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Permit
CITY OF TIGARD BUILDING PERMIT m V a :-; COMMUNITY DEVELOPMENT Permit #: BUP2010 -00154 t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/09/2010 Parcel: 2S102AA00600 Jurisdiction: Tigard Site address: 11940 SW PACIFIC HWY D Subdivision: Lot: 0 Project: Digital Communications Project Description: TI Owner: FEES ALPROP CO Description Date Amount 6149 SW SHATTUCK RD Permit Fee - Additions, Alterations, 07/09/2010 $53.27 PORTLAND, OR 97221 Demolition PHONE: Plan Review 06/30/2010 $34.63 Plan Review - Fire Life Safety 06/30/2010 $21.31 Contractor: PHONE: FAX: Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $500 • Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $109.21 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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through AR 952- 001 -0100. You m in e rules or direct questions to OUNC by calling 503.246.6699 or 1.800,332.2344. Issued By: 4 Permittee Signature: - 1 503.639.4175 by 7:00 a.m. for an inspection that b amass 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 �_. ( = ;. _ • ; Ise ` ;t" . i I � " Received / ,. _.. Commercial r c [OR c)l I lc 1.' rt No.: �iNI CI of Tigard v-:; t + ,!' � + W._. 65 , III tY g IA Date/By: _ ..)/ () i3/� Pem, (A,lf p oGb1 q 13125 SW Hall Blvd., Tigard, OR 97223 SUN 3 0 2 Plan Review, .t t�,` 7(7 ((( 1 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: : �(1 Other Permit Tit; A It ' Inspection Line: 503.639.4175 -�, 1C-All l" Date Ready/By: raris. ® See Page 2 for Internet: www.tigard - or.gov C 1 t "' + lt tified/Method: / /A ,1.1) l I (p Supplemental Information 1 LD�;vG D I S _, 1- far CC AA, TYPE OF WORK REQUIRED DATA: I- 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: $ S © ❑ 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 t b v� _ ` � �s H New dwelling area: square feet City /State /ZIP: Tl ,�� " V' . Garage /carport area: square feet Suite/bldg. /apt. no.: � Project name: l o c k- % p �('f "�, vered 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: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK . work indicated on this application. 1 4�, p\ � u � \ i g PASS - po le-� r, �/ , / (A- / 1 A Valuation: $ V rriT A. 11.111(31/)- Existing building area: square feet New building area: square feet ❑ 'PROPERTY OWNER I A TENANT Number of stories: Name: '0' i► , -i', a A 4 4-tai g Type of construction: Address: MP- . - ::;na �C L S Occupancy groups: City /State /ZIP: Trebel , Existing: Phone: ( ) Fax: ( ) New: At APPLICANT lEcCONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: Cyyi D l e , i rd'n�„ 1 licensed with the Oregon Construction Contractors Board err under ORS 701 and may be required to be licensed in the Address: ` _ JIM (� jurisdiction in which work is being performed. If the City /State /ZIP: 1 d , applicant is exempt from licensing, the following reasons ��ri p� apply: Phone: (Sw ) .- - j V , Vr 3 Fax: : ( ) p� � A p�-� /� E -mail: ' is �, ..' S g � 1L.V\/1 • `2J ►V 1 `� 'CONTRACTOR Business name: T81) BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) Total fees due upon application: 5 5.-- 911 CCB lic.: Amount received: 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., 4 , -- • 1 g WA& Date: 0 .2 b * Fee methodology set by Tri -County Building Industry will 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 •TiGAR 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): $ l: \Building \Permits \BUP -COM PermitApp.doc 06 /25/08 • Building Division Plan Submittal Requirements r l 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 El 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 .1. Building Division Plan Submittal Requirement Matrix 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