Permit ...adding Permit Application
C ommercial V 0 FOR OFFICI USE: OiNL
City of Tigard Date /By: 7/ �� x - Permit No� �/� —0Q /7/
III q
Date/By: L
13125 SW Hall Blvd., Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 �°L��� Date/By: Other Permit:
'I' 1 G A R D Inspection Line: 503.639.4175 i1 / Y Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: / ' 64 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.
Indi to the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacementther: �/ i.�i
,lLe ' ' ent, materials, labor, overhead, and the profit for the
CATEGORY OF ONSTRUCTION r indicated on this application.
2iT j
❑ 1- and 2-family dwellin g ❑ Commercial/industrial
Valuation: S
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder 0 Other: yr �' . 9 o p -0 Number of bathrooms:
J
ik
OB SITE INFORMATION AND L D Total number of floors:
Job site address: New dwelling area: s ware feet
City/State /ZIP: l7� 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: ecst�ame: �� �� ` / Covered porch area square feet
Cross street/directions to job site: 7, Deck area: square feet
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Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 5 1 3 1 — a 2-50 I 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.
J 1 // A �^ &/ j Valuation: S
�(/ Q ���� fi,l,z Existing building area square feet
!/f ��, [[[ New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
it A
Name: W644 Type of construction:
Address: /// 3 2 j N. ) g/ Occupancy groups:
City /State /ZIP: �Y ! n - VVW�� 1'J a / Existing:
Phone: ( 4.'Q .13 / 1 Fax: ( ) New:
334PPLICANT "// ❑ CONTACT PERSON BUILDING PERMIT FEES*
/ ` (Please refer lo fee schedule)
Business name:
V✓ 44 v � 7 Structural plan review fee (or deposit):
Contact name: nth> I la ,n Ili Y
H z� � Y -�
f H A/1�, t FLS plan review fee (if applicable):
Address:
1! b � 12 , 4 ` l ►' ilkill Total fees due upon application:
City /State /ZIP: — T �, ,�f A / ?' -5
Phone: 5 --,,, e3 _ Fax: ( ) _/ Amount received:
E -mail: y1' ��iiCC���iiiCCC PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
1 i �.• /_ s. / � //I . • .Y!
CONTRACTOR , - Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two (2) sets of roof plan with connection details
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: ( ) o
State surcharge (12% of permit fee): $21.60
CCB lic.:
�j� ��� Total fee due upon appfication: $201.60
Authorized signature: ��� % �//.!2�7 l , I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name I ,,,,i. t Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)
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441
O O !, n I" 1 ,
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II ° Building Division
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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,
ko
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: $
v
(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): $
l: \ Building \Permits \BUP -COM PermitApp.doc 03/03/2011
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This form is recognized by twist Building Departments in the Tri- County area for transmitting information.
Please coi' iplete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project. -'
IIIII City of Tigard
= Buildin g Division
TIGARD
TRANSMITTAL LETTER
TO: 1 DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEWED
ED
APR 2 0 1 12
FROM: VIA t rry OF 1 iGARD
COMPANY: 1
)a. U � � a f �UILDI '�' "�:�ILSION
PHONE: 503 6\, l n 1 ci q By: 6T-1--
RE: �� 3 2� D���i�
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: LC ^...: ° °• I ".° — ..' - -- ___I
X Additional set(s) of plans. - t0007) � t E Z
Cross section(s) and details. ;.
Floor /roof framing. — 5.-0/ I=I S B
/
eam calculations. f) \ T. _ J
Other (explain): 0 � p� ,� Ce REMARKS: �' - k ( P v `S -7 -
Te ,., Oc
_ i
FOR OFFICE I -2----
Routed to Permit Technician: Date:
Fees Due: El Yes El No _ Fee Description: .
. $
$ . .
