Permit CITY OF TIGARD BUILDING PERMIT
Il l COMMUNITY DEVELOPMENT Permit #: BUP2011 -00242
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/17/2011
Parcel: 2S 102AA04201
Jurisdiction: Tigard
Site address: 8955 SW COMMERCIAL ST
Project: Essential Planning Group Subdivision: TIGARD HIGHWAY TRACTS Lot: 2
Project Description: TI
Contractor: ROBERT TODD CONSTRUCTION INC Owner: BUTTERFIELD, CHARLES W JR &
4080 SE INTERNATIONAL WAY B113 MICHELLE S
MILWAUKIE, OR 97222 825 SW VIEWCREST DR
DUNDEE, OR 97115
PHONE: 503 - 653 -5704 PHONE:
FAX: 503 -653 -5729
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 11/17/2011 $160.00
Class of Work: ALT DC Provision Review, COM TI - LRP 11/17/2011 $24.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/17/2011 $1,142.19
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/17/2011 $137.06
Value: $106,000 Plan Review 11/17/2011 $742.42
Plan Review - Fire Life Safety 11/17/2011 $456.88
Metro Const. Excise Tax - Commercial 11/17/2011 $127.20
Floor Areas: Use
Info Process /Archiving - Lg Sheet (over 11/17/2011 $20.00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,809.75
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 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 r — • -ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By� •erm ittee Signature: tkAIN r
Call 503 • 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.
Building Permit Application Q
Commercial n°,`3 m FOR OFFICE USE ONLY
Recei / Clty of Tigard Q'�� Date /B ved
/ : M Permit No.: iacyf �a k!)
13125 SW Hall Blvd., Tigard 2 `a 3 Plan Review
,
N.. ' Other Permit:
Phone: 503.718.2439 Fax: ". L 821960 N UJ Date /B : i -* II
T I G A [YD Inspectio Line: 503.639.4175 Q� O C��G •' � l�` Date Ready / e : y /i1i H See Page 2 for
Internet: www.tigard-or.gov � _ �0D Notified /Method: / 7 •� Supplemental Information
v. <VN .telC)
TYPE OF WOt • ° REQUIRED DATA: 1- AND 2- FAMILY DWELLING
1 pa
❑ New construction ❑emolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X 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 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: gei55 sj,, Cbi\A lAL„ S" New dwelling area: square feet
City /State /ZIP: `11'�j-A-r-ID C 91.22 Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: Jt..)11...& (cOp Covered porch area: square feet
Cross street/directions to job site: 5tj.3 cbt -1'-.{ _, -34 �) Deck area: square feet
H AI ►J Sr. Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: f 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.
•
A b. I F,2 T TI . Por-AvD iG , 0%10,43 ekarn Yr CCMM c!
Valuation: $ I ae t 0400
r46 e_. iml l%.* ow 144.1..simae t 6,4ettoci244_, Itimsilykrs Gam, C� Existing building area: 1 1 y2 square feet
IF1KROVIAZ e'itt blkYs- ALrlit qm ..)5 i - tr- MI1.b14- a'61rI46,41-005. New building area: (e / /g 2,, square feet
PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: .t.-ni#6.4/ 171.64K-1\11.r.,- C9 'WbOr Type of construction: vI5
Address: fi)?3 1,, t� DE IJ( , sle l e i Occupancy groups: 15
City /State /ZIP: ✓ o-k) i L4Z. 9� Existing:
Phone: ( -1421 , 93( Fax: (lb CO) 4 , 41043 New: gj
❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: MWIOtG 1 i t,ie � \t-t �'t'c) (Please refer to deposit):
Contact le)
�'8� T` Structural plan review fee (or deposit):
Contact name: ftGt� Des.
Address: 46$ a scot I s t5-G p� FLS plan review fee (if applicable):
City /State /ZIP: 4,012,114.<10 D 1 012-- �� Total fees due upon application:
3 2. t? telN� '3 Z2e 2 Amount received:
Phone: Fax: )
E -mail: In.,e6 �- Vy� IM1lAVer ye p • GaYV� PHOTOVOLTAIC SOLAR'PANEL SYSTEM FEES*
. Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: �-y Tr/Dip Gbti1� even Dk) tNC - Submit two (2) sets of roof plan with connection details
t and fire department access, along with the 2010 Oregon
Address: 4600 (r V ) 't `r I S1E„. '� _ 1 Solar Installation Specialty Code checklist.
' 1- ' Permit fee (includes plan review
City /State /ZIP: M�L�rU /u � j D�, ��- 2'f�fj and administrative fees): $180.00
Phone: eS Lei 9 . '- -Di- Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: .1 .1 L
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: 14 &t. l Ctf r -' k- Date: `t , t5 - I * Fee methodology set by Tri- County Building Industry
Service Board.
L\Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 1/02 /COM/WEB)
:.
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] $ 1 D� Q , CO(.)
MULTIPLIER (25% barrier removal requirement): x .25
•
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 14 I 50
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): $
1: Building \Pcrrnits \BUP -COM PermitApp.doc 03/03/2011
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: Dag t"Expedited Review
Plan Submittal Date: if ti //i
To the Applicant: 9c5 , 000 9 / 5'T
➢ 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 'f approved. f f
g g ov )
Plan 'ng Review (contact / at 503 - 718 -� @m or @ti and -or.
, ,p y �
Zoning /' �' t7 // Permitted Use Yes ❑ No ❑
Land Use Required: Yes ❑ No / (explain below)
Notes: _ �r __ / / ' i A., i441i' l�C '- nze,t)
VA J /`/ 7 /1
pproved ❑ Not Approved Date: l ! /
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
I MA
Routed back to Building Division Date:
I: \CURPLN