Permit CITY OF TIGARD BUILDING PERMIT
1111 $ • COMMUNITY DEVELOPMENT Permit#: BUP2014-00245
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2014
Parcel: 2S 102AC00700
Jurisdiction: TIGARD
Site address: 12550 SW MAIN ST 120
Project: All Tech Subdivision: BURNHAM TRACT Lot: 1
Project Description: New opening to be cut in concrete panel. Storefront window and door to installed in opening.
Contractor: SUMMIT CONSTRUCTION Owner: DOLAN&CO LLC
PO BOX 10345 BY FLORENCE T DOLAN
PORTLAND, OR 97296 4523 NE DAVIS ST
PORTLAND, OR 97213
PHONE: 503-223-9703 PHONE:
FAX: 503-242-3841
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 10/30/2014 $301.85
ype of Const: IIIB Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 10/30/2014 $36.22
Dwelling Units: 0 Plan Review 10/22/2014 $196.20
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/22/2014 $120.74
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 10/30/2014 $75.00
Value: $15,000 DC Provision Review,COM TI-LRP 10/30/2014 $11.00
Info Process/Archiving-Lg$2.00(over 10/30/2014 $8.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 10/30/2014 $5.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $754.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 503.232.198 •r 1.80).332../:44.
Issued By: / ee Signature:
air t L • • A!:
839.4175 by 7:00 a.m.for the next available inapei•.
This permit card shall be kept in a conspicuous place on the job site unti •mpletion of the proj,ct
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
RECEIVE '
Cbmmdreial FOR OFFICE USE ONLY
City of Tigard OCT 2 2 2014 Re eived r f',I 1, Permit No.: lfir,90 1 k 'er,a --
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review .-`` >,�I�i�7-
I Phone: 503.718.2439 Fax: 503.598.1960 DateB : N MO Other Permit:
TI G A R n Inspection Line: 503.639.4175 CITY OF TIGA 1 1 Date Ready :'•: ' l )uric: 62 See Page 2 for
Internet: www.tigard-or.gov
BUILDING DNISI t�I°titled/Method:`obb/`i a Supplemental Information
(� �G. vM. {urI12‘
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(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.
El 1-and 2-family dwelling
Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12 s-s-1) Syv Wt..a., Si-. New dwelling area: square feet
City/State/ZIP: 'r--; .,.A 0 R -I- Z-2, 3 Garage/carport area: square feet
Suite/bldg./apt.no.: 0 Project name: A i I-T e.c.k a. T:$.-S k-.C..+* Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Coo aToo 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.: 0 2.S 01 VV vZ A c, equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
,,AA�, ( `- J / Valuation: $ 1 5, cc c
i\euo (TEAM,' b Lc C•-I- ?ct Gokt/e.('( n.w�I• 5TC��.,1- W0„../..✓
3 d,f .fit cl 11 ,In mpt11• Existing building area: (L. '1'S square feet
New building area: I(o, 11 S square feet
PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: 17,t,t pp 1AIA Type of construction: U I_ kJ
Address: 1°c 11 1 Jv.J I j St.. Occupancy groups:
City/State/ZIP: V0,.4-{,,...11, O . 13. 2-01 Existing: �vv,/ 3
Phone: (co3 ) 7.2•S - 119o1 Fax:( ) New: lAi t j
❑ APPLICANT VI CONTACT PERSON BUILDING PERMIT FEES*
Business name: G OA xµ (Please refertofee schedule
j Structural plan review fee(or deposit): 1
Contact name: T.,-. `u r.vC(
FLS plan review fee(if applicable):
Address: I S 1 - S1.t) z"A �1 ._ . -f- -
/'tv'4 Su, � z ao
Cit /State/ZIP: Total fees due upon application:
y �0,-F( .f, 012 1 -I 2-2.1
Phone:( Fax: : Amount received: , /�,
sill )776,-12Y:S (5n )22 (, - ((97-o
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 4-4•rra I GN.(e.rkt e. e.•.vi
Commer • I and residential prescriptive installatio of
CONTRACTOR roof-top mo -d PhotoVoltaic Solar Panel -m.
Business name: Submit two(2)sets • sof plan with c.• ection details
S%A_ont"``1 /`°t'`S61AG 6VIel and fire department access, •r Q ' the 2010 Oregon
Address: ?o ?›.9x 1 c'. Solar Installation Specialty s e - list.
