Permit CITY OF TIGARD BUILDING PERMIT
lm . COMMUNITY DEVELOPMENT Permit #: BUP2009 -00072 • Date Issued: 05/27/2009
T [GARD 13125 SW Hall Blvd , Tigard OR 97223 503.639.4171 Parcel: 1S135BB00501
Jurisdiction:
Site address: 1 0575 SW CASCADE AVE 130
Subdivision: - Lot: 0
Project: HEMCON
Project Description: TI.
Owner: FEES
CH REALTY III /PORTLAND INDUSTRIA Description Date Amount
BY THOMSON PROFESSIONAL & REGULATOR, Permit Fee - COM 05/27/2009 $238.13
CONTROLLING OWNER OF EPROPERTYTA, PO Tax - 12% State Surcharge 05/27/2009 $28.58
PHONE Plan Review 05/05/2009 $154.78
Plan Review - Fire Life Safety 05/05/2009 $95.25
Contractor:
PACIFIC DESIGN & EXTERIORS INC
14401 NE 159TH AVE.
BRUSH PRAIRIE, WA 98606
PHONE: 360 - 921 -4605
FAX: 360- 882 -5668
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $27,000
Floor Areas:
Total Area: 0
Accessory Struct 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck 0
Garage: 0
Mezzanine 0
Total $516.74
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm. Yes Protected Comdors. No
Smoke Detectors: No Manual Pull Stations: Yes
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 fo ore
the 180 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center , se rul= ar= et • ' in OAR
952- 001 -0010 throug AR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling % 6 6..9 o 8• • :2 23
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that busines'ay/ /
This permit card shall be kept In a conspicuous place on the job site until c pie .on . roject
Approved plans are required on the Job site at the time of eae ns . - ction.
l- aAACCO I b`5 -- CP.S c -M AL l'
Building Permit Application K� E�
Commercial �,CE FOR OFFICE USE ONLY
` City of Tigard i M py 0 5 2009 Received ;-- HOT Permit � 7
o Date/B
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revue 1i
' ' Phone: 503.639.4171 Fax. 503.598 1960 OF v,G DateB . ������ �, '� Permit
TI G A R D Ins Line: 503 639 4175 ` ` w`S Date Ready/By ® See Page 2 for
Internet. www.tigard- or.gov g�I L;1NGU Notified/Method Supplemental Information
o
' TYPE'OF WORK ' ' ' REQUIRED DATA I -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: j 0 5 - 7,5 - 5 w , a S CG Au, Si~, - ( I 30 New dwelling area: square feet
City/State /ZIP: -'' R Q s / q7-.22 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: ) D Project name: t 1 I i>i Covered porch area: square feet
Cross street/directions to job site: t4f 9-/ )-.f Deck area: square feet
( Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST -
Subdivision: I Lot no.: Permit fees* are based on the value of the work perfonned.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
, y� I DESCRIPTION OF WORK work indicated on this application.
'tK ,k,) 67 J10I'\ s4 I Valuation: $ Q � bta
K
��// Q G✓o l l s G so YVl ,a106.0.06
.
doolf and ACT ('t; i 1; kp,a „ Pc i r, V, r I oo r I yi f a-ic h S, Existing building area: �-} ( � square feet ,
l I New building area: N/A square feet
0 PROPERTY OWNER NICENANT '' Number of stories: / a
Name: LI
n cm 1 l it y, A l A i % C G 1 Te. G n D in 1i c,_‘
Type of construction: eo oi .4; \If iA f / 3 4 Sn4
Address: Occupancy groups: a n kA F_z
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT CONTACT PERSON . NOTICE
Business name: Elm ems /vI i d, (4 , ' - Tit i ._s Tn C C. All contractors and subcontractors are required to be
Contact name: �� / v l v licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / I'A) , (L dt_ -,Av jurisdiction in which work is being performed. If the
Cit /State /ZIP: M) applicant is exempt from licensing, the following reasons
y aV A o il. 97 2 2 5 apply:
Phone: (503) 2y34_09-6--1, .6)(4)0 Fax : : (5O3) A5-- - /326
E- mail: o'l iirAPVt P, h P WvOn . aim
• ' CONTRACTOR -si r J.)/4-OI t% le)
Business name: n ' c fiG51 h �r14 ..t� BUILDING PERMIT FEES*
Address: jyy 1 �F J��Q AV Q (Please refer to fee schedule
City /State /ZIP: n Structural plan review fee (or deposit): 15 e 7 Q
pm S � Ylll l v I e y if6o 6 FLS plan review fee (if applicable): cis . 2c
Phone: ( 3G0 ) 9;J _IA05 Fax: (360) 68'2- Sa 0
CCB lic.: /Og z - 7 - Q , 97 , l Q Total fees due upon application: far ,D3
C� Amount received: 4 ,A5 , 03
Authorized signal .
% This permit application expires if a permit is not obtained
/ :,..,,, within 180 days after it has been accepted as complete.
Print name: / �� Date: 5.. g' - 0? * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Pe -rts : P ' ,,.• Pe ‘A p.doc 2/23/07 4404613T(I I /02 /COM/WEB)
1 so 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] $ .27 000 .
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 \Pemuts \BUP -COM PermitApp.doc 10/30/07
° Building Division
Plan Submittal Requirements
T I G A R D Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # El project name ❑ site address ❑ suite number
❑ zoning El 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 10/30/07
III _ ° Building Division
Plan Submittal Requirement Matrix
T I G A R D 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 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2*
Fire Protection System 2 **
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)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I: \Building \Permits \BUP -COM PermitApp.doc 10/30/07