Permit CITY OF TIGARD BUILDING PERMIT
" .• Permit#: BUP2015-00204
COMMUNITY DEVELOPMENT
T[C '\i, RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2015
Parcel: 2S102AA04100
Jurisdiction: Tigard
Site address: 12230 SW MAIN ST 100
Project: Paddle Palace Subdivision: TIGARD HIGHWAY TRACTS Lot: 2
Project Description: TI for new tenant:New partition walls.
Contractor: EMMETT PHAIR CONSTRUCTION Owner: 3DM HOLDINGS INC
16650 FIR LANE 12230 SW MAIN ST STE C
LAKE OSWEGO, OR 97034 TIGARD,OR 97223
PHONE: 503-572-8606 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/09/2015 $729.45
Demolition
Occupancy Grp: B Occupancy Load: 50 12%State Surcharge-Building 07/09/2015 $87.53
Dwelling Units: 0 Plan Review 07/09/2015 $474.14
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 07/09/2015 $291.78
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 07/09/2015 $14.00
Value: $50,000 11x17)
Info Process/Archiving-Sm$0.50(up to 07/09/2015 $10.00
11x17)
Floor Areas: DC Provision Review,COM TI-Ping 07/09/2015 $88.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,694.90
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 • .dopted 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 •y of the rules o •'. ct questions to OUNC by calling 03.232.1987 or 1.800.332.2344.
Issued By: / mi '•nature: I I I
'4, f17 T•175 by 7:00 a.m.for the next available inspection.ate.
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 FOR OFFICE USE ONLY
City of Tigard R EC E w : Q Permit No.:
IN - '1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Retie '
Phone: 503.718.2439 Fax: 503.598.1960 p 20 Date/B : �i P .l �� Other Permit:
TI G A R D Inspection Line: 503.639.4175 JUL 9 ate ReadyB El See Page 2 for
Internet: www.tigard-or.gov . fied/Method: j 4f , y'� ►j Supplemental Information
ire OF TIG'
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
t }-Addition/alteration/replacement [.Other. e" itArr M equipment,materials,labor,overhead,and the profit for the
F work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ACommercial industrial --.—_
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB t AND LMIIMIIIII
Total number of floors:
Job site address: 1 zz so Sta Mil?!V i- r New dwelling area: square feet
City/State/ZIP: -T^'(o „Q t M -% Ci 122,3 Garage/carport area: square feet
Suite/bldg./apt.no.: ifut Project name: Oitpviug Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Chin vnAce.tom.. Ait*I fJ Other structure area: square feet
REQUIRED DATA:('O'SI IER IAL-USE CHECKLIST
Subdivision: l Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
work indicated on this application._
T — (ANSI DBE 1012,1e./6 1`1V`r. Or:AA)??Ce-11T10 —) W A-11})
Valuation: $ 5OLOb O
Existing building areata/ a square feet
New building area: / square feet
jk t PROPERTY OWNER Number of stories: 1
Name: !+to'"er or 0 I 1....0 ��=i Type of construction: \ /�sig..,� t
Address: Po �bY 606 —II Occupancy groups: V
City/State/ZIP: "1 b / JL ! 0.4, <9'1 OD Existing: , S
r
Phone:( b3) 'j 7.7 ...2 7_,Ce Ce, I az: ( ) New: S
0.APPLICANT El CONTACT PERSON i. BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule
ENlt1��T'[�QItA1��'l�?�UC�I 1)� Structural plan review fee(or deposit):
Contact name: ,./ It l�ie
Address: r FLS plan review fee(if applicable):
(9 305 S QO cvo i� cT Svly
Total fees due upon application:
City/State/ZIP: LA- (.. i,„ eelp �_ q-i c:,;C
Phone:(raj)S,��. 2 b62 g I Fax::( ) Amount received:
F-mail: 7 PII
e��l'VP�"'t"Q L'SYY� °' Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: �� \kikt 0,___LO S-1�U, r b c..._ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4 J(3 3 51,.-) 3533 .)orj S'r SU I?�E E Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: �� os � �r Gi r1 Q 3� and administrative fees): $180.00
Phone:( )5 3 j Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 5-7.4 2? I /!� 1 „ Total fee due upon application: $201.60
Authorized signature: // `Y — This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �y , l p 1 r� Date: 7 61/S * Fee methodology set by Tri-County Building Industry
1Y 7 i �►��V Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
City of Tigard
71 ■
COMMUNITY DEVELOPMENT DEPARTMENT
l. �,A l� Building Permit Review — Commercial - No Land Use
B ' 0 ' 1 _ 'ermit #: 6.44,7n/5---r {fit/
Site Address: /1230 14,',/‘ Suite/Bldg#:
Pro -c I ame: Id'I€ l . ha. ---
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 44 i w' Tr ^ Q Ce C>e
Existing Business Activity: &/) Sc 41
Proposed Business Activity: 0641c e
❑ V rify site address/suite#exists and active in permit Rem.
H River Terrace Neighborhood: ❑ Yes No
�/�omng: ,4 GL-C60
L�'P tted Use: )R ❑ No ❑ Spec Space
D Confirm no land use required.
❑ Business License:
Exists: ❑ Yes No,applicant notified to obtain business license
Notes: Ay/(k) J I've,t- Yio 0913-70)) iyeAswl- PO 7eViet1/
Approved by Planning: Date: /--/--/J
Revisions (after Building Sub tttal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: - /
Site Plans: # 4 ,j
Building Plans: # •
Building Permit#: ! nter building permit#above. ,�
Workflow Routing. ning ❑ Permit Coordinator Cf Building
Workflow Sign-off: C'S' -off for Planning(include notes from planning review)
Route Application Documents: Building original permit application,site plans,building plans,engineer and
-7Y beam calculations and trust details,if applicable,etc.
Notes: O v
��I
By Permit Technician: Date: 7/0)---
draw.—
l:\Building\Forms\BldgPermitRvw_COM_NoLandUse_0701 15.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:
I:\Building\Fortes\BldgPermitRvw_COM_NoLand Use_0701 I 5.docx
' Building Division
ricARI)
Over-The-Counter (OTC) Building Permit
Check List
—1 Project Description:
GENERAL INFORMATION
Class of Work*: g Occupancy Group: I_ Type of Construction: ��
Type of Use**: Occupancy Load: 5) Oregon Specialty Code: '2D:}
SPECIFICS
Number of Stories: ) 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: 4 eS Fire Alarms: 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: $ �D`OC FEES DUE
$ to' ,. DC Prov Rvw,COM TI—Ping
$ -- I ,[ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI (effective 7/1/2014) " T2' .4v5. Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP Yar 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ ∎ma Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 7_2` . t Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 .) Info Proc/Arch,Lg(over 11x17$2.00)
v/.1
$150,000 and over $299.00 $44.00 o, . 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: $ Other:
Date/Time: ■.ii44 r . AL FEES DUE
z .-o
*TYPE OF USE: COM=cumin/Mal;CMS=commercial `'t ' ~ ¢a -; ;. rr . • .
**CLASS OF WORK ACS=accessezr AD ADA)=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
O ies).
I:\Building\Forms\OTC_BUP_070114.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
12230 SW MAIN ST 100, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00204
Chip Barnett
Violation Summary:
Inspector Contractor