Permit CITY OF TIGARD BUILDING PERMIT
1111- g, - COMMUNITY DEVELOPMENT Permit #: BUP2012 -00089
13125 SW Hall Blvd., Tigard OR 97223 5 03.718.2439 Date Issued: 05/02/2012
TIGARD 13125 2S103DD00800
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY 50
Project: Spec Space Subdivision: MELROSE Lot: 7 -
Project Description: Vanilla shell TI
Contractor: DW SIVERS CONSTRUCTION Owner: D W SIVERS CO
4730 SW MACADAM AVE #101 4730 SW MACADAM AVE #101
PORTLAND, OR 97239 PORTLAND, OR 97239
PHONE: 503 - 223 -2680 PHONE:
FAX: 503 - 223 -2750
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 05/02/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 05/02/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/02/2012 $575.17
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 05/02/2012 $69.02
Value: $35,800 Plan Review 05/02/2012 $373.86
Plan Review - Fire Life Safety 05/02/2012 $230.07
Info Process /Archiving - Sm $0.50 (up to 05/02/2012 $2.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,323.12
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. ENTION: - gon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
95 01 -0010 through OA' • -Is -0.c0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 800.332.2344.
Issued By: / u J Permittee Signature: ' -
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 o e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial `d g RECE FOR OFFICE USE ON ,Y
Cl of Tigard Received _ ' Permit No.: / — ,iCX��
�,,��¢
ry
v 13125 SW Hall Blvd., Tigard, OR 97223 MAY - 2012 DateB : bi NI Plan Review
I 11 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639 CITY Or ���� Date Ready/By: Juris' El See Page 2 for
Internet: www.tigard- or.gov 1 1 Notified/Method: Supplemental Information
BUILDING DIVISION
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
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
•
ID 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: j 3 g-/5 5 , M - / I h 4,F7 New dwelling area: square feet
City/State/ZIP: J�,�/ i /
. ( 7 72 Z 5 Garage /carport area: square feet
i �
Suite/bldg. /apt. no.: 4fro ,) Project name: 4 b h 14,,,, ` a ,,s l ie # Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
(act/di a 141 7T// 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.
V iTeti f /jam Sited i e d •�� Valuation: sac 8.
// I iC Existing building area .2.4g — 7 square feet
New building area: 0 square feet
■1 PROPERTY OWNER ❑ TENANT Number of stories: j
Name: D. r.✓ s ;I((rs - (o Type of construction: j // 5 J/
Q'✓1
Address: 73 (, 5) 4a , � Ave_ Occupancy groups: foryi �r l `ti'% ,,
City /State /ZIP: 2 etia p Dl' ! '2 23 ` f Existing: a b t
Phone: (Ji',3) 223 — 26 $0 Fax: ( Z 75D
New:
Xi APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
(Please. refer to fee sclredule)
Business name:
` ST �,' �O Structural plan review fee (or deposit):
Contact name: ----- 6 ( ItJn ir Ie , / "ttwavcL /7_ fi 4Jo,,t _/ {,{/ FLS plan review fee (if applicable):
Address: .2 o 3`J 4/10 (a :� Avp
Total fees due upon application:
City /State /ZIP: biZ rd- co) 9723
Phone: (.'"J3) 22_3 2.6 a- co Fax: : (5 223 2750 Amount received:
E - mail: Q � � f�_r� e o 1,,,, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: 7), 1� , Si of i j Co Submit two ) sets of roof plan with connec Mils
D. and fire dep.i - -nt access, along w e 2010 Oregon
Address: ,47 ,t„' ,,_) 4 4 a , 44 1,, Solar Installation 'al e checklist. •
City /State /ZIP: Rid-4( 0reC 9»7 23e' Permit fee (in . , e :. n review $180.00
.. administrative
Phone: (503 ) 223 2 68-0 Fax: (r ) 22.3 .2 O States charge (12% of permit fee): $21.60
CCB lie.: j 02 4 6'7 , r r upon app cation: $201.60 •
Authorized signature �.� This permit application expires if a permit is not obtained
...,... ."--1 within 180 days after it has been accepted as complete.
Print name: ii,. 11# 1 Date: 4. -3o--12_, * Fee methodology set by Tri- County Building Industry
P Service Board.
I:\Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
71 ° 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 PermitApp.doc 02/24/2011
Building Division
Plan Submittal Requirements
T l G A R D Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimension 1, drawn to scale) labe d with:
A. ❑ map & tax lot # oject name site address Er suite number
❑ zoning or 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 02/24/2011
. _ ° Building Division
Plan Submittal Requirement Matrix
T[GARD 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
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building �3
Fire Protection System
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.
I: \Buil ding\ Permits \BUP -COM PemutApp.doc 02 /24/2011
}
Building Division
.11 .
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 75' PAO/oN — L O ( xpedited Review
Plan Submittal Date:
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 JO /w1 1 4// at 503 -718 — ' or J044 1 /
@tigard - or.gov)
❑ Zoning Permitted Use Yes 1:21-"" No ❑
❑ Land Use Required: Yes ❑ No (explain below)
Notes: S& J/dtsce - AA, (41,10e (/.ft G4 khow e., d' 71 4 7
l Approved ❑ Not Approved Date: A // 9 1 44
Y
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
Notes:
Routed back to Building Division Date:
I: \C URPLN
.11 1111 Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: 1" zc,a J /- S f E
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Ai, Occupancy Group: j Type of Construction: _j
*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
$ DC Prov Rvw, COM TI — 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 $ $ Plan Review, Structural
$5,000 - $74,999 $64.01 $9.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $1 1.00 $24.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ t� 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; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \ Building \Forms \OTC- BUP.docx 01/13/2011