Permit CITY OF TIGARD BUILDING PERMIT vi i ; COMMUNITY DEVELOPMENT Permit#: BUP2014-00100
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2014
Parcel: 25113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 103
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Demising wall between suites 102 and 103.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: BV CENTERCAL LLC
2300 E 3RD LOOP SUITE 110 ATTN: FRED BRUNING
VANCOUVER,WA 98661 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 05/08/2014 $286.64
Class of Work: ALT Type of Const: IIB Demolition
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Building 05/08/2014 $34.40
Dwelling Units: 0 Plan Review 05/08/2014 $186.32
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 05/08/2014 $114.66
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/08/2014 $0.50
Value: $13,881 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $622.52
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: /
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.
1
•
' Building Permit Application RECEIVED
Commercial FOIZ (II 1 1( l I S I (INI.1
City of Tigard MAY 8 2014 Der/By g, /y N9 61v0020/11 i9/�
r f Permit N
Illq
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
■ �p ■i Other Permit:
Phone: 5n Line: Fax: 503-598-191.ITY OF TIGARD Date/13 j
T I G n li a Inspection Line: 503-639 4175 Date Rea. • : Lurie: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION 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(rotnded to the nearest dollar)of all
PI-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 ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB sag INFORMATION AND LOCATION Total number of floors:
Job site address: 7?J/ .Sc- .-C ir, jik/As'✓f— /0 New dwelling area: square feet
City/State/ZIP: 7 1-',4,.,,,-.,/l' Garage/carport area: square feet
Suite/bldg./apt.no.: j � ,ect name: /d' Covered porch area square feet
Cross street/directionsLto job site: 6,a0-e___ -�¢. - 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.
Indicate the value(rotnded 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 mplication. , j•C'
4 /� L, 1/ Valuation: $
f�(6
Existing building area 3,co g square feet
New building area: 2 319 square feet
iri PROPERTY OWNER I ❑ TENANT Number of stories: /
•
Name: (w,,,t.—C.-,/ /7f€f-1C VS Type of construction: ears/mow-el't
Address: Occupancy groups:
City/State/ZIP: Existing: 1L.4
Phone:( ) Fax:( ) New: M
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
i (Pt se refer to fie samba's)Business name: /(„ILA 140.1., „K ,7 , ./;b.., S't'.. e1 Structural plan review fee(or deposit):
Contact name: /`may;nom/sue
Address: //'I FLS plan review fee(if applicable):
Z;�Ci_ EFL.,* -r4. ' ' "/„Cc,/ 'K //� Total fees due upon application:
City/State/ZIP:/ 404 L O v,,_,,.._, t t4- p 6 4-/
Amount received:
Phone:(' X 6 0-6 9 9� /? Fax::(�L o) g' '. 7&/Y
E-mail/� 1 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/�-,,90/; •�(/��S r'u./'�c2 f St,ei.•C 7T H.l C
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: S�y s' Submit two(2)sets of roof plan with connection details
��s ''4L' �' ��v/G�S and fire department access,along with the 2010 Oregon
Address: �� As -4-aD the- Solar Installation Specialty Code checklist.
City/State/ZIP: w r. Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 6 31/ 2
Authorized signature:
Total fee due upon appication: $201.60
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print nam� Date: /Z//�/ * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building�Pennits�BUP_COM_PermitApp.doc Rev. 12/11/2012 440-4613T(1l/02/COM/WEB)
City of-Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
.
Commercial & Multi-Family - Additions or Alterations
T I G A R t) 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: $
(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_PemritApp.doc Rev.12/02/2013
J
Building Permit Number: ,Quf)o20/4/—e0/0-0
lig _ Building Permit Review RECEIVED
c `K Commercial Projects with Approved Land Use
l D MAY 8 2014
Sit�e Address: �G� CITY OF TIGARD
its, site d address is valid. / rl Ind. /03 !WILDING DIVISION
Project Name : Pi zza 5ini//1. pen /6-//'q P/I
Planning Review
L
'� Land Use Case Number: M/t',9 ...1/z/- 0000 3
Plans Match Approved Land Use: !/S
Site Plan ❑ Lands ape Plan
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: aximum Height Actual Height
Conditions Met: 2'or to Permit Submittal ❑ Prior to Permit Issuance
Approved by: Y Date: 6723//V
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: - coy By: '
Site Plans: # L. \ 3-19161
Building Plans: #
Create Case Record#: Enter case# above for Building Permit Number.
Workflow Routing: Planning ❑ Engineering ❑ Permit Coordinator Building
Workflow Sign-off: Cf 5ign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
�
Boriginal plan review routing form.
E uilding: original permit application, site plans,building plans,engineer and
bea calculations and trust details,if applicable,etc.
Reviewed By: Date: --C70y
Notes: 0 7
1:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
Engineering Review— reviewed by:
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes:
Approved by: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to Applicant
Okay to Issue Permit- Date:
L\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
;7 s .• Building Division
Over-The-Counter (OTC) Building Permit
T I GARD Check List
Project Description: --7 k
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Eif -- Occupancy Group: [A"Z Type of Construction: Z
Type of Use**: rcjziA. Occupancy Load: Oregon Specialty Code: 7 )(0
SPECIFICS
Number of Stories: ( Building Height: Mixed Use:
Number of Dw Units: s 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: 5: Occupancy Separation:
E: W: E: W: Access.Parking Spaces: _
REQUIRED ITEMS
Fire Sprinklers: 1.eej 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: $ t '2 nap.,r i , FEES DUE ,,/
DC Provision Review Fee for COM TI(effective 7/1/2013) $ , Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 3 ,40 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ i 0 ;3j0.Plan Review,Structural Safety
$5,000-$74,999 $70.00 $10.00 $ Plan Review,Fire Life Safe
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ e. 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: $ yther:
Date/Time: $ _41 OTAL 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\Foams\OTC-BUP.docx 07/01/2013
RECEIVED
APR 2 8 2014
.-, -
II CITY OF TIGARD
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D1111,1)1NC DIVISION
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