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Permit
CITY OF TIGARD BUILDING PERMIT ' • COMMUNITY DEVELOPMENT Permit #: BUP2010 -00276 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2010 Parcel: 2S104BB08000 Jurisdiction: Tigard Site address: 14250 SW BARROWS RD 001 Project: Ultimate Tan & Spa Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 3 Project Description: TI Contractor: TC CONCRETE INC Owner: ALULI REAL ESTATE HOLDINGS LLC 7260 SW NORWOOD RD 415 -C ULUNIU ST TUALATIN, OR 97062 KAILUA OAHU, HI 96734 PHONE: 503 - 502 -0641 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 12/22/2010 $70.22 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 12/22/2010 $8.43 Stories: 1 Height: 0 ft Plan Review 12/22/2010 $45.64 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/22/2010 $28.09 Value: $1,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $152.38 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes 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 OAR 952- 001 -0090. Yo •• • • r - • • • he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By r • � -rmittee Signature: I• • • by 7:00 a.m. for the next available in • ate. This permit card shall be kept in a conspicuous place on the job si ompletion of the projec Approved plans are required on the job site at the tim • each inspection. s Building Permit Application Commercial FOR OFFICE USE ONLY City g of Tigard DEC 2 2 2010 Received / q Retell i ® d -" r%, Permit No.: = . . r/ ..__o CV —7 Iii ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie �1 C ' Phone: 503.718.2439 Fax: 503.598.1960 Date/B : /A / Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready : : luris: Eg See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK 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 C _ ATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Er 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: VA si5o 51/J C go r -- y - 5 4 . New dwelling area: square feet City/State /ZIP: '17,,e604 0 t(1 Garage /carport area: square feet Suite/bldg. /apt. no.: t Project name: v i - T aii ,,_ Covered porch area: square feet Cross street/directions to job site: N S 04 (A) ovit A— Deck area: square feet 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. Valuation: $ I CO d tti0 V ` , ,N k f / (1.. p Existing building area: square feet W�nnNQ t 0 16�� cGnn:A.a New building area: 4/7®, t square feet ❑ .PROPERTY OWNER /TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax: : ( ) E -mail: CONTRACTOR Business name: 1 (` �_ N ,� „"'\ c //�� �� BUILDING PERMIT FEES * Address: ' N W frat - \l�t� (Please refer to fee schedule) �NM X to( w . � Structural plan review fee (or deposit): City/State /ZIP: 0 ( ,� r Fax: FLS plan review fee (if applicable): Phone: (563) saa — 0��11 ( ) CCB7ic.: Total fees due upon application: ! s , 3`6 low Amount received: Authorized signature : This permit application expires if a permit is not obtained d '( t within 180 days after it has been accepted as complete. JU Print name: 17 Date: ‘1,11,„.,v0 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 09/09/10 440- 4613T(11/02 /COM/WEB) f 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: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 • 11 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. ❑ 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 II _ Building Division Plan Submittal Requirement Matrix T l G A 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) I: \Building \Pemuts \BUP -COM PermitApp.doc 06/25/08 111 q Building Division Over- The - Counter (OTC) Building Permit . TIGARD Check List Description of Project: l i �t # ' 1 ' . E�I�T�E'R�112 I�NF� 7RIY TI l ' ;7= , ': 4' ' .I; Class of Work:* ( A ; -' , Floor Areas (sq. ft.): Exterior Wall Construction: • Type of Use:* *I -'.'7 'kl First floor: " • N: S: Type of Construction: w 1,, ;'� S econd floor: Occupancy Group: � � " E: W: " -�d Third floor: t Openings Protected Y � ', N ?: / Occupancy Load: :s Total sq ft.: N: S: Stories: 1 Note: Combine total floor area for 1". E: E: Height: all floors above third floor and `h Roof Construction: — Floor Load: r add to the third floor s . ft. x Fire Retardant: Basement: 47 Basement:' Area Separation Rated: Mezzanine: . Garage: . h. Occu. Separation Rated: .: `� s ue '" -- a ey,� 1Egi V: " , • -71 ' r F - REQ la ''D ITEA,S_. ;': A Y , �. k • r't- ''.:1! s ; a Fire sprinkler: te 7 ' " `= Handicap access: Smoke detector: it ;,t,AR,, Protected cor Fire alarm: F`. > ` :"` + Parking spaces ( #): Notes: Total Valuation: $ OOa .',, , e ' � , • , . II S� PECIIO NS rr � a te F EES`DUE, s _ ' ; . t Footing /foundation Firewall $ O,ZZ Permit Fee Post /beam structural Smoke detector $ i , A 1 J State Surcharge Shear wall Misc. inspection $ 4rAn Plan Review Fee Masonry Approach /sidewalk $ LIM 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: $ -- 2...,` Total. Fees Due *©I�IEIONS: ,''. - ' ° , k 11 . ,:;',%;'11:,40%--M.--- 'r 0 t *OM 'a commercial , ,g o u oo - 'sil manufacture t ` .. x ,'-'1!:'''t ��'. 4 .. WORK? ACM 8 accessory D D : a + 0 0 AR a l erahori f oundars n- :DEiM ; 011-4-061.,.., N ` Pigi)! foundation; AM 1O protection' �• (T14o o . ( r + : g { ng s for fences decks , o o awmn ;C is, 1 P.) ;:ice 8 p _ - °', '� e - ' P . .'',•! ,.. a# .: : 1,' " - ' o cano ies re � � .. � ,. + � -� .� ' F ,•_ I: \ Building \Forms \OTC - BUP.doc 08/19/08