Permit N , t CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00068
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/06/2011
Parcel: 2S102AA04100
Jurisdiction: TIGARD
Site address: 12230 SW MAIN ST 120
Project: Live Laugh Love Glass Studio Subdivision: Lot: 0
Project Description: TI
Contractor: CONSTRUCTION MANAGEMENT CO OF OREGON Owner: 3DM HOLDINGS INC
13851 STAMPHER RD 12230 SW MAIN ST STE C
LAKE OSWEGO, OR 97034 TIGARD, OR 97223
PHONE: 503 - 697 -4233 PHONE:
FAX: 503 - 697 -4600
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 04/06/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 04/06/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 04/06 /2011 $301.85
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 04/06/2011 $36.22
Value: $15,000 Plan Review 04/06/2011 $196.20
Plan Review - Fire Life Safety 04/06/2011 $120.74
Info Process /Archiving - Lg Sheet (over 04/06/2011 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $738.01
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 Noti i • Those rules are set forth in OAR
952- 001 -0010 through OAR 952-111-0090. You may obtain a co• • of the r = • irect questions to OUNC by calli • 0 . 1.: r r ■ Issued B % �_� er Signature: t I
C. 51 9.41 by 7:00 a.m. for the next available inspection date.
This permit card shall . -. n 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
Commercial ') FOR OFFICE Fsl; 05l,1
City of Tigard Received fkg5IMI Permit No.: ` v
�z `
III
• 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
e Phone: 503.718.2439 Fax: 503.598 C, ! Date/B ; Other Permit:
TI G A R l7 Inspection Line: 503.639.4175 ' �� a Date Ready/By: ®See Page 2 for
Internet: www.tigard- or.gov a � Notified/Method: . Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ DemOfition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
VI...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 01...Commercial/industrial Valuation: $
❑ 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: 124 o 5 MA O 1— 5o v '$ New dwelling area: square feet
City /State /ZIP: moizo G1 Garage/carport area: square feet
Suite/bldg. /apt. no.: r Project name: 1 l tstJE (,J40 twe 4 s _ T Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
() &wet_ oF Can M. elel.t on- 4 Mktg.' pJ S' ' . 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.: Z. S I Ki 2. AA tn-r LI',b equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Te, J4& r Ion PR•�rverrr c' - 4I,ort s 1 ■,•.4. 4 • 0,0),)
AT STt/O b wr bt se rtt -+ A 2 • ge -at le Existing building area: ZZ 3r7, square feet
!WI, 6x44 I g t r SPkt -fete • New building area: square feet
❑ PROPERTY OWNER I X. TENANT Number of stories: / .J / AI E�3 (F)
Name: g F p VI .JSArT Type of construction: 14 3
MIS, 3S, 5v4 MA t' y f 5.)• .� g Occupancy groups: •/
City /State /ZIP: Tta ( V�(L ° la'LZ4 Existing: i n, F -/ 5'-/ / g
Phone: (OS) 31q - 3-8 Fax: ( ) New: d,r / / +q 1 0 APPLICANT CONTACT PERSON BdILDIN PERMIT MA*
(Please refer to fee schedule
Business name: C4 DA Structural plan review fee (or deposit):
Contact name: 614114 S Wes —
Address: 1 5 5 R7-4.-ft Me IQtic Z.� FLS plan review fee (if applicable):
Total fees due upon application:
City /State/ZIP: fOgorl , 0 dr/ 2.'4
Amount received:
Phone: (Spy) ZLb 8 3 _ IZ Fax::$'()) j 4 . //..4.
e PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E - mail:
GL► r S tnsl LO,G ► t�. h G LQ.••■ Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: e.. kJ 5t.,.J Irni1MR lscN^EIn7'r CO. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 13 0 5 , SI^ J M p// R p Solar Installation Specialty Code checklist.
P fee (includes plan review
City /State/ZIP: (,��� 9-7054/ $180.00
and administrative fees):
Phone: (5a3) 6 4 _ eta 3 3 Fax: (T ) 47 . lir Q State surcharge (12% of permit fee): $21.60
CCB tic.: T o
04/4, Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Gf1R -15 1NI Date: //6 t * Fee methodology set by Tri- County Building Industry
Service Board.
I:\BuildingWermits\BUP -COM PermitApp.doc 02 /24/2011 440- 4613T(11/02 /COM/WEB) 37 - s'--
il
Ii 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] $ /5: a.
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3 41
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 $ rielt l ST "
(b) An accessible entrance: $ g).% P1. r,r 4
(c) An accessible route to the altered area: gEW 91AIR. 174114 (x3) $ 5 v
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ E)t.i YA N
(e) Accessible telephones: $-
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: NEW {iOei NEAP.) 'D9QLS $ Avea
TOTAL (shall equal line [2] of Valuation Computation): $ y /�0
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
._ " Building Division
Over - The - Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: /{L r Occupancy Group: A-2 Type of Construction: s R
*Type of Use: CvN1 Occupancy Load: 1 O Oregon Specialty Code: golf)
SPECIFICS
Number of Stories: a Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: _ Carport: Mezzanine:
SETBACKS
Sideyard Setback – Left Sideyard Setback – Front
Sideyard Setback – Right Sideyard Setback – Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: X Fire Alarms: x Smoke Detectors: l(/`A
Parapet: Manual Pull Stations: P /f Protected Corridors: /1 /A
Total Project Valuation: $ /5T /( FEES DUE
$ 6 y DC Prov Rvw, COM TI – Ping
$ 9 DCProvRvw,COMTI –LRP
DC Provision Review Fee for COM TI $ Permit Fee – Add, Alt, Demo
Project Valuation Planning LRP $ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ / 0 Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ , Info Proc /Arch, Sm (up to 11x17 $0.50)
$ — Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: ri\vJ $ Other:
Date /Time: $ 7,373 31-' 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.
I: \Building \Forms \OTC - BUP.docx 01/13/2011
I B uilding Division
Development Code Provision Review
T [ G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ft ii—CLULP vg Expedited Review
Plan Submittal Date: S - Cv - (I 6 - IT__
To the Applicant:
If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact blev'1 ( Ca; neJ at 503 -718- 2 or CAC rK 1 C @tigard - or.gov)
f I Zoning A4 (l - dr C. D Permitted Use Yes lid No ❑
C 1/4.3 . 6).... N„ +S 4 C 4s
F f .1 Land Use Required: Yes ❑ No (explain below)
Notes: We_ is 90: ,,,,A.. a e, tO5Aii i vo.c.4 .4 sea u o_pp -. at, d 4.-
r e..( -a:�.l • 'fhe Dd •nkaw.• Ce d e t A 41..t AV; A sf . 51". b «-e-a- kar r1 u pie.. -(c? n ,
re 1 u, rt..•A-e •�3 -Po.- n e 0 6 a J-e l ap ••", a • • OhL,•. c e 0-t &ti C ;..s c i ns i al « d
A _ CievGlo • ro as tel uj 4o , Q- _ s... S' . di o teJ O -Ya-,
0 .., d (lb Se r u a - 6 0 a a- v1 4-4.6 le s Ica .-e d - F u j cL -r- p iJ', -; 4:4 t o -Q.k ° a - f -
a /a k� da-k) 1 du eS 1.1 .4 rye ii. c,4.;,t.4 o.- I a m. d u,j .
Approved ❑ Not Approved Date: 3 - b - i/
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard - or.gov)
Notes:
Routed back to Buil. g Division Date:
I: \CURPLN