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\ Building\ Forms \TransmittalLetter - Revisions.doc 02!08/2011
STATE f IRE MARSHAL — PLANS REVIEW DIVISION SHBF -T ..�„
ROOK 316- 7TATyDrF.c • Sumo...G. PORTLAND 97201 NOTICE I OF T PLANS B R I EVIEW / � 17'.;.‘-''.17'.;.‘-''.17'.;.‘-''.'s _
.
cI�t.Uer•. i�IWQU No. ��•3 ��; )
evadin ItiIE LAIR D.AUCE Yn/ ' a. 1 IAZS / '
• a sst rNC ers TI G -?13 ru .� O
s ' L;�r I±2Qi7 _ Soun Valu ./ Pr 4 Plan Fee
County IAIA�f ♦I IS:.'7Y)Al000VPancY r_ - G /a- >?=�A 1SL� Const. ��— L _ J
t* r. � r� M , ) 97'5
Architt't f�A Qy W r gFna'�AtagvA7 New Bldg. �' O.dditron on ❑ Alteration [I Date Received E��lJN
Owner I l t)Pt1V .. Fire Walls/
AWE- F L - , // / Fa, ra, 1r 1Z t .4 : D. Address - 6'73. 70 - 6'73. 70 `� .kN__ d 1X.E LL4AQDDate Reviewed 2 L- hc.L7
Stories . + Arc a�...N -4 t/ % Attic )
N, /YMNF /�i1� -_ L - Fire Escapes hiCALE. Exits _7 - -/ -7 or•. ft I STOPS
.? /. LV Veil. Shafts N riAibri :1T J)I(M SP. C
Stairs - Sprinklers �l /_ _/- -- Man Alarm •Yr � �Pf
' o.En
Eat Ni .T C rt / __ Ht. Def. .J rN sn .Mel/• tli Floor C HI: ng W4.Ci.BP Roof t31.7lul? tat( Mcm:,ersL'a]AKg
C. L Wall cover alb -_ /mss — Htr. :m. end. - )S •_L -- -.. Type flue NV.1 _S N• tape Htg. Syste r•L�- Fuel ( • , I I AD r•Ar
c IT in T 4/ b n. 'y 11A4 r firRS.
The submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- ..
istered by this office. Items No. -- - 9 - __Lo - 4L- -J _6-LEi. • - 2 -22.. -•1+a - , 20 — 3 1 -3-i 36 -
checked on the enclosed list are , aplicable. These items and any specially noted provisions must be incorporated into
the protect to meet current fi-e protection regulations. Approval of submitted plans is not an approval of omissions or .
oversights by this office or of noncompliance with any applicacle regulations of local government.
REMARKS: CA A _ 4Pi?S[I .Str'TCEF —kLiLNe ! 5 .i .C4 ►Pr J N Ti AS _5 �
..51 Tr1 13u 11, V! N a._ E7). _4 i'F?•i :?•._TEIRE__DAM PE RS A RE. /.f i a_ /N_DLx .�4T_
ALL_ _lli _1 2 riC RE.. Dix; r;i_ I F_ILCF._tl.CUR 7_REN Tri.). C.OAiST•_(_(..1..)__tLJW ) Mlu►►AA
0 A4.Ba; nee► u_,,A LeZ_ f: E. CtiJvtT__ ii. . -r tr.Fi)Q1Y4cLF►'al`.L-1 4 c.! Sr : • I N r:f= (_.1 AR -- - --
l)►+iOja•S.Tf' 7r 1) ABEA_..1.:+<_rttc_ C LI:Cat12E _i/irtt . /L. J_VLrH A/ .IZ'..s^1E..1 Fi1J /tV
__ iTNLN1.'.OF /-L! r<,( DJ - 777tE_ C. PEN AivSi_ NC, Z(u_iL.ThEFL /R.A.AC:_
nro►u Is ,2frrp z. BE_Fi >C''zfs= 1 - A owe /iCUR f= i A,'E. Pc'R _A.SSE3-
C WALTER STICKNET 1 ", -...
STATE FIRE MARSHAL S�t -E Al 9 . f ), f - l ' NnF / Ex amined b y _ �aCi.2� �-,- 7 7 - / \ \
666 CHURC_. 5TTTTT N E �- •.,�
SAL[N OREGON 973 to
Copies o — _teili Es/F7,1? 1 .. 1LGARIL__ .1."1"..._________T- PE RE
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STATE FIRE MARSHAL — PLANS REVIEW DIVISION N')TICE OF PLANS RE`JIEW �1/E.ET L,
ROOM 378 STAT! Sumo... PORTLAND 97201 (THIS IS NOT A BUILDING FIBNITI
FPIRF1' <-i M D ANC E c ;T1)1)IC' t,Ai:L - -- N o. 1/' x' 2-3.. _ Z 3 ' • .
