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Permit
V CITY OF TIGARD BUILDING PERMIT 1111 � • COMMUNITY DEVELOPMENT .. Permit#: BUP2013-00189 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �® Date Issued: 09/04/2013 Parcel: 2S102AC00700 Jurisdiction: Tigard Site address: 12550 SW MAIN ST 110 Project: NW Framing Subdivision: BURNHAM TRACT Lot: 1 Project Description: TI including new store front for new tenant.9/30/13,listed contractor changed from CPS Construction to Summit Construction. Contractor: SUMMIT CONSTRUCTION Owner: DOLAN&CO LLC PO BOX 10345 BY FLORENCE T DOLAN PORTLAND,OR 97296 4523 NE DAVIS ST PORTLAND, OR 97213 PHONE: 503-223-9703 PHONE: FAX: 503-242-3841 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/04/2013 $1,407.95 Demolition Occupancy Grp: M Occupancy Load: 79 12%State Surcharge-Building 09/04/2013 $168.95 Dwelling Units: 0 Plan Review 07/29/2013 $915.17 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/29/2013 $563.18 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 09/04/2013 $278.00 Value: $150,000 DC Provision Review,COM TI-LRP 09/04/2013 $41.00 Info Process/Archiving-Lg$2.00(over 09/04/2013 $14.00 11x17) Floor Areas: Info Process/Archiving-Sm$0.50(up to 09/04/2013 $2.00 11x17) Total Area: 0 Metro Const.Excise Tax-Commercial 09/04/2013 $180.00 Accessory Struct: 0 Use Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,570.25 Required: Required Items and Reports(Conditions) Fire Sprinkler: 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. NTION: on 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 OAR 52-001- . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issu By: / ' Permittee Signature: G47"/ref—e-e v ` 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. V CITY OF TIGARD BUILDING PERMIT ' l 4: COMMUNITY DEVELOPMENT Permit#: BUP2013-00189 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2013 Parcel: 2S102AC00700 Jurisdiction: Tigard Site address: 12550 SW MAIN ST 110 Project: NW Framing Subdivision: BURNHAM TRACT Lot: 1 Project Description: TI including new store front for new tenant. Contractor: CPS CONSTRUCTION INC Owner: DOLAN&CO LLC 9825 SW DAY ST BY FLORENCE T DOLAN SHERWOOD, OR 97140 4523 NE DAVIS ST PORTLAND, OR 97213 PHONE: 503-320-0918 PHONE: FAX: 503-570-8713 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 09/04/2013 $1,407.95 Demolition Occupancy Grp: M Occupancy Load: 79 12%State Surcharge-Building 09/04/2013 $168.95 Dwelling Units: 0 Plan Review 07/29/2013 $915.17 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/29/2013 $563.18 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 09/04/2013 $278.00 Value: $150,000 DC Provision Review,COM TI-LRP 09/04/2013 $41.00 Info Process/Archiving-Lg$2.00(over 09/04/2013 $14.00 11x17) Floor Areas: Info Process/Archiving-Sm$0.50(up to 09/04/2013 $2.00 11x17) Total Area: 0 Metro Const.Excise Tax-Commercial 09/04/2013 $180.00 Accessory Struct: 0 Use Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,570.25•Required: Required Items and Reports(Conditions) Fire Sprinkler: 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. NTION: • -:.n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1-0010 through OAR 9 ' •01-•.•, 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: , 4, „/ ,", goliti I , Permittee Signature: k 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. u P2613 — °r6 11x1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1` 74 a ° Request Permit Action q . -r 1(�A i.n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti ard-or.gov F1 TO: CITY OF TIGARD ��� Building Division Services Supervisor S`-? 3 0 2013 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OFTIGARfl Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov $U jLDINGDIV[SION FROM: ❑ Owner Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) / P1244- Lu iU t) Mailing Address: / 5- 0 g S SW 7 ■h d ZO a . -- -. City/State/Zip: pule T2 A'N O Phone No.: SO 3 • .:: --_,a , (2€ PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). •A. INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). I Permit#: 1 9 a 9 �1 Site Address or Parcel#: fa S s O c5 w m c.(11 Sr-. Ho Project Name: N u.) itra.wtiU 'c Subdivision Name: _ _l C Lot#: EXPLANATION: PV-O I C�-C��' l3-�a-5 ID t CA — SO Wk M .I r &gym 5ATUJ-1. 1 J Wit( CIO 0-` - e-c-B 4 (0 3(9.4 c( Signature: CZRIZ Date: 9 ' 3 O 'l3 Print Name: A-P14 L U N ( ) Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80%of the land use application fee for issued permits. d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80%of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2-4 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date By Rte to Bldg Admin: Date ? 