Permit CITY OF TIGARD BUILDING PERMIT
11111 $ COMMUNITY DEVELOPMENT Permit#: BUP2014-00064
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2014
Parcel: 1S135BD01200
Jurisdiction: Tigard
Site address: 9800 SW SHADY LN
Project: Portland NCS Subdivision: MEADOW VIEW Lot: 8
Project Description: TI
Contractor: HEMMINGSON CONSTRUCTION INC Owner: BURDICK-FORBES INVESTMENTS LLC
PO BOX 802 BY DONALD C BURDICK
BEAVERTON, OR 97075 434 RIDGEWAY RD
LAKE OSWEGO, OR 97034
PHONE: 503-646-1585 PHONE:
FAX: 503-646-0129
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 03/26/2014 $70.00
Occupancy Grp: B Occupancy Load: 12 DC Provision Review,COM TI-LRP 03/26/2014 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 03/26/2014 $804.75
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 03/26/2014 $96.57
Bedrooms: 0 Bathrooms: 0 Plan Review 03/26/2014 $523.09
Value: $60,000 Plan Review-Fire Life Safety 03/26/2014 $321.90
Info Process/Archiving-Lg$2.00(over 03/26/2014 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,830.31
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-00 , •• 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.
Issue By: - � Permittee Signature: 4
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 pro ect.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial '` I" FOR OFFICE USE ONLY
City of Tigard Received azsi i..Tr Permit No.: 61
Date/B :
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : /MP Other Permit:
■
T I GARD Inspection Line: 503.639.4175 Date Ready t y: Ellis: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 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
❑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: $
❑Accessory building 111 Multi-family Number of bedrooms:
111 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9800 S 1 SHADY L14. New dwelling area: square feet
City/State/ZIP: T\Cst PcKb t 0R 912.2:3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 70 f;TLAtN1D IALS Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
S 1 o f t! & G reerl10 j v • Other structure area: square feet
r J REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: S 135 13,b 0 12 O O 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.
Tt:nas-si Irv%�roverv►. •-
Valuation: $ (no, 000
Existing building area: Z6,2) square feet
New building area: go Glflange, square feet
❑ PROPERTY OWNER .0•TENANT Number of stories:
Name: 1\1 0,,,11 offal CreMa,"h oVl Soc. e.1j Type of construction: Eli 5
Address: j) Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT 14 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: C ,DP\ y�
, �, (, . Structural plan review fee(or deposit):
Contact name: ielnvi I fief 13ea- e,
Address: S plan review fee(if applicable):
15B95 51eJ 72nd Ave.,/eve Stitfe 20o
Total fees due upon application:
City/State/ZIP: 1For}to.v14 i oK 4112-24
Amount received:
Phone:(5o3) 2.2 � 2.2.6/
(, - 12 SS Fax ( ) �. 161 ID
Gn n, ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
J `�ex6 C� ctcpathc--cowl
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: He,mrvliw 50,1 Con sic VGi0V1 , 1Inc�• Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1. 0. >o X t O2 Solar Installation Specialty Code checklist.
City/State/ZIP: e.e J tit'1'0 1,1 1 0R. ci 707S Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503) 64i, • l 585 Fax:( ) State surcharge(12%of permit fee): $21.60
CCBIic.: 1 1 o(00o v� y'f 11
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: Les 1. e \do rt-Le,y Date: 3/24 i'1- * Fee methodology set by Tri-County Building Industry
/ Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
III Ili 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): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
;1 Building Division
Over-The-Counter (OTC) Building Permit
TI( AR[D
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Pk(-1— Occupancy Group: T! Type of Construction: je,
Type of Use**: CY52A,i Occupancy Load: 12— Oregon Specialty Code: zI�(O
SPECIFICS
Number of Stories: ( Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right _ _ Sideyard Setback—Back _
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: i s Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ FEES DUE
$ 7C to DC Prov Rvw,COM TI—Ping
$ r ,040 DC Prov Rvw,COM TI—LRP C_ ,/,75/.
DC Provision Review Fee for COM TI (effective 7/1/2013) $ " `_ Permit Fee—Add,Alt,Demo 0 OGY C 7
Project Valuation Planning LRP $ 12%State Surcharge r d 1
Up to$4,999 $0.00 $0.00 $ ''may;. Plan Review,Structural S 25.
$5,000-$74,999 $70.00 $10.00 $ ArtM Plan Review,Fire Life Safety ?941'QU
$75,000-$149,999 $174.00 $26.00 $ ' ,IAD Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ :5/ Other:
Pf)Date/Time: $ a_ TOTAL FEES DUE
''TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Building Permit Number: 76 u Pap/ti-
PP . iii Building Permit Review
Commercial Project — No Associated Land Use Case
TIGAPD
Site Address: 9g. D a 5 i9 514414 LAN`
❑Verify site address is valid.
Project Name : Noloka l rtot ,0,-1 , ;
Planning Review 1
Proposal: )14 /b4 i.n®rdvcrn cv%+J 0 nb_
ifi Zoning: M lot--
4Ei---Permitted Use E Yes ❑ No ❑ Spec Space
❑ Land Use Required ❑ Yes ErSlo
Notes: ()*4 / cJ/ ;o..& Ste'-' pis) po far LA L13to .
N. L Gt pnic i-IC
Approved by: Date: 7- 2s ' I y
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved El Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: By:
Site Plans: #
Building Plans: #
Create Case Record#: ❑ Enter case# above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
1:1Buil ding\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
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
9800 SW SHADY LN, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
May 5, 2014 at 2:25:32 PM
BUP2014-00064
Chip Barnett
Violation Summary:
Inspector Contractor