Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00292
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/10/2014
Parcel: 1 S136AD06507
Jurisdiction: Tigard
Site address: 11460 SW PACIFIC HWY
Project: Quality Inn Subdivision: WAY LEE Lot: 3
Project Description: TI for existing tenant:Demolition and construction of a breakfast room.
Contractor: VASTU CONCEPTS LLC Owner: AISLING CREATION LLC
14333 TRILLIUM CT PO BOX 1120
LAKE OSWEGO,OR 97035 BEAVERTON, OR 97075
PHONE: 503-805-3496 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 12/10/2014 $75.00
Occupancy Grp: R-1 Occupancy Load: DC Provision Review,COM TI-LRP 12/10/2014 $11.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 12/10/2014 $509.05
Demolition
Stories: 4 Height: 0 ft 12%State Surcharge-Building 12/10/2014 $61.09
Bedrooms: 0 Bathrooms: 0 Plan Review 12/10/2014 $330.88
Value: $30,000 Plan Review-Fire Life Safety 12/10/2014 $203.62
Info Process/Archiving-Lg$2.00(over 12/10/2014 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,204.64
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 Notif - 'on Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop=ect questions to OUNC by call' g 503.•32.1987 or 1.800.332.2 ,4.
Issued By: /J Per '•nature: 'L'/ ` ``
- •3.639.4175 by 7:00 a.m.for the next available inspec on•:te.
This permit card shall be kept in a conspicuous place on the job site until corn leti• of the project.
Approved plans are required on the job site at the time of each in-•- tion.
1711! Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description: l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION ,
Class of Work*: MOM. Occu.anc Grou.: .IK Type of Construction: �`
Type of Use**: .O7&. i Occupancy Load: Oregon Specialty Code: 7� A
SPECIFICS
Number of Stories: 46c1 a Building Height: Mixed Use:
Number of Dw Units: 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: S: Occupancy Separation:
E: W: E: ' W: Access.Parking Spaces:'
REQUIRED ITEMS
Fire Sprinklers: f'. Y ) �, Fire Alarms: I 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: $ ',501C FEES DUE
$ `1rj C) DC Prov Rvw,COM TI—Ping
$ f ( . ('r) DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ '.-- Ft.6.5 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ at 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ ' .r.v.:,'lan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ /0 'Ian Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ /• a iii Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ 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: $ er:
Date/Time: $ t 2O (. 4' -To AL FEES DUE
'"TYPE OF USE: COM=commercial;CMS=commercial manufactured s
**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\Forms\OTC_BUP_070114.docx
a
Building Permit Application
Commercial FOR OFFICE USE ONLY
Received
Cl of Tigard Permit No.. /,:, • ) i-
�J g ry.. Date/B .A i III_ .i .
• 13125 SW Hall Blvd.,Tigard,OR 972 t Plan Review►j
Phone: 503-718-2439 Fax: 503-598 aI EA �;1 Date/By: P 1 \ fit- Related Permit:
TI G A R I Inspection Line: 503-6394175 Date Ready t y: f / Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: la" 10 Ii h 07 " Supplemental Information
— f1F4 / it
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑pl., %`MAW) Permit fees* are based on the value of the work performed.
❑New construction emo ttton P
,VISION Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
/ work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $ ���]� Qq
❑Accessory building Multi-family Number of bedrooms: i
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I, 6.D (4 P / (C, (AT y New dwelling area: square feet
City/State/ZIP: 1 -u'`mil 6%/- zz / Garage/carport area: square feet
3
Suite/bldg./apt.#: Project name:(�/��f�/t 1 Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
5 0 00 y Other structure area: square feet
/ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: • Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK /.) indicated on this application.
1
1 /l A 1 �
1 1 Valuation: $
�
p0 Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: al (, rN/ Cl 77 0 Ay LL- i✓ . Type of construction:
Address: / ' 6 6" /f ZQ Occupancy groups:
tiZ
City/State/ZIP: t �Q Ai OIL "170-35 Existing:
Phone:/f lq /L t-0 113 Fax:( ) New:
till APPLICANT[ ❑ CONTACT PERSON BUILDING PERMIT FEES*
tear taesi
Business name: V - () L �C . ' L-L Structural plan review fee(or deposit):
Contact name: SO ,
-Cr Address: ' 7124 7124 lA ,'�-i FLS plan review fee(if applicable):
City/State/ZIP: �-^ o c —e1 /S n O r Total fees due upon application:
Phone:(7(�) g-t2 q Fax::( LL) t - Amount received:
t, , J PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 'y6£: 6 WS-kJ�j�./f '�►,Q�
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name: V4 c f u ( 7Jf G, �L Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: / 33
--- „, (�Yi r r Solar Installation Specialty Code checklist.
City/State/ZIP: os(,J �[ �j 1-3 .] Q�� Permit fee(includes plan review $180.00
/ `/ and administrative fees):
Phone:(.;73) g j S— 74 et c Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: /-I (ii-L Total fee due upon application: $201.60
Authorized signature: Cp' ` This permit application expires if a permit is not obtained
n with in 180 days after it has been accepted as complete.
Print name: !r A/1 Sif`�i Date: �f ' Q�1 201 L1 * Fee methodology set by Tri-County Building Industry
- / f' f Service Board
I:\Building\Permits\B UP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
f
■
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■
■ Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A It 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] $
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_CDM_PermitApp.doc Rev.04/21/2014
6
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
.111 .1 Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the"Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Pemvts\BUP_COM_PemritApp.doc Rev.04/21/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
` Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T I( A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire & Rescue), if applicable.
1:\Building\Permits\BUP_COM_PermitA pp.doc Rev.04/21/2014
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
T ICGARD
Building Permit #: et-rgoZO I Y--1ta 9).
Site Address: III-160 SW Pacific Hwy, Suite/Bldg#:
Project Name: Q uat► Inn
(Name of couhnercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: demol i sh pc,r+iti . wal Is an6t remove -4wo bathroom c 4.
r.• t, a A.• A ,,'_7 •• 1 . ■ a • 1 1 is •• II . • A. a '.• C .
Existing Business Activity: Corm/llp r ((X ki nl
Pro sed Business Activity: U �J
ri site address suite# and active in permit system.
Verify P Y
[4Zoning: C G
7ermitted Use: [Yes ❑ No ❑ Spec Space
Ltd' Confirm no land use required.
Notes: np c,6ny, 'In USe_ o( e ter i ar Work pro st�
� ` �
Approved by Planning: t o ` ba^ 1 Date: 1211011 U
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: /)/A0//tf
Site Plans: # A___
Building Plans: # —4i/4--
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: 11a Wing ❑ Permit Coordinator ut g
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: .)
By Permit Technician: „6.1.1.1 4.--, Date: /Q//f7/!1
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx �itJ
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:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
L\Bui lding\Forms\BldgPerm itRvw_COM_NoLandUse_071 5 14.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
11460 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00292
Jeff Grove
Violation Summary:
Inspector Contractor