Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 00050
T [GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/01/2013
Parcel: 2S102AB04800
Jurisdiction: Tigard
Site address: 12460 SW MAIN ST
Project: Jeffery Alan Decor Subdivision: KINGSTON Lot: 2
Project Description: TI
Contractor: VT CONSTRUCTION LLC Owner: LUONG, PETER & HIEU
1200 NE 160TH AVE 113 KINGSGATE R
PORTLAND, OR 97230 LAKE OSWEGO, OR 97035
PHONE: 503 - 706 -8345 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee - Additions, Alterations, 05/01/2013 $834.87
Demolition
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Building 05/01/2013 $100.18
Dwelling Units: 0 Plan Review 03/05/2013 $416.84
Stories: 2 Height: 0 ft Plan Review - Fire Life Safety 03/05/2013 $256.52
Bedrooms: 0 Bathrooms: 0 Park - Commercial and Industrial 05/01/2013 $367.77
Value: $63,554 TDT - Transportation Development Tax 05/01/2013 $1,010.10
Plan Review 05/01/2013 $125.83
Plan Review - Fire Life Safety 05/01/2013 $77.43
Floor Areas: DC Provision Review, COM TI - Ping 05/01/2013 $67.00
Total Area: 776 DC Provision Review, COM TI - LRP 05/01/2013 $10.00
Accessory Struct: 0 Info Process /Archiving - Lg $2.00 (over 05/01/2013 $8.00
11x17)
Basement: 0 Info Process /Archiving - Sm $0.50 (up to 05/01/2013 $11.00
Carport: 0 11x17)
Covered Porch: 0 Tig -Tual School CET - Non Residential 05/01/2013 $426.80
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,712.34
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Yes 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 through OAR 952- 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.
Issued By: C Permittee Signature: 80
for v l l In
Call 503.639.4175 by 7:00 a.m. o the next a al ab e 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 RECEIVED I t11t Ul I It I I 'l I1 \I 1
of Tigard Rece 5 /SW/ .10 Permit No.: ,
City 3—
h' g Dat : �/ • u o f DOOSO
13125 SW Hall Blvd., Tigard, OR 97223 MAR 5 2013 Plan Review .511
Phone: 503 -718 -2439 Fax: 503 -598 -1960 Date/B : v) jJ (3 other Permit:
Ins Line: 503 -639 -4175 CITY O F TIGARD Date Ready/By: Jun. iii See Page 2 for
I I t - 1 I: I Supplemental Information
Internet: www.tigard-or.gov BUILDING DIVISION N , w� P
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 (rounded to th arest dollar) of all
F l Addition/alteration/replacement ❑ Other: equipment, materials, labor, erhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this ap nation.
❑ 1- and 2- family dwelling Comercial/industrial Valuation: $
m
❑ Accessory building El Multi-family Number of be ooms:
❑ Master builder ❑ Other: Number of, throoms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: k Z,4. 4o0 5 E MA-) C`-' New dwelling area: square feet
City /State /ZIP: '� Garage /carport area: square feet
Suite/bldg./apt. no.: Project name: e_ L o t �D Covered porch area square feet
Cross street/directions to job site: N tilrV Vl a 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work in 'cpted on this application.
Valuation: (o3554 At )
Existing building area 3R_ 0 square feet
New building area: Sa I tare feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: S t ti ci 1e ,,,/ ki--
Name: 4e- -c- " l t \-, Type of construction: \/ _ J
Address: 2 S W O 4 tr *WI 0 1,(, S f - Occupancy groups: k
City/State /ZIP: t' k A O 9 r) Z Existing:
t 1
Phone: 3 ) a r 3 I s e, Fax: ( )
New:
❑ APPLICANT ❑ CQNTACT PERSON BUILDING PERMIT FEES*
Business name: vT co vv S —W CC O N view srefermfee osit )ErleJ
Structural plan review fee (or deposit):
Contact name: V t \eN.A vv..
FLS plan review fee (if applicable):
Address: ce_ z 10 1.4.1
Total fees due upon application:
City /State /ZIP: ( N. • 36
Phone: ( ) / Fax :: ( ) Amount received: if Z 7 5 J
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR r roof -top mounted PhotoVoltaic Solar Panel System.