Budding . y H T ' ' ',
emp tyY — Occupancy --- -- Const __ _ 5osmd 7•5F.. ._ Plan tee .._yam -
Architect \ New Bldg. ❑ Addition fl Alteration [I Rate Seceived . •,
? Owner Address - --- ---- - -- -- -_ D eniewed —. - -- 1 a
' tortes . Area /_ Attic j1r / •Tns _ Fire Wall, -- Fur E5� Exits .rh _ __ —. /- , -- r. fri r
S tairs / . Vert. Shahs / -- _ • inklers '___• _.0 . • Man Alarm .. _ __ S P ______/____./ _ - 1
•v
C u JAI
I ^ fat. .__- _._ /__- Ht Do - __�_J- o nIn _ -- F - - Coiling Pont ------- Sr. Members t
•
Wall cover ___ Htr . encl. Type flue - -Lxp � e Htg 5.,1em - - Fuel _
The submitted plans have been re '- • ed for conformity with fire protection statuil+rae`egulations of Oregon adminf
istered by this office. Ile •o. _ ____-_.--.. - - - --- - -- __ ' - - - - -
checked on the en : • I.st are applicable. These items and any specially noted provisions must corporated int
the prolact + eet current fire protection regulations. Approval of submitted plans is not an approval o " sions or
,I ,ov is by this office or of noncompliance with any applicable regulations of local government. f- jp
REMARKS: _C_ 7E- Ric i _ e ' : + `.:12::•J1114__Ll't D C ) ! . ('$_ 7 ' 17 A RE. 1 1F(4. Q -.T /3E_ UE'J4 Tlf4S— •
1/lIP>T]_G'i-ALS. -_; lFEl.f- tZAM ES__()._I'#+r+ 14 • Ty /'E. hfDWE IS.RtI' 9 .OhI.IXKrRi - .
2 LA 144Z.3 S' r1=Y_is'EL:t b.. THA _._; P1u.iriKt- ERS- BEt' /"G'WWI' 17 JN 7hE (./36981Ac SI-ACF _
(ALP SThI R WA)cS -/4 L rZ. 2 • C H) A .`XArZe.e:L OF riE AsAUL.ABil •v Ecau4 nuiy_rLEVE.4 S NO
L a . A P P V _ J ) 7 i1 Fkgivu LTLNG T+i C.1-1; -_ 7 k4 Fi I('h' c:;/M5 /Nr T. ('/v aS_DE 2 LE ...AN_APPVP•
C1A1.E. NOUR_AS:..ILLa. 1SlikC1' D, U. L. i)L ;s IC. nv.NC: %y 4P/E4AJ 1a• Er /'rrCNL:/O.ivE.4-vA /La Sze•
.17 - Ln' /o.: clic ITS,t /iA/G El' T ... YKiNCJ/s' Ti-.Z.: INA'rC //N CFEXrT:TRAvFL_.1 . ' ,-. �� -_
c TATTER STICKNET Examined hy. , /' C lL' Z CSle.'. < :1 -
$`•
666 R. F. 141•12%. AL . • V IT
re OREGON 97 110 N I .J .
S•crs• OREON 97 '
SRN., Copies to:.. - -. .._._. --- -- -- - -..- - .. _- - - - - -' --
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STATE FIRE MARSHAL —PLANS REVIEW OIVISIIH
• ROOM 778. fTA ?[ OiFICE BUILDING, PORTLAND 9;201 NOTICE OF PLANS REVIEW ..c. T e gsf,
• ITNI) la ARM-DING A •UDING PERMITI
Building U+1 r R RE.I2 G Ff Pan /c • r_ �, ri tv / r: 7�� 4) (!,'Fr'.r:N No. /f ').'S
•
- `13 �� '•
LDING •3011ESs
• • • Occupancy - onst _— - -- Sound Value _. Plan Fee
• rchitect - New Bldg. ❑ Addillon ❑ Alteration [] Date Received
• ner Address . —_ -__ — e Reviewed _—
�to.ies Area /— ttic / — Fire Walls . Fire Exa es Exits -/ •
lairs /_— Vert. Shafts .E,,. / <sklers / _ Man Alarm S.P.
