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Permit
CITY OF TIGARD BUILDING PERMIT 13:- - COMMUNITY DEVELOPMENT Permit #: BUP2009 -00044 TIGARD 13125 SW Hail Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/17/2009 Parcel: 2S101AC00700 Jurisdiction: Site address: 1 2700_SW 72ND -AV.E, Subdivision: BEVELAND NO. 2 Lot: 13 Project: PAULY & ROGERS Project Description: 1,396 sq ft, 2 story addition. Owner: FEES ROY R ROGERS Description Date Amount 13690 SW TWELVE OAKS Permit Fee - COM 03/16/2009 $762.22 TIGARD, OR 97224 Tax - 12% State Surcharge 03/16/2009 $91.47 PHONE: 503 -620 -2632 Plan Review 03/16/2009 $495.44 Plan Review - Fire Life Safety 03/16/2009 $304.89 Contractor: Metro Const. Excise Tax - Commercial 04/17/2009 $177.60 CENTREX CONSTRUCTION INC Use 8250 SW HUNZIKER RD CDC Plan Review, COM 04/17/2009 $143.50 CDC Plan Review, COM - LRP 04/17/2009 $42.00 TIGARD, OR 97223 Erosion Control 04/17/2009 $64.00 PHONE: 503 -684 -0443 Erosion Plan Review CWS • 04/17/2009 $20.80 FAX: 503 -620 -6692 Erosion Plan Review COT 04/17/2009 $20.80 Tig -Tual School CET - Commercial Use 04/17/2009 $696.00 Specifics: TIF- Office 04/17/2009 $6,694.38 Type of Use: COM Park - Commercial and Industrial 04/17/2009 $1,334.58 Class of Work: ADD Dwelling Units: 0 Stories: 2 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $148,000 Floor Areas: Total Area: 1392 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $10,847.68 Required: Required Items and Reports (Conditions) 1 Pln Gen PLANNING DIVISION FINAL INSPECTION Fire Sprinkler: No Parapet: No 2 Pln Gen PROVIDE COPY OF FINAL RECORDED PLAT Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No 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 throug OAR 952.001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: maw j �f \ J IA 0 Permittee Signature: �GJ� Call 503.639.4175 by 7:00 a.m. for an Inspection that b In s day. This permit card shall be kept In a conspicuous place on the job site unt comple on of the protect. Approved plans are required on the Job site at the time of each Inspection. i Building Permit Application , , . H 77 „0 9 - Oa co Commercial FOR OFFICE USE ONLY City Tigard • of Ti and Receeive ved c3 op Permit No.:P. ' V V - ' x F � ( � 13125 SW Hall Blvd., Tigard, OR 97 r IV Re � Plan Revi : 11 . Phone: 503.639.4171 Fax: 503.598.9 1 DateBy: ( ew al i li 41(�M Other Permit: 1 G A R D Inspection Line: 503.639.4175 MAR 1 6 2009 Date R �// f � ® See Page 2 for Internet: www.tigard or.gov Notified/M 7 /�( / y� �/ / Cf Supplemental Information TYPE OF CI- TIGARD � il` G DI \(iSION 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 dition/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 El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12 7 � --? 117 New dwelling area: square feet City/State /ZIP: ---� ] 4 J p 4c,)(2 4c,)(2 . Garage /carport area: square feet Suite/bldg. /apt. no.: Project nameLY / Covered porch area: square feet Cross street/directions to job site: I) Deck area: square feet IlA) 1-Z^ :0-- i --i et4 Other structure area: square feet / REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: 7 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. . P , UJ 1 ` -- 1 .q--„ 1 1 � , Valuation:] $ , � i�� u Existing building area: a feet bCTe: � , New building area: 4 square feet �7 c PROPERTY OWNER l ❑ TENANT / Number of stories: G Name: Type of construction: V —F:::, Address'�� 72v Occupancy