Business name: U 1— Co" S 1'V`V G 0 " Submit two (2) sets of roof plan with connection details
n -! and fire department access, along with the 2010 Oregon
Address: 1 2- O N E I ( /- 0 'M ,A O C- Solar Installation Specialty Code checklist.
City/State /ZIP: P P-T.-- et n �-3 Permit fee (includes plan review
, I and administrative fees): $180.00
Phone: c j h b 3 4- 7 I ( )
( F ax ' State surcharge (12% of permit fee): $21.60
CCB lic.: ` g- (3 - 1 i l t t o h 4 Total fee due upon appication: $201.60
Authorized signature: ` el--' This permit application expires if a permit is not obtained
s within 180 days after it has been accepted as complete.
Print name: V i C " ' 1- Date: !— S , 2) * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP _COM_PermitApp.doc Rev. 12/11/2012 440 -4613T(11 /02/COM/WEB)
•
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] $
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): $
r.
{
I:\ Building \Pemuts \BUP_COM_PermitApp.doc Rev. 12/11/2012
Building Division
III Development Code Provision Review
IIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: - 764-4. C 901-5-0Gcso ❑ Expedited Review
Project Name: f Ftr ct`� �-L.t ' .02
Site Address: ( 9.4 COO t i•- ) M#1 t.) 'T , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: 3- 5 ! 3 Routed By
1st Revision Submittal Date: Routed By:
2n Revision Submittal Date: Routed By:
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.
Review (contact at (503) 718 '/ or ti and -or. ov
g ( ( ) � y ��—@
Planning g g )
Proposal:
.. ri ,' P 0 ' , - A. 4;1
Zoning ill U'111
Permitted Use Yes i No ❑
Land Use Required: Yes ❑ No l
Notes:
liApproved ❑ Not Ap roved ❑ DCPR Not Required – No DCPR Fees Due
Date Routed to Building: 3 / 7 l
V4p4A '4 3 1/4/ 3 A g / P .
I: \CURPLN\Masters\Development Code Provision RevieskDCPR COM NoLandUse.doc Rev. 01/16/13
FOR OFFICE USE ONLY — SITE ADDRESS: /Ail ((O .51.0 H4- IA) -
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete 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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
lig ■ ~ Transmittal r L tt
e e
. , , , ,\,, I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: D a 6 DAT
DEPT: BUILDING DIVISION ��
MAR 1 9 2013
FROM: I G ( CITYOFTIGA --� G ��� 1 l -►� BUILDI D NISION
COMPANY: D
PHONE: 22 - �' Z Cy -
S 0
RE: / _ a`-(LPD .,LAD 1 cionL �f G.o0/3 -0005
(Site Address) (Permit Number)
e as ,... A eiA iq \A Th.
'rolec'^ aor'u.Iivision aan' ofnumier
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: I Copies: Description: 1
Additional set(s) of plans. ?j Revisions: S 1..¢t
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain): -�
REMARKS: 1 t X41 (act �!-� v.44, ( < \ ft A ✓ e vir\
'-ev v e L a Cc -ot/
FOR WICE ONLY
Routed to Permit Technici. . Date: ' k (' j I nitials: _e
Fees Due: Yes o Fe e Description: Amount ❑ Qi p
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No El Done
Applicant Notified: Date: Initials:
I:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
City of Tigard
TDT — COUNTYWIDE TRANSPORTATION DEVELOPMENT TAX
TIGARD
Rate Calculation Worksheet
APPLICANT ,...\// er -pre£y ALirri - , 6 /-i ))Ee2)I DATE '/1 / 3
MAILING ADDRESS 792c S 1 , 1 1 - /4 4 S r - PREPARED BY / 4
CITY / ZIP / PHONE " 7 -D vrt7Z.icw5 / !9Z 471-'1, 3 PLANS CHEC 40/3 _ , 5?
