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Permit w ►� CITY OF TIGARD BUILDING PERMIT 4 ;,, -- COMMUNITY DEVELOPMENT ; Permit #: BUP2011 -00233 13125 SW Hall Blvd. Tigard OR 97223 503.718.2439 Date Issued: 11/03/2011 TIGARD g Parcel: 1 S126CA00100 Jurisdiction: Tigard Site address: 9225 SW HALL BLVD H Project: Tan Republic Subdivision:VASHINGTON SQUARE ESTATES NO Lot: 108 Project Description: TI Contractor: DJC CONSTRUCTION LLC Owner: GREENBURG CORNERS LLC 1730 TUMAL DR SE BY MENASHE, R BARRY SALEM, OR 97317 621 SW ALDER, SUITE 605 PORTLAND, OR 97205 PHONE 503 - 949 -3778 PHONE: FAX. 503 - 363 -6814 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 11/03/2011 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 11/03/2011 $9 00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/03/2011 $377 90 Stories: 1 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/03/2011 $45.35 Value: $20,000 Plan Review 11/03/2011 $245.64 Plan Review - Fire Life Safety 11/03/2011 $151 16 Info Process /Archiving - Lg Sheet (over 11/03/2011 $6 00 Floor Areas: 11x17) Total Area 0 Accessory Struct: 0 Basement 0 Carport: 0 Covered Porch 0 Deck: 0 Garage 0 Mezzanine: 0 Total $899 05 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 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 sus. - ded for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those r -s are orth in OAR 952 - 001 -0010 through OAR 952- 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by callin. ' ra 232 1987 or 1 800 2344 Issued By: Permittee Signature: '/ - /i C: 15i A L.4175 by 7:00 a.m. for the next available insp•ction date. This permit card shall . 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. t Building Permit Application ' Commercial FOR OFFICE USE ONLY III = City of Tigard 1.0 ) /A J Permit No • �� _��� q 13125 SW Hall Blvd., Tigard,OR 97223 Plan Revie t ` i r l P hone. 503.718.2439 Fax 503 59 . ►1- ... DateDate/By de - . r 1 7 Other Permit. Inspection Line: 503639 i' 11 Date Rea.y Jun ® See Page 2for TIGARD Internet: www tigard -or gov y \, 0 �O A Notified/Method Supplemental Information Q �J TYPE OF W ORK�e, 1 S1O� REQUIRED DATA: 1- AND 2- FAMILY DW ❑ New construction Y Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all jg Addition/alteration/replacement "bier: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Ii.', Commercial /industrial Valuation: $ 1:1 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: ' i25 Vt/ ( ,( 1; (,,4 cm A- New dwelling area: square feet City /State /ZIP: • t 6/4. -(2-1 7 p -z- Garage /carport area: square feet Suite/bldg. /apt. no.: Project name. - rlrrlP v 1 31 - 1 L Covered porch area square feet Cross street/directions to job site: 10...,e6-..k e,et 4- 4-4-L t_ 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 (romded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. r Valuation: $ � ©i cio e . i vt_, /V\ 114 1144 44. (A/44. LS S (tea t'°4 - i fia c t Existing building area j 50 square feet - CI a N e.-4 A...0 S New building area: square feet Of PROPERTY OWNER ❑ TENANT Number of stories: ( Name: /34 yrt Me, KA it e Type of construction: 'TTe i t.` t ( w.. protti4447F Address: (Q 2,-/- , S w 4 etcl, SG F O9 Occupancy groups: City /State /ZIP: PDT- a k� © TL 9 q 2® 5 Existing: Phone: ( j -) 2 Z ( - YO < 0 Fax: ( 503) •12 / - Cv 2 if 3 New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: -7"it i p v d %/ C Structural plan review fee (or deposit): Contact name: l ey K < G.T $ FLS plan review fee (if applicable): Address: 't'Dv WC" /Cv u -! 6 r Total fees due upon application: City /State /ZIP: („e" 6 Nay OZZ 0'1355 / Amount received: Phone:( f 490 -Da r5 Fax::( ) E - mail: o u t r ..1-- j ctt (, yn ,ial , e..