Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit #: BUP2012 -00228
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/13/2012
Parcel: 2S112AB00300
Jurisdiction: Tigard
Site address: 7350 SW LANDMARK LN 110
Project: Cambridge Precision Subdivision: 1992 -007 PARTITION PLAT Lot: 2
Project Description: TI
Contractor: JC DONNELLY CONSTRUCTION LLC Owner: B -1 LANDMARK LLC
15180 NW BLACKTAIL LN BY PRENTISS C HICKS TR
MCMINNVILLE, OR 97116 429 A NW SKYLINE BLVD
PORTLAND, OR 97229
PHONE: 503- 260 -5629 PHONE:
FAX:
• Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review, COM TI - Ping 11/13/2012 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 11/13/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/13/2012 $210.59
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 11/13/2012 $25.27
Bedrooms: 0 Bathrooms: 0 Plan Review 11/13/2012 $136.88
Value: $9,000 Plan Review - Fire Life Safety 11/13/2012 $84.24
Info Process /Archiving - Sm $0.50 (up to 11/13/2012 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
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Garage: 0
Mezzanine: 0
Total $535.98
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don ' accordance • approved plans. This permit will expire if work is not started within 180 days of issuance, or if work ' • spende• for more the 180
. day ATTENTION: Oregon - req ' -s you to follow the rules adopted by the Oregon Utility Notification Center. ose rules ar= set forth in OAR
9 - 001 -0010 through OAR 952 -00 090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503 1.800.332.2344
ssued By: - 0 ` r Permittee Signature:
Call 603.639.4176 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
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Building Permit ApplicatimRECEIVFD
Commercial FOR OFFICE uSE ON'I.Y
NOV 1 3 City of Tigard Re 2019. Received �'���
Permit No.: • p
- �,ja2$
.11 ° 13125 SW Hall Blvd., Tigard,OR 972. OFT 1�7AfltJ IGn[] t e : Plan Review / III
Phone: 503.718.2439 Fax: 503.59: ?IV f Date/B : A m �rF
0 er Permit:
I" I G A It U Inspection Line: 503.639.4175 •' DING DIVISION Date Ready ;R- Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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
0 , Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
CI 1- and 2- family dwelling c ommercial /industrial
Valuation: $
❑ Accessory building CI Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION LYE Total number of floors:
Job site address: 73 co SL J '�O LA M A2 k A E New dwelling area: square feet
City /State /ZIP: ' 6 A 'ft / 0 2. q 7,,L V Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: C14M as ( D G E Covered porch area square feet
Cross street/directions to job site: 72 h i ,Q„ v , C_ Deck area: square feet
L a P/ r & 72 , I 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 WORKK/1 work indicated on this application.
i) i 1/l ke, f` > i t Q—- ( � o (o
Valuation: $ f o
4 h J C J- 1 ` 4
/ / (e K e ` / I c Existing building area square feet
« 4 (� [ New building area: square feet
❑ PROPERTY OWNER I TENANT Number of stories:
Name: Cza b r l 1 p e t s r bk ., Type of construction:
Address: 7 3 j (., SL Ca 1� ilp r L/ ge (/) Occupancy groups:
Ti City /State /ZIP: ✓ D 4,,, Z 2 Existing:
Phone: ( c/5.3 Li / ? Z _ 2 1 5 --) / Fax: (CO (l O ` Z fill New: g
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: /. ,n h t PV».ICI 176 (Please refer ro fee o i t): l� �l Structural plan review fee (or deposit):
Contact name: /" eM At () r,r( FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: ( ) I F es:: ( ) _ Amount received:
E -mail: /o r't� & C 4 IAK "---tvvv"
( d . / / (,` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACT � Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: V li y l 4 ti f?--. two (2) sets of roof plan with connection details
1 � / ` C C- `` .� �/ _ and fire department access, along with the 2010 Oregon
Address: / 4-, ' W r Solar Installation Specialty Code checklist.
City/State /ZIP: 41e !12 t K N Vi tic DI 9 / 1 Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) 'Q 3 g1 2 Fax: ( ) State surcharge (12% of permit fee): $21.60
S
CCB Iic.: / 4 M - G ils'r /" 3 Total fee due upon application: $201.60
Authorized signature: / —_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /
L a � E � /) 1 Vl. 0I g I Date: /1 / / 3/z et L. Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(I I /02 /COM/WEB)
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u a
1 ; Buildin D i v i s ion
Accessibility: Barrier Re 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 modifcation,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 t� 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: $
i
(e) Accessible telephones: � ', f' $ , ,
1.
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: _ $
• • .a ,` . ;' . i . I .. .
• TOTAL (shall equal line [2] of Valuation Computation): $
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I: \Building \Permits \BUP -COM PemutApp.doc 03/03/2011 •
a .. Building Division -
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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 # ❑ 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.
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G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
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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). ` o w 1 PJ F . X' 6 5
D. Cross sections. v
E. Reflective ceiling plan. - .
• F. Seismic bracing detail for suspead.ed ceiling.
G. R65 f151 .
H. Exterio' a ations.
I. Structural calculations, plans, details and specifications.
• J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
GvtVLL-- - CPAIM I ►06- i A
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 i
III
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° Buildin 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 3
(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
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Plumbing (building fixtures) 2
Electrical 2
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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: \Buildin \Permits \BUP -COM PermitApp.doc 03/03/2011
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: ,O 6f 0C=' S ❑ Expedited Review
Plan Submittal Date: ////3//,--
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 ___A h F at 503 - 718-' ') or 1/ @tigard- or.gov)
Proposal: hew al 15 /ti) WciIf )0 s'I/ Av ci et,. v?o GAa►�+�< in )l %na.,- cV
0Se1 �J LJ
Zoning '(
Permitted Use Yes E ' No ❑
L7
Land Use Required: Yes ❑ No
Notes:
Approved 0 Not Approved Date: //4//z
REVISED 10/4/12
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Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description: - r t
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Acr Occupancy Group: Type of Construction: 1 '5'
*Type of Use: C.CU Occupancy Load: Oregon Specialty Code: 2Oro
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: $ (1° FEES DUE
$ 7. CO DC Prov Rvw, COM TI — Ping
$ 1 DCProvRvw,COMTI —LRP
DC Provision Review Fee for COM TI $ 2 (Q, Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 2.5, 27 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ g„,Fe Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ .2.1k-- 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 $ 2-, 00 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: $.9 TOTAL FEES DUE
*O
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PTIONS:
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 07/01/2012