Permit CITY OF TIGARD BUILDING PERMIT
17 2 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00015
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/06/2012
Parcel: 1 S136DCO2504
Jurisdiction: Tigard
Site address: 7275 SW DARTMOUTH ST 120
Project: Shell Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: Prepare space for new tenant.
Contractor: CPS CONSTRUCTION INC Owner: AMERICAN INDUSTRIES INC
9825 SW DAY ST 1750 NW NAITO PARKWAY
SHERWOOD, OR 97140 PORTLAND, OR 97209
PHONE: 503 - 320 -0918 PHONE: 503 -478 -6603
FAX: 503 - 570 -8713
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 03/06/2012 $797.22
Class of Work: ALT Demolition
Dwelling Units: 0 Plan Review 01/27/2012 $518.19
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 01/27/2012 $318.89
Bedrooms: 0 Bathrooms: 0 Address Fee 01/31/2012 $50.00
Value: $59,000 DC Provision Review, COM TI - Ping 03/06/2012 $64.00
DC Provision Review, COM TI - LRP 03/06/2012 $9.00
12% State Surcharge - Building 03/06/2012 $95.67
Floor Areas: Info Process /Archiving - Lg $2.00 (over 03/06/2012 $18.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,870.97
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. S. - cialty Cod: s and all other appli - . All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 d. s of issua•ce, or if work is s ..ended fo more the 180
days. ATT • ON: Ore! • law requires you to follow the rules adopted by the Oregon Utility otification Ce. - Those les are s: forth in OAR
952 -001 -0 0 through OAR 9 : 001 •• • •. You may obtain a copy of the rules or direct questions to OUNC by • -Iling 503/32. 800 .32.2/ 4.
VIP* AM NIA
101 Issued y: _ � � � � /� � � Permittee Signature: V' /.
Call 503.639.4175 by 7:00 a.m. for the next available Inspecti!Pirate.
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
RECEWED FOR
: / Or FOR OFFICE USE ONLY
g
lig City of Tigard Received n 7 I ,_, , Pennit No.: kaPe o/ - 4%S'5
- `J
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �� 2
Phone: 503.718.2439 Fax: 503.598.1960 SAN 2 7 2012 Date /By: �' I J 1 -2 Other Permit:
TI GARD Inspection Line: 503.639.4175 Date Ready :y: Juris: 0 See Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method: 3 (o en-/ Supplemental Information
^IJ1LDING DIVISION 0 Spa 1,(4._ t,h— Rev,/
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 ® 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: 7275 SW Dartmouth, c New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 120 Project name: GG rz�s 4 56. , Covered porch area: square feet
Cross street/directions to job site: SW Dartmouth & 72 ' Ave 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Frame, sheetrock, mechanical, plumbing, electrical Valuation: $$59,000.00
Existing building area: 5811 square feet
New building area: 1200 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name: American Industries Type of construction: V -B
Address: 1750 NW Naito Parkway Occupancy groups:
City /State /ZIP: Portland, OR 97209 Existing: B
Phone: (503)478 -6603 Fax: (503) New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Day Road Design, LLC (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Ron Kief
FLS plan review fee (if applicable):
Address: 9825 SW Day Road
Total fees due upon application:
City /State /ZIP: Sherwood, OR 97140
Amount received: g 37.°
Phone: (503) 320 -0918 Fax: : (503) 570 -8713
E -mail: RonKief @comcast.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -to• • ounted Photo Voltaic Solar Panel System.
Business name: CPS Construction, Inc Submit two sets of roof plan with co • - ction details
and fire depart : It access, along wit• e 2010 Oregon
Address: 9825 SW Day Road Solar Installation ialty Code • ecklist.
City /State /ZIP: Sherwood, OR 97140 Permit fee (inclu• - 'I. review $180.00
and admin • ' e fees):
Phone: (503) 320 -0918 Fax: (503) 570 -8713 State surcharge % of permit • ; • $21.60
CCB lic.: 102248 llf$f . al fee due upon application: $201.60
Authorized signature: / / This permit application expires if a permit is not o i ained
within 180 days after it has been accepted as complete.
