Loading...
Permit CITY OF TIGARD - BUILDING PERMIT PERMIT #: BUP1999 -00469 DEVELOPMENT SERVICES DATE ISSUED: 11/03/1999 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417 SITE ADDRESS: 13066 SW PACIFIC HWY PARCEL: 2S102CB -02600 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G BLOCK: LOT: 020 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT • FIRST: 588 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: . W: OCCUPANCY GRP: M TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,000.00 Remarks: New roof facade. No change in occupancy load. Owner: Contractor: ANTHONY CAPONE LAKERIDGE DEVELOPMENT INC • 13056 SW PACIFIC HWY EXPIRE PO BOX 1026 , OR 97034 TIGARD, OR 97223 LAKE Phone: 968 -5717 Phone: 503 - 675 -1600 Reg #: LIC 135437 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp • PRMT BON 11/03/199c $124.00 99- 319513 Final Inspection 5PCT BON 11/03/199. $9.92 99- 319513 - PLCK BON 11/03/199c. $80.60 99- 319513 ORIGINAL FIRE BON . 11/03/199c $49.60 99- 319513 (additional fees not listed here) . Total $388.12 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 than 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pemiitee Signature: - Issued By: i �l .1l/1, Call 639 -4175 by 7 p.m. for an inspection the next business day • CITY OF TIGARD Commercial Building Permit Application Plan Check, ! ( - 16 - 13(25 SW HALL BLVD. New Construction and Additions Recd B y ir - TIGARD, OR 97223 • Date Recd Date to P.E. ( — (503) 639 -4171 OTr-- Date to DST ii /qq Print or Type Permit # i / ' q' — / d 0 Incomplete or illegible applications will not be accepted Related SWR 4%F Called Name of Development/Project Job 611-19/VE5 Rzs744 Itti4 ivT Existing Building "New Building ❑ Address Street Address Suite 13066 #C- /9tvr Building Bldg it City /State Zip Data Dg iib. e k. 97223 Existing Use of Building or Property: Name Property ) fr/ 4 ✓rkT��?SAyr- L�¢Po /va •��'S R.�ivl Owner Mailing Address Suite Proposed Use of Building or Property: A Esr,4 i /3 ANT City/State Zip Phone No. Of Stories: Eli tvex76 . OR. 2S / Occupant Name Sq. Ft. Of Project: ...T0/./iV M. L34-Ani rrv /y�.4 Name Occupancy Class(es) Contractor 4/r& E vFv: j / Prior to permit Mailing Address Suite Type(s) of Constructio issuance, a copy of all licenses Jam, & X /02 6 are required if City/State Zip Phone Will this project have a Fire Suppression System? expired in C.O.T. 1 © Yes El No (� database . a , - XS 9' 67S '/6O0 Oregon Const.Cont. Board Lic.# Exp. Date Americans with Disabilities Act (ADA) ht- Valuation X 25% = $ s'7V0- Participation /36' #.37 5 03 Complete Accessibility Form Name Project $ Architect Valuation Mailing Address / //� Suite /D CVO • Ep/� � Plans Required: See M for number of sets to submit City/State Zip Phone j� on back Engineer Name I hereby acknowledge that I have read this application, that the information v14 given is correct, that I am the owner or authorized agent of the owner, and Mailing Addre S uite that plans submitted are in compliance with Oregon State Laws. Signature of Owner /Agent Date City/State Zip Phone , onta , errson Name Phone Indicate type of work: Newi / Addition Demolition 0 -JON �OPP+4,Y 67_5 /6 CO Accessory Structure 0 Foundation Only 0 Alteration 0 Repair tif Other 0 FOR OFFICE USE ONLY Description of work: N�� AOOP P' I 4O Map/TL# I Land Use: /VErAz QTY' Notes: Parks: Estimated # of Employees S TIF: If the above figure Is not supplied at the time of application, the city will calculate the fee based upon the number of parking spaces. Note: Site Work Permit Application must precede or accompany Building Permit Application i:\dsts \forms \comnew.doc 5/10/99 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application For an electrical submittal, the appltcation must contain the sgnature of the supervising electrician before plan eview will be conducted .. n . ?1Ell . .:A!;I : T . milgerRrilqfoxififieptrywotiigomogittkopojiooittot 6 4 :4 toi R.99m9 for distribution purposes (Copy for Contractor City. Washington County, Tualatin Valley Fre & Rescue) Total # of TYPE OF SUBMITTAL Pans ................................... KEY: Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) • 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building NOTES: 1:\dsts\forms\matrxcom.doc 10/30/98 OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: /1la) Rodr e�. 4l - ,J o G —e , d d ecurabc 1.4,41 n CLASS OF WORK: c.'r FLOOR AREAS: sS EXTERIOR WALL CONSTRUCTION TYPE OF USE: FIRST SQ. FT. N: S: E: W: Osr► TYPE OF CONSTR: 4 N SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: PI THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET: STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE FIRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: COMMERCIAL INSPECTION ACTIONS FEE MENU Foot/Found Post/Beam $ /2 ° Permit Fee Masonry %Framing $ 20 0 Plan Review • Insulation Shear Wall $ 13 8% State Surcharge Firewall Gyp Board $ 461 FLS Plan Review Suspended Ceiling . Sprinkler Rough -in $ Add'I Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pln Smoke Detector Approach /Sidewalk $ Inspection _ Miscellaneous $ Mi �"' v05 "A A4,04 FOR OFFICE USE ONLY: TYPE OS USE OPTIONS (COM= commercial; CMS= commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation; OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) I: \ovrcntr2.doc (DST) 9/99 - -- SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN 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 of all renovation, alteration or modification being done excluding painting, wallpapering. [1] $ /O oOo multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ Z,sc�n 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 $ 50 0 . (b) An accessible entrance: $ ,C.9 0 0 • (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 Value Computation $ 1 5 C9 CD is \dsts \forms \access.doc