Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00265
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2010
Parcel: 2S104BB08000
Jurisdiction: Tigard
Site address: 14250 SW BARROWS RD 001
Project: The Ultimate Tan Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 3
Project Description: TI
Contractor: CPS CONSTRUCTION INC Owner: ALULI REAL ESTATE HOLDINGS LLC
9825 SW DAY ST 415 -C ULUNIU ST
SHERWOOD, OR 97140 KAILUA
OAHU, HI 96734
PHONE PHONE:
FAX: 503 - 570 -8713
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/03/2010 $225.80
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/03/2010 $27.10
Stories: 1 Height: 0 ft Plan Review 12/03/2010 $146.77
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/03/2010 $90.32
Value: $9,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $489.99
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 - 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, o if ork is spended for +. e the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cen - r. hose / les are se forth in OAR
952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 - + 800.3 4.23- -.
Issued By: Alum, Permittee Signature: Aeh■
Cal r • by 7:00 a.m. for the next available inspection date.
This permit card s al b- p 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
` COI11IlleCCla1 :I i FOR OFFICE USE ONLY
Cl of Tigard Received /e 2 � /' permit No.: C `J g Date ' J / I (J` 5
13125 SW Hall Blvd., Tigard, OR 97223 DEC 2010 Plan Review �''��� y
-
7111 ", Phone: 503.639.4171 Fax: 503.598.1960 Date /Bv: i/�r Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready TIGARD
1. 91 . 1.— . Ems; ® See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified /Method: -r1T_ Supplemental Information
a e T YPE OF W ORK REQ DAT 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 3 t,::' work indicated on this application.
and 2- family dwelling ® Commercial /industrial Valuation: 8
['Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
l ,IOB SITE I FORl1'IATION ANj ocA TION �2 9 Total number of floors:
\
Job site address: 14250 SW Barrows Road, Suite 1 and 2 New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 & 2 Project name: The Ultimate Tan Covered porch area: • square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
il REQUIRED DATA COMMk RCI qi, 4D8 CH Sl
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, ma materials, labor, overhead, and the profit for the
•
1
t I p�, .a e r
DESCR1PTg1ONOF WORT( Z d work indicated on this application.
Build a new demising wall Valuation: 889,500.00
Existing building area: square feet
New building area: square feet
arniteeng1101ibiiiiiVPVarglif.M.V PallellgrIbial511111 Number of stories: 1
Name: Aluli Real Estate Holdings c/o Elliott Asscoaites, Type of construction: VN
Address: 901 NE Clisan Street Occupancy groups:
City /State /ZIP: Portland, OR 97204 Existing: B
Phone: (503)224 -6791 Fax: ( ) New:
M ®AP.PIICANT CONTACT ;PER '� "
a I N I C E !, V gl
Business name: Day Road Design, LLC All contractors and subcontractors are required to be
Contact name: Ron Kief licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 9825 SW Day Road jurisdiction in which work is being performed. If the
City /State /ZIP: Sherwood, OR 97140 applicant is exempt from licensing, the following reasons
apply:
y:
Phone: (503) 320 -0918 Fax: : (503) 570-8713
E -mail: RonKief @comcast.net
>t. CONTR CTOAR a __
..w..VAS ...ne.. ._ ..te r..: = . i: . ,3 , a
Business name: CPS Construction, Inc a BUILDING PE FEES* lj`
' (EJe ier fee sc/,edi le .
Address: 9825 SW Day Road
Structural plan review fee (or deposit):
City /State /ZIP: Sherwood, OR 9 1
FLS plan review fee (if applicable):
Phone: (503') 320 -0918 . vi' 0 0 -8713
CCB lic.: 102248 i Total fees due upon application: ,G .q!
2 , , � Amount received: 1-162( Authorized sign.. -:'!/` /� �
� r /
This permit application expires if a permit is not obtained
>. within 180 days after it has been accepted as complete.
Print name: Ron Kief Date: 12/02/10 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)
Building Division
TIGARD Accessibility: Barrier Removal Improvement Plan
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\Permits\BUP -COM PermitApp.doc 06/25/08
11111 .
Building Division
TIGARD Plan Submittal Requirements
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
TIGARD Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal E'' # of Plans
(Includes new additions and a alterat> ons ), Requirred at
Ste
fi
ubrnittal
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
1 ...
Building Division .
Over- The- Counter (OTC) Building Permit
TIGARD
Check List
Description of Project: 1
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: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: I 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:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ C e_�
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 7i2 Permit Fee
Post /beam structural Smoke detector $ / , C./ State Surcharge
Shear wall Misc. inspection $ i f „ Plan Review Fee
Masonry Approach /sidewalk $ ae , '7 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 Sprinlder final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 4ge=2 4 0g 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.
1: \ Buildin g \Forms \OTC - BUP.doc 08 /19/08