groups: City /State /ZI �i ;,�j�j f� & 722, i Existing: Phone: ( I t NT — get-z, f Fax: ( ) New: ❑ CONTACT PERSON NOTICE Business name: 41420, , i G>. All contractors and subcontractors are required to be Contact name f �� licensed with the Oregon Construction Contractors Board p..,,,„ under ORS 701 and may be required to be licensed in the Address: fi99.11 G Jt (4, S jurisdiction in which work is being performed. If the City /State /ZIP: 2.'Z applicant is exempt from licensing, the following reasons apply: Phone: (9j) 2�-0 Fax:: ( ) E -mail: g, K 4. & y4 e l. , fl CONTRACTOR . Business name: CIEIL)T2ti y 1J> j te.ueTtUl3 / )3C_,) BUILDING PERMIT FEES* Address: ez o2 `, 0 4,t � T_ 0 kk U 12:r" (�eaee refer to fee schedule) Structural plan review fee (or deposit): City /State /ZI � ,y-21- 62 qi aa= � " FLS plan review fee (if applicable): Phone: ( ) 6 i [f — 4CF(,1 Fax: ( j ) 62,0— C.el'p� j'9,. Total fees due upon application: CCB lic.: 5(03 G j Amount received: it /. b5-1.1 02- Authorized signature: ', , 41 - - 1 - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name s Date: ? /4 - Q7 • Fee methodology set by Tri- County Building Industry Service Board. 1: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM/WEB) Ii + , , 4 w 1 • II 71 a Building Division Accessibility: Barrier Removal Improvement Plan TIGARD 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: \Buil ding \Permits \BUP -COM PemutApp.doc 10/30/07 y Building Division Plan Submittal Requirements T I G A R D Commercial & Multi- Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. LI51 map & tax lot # project name `� site address ❑ suite number 9 - zoning applicant name gf,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: VA. Scale (architectural or engineering only). �/$. Foundation plan. //C. Floor plan(s). - G1 . Cross sections. Reflective ceiling plan. Seismic bracing detail for suspended t-G. Roof plan. fiFI. Exterior elevations. �. 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 10/30/07 • w • i f i II Building Division Plan Submittal Requirement Matrix T ► G n R D 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) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I: \Building \Permits \BUP -COM PetmitApp.doc 10/30/07 DATE: PLANS CHECK NO.: • / 3/09 I 9 P2)o 0000K PRO CT TIT v� y *--ERs O COUNTYWIDE 7D °J TRAFFIC IMPACT FEE , APPLICANT: 1�0Y R 6 6 ik`C WORKSHEET MAIL ✓ /fnlE1.YE OA. (FOR NON - SINGLE FAMILY USES) CITY/ZIP/PIE: /Z 9 2J'1 o3- hki/Q(1V2 -/ RATE PER TAX MAP NO LAND USE CATEGORY TRIP �Z. /0/46- ©o '0D SITUS NO. ADDRESS: ■ RESIDENTIAL $339.00 v 141 -7 AI./g -__J • , - .. -- - -- -- - _ .. $85.00 BUSINESS AND COMMERCIAL ... ,�' OFFICE $312.00 / - 5 9 (p OPP /L.6_ AUDIT e- I II INDUSTRIAL $327.00 INSTITUTIONAL $141.00 PAYMENT METHOD: CASH /CHECK CREDIT INSTITUTIONAL ONLY: BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY I DESCRIPTION OF WEEKDAY AVG. TRIP I WEEKEND AVG. TRIP DEFER TO OCCUPANCY 1/Q 6i- USE Cam« RATE /6, • 3 / RATE ...-BASIS: / /. 344,yC < / /x.3/ A = 2 2. 7 -.;- 2 . 7- X i 37 2-777e, /0 _ sr 4 4-1 0 -4/ O; �-L i-i �reif�/% 2 2..74 X' 2c/r27� ___ - - ..,. 12 /? , 13,T U LATIO NS: 01-4€11-L- €11-LL ti - A^l C • __3,7' , /3 6 ' *2 - 00 / PROJECT TRIP GENERATION: ��y� . '7 7- F // Ey ��i, /d"1`. FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: RO M R SITAMT.5 . PREPARED BY: June 30, 2008 Worksheet 08- 09.doc CC: WASHINGTON COUNTY TIF NOTEBOOK