Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2015-00059
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/11/2015
t
Parcel: 2S103DD00600
Jurisdiction: Tigard
Site address: 13770 SW PACIFIC HWY
Project: Tigard Grange Subdivision: MELROSE Lot: 7-8
Project Description: TI for existing tenant: Widening existing 32"doors to 36"doors and altering existing bathroom partition walls for
ADA accessibility.
Contractor: LHOTKA CONSTRUCTION LLC Owner: TIGARD GRANGE NO. 148
11945 SW KATHERINE ST PO BOX 230252
TIGARD, OR 97223 TIGARD, OR 97281
PHONE: 503-807-7619 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 03/11/2015 $119.33
Demolition
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Building 03/11/2015 $14.32
Dwelling Units: 0 Plan Review 03/11/2015 $77.56
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 03/11/2015 $47.73
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 03/11/2015 $0.50
Value: $3,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $259 44
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 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 503.232.1987 or 1.800.332.2344.
Issued By: rmittee Signature: n /, / /
03.639.4175 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.
Building Permit Application
Commercial 1�� FOR OFFICE USE ONLY
lv Received
City of Tigard c �l s- ,fir Permit No.. (S. • `1'
Eri
13125 SW Hall Blvd.,Tigar: 503- 98-19 Plan Revie
Phone: 503-718-2439 Fax: 503- 98-1960 it15
Date/B :,e►it �M Related Permit:
TI GARD Inspection Line: 503-639-4175 R{� 1 Date Re.R7ii _ mri�s:> la See Page 2 for
Internet: www tigard oi.gov N11°"' �9) Notified/Method: /fir I(5 �� WC. Supplemental Information
TYPE OF y��( '`(�i8) REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction Et�i)rtion Permit fees* are based on the value of the work performed.
• Indicate the value(romded 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 m
I-and 2-family dwelling ❑Commercial/industrial
Valuation: $
13 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: / iJ 77#7 6 j -Q" �)� New dwelling area: square feet
City/State/ZIP: 7 �/4'+`,'_' ' l y� J Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Covered porch area square feet
Cross street/directions to job site: Tyco (q _ 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#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Di SCRIPTION OF WORK work indicated on this application.
Z,P.._,< / 4—A. )cD iqyy i , f/k Valuation: $
o y / _r 4 E `0 � hL4 /1 Existing building area
square feet
�' f y
New building area: square feet
❑ P'OPERTY OWNE' ❑ TENANT Number of stories:
Name: Type of construction: v8
Address: Occupancy groups: A_3
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: )'6/' ( � (Please refit win deposit):
e)
� Structural plan review fee(or deposit):
Contact name: Ad liy - / : •
,�j��� FLS plan review fee(if applicable):
Address: �tv��i%��yf/ ° "Alto- I�N11
City/State/ZIP: .-r • OP�j U Total fees due upon application:
Phone:( y 6, 7.__t7Z/I Fax::( ) Amount received:
E-mail:WT.�A ' `�� Air` ez `, C401., PHOTO VOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: cfr eat{� E �/ Submit two(2)sets of roof plan with connection details
�Q f and fire department access,along with the 2010 Oregon
Address: ` � /`-- 7 ,_ �f Solar Installation Specialty Code checklist.
City/State/ZIP: �� ( 1ez 7 -7 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( '43 8so-- 97 Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB Lic.: 2(:)'z 3/ Total fee due upon appication: $201.60
Authorized signature: i� This permit application expires if a permit is not obtained
/�/(� 1 within 180 days after it has been accepted as complete.
Print name: / ' YH�� s 44 e, ate: ��Mb * Fee methodology set by Tri-County Building Industry
1 / / / Service Board.
L\Building\Permits\BUP_COM_PemiitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
1
I \.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1 [G A l&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 COM_PemvtApp.doc Rev.12/18/2014
lig City of Tigard
•
■
COMMUNITY DEVELOPMENT DEPARTMENT
T[G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: eUi907 DI.S—cr,
Site Address: /3")7c) Sc.) At.:74-c_ Hwy. Suite/Bldg#:
Project Name: T eird (rte�'e
(Nanof commercial buiitless occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T - J1 Or -E flCtrit ;M pro v�n'tie_A'1tS t0 U la r- t c& .
(3rA4+1 rOo r
Existing Business Activity: 1- gC 1 rzd 6 rei n 9 e
Proposed Business Activity: i 9,4 r t a rri ny L / 0 O 61-7 N 1?(i 'C.
kVerify site address/suite #exists and active in permit system.
—B—River Terrace Plan District ❑ Yes ❑ No
X Zoning: C—C�
gr Permitted Use: 'Yes ❑ No ❑ Spec Space
-Confirm no land use required.
Business License:
Exists: Z Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Il10 Yti -Ct_ 6110 ktu AA- Date: ?/ 11115
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: 3 /i I/5—
Site Plans: # _i4'
Building Plans: # _
Building Permit#: [ Enter building permit#above.
Workflow Routing: [..1h1 nning ❑ Permit Coordinator Q.-Mr-ding
Workflow Sign-off: [I3fvoff for Planning(include notes from planning review)
Route Application Documents: []'Suilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: Orr-
By Permit Technician: ,, ___ Date: 3//i//S
l:\Building\Forms\BldgPermitRvw COM_NoLandUse 030415.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
❑ Approved,NOT Released: Date:
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:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse 0204I5.docx