TAX MAP # - 6--/ B ���jv PRO TITLE
J F'pfzt N 14 1- �
SITUS # ADDRESS / 2 �� /iv r
FORMER USE(S)
U
CODE UNITS X RATE _O D /NOTES
1
89,03r3 X / 2.95 = -1 i� ' � X �� � - rack- us
i#14/14. 5l1 # Er/ox J E
X = 3B3O
X= ''
TOTAL TDT, FORMER USE(S) 1�// g59. S
PROPOSED USE(S)
USE
CODE UNITS X RATE = TDT I DESCRIPTION /NOTES
1 no 4/ X " = 77 5,bez Ts Akt 7'710 4J4; Ke
/MIA gOVeta-e_
X = 1/Gdb'fi
X = j� 1
TOTAL TDT, PROPOSED USE(S) J/ �J glp 9 • �I S
-5�
LESS TOTAL TDT, FORMER USE(S) 4 ?- 4Y. br S) — �
TDT INCREASE!(DECREASE) / / 6 /0 ' / 0 (INCREASE = TDT DUE)
PAYMENT METHOD
CASH /CHECK / �y
CREDIT i ! 6e * / E
BANCROFT AGREEMENT � Y"!f� A / eg 5
(PROMISSORY NOTE) f . / 3 3 4. 34/ = '056 % 77
DEFER TO OCCUPANCY
I /OFS /CD /FORMS/TDT Rate Calculation Worksheet.indd (Rev. 4/22/09)
q Building Division
Development Code Provision Review /
T i,GARD Commercial Projects - No Associated Land Use Case
Building Permit No: U i 9L)? 3`OO O 50 ❑ Expedited Review
Project Name: _ ��1=c=. ?�! '9 -Ai "DE co2
Site Address: I a,gi'0 ra-t4) t1 u3 a r , Suite/Bldg #:
Plans Routed: J /
Original Plan Submittal Date: 3 /h !�3 Routed By:
1St Revision Submittal Date: g1g / 3 Routed By:
2nd Revision Submittal Date: Routed By:
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. f ,^
Planning Review (contact at (503) 718)tr/�`�or "` @tigard-or.gov)
Proposal: ad
Zoning /1/('( j P
Permitted Use Yes ) No ❑
Land Use Required: Yes ❑ No
Notes:
/Approved ❑ N ro ed ❑ DCPR Not Re uired—No DCPR Fees Due
No PP q
Date Routed to Building:
I:\CURPLN\Masters\Development Code Provision ReviekDCPR_COM_NoLandUse.doc Rev.01/16/13
FOR OFFICE USE ONLY—SITE ADDRESS: /A L/' 0 �G�' Af41 4V
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete 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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
iN _ Transmittal Letter
T I G A R D 3125 S Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: L —' DATE RECEIVED:
DEPT: ILDING DIVISION RECEIVED
� � f ®�� AUG 26 2013
FROM: l
CITY OFTIGARD
COMPANY:
,t `` 4\f(-Lc �ecc�(,Cc/`� BUILDINGDNISION
PHONE: "�?3 U32� (y-:
RE: ( 2 ' ;j-(o() I`4 A f fk �-t( Acdc9013 —0,00 HII
—(site Ad.ress) 'ermtt `um.er
t i" g-‘1 0-Ur 0-U lJ -Vt.Co2J
( roject name or subdivision name and lot number)
IP
ATTACHED ARE THE FOLLOWING ITEMS: I
Copies: Description: Copies: escription: /
.$ Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing .4 d/or 1.-rat analysis.
Floor/roof framing. B4ement .. d retaining walls.
Beam calculations. d,, Engi --r s calculations.
Other(explain): \\
REMARKS: 11 is Z% e,-i ) , i� A-pa 1 -[orte)
(406e.,-rg'DA inlc lJ 6 f-/P/
FOR OFFICE USE ONLY
Routed to Permit Technician ate: 91110.-- Initials'•
Fees Due: ❑ Yes o Fee Description: Amount
• $
$
$
Special
Instructions:
Reprint Permit(per PE): [' Yes 5No ❑ Done
Applicant Notified: Date: 9 y/'/A.3 Initials:,d7),
I
(:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12460 SW MAIN ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2013-00050
Chip Barnett
Violation Summary:
Inspector Contractor