Permit CITY OF TIGAR®
r BUILDING PERMIT
II it a 9 r: COMMUNITY DEVELOPMENT Permit #: BUP2010 -00145
,7i+GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/24/2010
Parcel: 2S 101 AA08700
Jurisdiction: Tigard
Site address: 12511 SW 68TH AVE
Subdivision: WEST PORTLAND HEIGHTS Lot: 29
Project: HPNORTHWEST
Project Description: TI
Owner: FEES
BEVELAND BUILDING LLC Description Date Amount
4740 SW LOWELL CT Permit Fee - Additions, Alterations, 06/24/2010 $149.75
PORTLAND, OR 97221 Demolition
PHONE: 12% State Surcharge - Building 06/24/2010 $17.97
Plan Review 06/24/2010 $97.34
Plan Review - Fire Life Safety 06/24/2010 $59.90
Contractor:
OWNER
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $324.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 ar h in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a c• • rules or direct questions to OUNC by calling ∎3.2• • .800.332.2344.
Issued By: �I� i —.oi ' Permittee Signature:
A
all 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 ���� FOR OFFICE USE ONLY
City of Tigard VC� Received P er mit No: ��� � N " 13125 SW Hall Blvd., Tigard, OR 97223 ���///J .1"; � O Plan Review : ► ®Iv �
R Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 w \ eL DateB : "- rr 24 l � Other Permit
TIGARD I nspection Line: 503.639.4175 ,� \`' tI''� _Q ate Ready /By: � El See Page 2 for
Internet: www.tigard- or.gov `C 111gNotified/Method: _f✓„ Supplemental Information
KNI n`
TYPE OF WORK \_,V CI 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.
❑ 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: 12511 SW 68th New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Beveland Bldg Remodel 4,9 I bdtvw •1J Covered porch area: square feet
Cross street/directions to job site: 68`" Ave and Beveland St Deck area: square feet
SW 72 north across HWY 217. East on Beveland St. Left at 68th 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.
Remove several non - bearing walls that define 3 offices to create one, large Valuation: $$5,000.00
open office area. Reconfigure light switches, electircal plugs and network Existing building area: 7,600 square feet
cabling. Replace carpet and paint walls and hallways throughout. New building area: n/a square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Beveland Building, LLC Type of construction: wood
Address: 12511 SW 68 Ave Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone: (503)597 -1600 Fax: (503)597 -1649 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: HPnorthwest All contractors and subcontractors are required to be
Contact name: Fred Payne licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12511 SW 68th Ave jurisdiction in which work is being performed. If the
City /State /ZIP: Tigard, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 329 -9129 Fax: : (503) 597 -1649 General contractor is the owner.
E -mail: fredp @HPnorthwest.com Electrical work by separate permit.
CONTRACTOR
Business name: Beveland Building, LLC BUILDING PERMIT FEES*
Address: 12511 SW 68th Ave (PleaserefertoJeeschedule)
City /State /ZIP: Tigard, OR 97223 Structural plan review fee (or deposit):
Phone: (503) 597 -1600 Fax: (503) 597 -1649 FLS plan review fee (if applicable):
CCB lic.: N/A Total fees due upon application: 1-1
Amount received:
Authorized signature: L r'7 �.y.�
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ed Heintzberger, Partner Date: 6 -22 -2010 * Fee methodology set by Tri -County Building Industry
r-e Wrl (k J Pa1 Service Board.
I: \Building\Permits \BUP -COM Pe ttApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)
, ?„ �� a Building Division
' , , 0∎ Accessibility: Barrier Removal Improvement Plan
.:=,47 G
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 [21 of Valuation Computation): $
1:\ Building \ Pcrrnits \BUP -COM PcrmitApp.doc 06 /25/08
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Building Division
'` Plan Submittal Requirements
TI GARD` Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
L \Building \ Permits \BUY -COM PcrmitApp.doc 06/25/08
Building Division
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Plan Submittal Requirement Matrix
TIGARD Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
I: \ Building \Permits \BUY -COM1 PcrmitApp.doc 06 /25/08
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Building Division
Over- The - Counter (OTC) Building Permit
Ticniin Check List
Description of Project: — 11 -
GENERAL INFORMATION °
Class of Work:* 6(,,t Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* CC l First floor: N: S:
.2_13 Type of Construction: j Second floor: E: W:
Occupancy Group:j 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: le Handicap access:
Smoke detector: • Protected corridors:
Fire alarm: tet. Parking spaces ( #):
Notes:
Total Valuation: $ 5, `�°
. INSPECTIONS I FEES DUE
Footing /foundation Firewall $ f i . - 7s — Permit Fee
Post /beam structural Smoke detector $ ( , State Surcharge
Shear wall Misc. inspection $ i •j Plan Review Fee
Masonry Approach /sidewalk $ ,ci 0 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:
o
$ 2�' 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