City/State/ZIP: `�o„1-(�„rA 1 0r.. .(1' 2 1(e Permit fee(incl • s plan review $180.00
11 and •: inistrative fees):
Phone:($ ) LL 3- oriv 1, Fax:(Srfj ) 242- 3$¢I State sur •. ge(12%of permit fee): '. 1.60
CCB lic.: CA Z 41 Total fee due upon application: $201.61
Authorized signature: � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Print name.' ✓•1 LP1 N/ Date: (0l2 111- Service Board.
L\Building\Permits\BUP-COM PermitAYpp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
II(„vP1)
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] S I s�0(70
MULTIPLIER(25%barrier removal requirement): x .27
TOTAL BUDGET FOR BARRIER REMOVAL: ]2] S 3 f - ro
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 S e.4 0,t14
(b) An accessible entrance: S vo„0„,t.L)
(c) An accessible route to the altered area: S f- ,iX
(d) At least one accessible restroom for each sex or a single unisex b /
restroom: S 1 ..41-k / n//A
(e) Accessible telephones: S 0/A 111
(f) Accessible drinking fountains:and, S `!U/A
(g) When possible,additional accessible elements such as storage and
alarms: $ 0(A
TOTAL(shall equal line [2] of Valuation Computation): 1
1:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
•
City of Tigard
744 ■ COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
FICAitu
Building Permit #: tA_O a0 (41-009,45---OO oZ`f c
Site Address: I/- SW Wm J1yec' Suite/Bldg#nio
Project Name: A-II-Tr&
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: New mini door aid motia,tiG.
Existing Business Activity: Ia 1 r - O
Proposed Business Activity: OC.€ v 1 \'
H1
-O.-Verify site address/suite #exists and active in permit system.
-Q. Zoning: M,U -COD
.0"Permitted Use: 'Yes ❑ No ❑ Spec Space
/Confirm no land use required.
Notes: el Nb( Is hTt- on A slrea--ft.0 INn l L 'f u- d 111,wi ci,iti h4a s au nol--4ppll Ale 14114 vac req ir .
Approved by Planning: Alyili WC{ Date: ia12Z1,14
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: /0/P-9/4-
Site Plans: # N/.-
Building Plans: # 3
Building Permit#: 'Enter building permit#above.
Workflow Routing: Et Planning iermit Coordinator ErBuilding
Workflow Sign-off: 'Si -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: CDO...c)ce--0-,---a—U, Date: `D/a0//y
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
5OK to Issue Permit
Approved by Permit Coordinator: Date: /v�v l -C
1:1Bui I dinglForms\B IdgPerm itRvw_COM_NoLandUse_071514.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
12550 SW MAIN ST 120, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00245
Chip Barnett
Violation Summary:
Inspector Contractor
CITY OF TIGARD BUILDING PERMIT
1111 $ • COMMUNITY DEVELOPMENT Permit#: BUP2014-00245
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2014
Parcel: 2S 102AC00700
Jurisdiction: TIGARD
Site address: 12550 SW MAIN ST 120
Project: All Tech Subdivision: BURNHAM TRACT Lot: 1
Project Description: New opening to be cut in concrete panel. Storefront window and door to installed in opening.
Contractor: SUMMIT CONSTRUCTION Owner: DOLAN&CO LLC
PO BOX 10345 BY FLORENCE T DOLAN
PORTLAND, OR 97296 4523 NE DAVIS ST
PORTLAND, OR 97213
PHONE: 503-223-9703 PHONE:
FAX: 503-242-3841
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 10/30/2014 $301.85
ype of Const: IIIB Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 10/30/2014 $36.22
Dwelling Units: 0 Plan Review 10/22/2014 $196.20
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/22/2014 $120.74
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 10/30/2014 $75.00
Value: $15,000 DC Provision Review,COM TI-LRP 10/30/2014 $11.00
Info Process/Archiving-Lg$2.00(over 10/30/2014 $8.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 10/30/2014 $5.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $754.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 503.232.198 •r 1.80).332../:44.
Issued By: / ee Signature:
air t L • • A!:
839.4175 by 7:00 a.m.for the next available inapei•.
This permit card shall be kept in a conspicuous place on the job site unti •mpletion of the proj,ct
Approved plans are required on the job site at the time of each inspection.