Permit CITY OF TIGARD BUILDING PERMIT
IN s.; COMMUNITY DEVELOPMENT Permit#: BUP2013 00178
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2014
Parcel: 2S113AD01700
Jurisdiction: Tigard
Site address: 16940 SW 72ND AVE
Project: Mens Wearhouse Subdivision: ROSEWOOD ACRE TRACTS Lot: 26-34,P
Project Description: Interior remodel for existing tenant
Contractor: BANKS CONSTRUCTION OF OREGON INC Owner: BRIDGEPORT LAND LLC
1744 SE LOCUST AVE 3939 NW ST HELENS RD
PORTLAND,OR 97214 PORTLAND,OR 97210
PHONE: 503-234-0095 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 01/09/2014 $696.39
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 01/09/2014 $83.57
Dwelling Units: 0 Plan Review 07/17/2013 $452.65
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/17/2013 $278.56
• Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 01/09/2014 $28.00
Value: $47,000 11x17)
DC Provision Review,COM TI-Ping 01/09/2014 $70.00
DC Provision Review,COM TI-LRP 01/09/2014 $10.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,619.17
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 C er. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of to n�n�rirect questions to OUNC by calling 503.23 .1 87 or 1.800.3 .2344.
Issued By: ermittee Signature:
. 5 by 7:00 a.m.for the next available inspec at,
This permit card shall be kept In a conspicuous place on the job site until ompletlon of the project
Approved plans are required on the Job site at the time of each inspection.
Balding Permit Application
Commercial RECEIVED FOR OFFICEUSEONLY ' . -
City of Tigard Received 2 p�/3—o0/ 8
7 Dazedly: 7/17 1 J }` 040 Permit No.: 1
Mil
13135 SW Hall Blvd.,Tigard,OR 97' 3 L e 2013 Plan Review ep ///3 A
Phone: 503.718 2439 Fax: 503.598.1960 Date 13y: e-�r� Other Permit:
Inspection Line: 503.639.4175 Date ReadyOy. June: ® See.Page 2 for
TIGARD CITYOFTIGARD
Internet: www.tigard-or.gov BUILDING DIVISION Notilied/1Me hod: j 4111;""IV
Supplemental Information
TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees*are based on the value of the work performed. �i
Indicate the value(rounded to the nearest dollar)of all
E Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial Z
Number of bedrooms: Z.
❑ Accessory building ❑ Multi-family S
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16940 SW 72"Ave. New dwelling area: square feet (\A
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Men's WEarhouse#2666 Covered porch area: square feet
Cross street/directions to job site:SE 72"Ave.& Lower Booties Ferry Rd Deck area: square feet r•
SW Hall Blvd South to SW Durham RD.Go east to SW 72""Ave.go South to job site Other structure area: square feet M
0
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Bridgeport Village Lot no.: Permit fees*are based on the value of the work performed. t
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the _
DESCRIPTION OF WORK work indicated on this application.
-
Minor Interior Remodel to an existing Men's Wearhouse Store Valuation: 41)066
Existing building area: 5784 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: Men's Wearhouse Type of construction: IIB
Address:40650 Encyclopedia Cir. Occupancy groups:
City/State/ZIP: Freemont,CA 94538 Existing: Mercantile
Phone:(407)469-5599 Fax:(407)469-3499 New: Mercantile
® APPLICANT Z CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Team K5
Structural plan review fee(or deposit):
Contact name:Jason Kirby
FLS plan review fee(if applicable):
Address:205 W.,Washington st.#B
Total fees due upon application:
City/State/ZIP: Minneola,FL 34715
Amount received:
Phone:(407)469-5599 Fax: :(407)469-3499
E-mail:jason.l<irby@expeditepermit.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD f/ ,,, ////,, 6/:-w,�.�,�,- ` Submit two(2)sets of roof plan with connection details
vK—� �$'�/ ' v` C]� Ci/V �NC and fire department access,along with the 2010 Oregon
Address: /�l�u )h=• Ld[_(t 3 - Solar Installation Spec'ial/v Code checklist.
City/State/ZIP: AK-flILIA 1 Q qua)L/ Permit fee(includes ativ review $180.00
,�' and administrative fees):
Phone:(52 1 9.3ii- aJqS Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 1,26 1p-q Total fee due upon application: $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:Jason K. y 7Date:7/12/13 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Building Division
Development Code Provision Review
'T I c A R D Commercial Projects - No Associated Land Use Case
Building Permit No: LuP 9 o►9) . 00 0 `? ❑ Expedited Review
Project Name: Ns r0''- 1}3e.9.2. N-o us £
Site Address: l Log LI o -L,,D ?2l"V /}t) - , Suite/Bldg #:
Plans Routed: i Original Plan Submittal Date: 7 , ? // 3 Routed By: Za-03
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 at (503) 718--2WD or @tigard-or.gov)
Proposal:
Zoning a'(
Permitted Use Yes Er No ❑
Land Use Required: Yes ❑ No
Notes:
/142
LN" Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routcd to Building: 2—/ - 13
I:\CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev.01/16/13
Building Division
i
Accessibility: Barrier Removal Improvement Plan
T I GA'RD;
• 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: ]I] $ 35,000.00
MULTIPLIER (25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] . $ 8750.00
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 $ N/A
(b) An accessible entrance: $ 100%Cmplt
. (c) An accessible route to the altered area: $ 100%Cmplt
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 100%Cmplt
(e) Accessible telephones: $ N/A
(1) Accessible drinking fountains: and, $ 100%Cmplt
(g) When possible,additional accessible elements such as storage and
alarms: $ 100%.Cmplt
TOTAL (shall equal line [2] of Valuation Computation): $ 8750.00
I:ABuilding\Permits\RUI'-COAI I'ennitApp.dic 03/03/20I t
/
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16940 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
2014-04-01 (null)
BUP2013-00178
PASS - No C of O
Violation Summary:
Inspector Contractor