•PIP <[.11 •it. • 1r. l•1
Ext. i L�G.ro HI. Del. /__/ clos Ceiling _ - -.. Roof St. Member _
Wall cover __/ Htr. rm. end. Type flue —_ _— � �ivae Htg. System —_ _. Fuel The submitted plans have been r ' ed for conformity with fire protection statu d regulations of Oregon admin-
istered by this office. Itel•. 'o. _ —. - --
checked on the e ed list are applicable. These items and any specially noted provisions mus incorporated into
the project = eel current fire protection regulations.• Approval of submitted plans Is not an approval o fissions on
ov' is by this office or of noncompliance with any applicable regulations of local government. �1
REMARKS: (,..r•CIcd J3£L:3D J;L'M ', rc n�c;s tilG_G_/JJYJRr •
J3RLIA c amix. iil_ LAiG :z LEI': -1F1 1/k24 r.AP »RT_4 r R CM rob/ a. s/Lu L. lio LeS ; iruW
. "> f- 1eLLCLAflAs RG.�.MEI�_`ii ERs P : - _A sr251(41: L.,Ai . a -Ck1 _ /r/t.- 751w —/ Ml:: _L
AHG1 L
Isiarex _ L2 (f,L c _Li LAjA1a,i r&Fh6' /.ALB /1tL.AAc4_•cEPTARt.F - -' •
•
C. WALTER STICKNEV
STATE FIRE MARSHAL Exarnlned by . , . , _ - L1 / •
sea CYURCH STREET N [ •
SALEM OREGON 97710 /•
sew, Copies tO•
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STATE' OF OREGON
OFFICE OF STATE FIRE MARSHAL plans Review Number
jj�-'
CHOCK- MARKED REGULATIONS, IN ADDITION TO ANY REQUIREMENTS APPEARING ON THE ATTACHED REVIEW NOTICE,
MUST BC INCORPORATED INTO THIS PROJECT.
Approval c! submitted plans does not constitute approval of any omissions or oversights nor of noncompliance with
any applicable regulations of local government that may exceed State requirements.
• a Structure required to be (L/ Type j) (L /Type II) throughout due to (L/ area) (Li height). •
2. One-hour fire resistance rating required for all interior construction.
• 3. All living units required to be completely separated by one -hour fire resistive construction. .
• 4. Exit corridors require separation from any other area by one -hour fire resistive construction.
"Ni 5. fire resistance of doors of interior openings to corridors required to equal 1 -3/4° solid core doors. Relights in
corridors require wired glass set in fixed (srel) framing. •
b. Storage rooms, closets, laboratories, shops and areas of similar hazard require separation from other by at
bast one -hour fire resistive construction. Furnace and boiler rooms require one -hour fire resistive construction.
7. Ail ver,ieal openings such as stairways, trash chutes, etc., require full enclosure of (U 1 -hour) (L/ 2 -hour)
foe resistance. Access ways to such shafts require self - cloning and latching Class B fire door assemblies
(L,' 1 -hour rated) (L/ 1 -1/2 -hour rated). -
8. Attic area; require draft barriers as per Sec. 3205, not exceeding each 3,000 square feet. (9,000 square feet •
where spi nkler protection provided)
•
• -"- 4 3. Voids created by ceiling -floor systems require -draft barriers - not exceeding each 1,000 square feet.
10. Building projections such as balconies, eaves, overhangs, 'etc., require fire protection equal to 1- terior ceilings
with an openings protected as required for ceilings.to prevent passage of fire Into building voids aad attics.
- Nil I. Fire stops, blocking or framing members pierced for utility runs require packing to equal fire resistance prior to
• such piercing. Wood frame construction requires firestopping of both vertical and horizontal draft openings at •
maximum intervals of 10 feet.
12. Corridors require at least 6 feet in clear width. Drinking fountains or other equipment may not operate in a
manner which would obstruct the minimum,6 -foot width.
13. Corridors serving patient bedrooms require at least 8 feet in width.
14. Co idors require smoke barrier partitions with double swing doors at 150 -foot intervals arranged so that each area
hewing more than 35 patients is divided Into at least two compartments.
- -415, Lim d' :us from lobbies, corridors and rooms with potential occupancies of SO or more are required to swing in the
2iiection oI exit travel.
Ile. Exit do. rs horn lobbies, corridors aid assembly areas require panic hardware.
