Permit CITY OF TIGARD BUILDING PERMIT
IN a.. COMMUNITY DEVELOPMENT Permit#: BUP2009 -00203
T I GAR r) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/18/2009
Parcel: 1 S134BC00300
Jurisdiction:
Site address: 12210 SW SCHOLLS FERRY RD
Subdivision: Lot: 0
Project: Coffee Rush
Project Description: Replace existing manufactured structure with engineered design structure.TDT deferred, 3338.65
TDT must be collected prior to final inspection.
Owner: FEES
RN OR- GREENWAY TOWN CENTER LLC Description Date Amount
PO BOX 790830 Permit Fee - COM - New Construction 11/18/2009 $475.94
SAN ANTONIO, TX 78279 12% State Surcharge - Building 11/18/2009 $57.11
PHONE: Plan Review 11/18/2009 $309.36
CDC Bldg Review, COM 11/18/2009 $143.50
Contractor: CDC Plan Review, COM 11/18/2009 $143.50
FLYING H CONSTRUCTION CO CDC Plan Review, COM - LRP 11/18/2009 $42.00
21100 SW OREGON ST, SUITE101 Park - Commercial and Industrial 11/05/2009 $728.00
SHERWOOD, OR 97140 Beaverton School CET - Non Residential 11/18/2009 $188.50
PHONE: 503 - 925 -1280
FAX: 503 - 678 -4221
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units:
Stories: 1 Height: 13 ft
Bedrooms: Bathrooms: 1
Value: $41,270 • -
N.
Floor Areas:
Total Area: 377
Accessory Struct:
Basement:
Carport: .
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,087.91
Reauired: Required Items and Reports (Conditions)
1 Pln Gen SIGN PERMITS REQUIRED
Fire Sprinkler: No Parapet: Yes 2 Pln Gen TRAFFIC CONTROL MARKINGS & DIRECTIONP
Fire Alarm: No Protected Corridors: No 3 Pln Gen EXTERNAL SPEAKER ON E. SIDE PKNG. LOT ll
Smoke Detectors: No Manual Pull Stations: No 4 Pln Gen RE- LANDSCAPE ISLAND WHERE OLD KIOSK V'
Accessible Parking: 1 5 Pln Gen COMPLY W /BLDG. CODE REQUIREMENTS
6 Pln Gen PLANNING FINAL INSPECTION
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and /.ther applicable law. All work will
be d in accordan ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if is suspended for more the 180
, da . ATTENTION: Orego aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those • are set forth in OAR
9 2 -001 -0010 through OAR • •2 -I • -0 10. You may obtain a copy of the rules or direct questions to OUNC by calling 5f .246.6699 or 1.800.332.2344.
IF
Is ed By: ,� — / / i i Permittee Signature:
mow—
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
f I 1 f' /•
Buildi Permit Application 1 H Xd 9 - pop /6 CMS 9,0 0?- 0000/
Commercial RECEIVED FOI2 OFFICE USE ONLY
II City of Tigard Received (� , 0 j � •'
`.1 g DateDate/B , • ermrt No.: � •
q 13125 SW Hall Blvd., Tigard, OR 97223 NO V 0 3 2009 P lan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : WA ' I Ot11 ef Permit
C .
F i GA RD Inspection Line: 503.639.4175 Date Ready/By: � �` ' ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: � • krui %.4 41 1 t Supplemental Information
BUI LDING DIVISION (- VA T. 0 h t a .\-- ' l y i K 14- •
TYPE OF WORK REQUIRED DATA: 1- AND 2 FAMI 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 JCommercial /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATI N AND LOCATION Total number of floors:
Job site address: /�2026o S- , � j // New dwelling area: square feet
City /State /ZIP: 7 ' J 4 1 3 _
(, Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: .� p / Jam, Covered porch area: square feet
C Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: l 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 rofrt for the
ESCRIPTI N OF W K work indicated on this application. '"f.2 70
.I `' (o Add {d7 p , :5 ; c, �Q✓ a., _
Valuation: $
/�i v 1 /' A c tie g,h /)...„7.4„,„ ,Existing building area: square feet
• O) / t //l��� New building area: 377 square feet
6 ❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: C_,/� � `�` it, f /, f C04r�i Type of construction: d
i
Address: 53? 5W 5 re Occupancy groups:
�
City /State/ZIP: �,q V
J r : .
7 � � � � 3� Existing
3 Phone: 3) 0 03 . t /7� Fax: ( ) New:
❑ APPLICANT 0 CONTACT PERSON NOTICE
Ak
Business name: All contractors and subcontractors are required to be
Contact name: b Q � licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
I Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
�, � apply:
Phone: 6q-3 u 1i 0- ( 1bq Fax:: ( )
E -mail:
4
2 / 4 CONT C R
Business name: /A !ii r /fit BUILDING PERMIT FEES*
Address: ( � �� (Please refer to lee schedule)
City/State/ZIP: �, )d'1 V / a 1 / 7J Structural plan review fee (or deposit):
tom. Phone: (-5e) / D'-) - yiyso I F ax: ()-- /_ / 0 _ c ) 1 FLS plan review fee (if applicable):
Total fees due upon application:
d . CCB lic.: l yl 9 y
Amount received:
Authorized signa .
This permit application expires if a permit is not obtained
Print name: Date: within 180 days after it has been accepted as complete.
% d / D • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 46I3T(I1/02 /COM/WEB)
. . ,T
: D Building, Division
Accessibility: Barrier Removal Improvement Plan
TIGAIZD
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 06/25/08