Print name: Ron Kief 1/i Date: 01/27/12 * Fee methodology set by Tri- County Building Industry
� Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(l 1 /02 /COM/WEB)
I 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] $ 59,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 14,750
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: $ 14750
(e) Accessible telephones: $ .
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [21 of Valuation Computation): $ 14,750
I:\ Building \Permits \BUP -COM PcmvtApp.doc 03/03/2011
1 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.
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
a B uilding Division
Plan Submittal Requirement Matrix
TIGARD Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
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: \Building \Permits \BUP -COM PcrmitApp.doc 03/03/2011
o ° Building Division aeaf15)
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: L-e-1_ 90 t a- - 000/5" ❑ Expedited Review
Plan Submittal Date: //' 7//
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. r)
Planning Review contact Q Fl at 503- 718�@g or r/ fi @tigard- or.gov)
❑ Zoning C ( PO) Permitted Use Yes No ❑
❑ Land Use Required: Yes Q/ No ❑ (explain below)
Notes: C &Mit t, D' hwa UIk. � j 406164 p40"e/0 /24//
Approved of Approved Date: /'"
41prza 3-/-7 y ,g 1 c
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
Bu Permit Application
Commercial FOR OFFICE USE ONLY
RFCEWED
Cl ` g of Tigard '� Received i Per mit No : ' /5
DaDate/I3 / el? /a L
il
° 13125 5 SW Hall Blvd., Tigard, OR 97223 Plan Review
_
Phone: 503.718.2439 Fax: 503.598.1960 ' :1.,'1 9 1 2052 Date/B': Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard or.gov CITY OF TIGARD Notified /Method: Supplemental Information
-, r ITT r.t\ r- fl►` SION
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 ® Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB ' SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7275 SW Dartmouth, F New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 120 Project name: Caeat.Glips „5/1-�L(, Covered porch area: square feet
Cross streeUdirections to job site: S\V Dartmouth & 72 Ave 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 (rounded to the nearest dollar) of all
equipment. materials, labor. overhead. and the profit for the
. DESCRIPTION OF WORK work indicated on this application.
Frame, sheetrock, mechanical, plumbing, electrical Valuation: $$59,000.00
Existing building area: 5811 square feet
New building area: 1200 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name: American Industries Type of construction: V -B
Address: 1750 NW Naito Parkway Occupancy groups:
City /State /ZIP: Portland, OR 97209 Existing: B
Phone: (503)478 -6603 Fax: (503) New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Day Road Design, LLC (Please refer to lee schedule)
Structural plan review fee (or deposit):
Contact name: Ron Kief
FLS plan review fee (if applicable):
Address: 9825 SW Day Road
City /State /ZIP: Sherwood, OR 97140 Total fees due upon application:
Phone: (503) 320 -0918 Fax: : (503) 570 -8713 Amount received: 0 7.0q
E -mail: RonKicfn comcast.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
. Commercial and residential prescriptive installation of
CONTRACTOR roof-t4 •ounted Photo Voltaic Solar Panel System.
Business name: CPS Construction, Inc Submit two sets of roof plan with co • •ction details
and fire departn : it access, along wit, e 2010 Oregon
Address: 9825 SW Day Road Solar Installation ,: joky Code • ecklist.
City /State /ZIP: Shenvood, OR 97140 Permit fee (inclu• • .1 review $180.00
and admin .. , e fees):
Phone: (503) 320 -0918 Fax: (503) 570 -8713 State surcharge _ % of permit - • - $21.60
CCB lie.: 102248 t/ 4ii
. al fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not o ained
/ within 180 days after it has been accepted as complete.
Print name: Ron Kief /Pt Date: 01/27/12 " Fee methodology set by "fri- County Building Industry
g Service Board.
I: \Building \Permits \BUP -COM PemtitApp.doc 02/24/2011 4404613T(I I /02 /COMWJEB)