Permit n CITY OF TIGARD BUILDING PERMIT
; � D COMMUNITY DEVELOPMENT Permit #: BUP2010 -00149
..TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/15/2010
Parcel: 2S102BD02600
Jurisdiction: Tigard
Site address: 12979 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Kim
Project Description: Remove two walls and create 1 new wall.
Owner: FEES
KIM, PENNEY Description Date Amount
395 NW SILVERADO DR Plan Review 06/29/2010 $50.05
BEAVERTON, OR 97006 Plan Review - Fire Life Safety 06/29/2010 $30.80
PHONE: 503 - 997 -1207 Permit Fee - Additions, Alterations, 07/15/2010 $77.00
Demolition
12% State Surcharge - Building 07/15/2010 $9.24
Contractor: Investigation Fee (Equals Permit Fee) 07/15/2010 $77.00
OWNER Investigation Building 12% State 07/15/2010 $9.24
Surcharge
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $1,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $253.33
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 folio . • - - - e Oregon Utility Notification Center. Those rules are set forth in OA:
952 - 001 -0010 throug AR 952 -001 -0100. You -y obtain 4.
7..- • - 'ups to OUNC by calling 503.246.6699 or 1.800.3 2. '
Issued By: /����,, 1 /� , - i Permittee Signature: I _i, ,, /
- C 175 by 7:00 a.m. for an inspection that busin , , s day.
This permit card shall be kept in a conspicuous place on the job site until ' . mpletion of t e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
' Commercial - 1 OR OI I I(i .liti UNI.1.
City of Tigard Dateiv , �o I A, / Permit No.: if I
_ - ao � /
U PI v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
11 Phone: 503.639.4171 Fax: 503.598.1960 Date/B : L� � �� Other Permit:
1 I C. n It ri Inspection Line: 503.639.4175 Date Ready/By: . luris: ® See Page 2 for ,,
Internet: www.tigard - or.gov Notified/Method: Ammon Supplemental Information
57-270 WD/LK /'L4eEZ - Sc ' A92Ci:4. Ga./.diritws - .. /M -{w Piw'y
, TY PE OF WORK ' REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction Demolition Permit fees* are based on the value of the work performed. .• 0
Indicate the value (rounded to the nearest dollar) of all
rl r Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the a
work indicated on this application.
CATEGORY OF. CONSTRUCTION ;� l •
❑ I- and 2- family dwelling ` ommercial/industrial Valuation: $
❑ Accessory building // ❑ Multi- family Number of bedrooms: ;o
❑ Master builder ❑ Other: Number of bathrooms:
• ' . JOB SITE INFORMATION` AND LOCATION . Total number of floors: Q
Job site address: /a 9 79' .S /',4-C f ` /c , #_, New dwelling area: square feet
City /State /ZIP: 1 9 (lA „� 6 K , 9// Z2 3 / Garage /carport area: square feet lam
Suite/bldg. /apt. no.: '" " Project name: Covered porch area: square feet IN
Cross street/directions to job site: Deck area: square feet .
Other structure area: square feet 1
"•'�
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed. I
Indicate the value (rounded to the nearest dollar) of all �'
Tax map /parcel no.: .;j
equipment, materials, labor, overhead, and the profit for the (
. • DESCRIPTION ,OF WORK work indicated on this application. �'\
bl [c D-gE Tw o ` WO l� f LZ va, Valuation: $ N i
j/Y� . fie° c !, Yn/Cly /,t f Ill( Existing building area: square feet
New building area: square feet � o j
.. : PROPERTY ,OWNER - ❑ TENANT Number of stories: i .1
Name: 6--N /y ' ( A4 Type of construction: + pl
Address: 7f. 1V s W Ctt// p � i� Occupancy groups: I•r S /Ve / (3%:;, y'
City /State /ZIP: j j�[fu ft_TO ki/ • 6' 9 7 0 0 6 Existing: l" ' 1
Phone: ja 5 '' /2_6) Fax: ( ) New: r�` • ❑ APPLICANT , • - ❑ CONTACT PERSON • �
. NOTICE
Business name: All contractors and subcontractors are required to be r
licensed with the Oregon Construction Contractors Board C'4 i
Contact name: I
under ORS 701 and may be required to be licensed in the �
Address: jurisdiction in which work is being performed. If the '' '(
applicant is exempt from licensing, the following reasons c i
City /State /ZIP:
apply:
Phone: ( ) Fax: : ( )
E- mail: (tj
{, • CONTRACTOR . 11 4 "-S
rI
Business name: (9 UV J'v 4 BUILDING PERMITPEES* .. • 'N
- (Please refer to fee schedule) • • , ' , l',
Address:
Structural plan review fee (or deposit): ,56. S Pi
City/State /ZIP: 2- �
FLS plan review fee (if applicable): c=.) ' � . pv'
Phone:( ) Fax:( )
-----.
CCB lic.: Total fees due upon application: g' Dr $
4 Amount received: $ • gJr
Authorized signature: i 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
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
.T!GARD.
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 \Perrnits \BUP -COM PermitApp.doc 06/25/08
Building Division
Plan Submittal Requirements
: r I A R D 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.
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
•
Building Division
Plan Submittal Requirement Matrix
G i\ RD 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 \BUP -COM PermitApp.doc 06/25/08