Permit y a CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2014 00149
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2014
Parcel: 1S 135AA02000
Jurisdiction: Tigard
Site address: 10360 SW 87TH AVE
Project: Hall Blvd Learning Tree Subdivision: METZGER ACRE TRACTS Lot: 1 &PT\
Project Description: Filling in interior swimming pool and pouring concrete floor over pool.
Contractor: RUPP FAMILY BUILDERS INCORPORATED Owner: B MOORE PRODUCTIONS LLC
29030 SW TOWN CENTER LOOP E 3322 NE BEAKEY ST
SUITE 202 BOX 429 PORTLAND, OR 97212
WILSONVILLE, OR 97070
PHONE: 971-264-9392 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/08/2014 $195.38
Demolition
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Building 07/08/2014 $23.45
Dwelling Units: 0 Plan Review 06/26/2014 $127.00
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/08/2014 $75.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-LRP 07/08/2014 $11.00
Value: $8,000 Info Process/Archiving-Sm$0.50(up to 07/08/2014 $1.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $433.33
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 Cent=r. Those rules are set forth in OAR
952-001-00 • •ug :•- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1••7 or .:00.332.23••.
Issu=d By: AL c Permittee Signature:
1' / sr
Call 503.639.4175 by 7:00 a.m.for the next available inspectio ff..
This permit card shall be kept in a conspicuous place on the job site until co •lotion of the project.
Approved plans are required on the job site at the time of each inspection.
k
Building Permit Application
Commercial FOROFII( II USE
City of Tigard Received
Date/B ' S Permit No.r ,0..�.t 4,•C Ai
MI
13125 SW Hall Blvd.,Tigard,OR 'jj: cire\, Plan Rc e Phone: 503.718.2439 Fax: 503. t � �t Date/B : tide Other Permit:
TIGARD Inspection Line: 503.639.4175 ,\\\N % Date Rea. r� ® See Page 2 for
Internet: www.tigard-or.gov ON' ,�. � Notified/Method: / I AmAi Supplemental Information
'1 .t' C-..ri,, ,
TYPE OF W1 ", REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction [)Q �ion Permit fees*are based on the value of the work perfo •••d.
Indicate the value •unded to the nearest dollar) • . 1
tg,6ddition/alteration/replacement ❑ Other: equipment,materials, 'bor,overhead,and th- . ofit for the
CATEGORY OF CONSTRUCTION work indicated on this ap. ication.
Valuation: $ %i al ub❑ 1-and 2-family dwelling ,Commercial/industrial -( r��
❑Accessory building ❑Multi-family
Number of bedrooms:
❑ Master builder ❑Other: Number of bathroo ..
JOB SITE INFORMATION AND LOCATION Total number.'floors:
Job site address: lb 36o St,,, 8a.7 e, New dw• mg area: squar. feet
City/State/ZIP: ," a CAZ-- 22-, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 14-IY'f' 1,( (Let.--��S Covered porch area: square feet
Cross street/directions to job site: Lima-( rd �"`t">W"'',' T' _ Deck area: square feet
V J 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(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK ee work indicated on this application.
rt 11 )ri st.�y..�/..■� Cx. I eA,, .4,1 (.'(�� Valuation: S g� �� Cie;)
Existing building area: [ ) square feet
CUB-1t.._,.-- ____IYE_
New building area: Zr square feet
PROPERTY OWNER ❑ TENANT Number of stories: 7
Name: Gpe..,t..ti Type of construction: / (A)042c�
Address: `��"��.M`�� Occupancy groups: f �/ /
City/State/ZIP: Existing: +`'
Phone:(Se./ )99.9- V c , I Fax:( ) New: -
ZAPPLICANT (CONTACT PERSON BUILDIkPERMIT FEES*
Business name: r---1 (Please refer to fee schedule)
. i ` 1� ' • — Structural plan review fee(or deposit):
Contact name:
�� FLS plan review fee(if applicable):
Address: 29030 Ss„, 0_ if a 7�i 2
dry - p` 4 ci Total fees due upon application: lb 1 2=7,co
City/State/ZIP: (Oi(S�v;ll� 1512—_ CPC.-....9-0 -i q �T Amount received:
Phone:(1?-1) (3 9 2 Fax::( )
-F
pp PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: (�4 ',e[_ r ?'S`.6.c rvt,
Commercial and residential prescriptive installation of
C NTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
F Permit fee(includes plan review
City/State/ZIP: _ and administrative fees): $180.00
Phone:
( ) Fax: ) State surcharge(12%of permit fee): $21.60
CCB tic.: 7.....0 ��- '�/ j//( f 4 Total fee due upon application: $201.60
Authorized signature: if This permit application expires if a permit is not obtained
Print name: • K Date:
; /j. * Fee methodology set by Tr-County Building Industry a Service Board.
LI:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46113T(11/02/COM/WEB)
• 4
li n 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): $
1:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
J
City of Tigard
11114 ■
� COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: -70 tk P a-bi4-00 /`t 9
Site Address: I 0 3(o 0 sy) -4-v r}ut_ Suite/Bldg#:
Project Name: Leo-en in r e
(Name of commercial bh 'Tr
occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Re► 'oYe. i r1 cl 00 e- Poo t (AAA repEQct. w, ✓LC ►-uu, .
❑ Verify site address/suite #exists and active in permit system.
Zoning: !v l lam-R -d
Permitted Use: rx Yes ❑ No ❑ Spec Space
y3 Land Use Required: ❑ Yes Pf No Type Required
Notes: kf o CA a_.$5 Yv a r■-% a-cl a r-E-i tM t rt D d I Tl d.A c( /DO C c;..5 .
Approved by Planning: Ct k4- Ql • (1 Gu=-4.4-- Date: -0 62 -,:,)6e/— i`f
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: (//9•41/4/
Site Plans: # _--
Building Plans: # 3
Building Permit#: rater building permit#above.
Workflow Routing: ilanning ❑� ng—. ❑ 24uildi,g
Workflow Sign-off: Er-Sy-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / I ./..6.......c........._ Date: 67;16//,
I:\Buil ding\Forms\BldgPermitRvw_COM_NoLandUse_0429I4.docx