Permit y CITY OF TIGARD BUILDING PERMIT
1' COMMUNITY DEVELOPMENT Permit#: BUP2013-00165
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2013
Parcel: 25101 BCO2401
Jurisdiction: Tigard
Site address: 12650 SW HALL BLVD
Project: Snyder Roofing Subdivision: TIGARDIA TERRACE Lot: 3
Project Description: Remodel of existing interior space,2-story.
Contractor: PRECISION CONSTRUCTION COMPANY Owner: JFK PROPERTIES OREGON LLC
8025 NE KILLINGSWORTH ST 12650 SW HALL BLVD
PORTLAND,OR 97218 •TIGARD,OR 97223
PHONE: 503-253-4827 PHONE:
FAX: 503-253-5177
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ADD Type of Const: Vg Permit Fee-Additions,Alterations, 08/21/2013 $3.751.00
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 08/21/2013 $450.12
Dwelling Units: 0 Plan Review 06/27/2013 $2,438.15
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/21/2013 $1,500.40
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 08/21/2013 $278.00
Value: $545,000 DC Provision Review,COM TI-LRP 08/21/2013 $41.00
Info Process/Archiving-Lg$2.00(over 08/21/2013 $48.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 08/21/2013 $50.00
11x17)
Total Area: 1860 Metro Const.Excise Tax-Commercial 08/21/2013 $654.00
Accessory Struct: 0 Use
Basement: 0 Tig-Tual School CET-Non Residential 08/21/2013 $1,023.00
Carport: 0 Park-Commercial and Industrial 08/21/2013 $732.60
Covered Porch: 0 TDT-Transportation Development Tax 08/21/2013 $12,776.00
Deck: 0
Garage: 0
Mezzanine: 0
Total $23,742.27
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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. 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: Permittee Signature:
//mot_ �ll�>•
uget,j0r1175 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.
'/ w
Butblink Permit Application RECEIVED Commercial FOR OFFICE USE ONLY
•
City of Tigard JUN 2 7 Received A ' 420/i;.60/6 S'
De eiv Permi[No.:
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
_ Phone: 503-718-2439 Fax: 503-598- Date/By: =`f �) l., ( Other Permit:
��1'Y OF'1`IGARD Juris: ® See Page 2 for
i
TI G A R D Inspection Line: 503-639-4175 Date Ready/By: g
l s Internet: www.tigard-or.gov BUILD1NGDIVISION Notified/Method: /T/)� ,g, ' Supplemental Information
TYPE OF WORK Vhf i3 REQUIRED DATA:1-- ND 2-FAMILY DWELLING
❑New construction igsDemolition kJ/ Permit fees*are based on the value of the work performed.
ndicate the value(rotnded to the nearest dollar)of all -�
jg,Addition/alteration/replacement ❑Other: /lfe Pe63 equipment,materials,labor,overhead,and the profit for the 5--
CATEGORY OF CONSTRUCTION work indicated on this application. -7
El I-and 2-family dwelling 1Commercial/industrial Valuation: $ 7,
El Accessory building El Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION ' ,` Total number of floors:
Job site address: 144 5 0 w N ALL. F?LV D_ New dwelling area: square feet
City/State/ZIP: p /9Fz. Garage/carport area: square feet
/
&C:)I
Suite/bldg./apt.no.: - Project name: S N�/,ems% ` 0_6 Covered porch area square feet
Cross street/directions to job site: ` Deck area: square feet �y
Spuli-i of "r .Gf p1.) ( f-uAtU., 4 Other structure area: square feet
ku e KS4--.. REQUIRED DATA:COMMERCIAL-USE CHECKLIST J,
Subdivision: I 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.
