Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00096
T!GA Ez D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2014
Parcel: 2S 102AD01900
Jurisdiction: Tigard
Site address: 8935 SW BURNHAM ST
Project: TVF&R Subdivision: TIGARD HIGHWAY TRACTS Lot: 21
Project Description: Voluntary seismic upgrade,addition&renovation
Contractor: EMERICK CONSTRUCTION CO Owner: TUALATIN VALLEY FIRE&RESCUE
P.O. BOX 66100 11945 SW 70TH AVE
PORTLAND, OR 97290 TIGARD,OR 97223
PHONE: 503-777-5531 PHONE: 503-259-1188
FAX: 503-771-2933
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 06/12/2014 $7,016.15
Class of Work: ADD Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 153 12%State Surcharge-Building 06/12/2014 $841.94
Dwelling Units: 0 Plan Review 05/01/2014 $4,560.50
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 05/01/2014 $2,806.46
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/12/2014 $98.00
Value: $1,279,995 11x17)
Info Process/Archiving-Sm$0.50(up to 06/12/2014 $30.50
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 06/12/2014 $1,535.99
Use
Total Area: 996 Tig-Tual School CET-Non Residential 06/12/2014 $567.72
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $17,457.26
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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. ATTENTI•N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-r: 0 through•.- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.22344.
Issue. By: t A p 4 Permittee Signature: � \�^I in 1 t, f/�
��` 11
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.
mldinQ permit Applicatio
Commercial ECEI VFD FOR OFFICE USE ONLY
Received /gm. r 1 of - k
. City of Tigard PR Date/B : Permit No.:
" 13125 SW Hall Blvd.,Tigard,OR 9722 3020'.4 Plan Review .�1 a►
:elated Permit: �/
Phone: 503-718-2439 Fax: 503-59 Date/13 : ,��� � rta T �`( (,�//
TI G A R D Inspection Line: 503-639-4175 drfQt-1 IG'AFIu Date Ready : kids. ® See Page 2 for
• Internet: www.tigad-or.gov gIJILp, r"nIIf'ci- Noti®ethod:�Q/iO/PT Supplemenal Information
fkt .L---
TYPE OF WORK REQUIRED DATA:1-AND 2-1
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
giAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling Commercial/industrial Valuation: $ ¢E
❑Accessory building ❑Multi-family Number of bedrooms: ],
El builder ❑Other: Number of bathrooms: f
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: �J' W -N - New dwelling area: square feet
Zi
City/State/ZIP: 'l A r-, t .. 112 2,3 Garage/carport area: square feet T
Suite/bldg./apt.#: Project name: 'T'/ 7_GANIto..4 4e--I Covered porch area square feet
Cross street/directions to job site: 4 6. 't4 Deck area: square feet
Other structure area: square feet 1
REQUIRED DATA:COMMERCIAL-USE CHECKLIST §..)
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel 4: is I.O k-b 0�e1 00 Indicate the value(romded to the nearest dollar)of all
Z f
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S fZAC d` V�4� 6P
-061.171
Existing building area ( 72/ square feet 1'
t 1'
New building area: elo (p square feet
li PROPERTY OWNER I 0 TENANT Number of stories: 1
Name:"'1'Q ,4 Y 1gp Type of construction:7 1/7 v�
Address: )f(, ,.. / 7 Occupancy groups:1'l lz_/1 ,,,
I
City/State/ZIP:11 i7i GIiZZ'' Existing: &,/tr.,Z
Phone:('5 )0527. 1 (ee, Fax:( ) New: b/g-) ^k
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
li
(Please refer to fee sekedale
Business name: �� -/ lC > Structural plan review fee(or deposit):
Contact name: 1.6..N1 C,EJIc4 1
FLS plan review fee(if applicable):
Address: 92.¢, . µ/ y�c.I-f,o , jrr Z=41:3,
City/State/ZIP: f J/ az, 1-7z,,,,5—
Total fees due upon application:
Phone:(S Z.2,7 _�B co a Fax: :( ) Amount received:
E-mail: ����f��tJ��/�/��f �"-' �! PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRA roof-top mounted PhotoVoltaic Solar Panel System.
Business name: � � (40- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:685 Q. : Solar Installation Specialty Code checklist.
City/State/ZIP: t' 2.X.4"/„., 08C� Permit fee(includes plan review $180.00
and administrative fees):
Phone:(t'D ) '1-7-7_t>Z.-- / Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: /O72 / Total fee due upon application: $201.60
Authorized stature: f This permit application expires if a permit is not obtained
07 within 180 days after it has been accepted as complete.
Print name: IA1 b ;_,,, e,�t-4.• Date:Tj//yam/z. l * Fee methodology set by Tri-County Building Industry
J / Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 44046131(11/02/COM/WEB)
E y
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I 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] $ �ZSQ1/70(7
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ Oa 7
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:
/Z --;.P/7
(a) Parking r71% e(�'7 �; 1 4( $ i]
(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: f 44 U t il1A 1l $ (&7i O
(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): $ (2-1
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014
t c.i Lb t,3 6 Pte. -i 1T
a
Building Permit Number: (a P a04-cnb 7 6
_.
.1 Building Permit Review
Commercial Projects with Approved Land Use
TIGARD
t
Site��Address: 1 ? Sw au,rrt hGiyt-� St.
LTerify site address is valid.
k'.::5
Project Name : -CV 1- rL - t{,t,,,`
Planning Review
-rand Use Case Number: P -201 y- OCGO 2
Pllann Match Approved Land Use:
2 Site Plan l Landscape Plan
1:
❑ Urban Forestry Plan ❑/Elevation Plan
Building Height: Maximum Height 3 f- Actual Height NJ/k
.4*=r,
Conditions Met: ❑ Prior to Permit Submittal ❑ Prior to Permit Issuance
Approved by: ArlotA ( Date: t}- 30.I L4.
Notes:
c1
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑ v
Revision 2 Approved ❑ Not Approved ❑ ' �
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal .....,,
Original Plan Submittal: Date: 143//C/ By: i
Site Plans: # --
Building Plans: # 3
Create Case Record#: 'Enter case# above for Building Permit Number.
Workflow Routing: Planning ['Engineeringermit Coordinator Building
Workflow Sign-off: J;KSign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: -ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
i2lcuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: (.�sX.0,,, / Date: y 1/
Notes:
I:\B u i I d in g\Forms\B I d gPerm itRvw_COM_W ith L an d U se_1230 13.do cx
Engineering Review— reviewed by: 6-Ai
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes: Nti a,-,G i5,5,.., cf,, .
7-
Approved by: Date: X C, I9
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
/f,onditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applica t
Revision Notice 3: Date Sent to Ap ' _
Air-
Okay to Issue Permit- /4110 Date: � f1 /
I:1Bu ild ing\Forms\BldgPermitRvw_COM_W ithL and Use_I23013.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
8935 SW BURNHAM ST, TIGARD, OR, 97223
Commercial - Building
275 Framing
PASS
BUP2014-00096
Jeff Grove
New edition
Violation Summary:
Inspector Contractor