accepted as complete.
Print name: Darin Bouska Date: 6/14/2010 * Fee methodology set by Tri-County Building industry
Service Board.
TC \ 611 y re _S /4_A U. .
Building Division
Over- The - Counter (OTC) Building Permit
T rct\ iz D. Check List
Description of Project: 11
GENERAL INFORMATION
. Class of Work:* Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: M - Third floor: Openings Protected Y /N ?:
Occupancy Load: 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: K
Fire alarm: • Parking spaces ( #):
Notes:
Total Valuation: $ (,
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 13i.54..... Permit Fee
Post /beam structural Smoke detector $ (O , A' State Surcharge
Shear wall Misc. inspection $ %) , ' Plan Review Fee
Masonry Approach /sidewalk $ . 4 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:
$ 2_9 ( , Rt 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 \Norms \OTC- BUP.doc 08/19/08
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Building Division
{��¢ Accessibility: Barrier Removal Improvement Plan
T:IG,y
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: [ $
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) Pa rking $
(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): $
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I: \Building \Permits \BUP -COM PernvtApp.doc 06/25/08
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