20 / 9 :y ' - Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: : Date By Receipt# Date Method Amount$ . I:\Building\Forms\RegPermitAction.doc Rev 05/25/2012 Building Permit Application RECEIVED Commercial JUL 2 9 2013 FOR OFFICE USE()NIA 1111 City of Tigard Received Permit„gap_ g CITY OFTIGARD DateB : ��/ 11111 / '�D'I� q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi Phone: 503.718.2439 Fax: 503.598.196 I DateB : V I■ �' Other Permit tUILDING DNISIO TIGARD Inspection Line: 503.639.4175 Date Ready/ty: ® See Page 2for Internet: www.tigard-or.gov Notified/Method:' r: /3 t.A ISM Supplemental Information 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 the nearest dollar)of all >'ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: (9.5 SO 6,..) 1v,Al N sir New dwelling area: square feet City/State/ZIP: 1 Gprts-r oR 11. 1z3 Garage/carport area: square feet Suite/bldg./apt.no.: //O Project name: N,uL) cR-AvvN I i-1`�� 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.: 0 2 5 Q)W 0-2-A L tp00 d' -9-0C) Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the /� DESCRIPTION OF WORK ( work indicated on this application. ` l n(∎� \. `(? 4,0\-�M— IlAC\l An re.,VJ Valuation: $ I 50 00 C) P V`C `_0Y1L Existing building area: 11oI99s square feet t New building area: -a-- square feet PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: 0$(1 DG.:- -0-Ns Type of construction: ( ( ( . 13 Address: I9)q p`)w to -S1 re ell Occupancy groups: A k City/State/ZIP: ` 1d 1 0 1 c �.2oct Existing: Vyl Phone:( V;) Z2 5- - cq' c Fax:( ) New: (VI J'c' APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: C ( D A Structural plan review fee(or deposit): Contact name: -T V L. ri Address: ( S C-.` `7 27-4 4+� C J t �� FLS plan review fee(if applicable): Po 1f T ? `� (` iR 9 wC �Jy Total fees due upon application: City/State/ZIP: oC Phone 3) ,pn26U - / `j Fax: :( ) 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: Submit two(2)sets of roof plan with connection details L �� �,v�S`El CJCi�C/Vl and fire department access,along with the 2010 Oregon Address: ` 3c ) ©a__ f%1 Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review `�""v l � l ` and administrative fees): $180.00 Phone:(5O ) 3a - MI cd Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: , 0 22,4 g Total fee due upon application: $201.60 Authorized signature:'•- y'' 2) _ � '-� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.•Print name:—TA/4A t___L)NO Date: -. a - , 13 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46I3T(I 1/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT#: Bo1->z_0 11 — 13125 SW Hall Blvd.,Tigard, OR 97223 t� DATE ISSUED: �blgG� Phone: (503) 639-4171 / Inspection Requests (24 Hrs.): (503) 639-4175 `'III. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: (Z SS - MA i fI 110 CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Z&t7 e,c=/z_ /k/L-7 C erections/Comments/Instructions: i KQ'?0yc' Zlk/ ir c=am or---k aI / s17c� Fx,./„--) _,- se ... 6 c_ieS (-7— i 5 to Ii`i A i kf ) PASS K PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ; �� / Am CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 11/61/ Phone #: (503) 718- L—+� zlfr . - - . Building Division Development Code Provision Review T;1 GA RD Commercial Projects - No Associated Land Use Case Building Permit No: I be/°c2-0/3 -.60/,9 ❑ Expedited Review Project Name: /A/GJ f/4 M/ J 6- Site Address: 42 56 "14-/N S T. , Suite/Bldg #: NO Plans Routed: Original Plan Submittal Date: 7�Z9/i3 Routed By:' 1 s` 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 at (503) 718,q144/1)or 4 _@tigard-or.gov) Proposal: 4.4 Spe, S;cry - Zoning Ma—C6 Permitted Use Yes Dr' No ❑ Land Use Required: Yes ❑ No 2' Notes: L1 Approved ❑ Not Approved ❑ DCPR Not Required–No DCPR Fees D ue Date Routed to Building: 7r I:\CURPLN\Masters\Development Code Provision Review\DCPR_COM NoLandUse.doc Rev.01/16/13 Building Division Accessibility: Barrier Removal Improvement Plan T iGAR?D 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] $ i SO 000 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 37 500 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 $ L4LI ST1 ICJ (b) An accessible entrance: $ 1 DI O0O (c) An accessible route to the altered area: $ r]Iv( -I (d) At least one accessible restroom for each sex or a single unisex restroom: $ 5 Oa (e) Accessible telephones: $ N/A (f) Accessible drinking fountains:and, $ Ni f4 (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ (ci 6OD L\Building\Permits\BUP-COM1 PermitApp.doc 03/03/2011