Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 00180
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2013
Parcel: 25101 AC01600
Jurisdiction: TIGARD
Site address: 7100 SW HAMPTON ST 130
Project: Commerce Plaza Deli Subdivision: BEVELAND NO.2 Lot: 18 -19, P
Project Description: Change of use from office to deli /restaurant.
Contractor: OWNER Owner: NEIMEYER, JOHN
JOHN NIEMEYER 15 82ND DR STE 210
15 82ND DRIVE SUITE 210 GLADSTONE, OR 97027
GLADSTONE, OR 97027
PHONE: 503 - 650 -9500 PHONE: 503 - 650 -9500
FAX: 503 - 650 -1212
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 07/18/2013 $70.00
Occupancy Grp: A -2 Occupancy Load: 55 DC Provision Review, COM TI - LRP 07/18/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/18/2013 $464.97
Demolition
Stories: 2 Height: 0 ft 12% State Surcharge - Building 07/18/2013 $55.80
Bedrooms: 0 Bathrooms: 0 Plan Review 07/18/2013 $302.23
Value: $26,000 Plan Review - Fire Life Safety 07/18/2013 $185.99
Info Process /Archiving - Sm $0.50 (up to 07/18/2013 $1.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,090.49
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 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. A • • : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0.1-0010 through OA :52 -00 • • •0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: $ I / A C Permittee Signature: 4
Call 503.639.4175 by 7:00 a.m. for the next available inspection/.
This permit card shall be kept In a conspicuous place on the Job site until comp etion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application •
Commercial RECEIVED Folt OF USE ONLY
RECEIVED
City of Tigard Received
:, 7 Permit No.: 1 .5 / l3 —""ao /S
1 4
13125 SW Hall Blvd., Tigard, OR 97223 � L . 1 - 7 // plan Revie ,
Phone: 503 - 718 -2439 Fax: 503 - 598 -1960 Date/By: ice, IF 7 F2 (� Other Permit:
C I Ci\ R D
Inspection Line: 503 - 639 -4175 • Date Read : Juris- El See Page 2 for
,,, Internet: www.tigard- or.gov CITY B Notifred/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
— 7"n Permit fees* are based on the value of the work performed. ❑New construction ❑Demolition Indicate the value (rotnded to the nearest dollar) of all
Ix 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: $ 1
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder Number of bathrooms:
❑ Other:
JOB SITE INFORMATION AND LOCATION Total number of floors: j
Job site address: 7X00 5 Iv J/) 4 - ,,,,,„7,,,v J Su .1 A-13 4 New dwelling area: square feet ; l
City /State /ZIP: 7 l y 4 .- ,.1 j ()j- (? yc N Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: C c ;vi M ere F. /' J 4 7.4 Covered porch area square feet
Cross street/directions to job site: 7 g N n pi, L( Deck area: square feet 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/— e at -1,jt✓ I le 0:^ c(e //` resT✓'a- cii4,, Valuation: $ 26 000
Existing building area /NZ square feet
• New building area: 5 - e l s in e, square feet
J PROPERTY .OWNER ❑ TENANT Number of stories: I
Name: ,T L AA, �i e yiq eye,— Y Type of construction: 1 j- et no r ca._
Address: J �; z j id �,. j d` 5 a i A/ 0 Occupancy groups:
City /State /ZIP: 6..... A �, S 7 e A.,/ e... G 1 x y 7Gr2 ,7 Existing: c f -j c .
Phone: (563 ) 6, — >` ()C Fax: (5 Fi.S C -I2 /'L New: e
/ - ,, Tyti v if K ji, .7----
xi APPLICANT ❑ CONTACT PERSON - BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: c CL-/y/ _ Structural plan review fee (or deposit): .
Contact name:
Address: 6 1�� - 349 6745A--
FLS plan review fee (if applicable):
Total fees due upon application:
City /State /ZIP:
Phone: ( ) p ( ) Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTE FEES*
. • Commercial and r; idential prescriptive i 1 : . lation of
CONTRACTOR roof -top mounted P' 'toVoltaic Solar , • el System.
Submit two (2) sets of . a f plan ' s connection details
Business name: c( Q W I� F /Z and fire department access, : • g with the 2010 Oregon
Address: Solar Installation Special or , checklist.
City /State /ZIP: Permit fee (inc 'es plan re '-w $180.00
and . ministrative fees :
Phone: ( ) Fax: ( ) o
State surcharge (12% of permit fee): $21.60
CCB lic.:
Total fee due upon application: $201.60
Authorized signatur � r / jV�� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: d A A,j �, t �c, Da te: 7 ._ � _ / 3 * Fee methodology set by Tri -County Building Industry
' J Service Board.
I:\ Building \Petmits\BUP_COM_PerrnitApp.doc Rev. 12/I 1/2012 440- 4613T(I 1/02 /COM/WEB)
Building Division
0
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): $
I: \ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012
• Building Division
Development Code Provision Review
Ti c A R D Commercial Projects - No Associated Land Use Case
Building Permit No: P a° t 3 -ac) /.0 ca. Expedited Review
Project Name: K H f-2C.E_ PLgxrr _1
Site Address: 7 1 n0 N - 1 - (F - re, A-- , Suite /Bldg #: /&
1
Lb , n3 6 - OtPr 14.4S / / ` �T / W 04 -44-.
okbEL o ,v Ttt+s P,24,1fGr- i u-LV Li 14 1:k£0 . 0), ,E,
Plans Routed: 14 of tie.) 11-s4-00. Original Plan Submittal Date: 7//7/ 3 Routed By:
1St Revision Submittal Date: Routed By:
2n Revision Submittal Date: Routed By:
To the Applicant:
Y 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 Z4 ) at (503) 718 -; & k/I @tigard- or.gov)
Proposal: r--
Zoning Al U/ L�
Permitted Use Yes Eie No ❑
Land Use Required: Yes ❑ No 0
Notes:
Ml /AAA' 145 14 5 Lu' S
Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building: 7 -/ K -J 3
I: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev. 01/16/13