Permit �� CITY OF TIGARD BUILDING PERMIT
N ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00089
TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2015
Parcel: 2S 102AC01100
Jurisdiction: Tigard
Site address: 12564 SW MAIN ST 100
Project: Pacific Community Design Subdivision: BURNHAM TRACT Lot: 1
Project Description: Remove existing man door and second 2-car garage door. Adding balcony between 12562&12564 SW Main St
Contractor: RT&ASSOCIATES INC Owner: MAIN STREET LLC&
22361 S CENTRAL POINT RD DUDUNAKIS, MICHAEL P
OREGON CITY, OR 97045 2839 SW SECOND AVE
PORTLAND, OR 97201
PHONE: 503-266-3303 PHONE:
FAX: 503-266-3360
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/21/2015 $256.22
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 09/21/2015 $30.75
Dwelling Units: 0 Plan Review 04/01/2015 $166.54
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/01/2015 $102.49
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 09/21/2015 $75.00
Value: $12,000 DC Provision Review,COM TI-LRP 09/21/2015 $11.00
Info Process/Archiving-Sm$0.50(up to 09/21/2015 $20.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $662.00
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. T ose rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c the rules or direct questions to OUNC by calling 503.232.1987 or 1.A 1.332.2344.
Issued By: Perm' ee Signature:
3.639.4175 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 th• •roject.
Approved plans are required on the job site at the time of each inspection.
. Building,Permit Application
Commercial t FOR OFFICE USE ONLY
City of Tigard E I /E D DateB Permit No.: j/}/5_
Received ffAMIIMINI
i 13125 SW Hall Blvd.,Tigard,0 Plan Review �.3:11M� � i
Phone: 503-718-2439 Fax: 503-598-19 0 Date/B : h Related Permit:
T I GARD Inspection Line: 503-639-4175 AP 1 2015 Date Ready/By: ]aria: ® See Page 2 for
. Internet: www.tigard-or.gov Notified/Method: ,o' 3 App Supplemental Information
CITY OF TIGA�RrD7 it 4 -
TYiii P 1SICY'` )EQ FRED 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.
Valuation: $
❑ I-and 2-family dwelling ra Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 125t(f. uJ Ida l k) ST New dwelling area: square feet
City/State/ZIP: Tsar OR 1122.3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: PAai JC+c. &Hll4u/01I y Covered porch area: square feet
Cross street/directions to job site: —12)et , 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
Q� DESCRIPTION OF WORK work indicated on this 4,plication. _
1`Cel01 Il 1Mn�l mr. 'NIA 004:LI vs con d Valuation: $ Z! COO
2-Car elet�2 1 PAtr I�.1rGOYty 1ol1weeY1 Existing building area g/�o square feet
t 25tQ2 SW lye��n} 1251p 1 IMlIt� S}• New building area: oY" square feet
❑ PROPERTY OWNER 16.TENANT Number of stones: 2.
Name: PSG 1L �mmwn► / ` s3 Type of construction:
Address: 1 (2' 1p4, SvJ m-301,3 r J S Occupancy groups:
Cit}';'State/ZIP: "-r,s.,„.2 Oi- crl 223 Existing:
Phone:(tom ) O 4., £ j1 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: c-_-- /�, .�
c � et 5 477r"' Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) Fes;;( ) Amount received:
E-mail: 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
3(e.5(:. I�t G -(o►?1 m U V ( , Cl Commercial and residential prescriptive installation of
CONTRACTOR + roof-top mounted PhotoVoltaic Solar Panel System.
Business name: % n Submit two(2)sets of roof plan with connection details
'cy0 and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: and administrative fees): $180.00
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: , Total fee due upon appication: $201.60
Authorized signature: `4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: p Date: yt// �� * Fee methodology set by Tri County Building Industry
r Service Board
I:\Building\Permits\BUP_COM_PermiP• ...doc Rev.04/21/2014 4404613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241.
(I) 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 m y be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five .,rcent(25%).
VALUATION: Total of all renovation,alteration or modification bein, done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requireme t): x .25
TO L BUDGET FOR BARRIER REMOV [2] $
ELEMENTS: In choosing w'; h accessible elements to pro '•a under this section,priority shall be given
to those elements at will provide the greate access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered ar:.: $
(d) At least one accessible restroom f.. each sex or a :e unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains.and, $
(g) When possible,additional . cessible elements such as storage and
alarms: $
TOTAL(shall equal 1' e [2] of Valuation Computation): $
}
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014
I
City of Tigard
lig ,
NI COMMUNITY DEVELOPMENT DEPARTMENT
T I G A K D Building Permit Review — Commercial - No Land Use
Building Permit #: --..----220.t,t P jt 5--Ono g 9
Site Address: (2%4 S w M Gt Z✓1 S+. Suite/Bldg#:
Project Name: PAat 60... &1'HUAJTY .7)e5/o&
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Re,01 pvfr%Cn Air, 0 ; CSI n d ad ink Se(.o r . 2 Cc t C
9ur� and 10 Conti igetvt`62.n 19vileLAY19 3
Existing Business Activity: M V - C.130 Gtr Y1'1 C.t
Proposed Business Activity: rn(/ - C g 9 CitO(Ylr►'Le4'04—tA.0
Verify site address/suite#exists and active in permit system.
'5-jiver Terrace Plan District ❑ Yes ❑ No
yr zoning M V _C C3 0
ermitted Use: Yes ❑ No ❑ Spec Space
infirm no land use required. (>i((n'meLL )/ &i P
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: (V) d n wit, et'1 c tta cm.A.. Date: 4/I 1 I .S
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: / /'
Site Plans: # 3
Building Plans: # ,
Building Permit#: [ 'Enter building permit#above.
Workflow Routing: Er-Planning hermit Coordinator 8—Building
Workflow Sign-off: ESign-off for Planning(include notes from planning review)
Route Application Documents: E Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: /
61 I:\Building1Forms\BldgPermitRvw COM_NoLandUse 03 1015.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:
poito Issue Permit
/ Date: / 6 S
Approved by Permit Coordinator:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
A
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
12564 SW MAIN ST 100, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00089
Chip Barnett
Violation Summary:
Inspector Contractor