„, A PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CON CTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: D J . Coots -f iU G-{- (pr,. (,_ L t= Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 17 3 a 1 SQL d 1.y S E Solar Installation Specialty Code checklist. City /State /ZIP: S tt O 2 07 3 i 7 Permit fee (includes plan revie $180.00 and administrative fees): Phone: (5--- "t 4. - 3 7 7 5 Fax: (93) 3ta3 - 6'51 4 State surcharge (12% of permit fee): $21.60 CCBlic.: ( 5 5t -f ( Lp - 7fri/ j Total fee due upon application: $201.60 Authorized signature:[GGil This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: a _ktie. ero a ke Date: I (/3 / �, �/ * Fee methodology set by 'Fri-County Building Industry ( Service Board. I:\Buildmg\Permits\BUP -COM PermitApp doc 02/24/2011 440- 4613T(11/02 /COM/WEB) Ill 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 03/03/2011 • "I RR Building Division Plan Submittal Requirements TIGARD 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. L \Building \Pemuts \BUP -COM PernutApp.doc 03/03/2011 V V Building Division Plan Submittal Requirement Matrix T IGARD 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 demohshed) 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. \Budding \ Permits \BUP -COM PermitApp.doc 03/03/2011 f i Building Division • Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: T APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: l Occupancy Group: Type of Construction: *Type of Use: Occupancy Load: Oregon Specialty Code: 2_010 SPECIFICS Number of Stories: 1 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:, Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ 20) C FEES DUE $ .On DC Prov Rvw, COM TI — Ping $ , ( DC Prov Rvw, COM TI —LRP DC Provision Review Fee for COM TI $ j , go Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 4 ..i 12% State Surcharge Up to $4,999 $0.00 $0.00 $ Zik."5, p4 Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ (" j( Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ (n 1 (� 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: $ Other: Date /Time: $ i I 05 TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = 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: \Building \Forms \OTC -BUP docx 01/13/2011 II Building Division Development Code Provision Review TtGARD Commercial Projects - No Associated Land Use Case Building Permit No: 4 ,p,,,,, - )-3) Expedited Review Plan Submittal Date: ///57// To the Applicant: 9c C gti /5 / a ➢ 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. P1anr ng Review / (contact //din at 503-718-2 or �2 @ tigard- or.gov) V Zoning / @( C/ Permitted Use Yes ❑ No ❑ [U/ Land Use Required: Yes ❑ No LN' (explain below) / A ,---- ,—, / Notes: •410/,1 %A./'A- C1 Approved ❑ Not Approved Date: ///3// Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: N Routed back to Building Division Date: I: \CURPLN 1 4to" -v NOV 0 3 2011 CITY OF TIGARD 1 4 l N � BUILDING DIVISION 0 0 e % 0 o N I CJl in W -- IZ >H _ C --I r m r - • 0 r z ' A j.wam.,8 i O O 0 1 cn D low ill 1 m m - I?... P L-A l I O p + � 1 CI ! OF TIGARD DD C i r . i '� A •proved [ I o- O 0 �1 0 A...D- .s i e L c, editi i 1PApproved [] rn ` 1 am ,,,, P Sc - Letter t.: Follow [ ] O O 0 0 I - • 1 N 1 l ►` 6 Attached [] CO r m —I ! i t\ANI rt"t C- "t'A -N 0 P - it N ber: g -v Z . r 0 t '' A• es s. !' .'20 M-Li i v C� �� C7 z r � � iin /i ' Dade: CM r Uw - . r ., I 3' - O -T -C N c.,..) { 2 - • Nov. \ i,. . Type ` l l • ' . panty Load d 73, 1 } L u t t? t'�)° b. nstructionType ' �� Corridor ` S I+ LVt N G - --� / ° i 1 ----> _ - 0 P ergy Code 0 . �� . _ - I 1$ FFICE COPY � � o " , i ,IANININO 1 ` - TANN IN 6 0 �/ N N I N (z' 1 i 0 q ( 3 41) I A.D 0 I v' 2 0 j > t ,..3 J kill Z. kl g 3 pp{{1 W � 3 -.‘ -4 -1(;)- .-tri .(g (I) w t r 'Ill I ` , -- 0 .- - r -4) ,......... _.,1 , __. , --e, - --- ---- ,_ .......„:„. . , . , .. , . i i N o -- 1 ' 1 I / V: ' 1 ' �-' " i I r d t z 1 1 / r t._ ...) _ ‘_,-1- I J "' 1 L 1 I / I I / / 1 1 1 , _ 1' 1 ` _. r 1 i TAN REPUBLIC TENANT IMPROVEMENT PROJECT 9225 SW HALL BLVD SUITE "H" TIGARD, OREGON 97223 • CONTRACTOR: DJC CONSTRUCTION LLC 1730 TUMALO DR SE SALEM, OREGON 97317 2. 1 , R ioom Nv5 I ts- t 1-- �ao� . 1 i'l Mb r --� %��1 StE-e-S v � 1 p N �, y- 3° tz ft Pr2wAc. • W * V 2 " � � — S - 3v L. 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