Permit CITY OF TIGARD BUILDING PERMIT
'� >' COMMUNITY DEVELOPMENT Permit #: BUP2011 -00086
fl ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/19/2011
Parcel: 1 S 136AD06502
Jurisdiction: Tigard
Site address: 10935 SW 68TH PKWY
Project: Blitz Sports Pub Subdivision: WAY LEE Lot: 1
Project Description: Deck addition.
Contractor: WDC CONSTRUCTION Owner: WAY W LEE
1627 NW 14TH AVE. 5210 SE 26TH AVE
PORTLAND, OR 97209 PORTLAND, OR 97202
PHONE: 503 = 804 -0960 PHONE:
FAX: 503 - 552 -9817
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 05/19/2011 $164.96
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 05/19/2011 $19.80
Stories: 0 Height: 0 ft Plan Review 04/28/2011 $107.22
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 04/28/2011 $65.98
Value: $5,100 DC Provision Review, COM TI - Ping 05/19/2011 $64.00
DC Provision Review, COM TI - LRP 05/19/2011 $9.00
Info Process /Archiving - Sm Sheet (up to 05/19/2011 $10.50
Floor Areas: 11x17)
Erosion Control 05/19/2011 $26.00
Total Area: 0 Erosion Plan Review CWS 05/19/2011 $8.45
Accessory Struct: 0 Erosion Plan Review COT 05/19/2011 $8.45
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 814
Garage: 0
Mezzanine: 0
Total $484.36
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 OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
il l 16... .A. Il■
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
�, F Building Permit Application ,
#;;
Commercial FOR OFFICE USE ONLY
City of Tigard Received DateB : ._ / ii /S
�� Permit No.: i/ _ 1 • .!
" 13125 SW Hall Blvd., Tigard, OR 97223 , R Plan Review r
0 Phone: 503.718.2439 Fax: 503.598.1 DateB : � ` Other Permit:
TI G \lily Inspection Line: 503.639.4175 ,e cb ' Q . Date Ready/B . 0 See Page 2 for
Internet: www.tigard- or.gov V � s Notified/Method: iI� f/ 0 FM Supplemental Information
0C--- � � ti V *. 6 0 S p61 " — P1� - �,--
TYPE OF WO � O �� �; REQUIRED DATA: 1 - AND 2- FAMILY DWELLING
❑ New construction
❑ De4 Permit fees* are based on the value of the work performed.
\'� Indicate the value (rounded to the nearest dollar) of all
, Addition /alteration/replacement ❑ Oth4 equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling V] 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: I n -6 `l ink 07 N- New dwelling area: square feet
City/State/ZIP: , „ " _ "ere-- V'} 0 e- 4 - )-:1 -� Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: \A - f S p 6'tiJ4'. 1 p 1,,,_ Covered porch area: square feet
Cross street/directions to job site: k . Q _ 4, J 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.
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.
NA p...A.w� c- D `c _ Valuation: $ Si ti66
Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: 0 �� p Type of construction:
Address: ` Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
/ rj APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ,�C `L - 9 ���t S (Pteasere/ertofeeschedule)
�
Structural plan review fee (or deposit): 101.4
x
Contact name: t { a °�
Address: 1 a�� t , `� `V�� FLS plan review fee (if applicable): ( c�
City /State /ZIP: Q C !`-' °NL T` .d-o 1 Total fees due upon application: 17 3
Phone: ( 5 6 1 2 ) < , < 4 Oct O Fax: : ( M ) C� 5 -.q g vi. Amount received:
E -mail: R f t ■AN1) c. _, r — ' ��C-` r v rkl 5 6 C a PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
_ ^ Commercial and residential prescriptive installation of
I>L CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: ‘06 G Cl1 N,j72Gt G:770A1 Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: /G a ? A/) j ' / — Solar Installation Specialty Code checklist.
City /State /ZIP: /0 02Na D2 .9',Ato 5 .9',A Permit fee (includes plan review $180.00
and administrative fees):
Phone: 3 y_ 096 0 Fax: ( ) State surcharge (12 %ofpermit fee): $21.60
CCB lic.: l �p 7 l 511/43 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: t, (i� Q (L� Date: * Fee methodology set by Tri County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440 -4 13T(11 /02 /COM/WEB)
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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 PcrmitApp.doc 03 /03/2011
1104 Building Division
Plan Submittal Requirements
T IGARD. 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 03/03/2011
,r>
Building Division
Plan Submittal Requirement Matrix
TIGARD Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
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), if applicable.
1: \ Building \Permits \ BUP-COM PermitApp.doc 03/03/2011
B uilding Division
. . .
Development Code Provision Review
TTGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 7'1P.&Vii UC Cv 111 Expedited Review
Plan Submittal Date: 1'I //
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.
-* 7
Planning Review (contact CHIC /'1 � eAi ✓te5 at 503 -718- 0'` or Cheryl C @ tigard- or.gov)
IX Zoning C - & Permitted Use Yes No ❑
Land Use Required: Yes Lf No ❑ (explain below)
Notes: Q f (i cG 4 t,J (I vuucL 4.0 el p -4v e; 44,4 r ..- rY, n o o r
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J Approved C Not Approved Date: 4 'a `% • t(
.6he/r/ _ Nf /Y[vdOf / 0000(o i,,Clci -ecl c/ e ci.
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date: 4 4
I: \CURPLN