Permit • CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00018
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A -
Project: Petco Subdivision: 1997 -016 PARTITION PLAT Lot: 2
Project Description: TI: New loading doors for shipping dock.
Contractor: SD DEACON CORPORATION Owner: TRC MM LLC
901 NE GLISAN ST #100 5973 AVENIDA ENCINAS STE 300
PORTLAND, OR 97232 CARLSBAD, CA 92008
PHONE: 503 - 297 -8791 PHONE:
FAX: 503 - 297 -8997
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 01/27/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 01/27/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 01/27/2012 $241.01
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 01/27/2012 $28.92
Value: $11,000 Plan Review 01/27/2012 $156.66
Plan Review - Fire Life Safety 01/27/2012 $96.40
Info Process /Archiving - Lg $2.00 (over 01/27/2012 $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 $601.99
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 callin 0 232.1987 or 1.800.332.2344.
Issued By' !/_ — rmittee Signature:
Call 50 • 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 FOR OFFICE USE ONLY
City of Tigard Q \ � DateB q 1 _ ,
111111 /T� �� /
Permit No: i ivo Wi wr
. a 13125 SW Hall Blvd., Tigard, OR 9 2 t � q Pl Review � �`
Phone: 503.718.2439 Fax: 503.59 .1 60 Q \V a ��) Date/By: ✓ a t t � I Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 J ` " �� s ® D a t e R eady /By: /0-- tens. ® See Page 2 for
Internet: www.tigazd- or.gov > O ` `N I\ Notified/Method: �l Supplemental Information
0\ n
4 v ' = '. , 4 �. . TYPE OF WORKSV 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
i,... 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:
- -- ' Total number of floors: fl
. JOB INFORM AND aLOCATION.
Job site address: 15660 S.W. Pacific Highway New dwelling area: 'square feet
City/State /ZIP: Tigard, Oregon 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: A -1 Project name: Tigard Promenade Storefro Covered porch area: square feet
Cross street/directions to job site: Hwy. 99 & Royalty Parkway Deck area: square feet
Tigard Promenade, former Blockbuster Video space Other structure area: square feet
REQUIRED =DATA:'COMMERCIAL =USE CHECKLIST
Subdivision: Fountains at Summerfield Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S110DCO2200 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
° w' aa., 1, ''.; , ' —' :DESCRIPTION-OF WORK - work indicated on this application.
Paint existing storefront, add new load -out doors and automatic sliding entry Valuation: $11,000.00
doors, add curb cut for receiving freight and customer use. Existing building area: 8,911 square feet
New building area: 0 square feet.
'� ti; ;; _' • ®,'PROPERTY OWNER . - ❑ TENANT Number of stories: I
Name: Terramar Retail Centers Type of construction: V -N
Address: 5973 Avenida Encinas Suite 300 Occupancy groups:
City/State /ZIP: Carlsbad, California 92008 Existing: M
Phone: (760)804 -8600 Fax: (760)453 -3263 New: M
„,.,. ter_
® APPLICANT .: •h , ®. CONTACT PERSON _ ' _ BUILDING PERMIT FEE* S
Business name:
(Please refer to fe schedule
Structural plan review fee (or deposit):
Contact name: Dave Schrom
FLS plan review fee (if applicable):
Address: P.O. Box 41, 4800 Silversands Street 1/
Total fees due upon application: d / . `j.G�
City/State /ZIP: Netarts, Oregon 97143 -0041
Amount received:
Phone: (503) 720 -3653 Fax : : (503) 354 -2214 GO f r T9
E -mail: happyclamer @charter.oet PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
..; ;;`.:, ` Commercial and residential prescriptive installation of
s;'4'' ,,.. K , • CONTRACTOR • roof -top mounted Photo Voltaic Solar Panel System.
Business name: S. D. Deacon Cor. of Oregon Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 901 N. E. Glisan Street Solar Installation Specialty Code checklist.
City /State /ZIP: Portland, Oregon 97232 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 297 -8791 Fax: (503) 297 -8997 State surcharge (12% of permit fee): $21.60
CCB lic.: 134328 5 (Ij 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: .. --C 7 .✓7 Date: `/ ,'7 [1_ 1•2,— * 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] $ 7500.00
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1875.00
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: $ 5500.00
(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): $ 1875.00
•
1: \Boil ding \ Permits \BUP -COM PermitApp.doc 03/03/2011
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 3 SEX
g ��,n 20 I —(�� edited Review p
Plan Submittal Date: l />7/ 6 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.
Planning Review (contactohot # 4d at 503 -718- .tY) -9 or f w 1C @ tigard- or.gov)
❑ Zoning C4 Permitted Use Yes IK' / No ❑
❑ Land Use Required: Yes ❑ No LT (explain below)
Notes: /i' F./t4evG 14St i %Ai iln Ina VS r dk/fl / 014 "Ow IS
7 /.L
Approved ❑ Not Approved Date: 1 - 2
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
L \CURPLN