Permit CITY OF TIGARD BUILDING PERMIT
vil 4 . COMMUNITY DEVELOPMENT Permit#: BUP2014-00141
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/24/2014
Parcel: 1 S 126DC04700
Jurisdiction: Tigard
Site address: 9575 SW LOCUST ST
Project: Phoenix Inn Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Interior remodel,upgrades.
Contractor: MATRIX RENOVATIONS LLC Owner: PIH TIGARD LLC
7601 E TREASURE DR STE 1905 111 CONGRESS AVE#2600
NORTH BAY VILLAGE, FL 33141 AUSTIN,TX 78701
PHONE: 305-431-6416 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 06/24/2014 $3,740.82
Demolition
Occupancy Grp: R-1 Occupancy Load: 12%State Surcharge-Building 06/24/2014 $448.90
Dwelling Units: 0 Plan Review 06/12/2014 $2,431.53
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/12/2014 $1,496.33
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/24/2014 $278.00
Value: $543,000 DC Provision Review,COM TI-LRP 06/24/2014 $41.00
Info Process/Archiving-Lg$2.00(over 06/24/2014 $62.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 06/24/2014 $651.60
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $9,150.18
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Yes 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 • ore the 180
day TENTIO : on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules = = set f rth •AR
9 -001-0010 through OAR 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 .
Issued By: je l Permittee Signatu =: , .ii,i..kr
Call 503.639.4175 by 7:00 a.m.for the next available inspecti•• +ate.
This permit card shall be kept in a conspicuous place on the job site until c• .e 1 on of the project.
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE I SF:O\1 1
City of Ti and RE( EVF[) Received (� L/
City g Date/B � � Perm uo.: 4 fi ,l I 6.D
1,1
• 13125 SW Hall Blvd.,Tigard,OR 97271-�� 2 20' Plan Rewew+s/,,r,,s] � I
a Phone: 503.718.2439 Fax: 503.591968 1 Dant R : II IERE °i
T C,A R[� Inspection Line: 503.639.4175 Date Ready'T: • Juris. ® See Page 2 for
Internet: www.tigard-or.gov CITY OF IIGARD Notified/Method: / yet Supplemental Information
CITY ':w ks ON Ic•
REQUIRED DATA:I-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: S 77
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms: -+'
JOB 51TE INFORMATION AND LOCATION Total number of floors:
Job site address: Ph U 0/1-)1 XN.L Li-G q S7� -5(''') New dwelling area: square feet
City/State/ZIP: /l ,,t1/19 D� 42,7-.2-3 / LO Lc/51 $f Garage/carport area: square feet
Suite/bldg./apt.no.: IProject name: Covered porch area: square feet )
Cross street/directions to job site: Deck area: square feet {MM�
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all h
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
7iTait, . , t?'4,ec�'c"L ( it/!rU✓ CPC i?�Jd�/ Valuation: S 5l� ( j .OU �y
i/if Z� 3i AIL/ Z-( 14 F'C Existing building area: square feet NO
J New building area: square feet
❑ PROPERTY OWNER I //++ ❑'TENANT Number of stories:
Name: 3/oil) 4 I-/ .0 4 Ss ac ,,,,,FA S l� Type of construction:
Address: l 0,,66 S4,a„A w C`O ,4 h /)dC. LS-As - Occupancy groups:
City/State/ZIP: 1- 564 7 wS Lfi, riff/Z- Existing:
Phone:(.p 4.) ,3°600- 173 fey Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PST FEES'
Business name:
Mere ra erlefersehead0
Structural plan review fee(or deposit):
Contact name: -..... :1 c: U!1 /44 5 ie a Z 7L FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:(7w ) ea._ V S�..V Fax::( ) Amount received 9 j�7,
E-mail:` �/A S P9(Y1 OVOLTAIC SOLAR PANEL SYSTEM FEES'
RACTOR
Commercial and residential prescriptive installation of
_ `1 roof-top mounted Photo Voltaic Solar Panel System.
Business name: fro R 1-,'X /1 6N 4 . i c. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 76O/ (,)/r 5 Tit`,¢.So z 6 S u. /90 S Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: ��f/I ,'3 1/4-5d 3 3/�/ and administrative fees): S180.00
Phone:(3p5') (f 3 j - 6,‘../( , Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: / 19 Di ( /1d /1.�
Total fee due upon application: S201.60
•
Cak)Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print �� G ef /� tS,,,,..3 I Date: O -..c.- 2/y * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
liAll ■
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARF)
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): $
1:\Building\Permits\BUP-COM PetmitApp.doc 03/03/2011
III City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: IL,paz i 4-av< LI,
Site Address: q'j'15 9JJ low s+ S-r Suite/Bldg#:
Project Name: No-ex) I x (MI Sup I-e s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: PINo-� 1v lhyl }-e_S - ty . 0 rii v'2rnX, _
(n.e.l J Care€-f
L 9yn4-irn ) -e1-c- .>
Verify site address/suite #exists and active in permit system.
[ Zoning: MU rG — i ��
❑ Permitted Use: i Yes Q14-No ❑ Spec Space
❑ Land Use Required: ❑ Yes Type Required
Notes: U s.e vc.erYY 14k d 1✓1 '1-0∎-0 1 no CAGU'l BF l u-d ti&C p 4vv Pry.1.
Approved by Planning: 14-0-rCgso cqrctSS Date: L0 l I - H-
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 Submittal Date: L'l i al/i f
Site Plans: #
Building Plans: # 3
Building Permit#: WKEnter building permit#above.
Workflow Routing: anning ❑ gineerireg 21 Building
Workflow Sign-off: OrS off for Planning(include notes from planning review)
Route Application Documents: di g: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
1 /By Permit Technician: CI�� ezte- 44.-4-ILA Date: tr/0-//e/
I:\B u i Id ing\Forms\BIdgPerm itRvw_COM_NoLandUse_042914.docx
II
■
Building Division
Accessibility: Barrier Removal Improvement Plan
I Il. \I:I1
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] $ 5 00 . 007
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ (35, 75-0, 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
Ft.;.�
following order:
k11 t' t1 1 (a) Parking $
A (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): $ 1 3 e, DO(9.DO
1:\Building\Permits\BUP-COM PermitApp_doe 03/03/2011
t Y
Total Paint and Vinyl Barrier Removal Subtotals
Barrier Removal Construction Wallcovering Improvement
Elements: Budget Budget Budget
$650,000.00
-$107,000.00 $543,000.00
Required 25%of $135,750.00
$543,000.00
New Automatic -$10,000.00 $125,750.00
Entry doors
Front Desk -$3,000.00 $122,750.00
Modification—
accessible counter
Public Restrooms -$28,000.00 $94,750.00
upgrade
Accessible -$10,000.00 $84,750.00
Signage
throughout
Fitness Room -$37,000.00 $47,750.00
Expansion to
allow access
Accessible -$30,000.00 $17,750.00
Guestrooms ($5,000.00 per rm
Upgrade —total six rooms)
Conversion of(1) -$20,000.00 -2,250.00
suite to Accessible
Suite
Total ADA Budget $138,000.00
In addition to the Barrier Removal Improvement Elements listed in the Table the hotel is to receive new
digital thermostats in all Guestrooms.
Phoenix Inn Tigard. OR - Hotel Renovation Attachment A to the Building Permit
Application - page 2