Permit CITY OF TIGARD BUILDING PERMIT
III
$ COMMUNITY DEVELOPMENT Permit#: BUP2014-00089
T t GA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2014
Parcel: 2S 110 DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A-3
Project: Taekwondo Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: TI for new tenant. Change of use from retail to personal services;no exterior work.
Contractor: RED BULL DEVELOPMENT INC Owner: TRC MM LLC
12984 SW PINE VIEW ST 5973 AVENIDA ENCINAS STE 300
TIGARD, OR 97224 CARLSBAD, CA 92008
PHONE: 971-404-1176 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 04/24/2014 $256.22
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 04/24/2014 $30.75
Dwelling Units: 0 Plan Review 04/24/2014 $166.54
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 04/24/2014 $102.49
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 04/24/2014 $1.00
Value: $12,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $557.00
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 1.801 . .23 4.
Issued By: Permittee Signature: G
— � Call 503.639.4175 by 7:00 a.m.for the next available inspecti•n 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.
Building Permit Number: 19L4Pao/cr_ GifYe
111111 • 11 Building Permit Review
Commercial Projects with Approved Land Use
I WARD
Site Address: /Y‘id i4 .- /44,4, 4/X 3
❑Verify site address is valid.
Project Name : it/cfr /0( 6.44 ii,/� iovt !4,t/-tea
Planning Review
El Land Use Case Number: RP 00(W- 00g
Plans Match Approved Land Use: (fps - a// We f i7daast,/ - He cowoi(/14c.(
-0 Site Plan Ert-indscape Plan
C--Urban Forestry Plan Elevation Plan
ceding Height: Maximum Height Actual Height
6cnditxor3s]\ Pr' err-vs-Pi-CS—bra mittal D--Prier-to-Permit--Issuance
Approved by: 0)4/417( Date: z7`�ol /G/
Notes: All (upr4 in Pe9✓ni,
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved El Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: 19/6,1/ F y By: 6
Site Plans: # N 4.
Building Plans: # 1
Create Case Record#: nter se# above for Building Permit Number.
Workflow Routing: lan ' ❑ Engineering ❑ Permit Coordinator E—Bar&ng
Workflow Sign-off: ign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: eering: (1) copy of permit application, (1) site plan, (1) building plan and
on plan review routing form.
wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: 161) Date: ti/may/y
Notes: OTC-
I:\BuildingWorms\BIdgPermitRvw_COM_W ithLandUse_123013.docx
Engineering Review— reviewed by:
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes:
Approved by: Date:
Revisions er Building Submittal only) Reviewer Date
Revision Approved ❑ Not Approved ❑
Revi_'.n 2 Approved ❑ Not Approved ❑
evision 3 Approved ❑ Not Approved ❑
Permit Coordinator -view
❑ Conditions Met-Prio o Issuance of Building Permit
Notes: (5i
Revision •4 otice 1: Date Sent to Applicant:
Revis . Notice 2: Date Sent to Applicant
R • sion Notice 3: Date Sent to Applicant
Okay to Issue Permit- Date:
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_I230I3.docx
. 1uildine Permit Application
Commercial 1.()1( (II.I.I( i. l Sl. (FM.1
'
City of Tigard -DatReceived e/B Permit No.: : 0141—aid
Ill
• 13125 SW Hall Blvd.,Tigard,OR 97223 ►i
I Phone: 503-718-2439 Fax: 503-598-1960 RECEIVE I r/I� \�\�: •herPermit-. a ' R0fL f— `
�,I
TIGARD
Inspection Line: 503-6394175 Date R . y Vi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ` I / /�j,II�` Supplemental Information
APR 3 2014
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Dens,AIX OF TIGARD Permit fees'are based on the value of the work performed.
u Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑€u TILDING DIVISION equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CON UCT1 work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 12 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I x'6 6 c' Sw 1&c it:,- Hui A 3 New dwelling area: square feet
City/State/ZIP: -7-,,,50,4-..1 t p 1Z c ') _ 't Garage/carport area: square feet
Suite/bldg./apt.no.: A-3 Project name: 'Tea kwo i' L c' Covered porch area square feet
Cross street/directions to job site: 0 w c,f,- 14 v y 6.IN X kwya.l Pku y Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
- Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
TDESCRIPTION OF WORK ] work indicated on this application.
L I tOortc �a#z.►at.,-,., o ft Ga r _A -"_ _W Valuation: $l/ :/1tGOa
41 Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ENANT Number of stories:
Name: E ht 4- S..h Type of construction:
Address:/c660 SA) P.,ciTt,-- kiy /413 Occupancy groups:
City/State/ZIP: 7i,ou-L • o►e. ci-7 1_1-.1-
Existing:
Phone:(So 3 ) B'to°}17 R'1 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer
Business name: b la sch�k)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:( ) I Fes::( ) 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: R Y �� *)&"J . Submit two(2)sets of roof plan with connection details
1� and fire department access,along with the 2010 Oregon
Address: 1 p 54 S'(i. fif M e /JI ew 14 . Solar Installation Specialty Code checklist.
D r ✓ Permit fee(includes plan review
City/State/ZIP: 7�Z8Ar�t C 991-2-'4- and administrative fees): 5180.00
Phone:(9.9 f/ d I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: //A/ay---.... Total fee due upon appication: $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: E v s.a- 7v..-, Date: 3/ - / Z.,r 4- * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 4404613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Ili • Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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: $
(0 Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I_ABuilding\Permits\BUP_COM_PermitApp.doe Rev. 12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 ' Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
[ t G R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map& tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the"Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
L:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal #of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire & Rescue),if applicable.
I:\Building\Permits\BUP_COM_PcrmitApp.doc Rev.12/02/2013
1
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
15660 SW PACIFIC HWY A-3, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00089
Chip Barnett
Violation Summary:
Inspector Contractor