Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00166
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/21/2012
Parcel: 2S101AB01604
Jurisdiction: Tigard
Site address: 7307 SW BEVELAND RD 110
Project: Welch Subdivision: HERMOSO PARK Lot: 16
Project Description: TI
Contractor: THOMAS C CLARKE CONSTRUCTION Owner: BEVELAND LLC
7357 SW BEVELAND ST 7307 SW BEVELAND ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 597 -7017 PHONE:
FAX: 503 - 597 -7018
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 08/21/2012 $67.00
Occupancy Grp: B Occupancy Load: 13 DC Provision Review, COM TI - LRP 08/21/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions. Alterations, 08/21/2012 $464.97
Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 08/21/2012 $55.80
Bedrooms: 0 Bathrooms: 0 Plan Review 08/21/2012 $302.23
Value: $26,000 Plan Review - Fire Life Safety 08/21/2012 $185.99
Info Process /Archiving - Sm $0.50 (up to 08/21/2012 $4.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,090.49
•
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 don acco 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: Ore law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 001 -0010 through OAR 9 0T 1 90 You may obtain a copy of the rules or direct questions to OUNC b . . • 503.232.1987 or 1.800.332.2344.
Is ed By: ` Permittee Sign. ure:
Call 503.639.4175 by 7:00 a.m. for the next available inspec • date.
This permit card shall be kept In a conspicuous place on the job site un 1 completion of the project.
Approved plans are required on the job site at the time of each inspection.
B Permit Application
Commercial FOR OFFICE USE ONLY
II City of Tigard AUG 2 1 2012 D teed u Permit No.: .4 - ea a ° 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review Mtlw di,
' 111 .,. Phone: 503.718.2439 Fax: 503.598. oi+`i'K`jA� Date/By: CIS r G( ' Other Permit:
C I G A IL D
Inspection Line: 503.639 Date Read B : Juris: El See Page 2 for
Internet: www.tigard -or.gov BUILDII�GDNISION 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
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ CCO r
m
❑ 1- and 2- family dwelling omercial/industrial
❑ 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: 1307 St) Z i lli1A -AV) 9P_ SK 1 no New dwelling area: square feet
City /State /ZIP: ei "7j 67A/ 0 C! fic -,W( 223 Garage /carport area: square feet
Suite/bldg. /apt. no.: SiAttit 110 Project name: C % )4 01 B 1 pi c Covered porch area square feet
Cross street/directions to job site: ' Deck area: square feet
vl--
r i-uLto..yq) 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 ( romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
OF Tiu -�__ Sn/JI-C.F_ �l.\ \)Oak
Valuation: $
Existing building area square feet
New building area: square feet
,2'1'ROPERTY OWNER ❑ TENANT Number of stories:
Name: --p c.'1 0 Type of construction:
Address: 1101 St) , Eug. l,4,,A 0 Q k D s I yj Occupancy groups:
City /State /ZIP: ril hftj2'Q (ytsC7Q✓t Existing:
Phone: (5 a q-- 2 _333 Fax ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
• . • •' / -__Ai - Structural plan review fee (or deposit):
r ntact name: c C
dress: FLS plan review fee (if applicable):
7 5 7 �f u A A j � s � - ' 1 l la Total fees due upon application:
City/State /ZIP: I\i-1 02 8 722 2 ,
Phone: (r) set-) --i 1 s'
� Fax: ( %Z) , / —10/ Amount received:
E -mail: rTtiviA Or1140lA. C C_ la (ca_. cal/1/1
CONTRACTOR PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
_ ' ( Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: 5�,,� Submit two (2) sets of roof plan with connection details
S 9 ,,t,,,, and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City /State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: a5,,9- y�/��-/ 3 Total fee due upon application: $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: 1(i%j\ rep e _ Date: p„ ez 1' iek_ ' 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)
A
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 03/03/2011
III o ° B uilding Division
Development Code Provision Review
T i c A ° Commercial Projects - No Associated Land Use Case
Building Permit No: LLP 9 (2 - I te Expedited Review
Plan Submittal Date: f f l I i 0-
To the Applicant:
D 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 n at 503 -718- 2Y 3 4 or . @ tigard- or.gov)
D--"Zoning ■ lib Permitted Use Yes ,8- No ❑
❑ Land Use Required: Yes ❑ No.,.O" (explain below)
Notes:
7 V h (2. frit T OFF /C4`1 _
p proved ❑ Not Approved Date: V — z I —/ Z-
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
_ . Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: T1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: kLY Occupancy Group: T' Type of Construction:
*Type of Use: Occupancy Load: 1'3 Oregon Specialty Code: — 2.0(0
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: 00 Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ Z(c) 6CO FEES DUE .
$ 67, CO DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ ( 9 Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ • , a 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ • �Z.Z3 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ ‘e.6 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ A ,-- 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: $ _ . -r:
Date /Time: $ I Q 96 TOT ' 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; om = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \ Building \Forms \ OTC - BUP.docx 07/01/2012