1 7 . Hardware for all doors is required to be of simple type having no provisions for locking against egress, with
method of c ?erasion.
18. At least 44" (inches) in clear width, without projections, Is required for exits and patient room doors through
which patients must be transported in wheelchairs, stretchers or beds.
19. Sleeping rooms require at least one window readily openable from inside without special tools and providing a
clear opening of not less than 720 square inches with the least dimension not less than 22 inches. Maximum
permitted height to bottom of opening from floor is 48 inches. (Ref: Sec. 1304)
—1 20. Surface flame spread rates of walls and ceilings, minimum requirement: stairway -25, corridors -75, other
l rooms - 225. (Sec. 4203)
21 . r : acoustical material required to be secured with staples or equivalent metallic holders or a heat
resistant adhesive capable of withstanding 1000 F. for one -half hour.
• 3rM- ioi •
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-..".422. All • �• w.ns , drapes and similar furnishings are required to be noacnmbusuble or rendered and maintained flameproof.
23. All audit seats are required to be securely fastened tc the floor.
• _ Rows of seats .between aisles may not exceed 14.. Rows of seats opening onto aisles at one end only may not exceed
7 seats. (See continental spacing, Sec. 3313 -3:14)
Seat row spacing, back to back, required to be at least 33 inches, or 27 inches plus thickness of seat back and
inclination of•back.
- fit 2t-. Posting of capacity of assembly areas as noted is required by ORS 479. 195.
1 / 2'. Heatinn, cooking, air conditioning and s. allar service equipment are required to be approved and listed by a
nationally recognized testing agency, such as U.L. ,'Inc.., and to be installed in compliance with agency's
pecifications and recognized safe practices. -The installation of ventilation systems is required to be in aubstan-
t:al conformity with'the 1970 U.B.C. , Volume II. Corridors are not acceptable for use as supply or return air
pienums. -
• 2b. A dust collection system is required for shop %.yeas for nonportable machines emitting or producing dusts. (Ref:
Sec. 1008) Dust collection equipment to be located outside of building or in one -hour separated room equipped
with automatic sprinklers.
29. Pressure relief - valves are required for all water heaters, Installed either in separate water tank port or in port for
hot water line.' Shutoff valves may not be located between a water tank and relief valve. •
A '
"V 30. A firefighting water supply is required within 500 feet of budding that is capable of producing 500 gpm (minimum)
• for 10 minutes fdr each 5,000 square feet of floor area within building up to a maximum of 500 gpm for 30 minutes
or from 5,000 tb 15,000 gallons of stored or static:water. '(Ref: OILS 479.200)
31. t :terror wet standpipes at least 2 inches in diameter located and equipped as per Sec. 3804 are required.
Couplings and connections required to be American National Standard Thread. Where standpipes are served by
sprinkler piping,. a' 1 -Inch reducing orifice is - required at the. hose valve connection.
32. Approved automatic sprinkler protection throughout occupancy is required. Piping to be flushed of debris, with
certification of flushing submitted to this office.
33. Approved attomatic sprinklers are required over and under stage and in all auxiliary areas, Including dressing
rooms, storerooms and workshops. (Sec. 3802) Sprinkler feed piping required to be flushed of debris, with
ceiti`.ication•of flushing submitted to this office.
34. Stage roof ventilators displacing at least 5% of stage ffoor•area, openable by hand from stage dolt' and by fusible
link or other heat activated device, are required. (Sec. 3901 -06)
3;. An approved fire alarm system with signals audible throughout building and mant.sl alarm sending stations adjacent
t exits from each floor or area are required.
36. An approved electrically supervised combustion detection of the ionization type is required for all patient rooms.
3'. All exit doors and access ways thereto are required to be identified oy approved electrically illuminated signs
served by two circuits with one separate from all other circuits. (Sec. 3312) �/
— f 3P A e- 'ineteon for�noe i oneg fire or the n event o' publ a utility failurem w building to maintain exit
r 39. Fluorescent light. fixtures installed on combustible surfaces are required to be U.L., Inc.. approved for such housing and combustible material.
• mounting, or installed to provide at least 1 -Inch air space between the fixture
l end often do, exceed theac
NOTE: Lr.cal regulations or insurance standards for most favorable insurance credit may,
minimum State requirements.
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