Permit Iii �; CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00268
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/21/2011
TIGARD Parcel: 1S 126 DCO3300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 290
Project: Children's Nursery Specialties Inc Subdivision: LEHMANN ACRE TRACT Lot: 4 -5
Project Description: TI
Contractor: ROBERT TODD CONSTRUCTION INC Owner: ATHERTON REALTY PARTNERSHIP
4080 SE INTERNATIONAL WAY 8113 2100 S WOLF
MILWAUKIE, OR 97222 DES PLAINES, IL 60018
PHONE: 503 - 653 -5704 PHONE:
FAX: 503 - 653 -5729
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 12/21/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 12/21/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/21/2011 $149.75
• Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 12/21/2011 $17.97
Value: $5,000 Plan Review 12/21/2011 $97.34
Plan Review - Fire Life Safety 12/21/2011 $59.90
Info Process /Archiving - Lg $2.00 (over 12/21/2011 $8.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $405.96
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 - - nter. Those rules are set forth in OAR
952 - 001 -00 rough 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.. 987 or 1.! i0,• 2.23 .
Issued y: K . . . Perm ittee Signature: « / d ' / '
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.
" Building Permit Application
Commercial FO O USi ONLY ,
R eceived /
City of Tigard DateB : / i Permit No.: t1 / a�
11
° 13125 SW Hall Blvd., Tigard, OR 97 C 1 2011 ®� �// .�
Plan Review
Phone: 503.718.2439 Fax: 503.598 Date/By: Other Permit:
T l G A RD O
Inspection Line: 503.639.4175 � '�'Cyp1 D Date Ready/By: Juris. H See Page 2 for
Internet: www.tigard- or.gov GM D N,S101V 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
/ CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Comercial /industrial Valuation: $
m
❑ 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: Vp0 .5 � r �� I O New dwelling area: square feet
City /State /ZIP: /� • 2 Garage /carport area: square feet
Suite/bldg. /apt. no.: /Project name: / '` Al /1/4/ crqi Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I 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, an the profit for the
DESCRIPTION OF WORK work indicated on this application.
! _ s_ I �� j 1 / 1 . r it . Ai Valuation: $ ®43 v
i
ZVS Existing building area squaz feet
New building area: square feet
.0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedile)
Business name:
1:2,..01,--t , f — Structural plan review fee (or deposit):
rn
Contact name:
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: ( ) I Fax:: ( ) Amount received:
E - mail: PHOTOVOLTAIC.SOLAR PANEL SYSTEM FEES*
Commercial and residential prescri . * : installation of
CONT'1 C OR roof -top mounted PhotoVoltaic '..r Panel System.
Business name: , ,— O'//r Submit two (2 ..-ts of roof • .n with connection details
I � and fire departmen . cce :, along with the 2010 Oregon
Address: t� , — L . Solar Installation Spe.. • lty Code checklist.
City /State /ZIP: U r , r ,. b 67 --- _2� Permit fee (*. cluo • . an review $180.00
F F �>� a ,. administr.: e fees):
Phone: ( r / — 57 Fa : ( ) State surch.I ge (12% of permit ee): $21.60
CCB lic.: t_57
Total fee due upon application: $201.60
Authorized signature: , This permit application expires if a permit is not obtained
/ AM' .1 _ within 180 days after it has been accepted as complete.
oir Print name: er Wa ` Date: .2, i * Fee methodology set by Tri- County Building Industry
�� Service Board.
I:\Building \Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/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] $
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
� IVY
Building Division
DEC 21 2011
Development Code Provision Review
r t c ARD Commercial Projects - No Associated Land Use Case CITY OF TIGA� iD
BUILDING DIVISION
Building Permit No: u P I - 0 0; C06 ❑ Expedited Review
Plan Submittal Date: I Pi / //
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 6 / at 503 - 718- At /.2 or 0 i ?el tigard-or.gov)
❑ Zoning /Q6%6- / Permitted Use Yes No ❑
❑ Land Use Required: Yes ❑ No I (explain below)
Notes: 1v� Ni7 { .ti (/.SG
[32 Approved ❑ Not Approved Date: 42 7 2 /4
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
11 II
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: r Occupancy Group: Type of Construction:
*Type of Use:' Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: 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: $ FEES DUE
$ 4 // DCProvRvw,COMTI — Ping
$ DC Prov Rvw, COM TI — 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 $ i tiLJ-r' 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: $ 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;
END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
l: \Building \Forms \OTC - BUP.docx 01 /13/2011