Valuation:640X.9 0�1e f�09a, 0 x1 S1 NB I o-rs� D� Spa. �
91;122-f Existing building area 21,�(0S s uare�Jfeet
New building area: II ei r�S i I r feet
,$`PROPERTY OWNER r, ❑ TENANT Number of stories: 2
Name: Ci...\ 'pE.42_ Y1 00„p-I062 /;o r Type of construction: - 15
Address: V A.0 [A __ 1771..../9
Occupancy Y B . 1,
City/State/ZIP: �GAp nt 0� Existing:
Phone:( ) , r`l�l Fax:( ) New:
,APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* i
(Please refer to fee schedule)
Business name:Cisd.„ p 0 ' V�Z — n�i'r U
1 G Structural plan review fee(or deposit):
Contact name: atxv..,\ D U�2 - 1
Address:(1,264. 5'`' M 10� 4� FLS plan review fee(if applicable):
City/State/ZIP: �/ ►�l D OQ p�2 Z� Total fees due upon application: 4 V;RS-5-°',ov
Phone:(60 3 5 2- . gd Fax: :( ) Amount received: �_E-mail: G4 j P. f���}-1ec PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: ��,-)S 101.) Co l l S-frzu(,To,.l Co . Submit two(2)sets of roof plan with connection details
Address: ` and fire department access,along with the 2010 Oregon
A O 2_c A E �i i_Li 0.6.51 �(Z-i.k 5-(, Solar Installation Specialty Code checklist.
City/State/ZIP: O p o Permit fee(includes plan review $180.00
• ��`4Q .047)* �� 2) and administrative fees):
Phone:(� '�..�C�2� Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: /��&a Q- l Total fee due upon application: $201.60
Authorized si`gn'ature:' 1 /4 . This permit application expires if a permit is not obtained
_i _ I :.. within 180 days after it has been accepted as complete.
Print name: %�/�,�tad , 1,1 ,0-1T� " Date: /"Z' 15 * Fee methodology set by Tri-County Building Industry
��'�' 1 t-�f�' ✓ Service Board
I:\Building\Pernits\BUP_COM_PermitApp.doc Rev. 12/11/2012 440-4613T(I 1/02/COM/WEB)
1
4 Building Division
.114 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_PemvtApp.doc Rev.12/11/2012
•' -r L
1,1 n Building Division
°.. Development Code Provision Review
r l c n ii Commercial Projects - No Associated Land Use Case
Building Permit No: UP 12D - CO( (o5 ❑ Expedited Review
Project Name: ' b r 2 20 o t=,i i do •
Site Address: I \LQ SO emu- gt_J 1b , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: Lei a,--7 113 Routed B .
1St Revision Submittal Date: 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.
Planning Review (contact nee O 'ktCc at (503) 718-Z Z1 or f2 DVS @tigard-or.gov)
Proposal: IV\-tf21l Rz1�1L) 1 in OM ALP S �i• U
P
Zoning H—L—
Permitted Use Yes al No ❑ —/
Land Use Required: Yes ❑ No C�'
Notes: }
Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building:
I:\CURPLN\Masters\Development Code Provision Revie%%DCPR_COM_NoLandUse.doc Rev.01/16/13
City of Tigard
IP! TDT-COUNTYWIDE TRANSPORTATION DEVELOPMENT TAX
I Rate Calculation Worksheet
TIGARD
APPLICANT J./kb F2 ic";pF//1/eT _ DATE j 3
MAILING ADDRESS PREPARED Y
5
CITY/ZIP/PHONE PLANS CHECK# -V j /t 3-DO/G,S
TAX MAP# PROJECT TITLE
SITUS#ADDRESS /26, so Sil ,9L L "'�L ,� ���lof/�� _ "_J�tet -
i.FORM#103$40_
USE ITE # TDT DESCRIPTION/NOTES
# CODE UNITS x RATE = AMOUNT
X =
X =
X =
X =
TOTAL TDT,FORMER USE(S)
PPP,Mgr!'USE(S)... . .
USE ITE # TDT DESCRIPTION/NOTES
# CODE UNITS X- RATE ="/AMO UNT
1 Viv 3,Fx o <
I 10 'si : ( , 1r6v = 1P%z,.77C0 i FP.t
X
X =
TOTAL TDT,PROPOSED USE(S)
LESS TOTAL TDT,FORMER USE(S) — 1' t 2 7 AK
TDT INCREASE/(DECREASE) ( - : ; . -
PAYMENT METHOD AP A
CASH/CHECK ==
£)At&- MOO 2 t "DNA WA.. kale o- kGSt
CREDIT -.3 x 393, Wee =
BANCROFT AGREEMENT /1 (YC,o r393 .8 ?
(PROMISSORY NOTE) _
DEFER TO OCCUPANCY
V32, 667'
1/0F9/CD/FORMS/TDT Rate Calculation Worksheet.indd(Rev.4/22/09) /
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
12650 SW HALL BLVD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
May 8, 2014 at 2:31:31 PM
BUP2013-00165
Chip Barnett
Violation Summary:
Inspector Contractor