Permit 1114 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00063
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/16/2013
Parcel: 25101 CB00500
Jurisdiction: Tigard
Site address: 12670 SW HALL BLVD, BLDG# 3
Project: Canteen Vending Subdivision: 2007 -064 PARTITION PLAT Lot: B
Project Description: Racking
Contractor: RICON INDUSTRIAL INC Owner: TCTPI LLC
515 NW SALTZMAN RD #815 4260 GALEWOOD ST, STE A
PORTLAND, OR 97229 LAKE OSWEGO, OR 97035
PHONE: 503 - 645 -5433 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee - Additions, Alterations, 03/20/2013 $241.01
Demolition
Occupancy Grp: S -1 Occupancy Load: 12% State Surcharge - Building 03/20/2013 $28.92
Dwelling Units: 0 Plan Review 03/20/2013 $156.66
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 04 /16/2013 $96.40
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 04/16/2013 $2.00
Value: $11,000 11x17)
Info Process /Archiving - Sm $0.50 (up to 04/16/2013 $12.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $537.49
Required' Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
1 Special Inspection (see plans)
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 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 for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 •ugh 0 • - • 2- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
] C /r
Issued = y: / , f i 1 Permittee Signature:
Call 503.639.4175 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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
RECEIVE i ve d
City of Tigard Date/By: a0113 't Permit No.. a f c: 30/ 3 ' 0004A3
" 13125 SW Hall Blvd., Tigard, OR 97223 MAR 2 0 2013 Plan Review v r
Phone: 503 718 - 2439 Fax: 503 - 598 - 1960 Date/By: ( e col Other Permit:
TI c A R D Inspection Line: 503 - 639 -4175 /� (� Date B tuns ® See 2
Internet: www.tigard- or.gov CITY �/r �IG Notifi ed/Method: �pl ��1 ; L Suppkmeut e al lo[ormatiou [or
BUILDING DIVISIO ) t Les 1
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 (rotnded to the nearest dolls) of all
❑ Addition/alteration /replacement ther: 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: S
❑ Accessory building 1' Multi - family Number of bedrooms:
CI Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 6 0 Sp./ # New dwelling area: square feet
City/State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: CG h / GP in Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
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 (routded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S ! ! / 1.k /n,
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories:
Name: e' h } e h Type of construction:
Address: 414 7 0 f'A, g// 4' /t//r Occupancy groups:
City /State /ZIP: Existing:
Phone: (fl)) 0 7 3 u I/4 Fax: ( ) New:
DPLICANT I \\ CONTACT PERSON BUILDING PERMIT FEES*
Business name: p/`/ t � (� refer to fee schedule)
/ Structural plan review fee (or deposit):
Contact name: � h Ferc1 _ L K
�-- FLS plan review fee (if applicable):
Address: 7 3 73 .S /hi / y.. 1: 4v�' / e !ep
Total fees due upon application:
City /State /ZIP: fb rtl4k Dj
Phone: SS"I.3 5/ 4' 1 () t/J I Fax:: U , i d .534 Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: COI , Submit two (2) sets of roof plan with connection details
and fire deportment access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City /State /ZIP: and administrative fees): $180.00
Phone: (g- 3s' - S.7.5- 1 F ax : ( )
State surcharge (12% of permit fee): $21.60
CCB lic.: ao Total fee due upon appication: $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: /�� //� P i j � j G 4 2.
Date: 7 U * Fee methodology set by Tri- County Building Industry
/�' Service Board
' i s�{ _ad I:
Rev. 12/11 /2012 440- 4613T(11/02 /COM/WEB) l
° B uilding 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): $
1:\ Building \ Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012
7111 a
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 # ❑ 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.
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 Rev. 12/11/2012
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 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
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), if applicable.
1: \ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012