Permit CITY OF TIGARD BUILDING PERMIT
s. COMMUNITY DEVELOPMENT Permit#: BUP2014-00308
T I G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2015
Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY X
Project: Donut Day Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: TI for new tenant.
Contractor: LON OLAF ATEN Owner: PACIFIC CROSSROADS PROPERTIES IN
20540 SW BLANTON BY WYSE INVESTMENT SERVICES CO
ALOHA, OR 97007 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 503-312-9227 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 01/21/2015 $453.95
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 01/21/2015 $54.47
Dwelling Units: 0 Plan Review 12/31/2014 $295.07
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 12/31/2014 $181.58
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 01/21/2015 $75.00
Value: $25,000 DC Provision Review,COM TI-LRP 01/21/2015 $11.00
Info Process/Archiving-Lg$2.00(over 01/21/2015 $2.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 01/21/2015 $0.50
11x17)
Total Area: 1750
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,073.57
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. ' • • egon law equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 -001-0010 through OA' ' '01-r:r9.. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / , (, Permittee Signature: 7?•
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.
n
- s
Building Permit i\pplication
Commercial FOR OFFICE USE ONLY
City of Tigard rC� 1 Date/B / -
" / 4)1/ 1 i.�j Permit No.. f. I . • I
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Renew
1 Phone: 503-718-2439 Fax: 503-598-1960 Date/B : 41ti I'' --- Related Permit:
TIGARD Inspection Line: 503-639-4175 OEC 3 1 2014 Date Ready/ �L�s. 65 See Page 2 for
Internet: www.tigard-or.gov U a M As M Notified/Method: i `r1I,-` LJ+-l. Supplemental Information
tti/d X01 C/11r\A� /
TYPE OF WORK
/��]j� MAMMON REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑DehiBliNbSS 111�w Permit fees* are based on the value of the work performed.
• Indicate the value(routded to the nearest dollar)of all
„,...---glAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling p Commercial/industrial ,0C>6 - /■-t3
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: l 1 1 b S 54,0 pA 0. T.r L 44.1_d Y New dwelling area: square feet
City/State/ZIP: Z 2 3 n Garage/carport area: square feet
Suite/bldg./apt.#: , ' Project name: am,A,}. 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel 4: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
!hi twOlfeW1 _ /i - re InAod e.I - Valuation: $
�.w r Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: ro i11:d C he 1..`u 19 Type of construction:
Address: 1(q q cc S< l e t S e r r6,C'e Occupancy groups:
City/State/ZIP: 0 e1fx V,e jtil ei ^j Do 1 Existing:
Phone:( b ) SU -7 (2)Li b Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 'Do AI LA I- (Pkaserefer to fee schedule.
0 14- Structural plan review fee(or deposit):
Contact name: p 1j d (_1 t? VI 6 JO
FLS plan review fee(if applicable):
Address: ( (ci et S 5L.,,j t e 1 5 -re trc{t,e
City/State/ZIP: 0 t°ex�Pr46ti 6Q_ ' 1 001 Total fees due upon application: 7�� ��
Phone:(4-c6) 3(2— i 0741 Fax: :( ) Amount received:
E-mail: 42kA n c F ft-„kt ,,j 1 C 1 o iy,, k C ^ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR "' 1 Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: Lc)v) n �,e v) Co '‘ yu.C. 6b V) S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: .2.„.0 5 V(0 rjw 61Q An. 4r 1/1 L.1 Solar Installation Specialty Code checklist.
City/State/ZIP: y� /7 Permit fee(includes plan review $180.00
r't LO U i !��-c1 ?t�C1 7 and administrative fees):
Phone:([663) 3( 1_ q 1 2 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 7 t/U b7,.._ ?,/t ./i 5-- Total fee due upon application: $201.60
Authorized signature C4 ' V This permit application expires if a permit is not obtained
/lf within 180 days after it has been accepted as complete.
Print name: Fokkaj G * Fee methodology set by Tri-County Building Industry
�� b Date: Z •3 j_ / Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)
4
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
s
• 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_COI11_PermitApp.doc Rev.12/18/2014
City of Tigard
■
COMMUNITY DEVFT.OPMENT DEPARTMENT
TI G n K n Building Permit Review — Commercial - No Land Use
Building Permit #: 8410,70//-0411E/
Site Address: //7 .S L A,. Suite/Bldg#: Y
Project Name: Q� A t.
Project �v
(Name of commercial business ostupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 4i 77 &jo&ts A / wit/t\ elo
gyvf- J h' 1 .
Existing Business Activity: af/ .4,./ -(WSJ r ,e
Proposed Business Activity: i2eJc/4carv, ¢' - Ai r I t 4
El Verify site address/suite #exists and active in permit system.
❑ Zoning: C`v/
❑ Permitted Use: 'Yes ❑ No ❑ Spec Space
,Confirm no land use required.
Notes: S 044e G.pe frou,e Ir✓ p4 4, 0166.,- M41/3 () JO-7- (7()2(25
Approved by Planning: Date: /2-�/-/j_____ 4 .---------------
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: N/Y
Site Plans: #
Building Plans: # 3
Building Permit#: G7-titer building permit#above.
Workflow Routing. Eri nning ❑ Permit Coordinator ding
Workflow Sign-off: ' i -off for Planning(include notes from planning review)
Route Application Documents: C`T Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: —.rind/ _0■1• Date: I/,3//1,
I:\Building\Forms\BldgPermitRvw OOM NoLandUse_071514.docx
J
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:
I:\Building\Fonns\BldgPermitRvw_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
11705 SW PACIFIC HWY X, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00308
Chip Barnett
Violation Summary:
Inspector Contractor