Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00278
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/29/2015
Parcel: 2S102AC00600
Jurisdiction: Tigard
Site address: 12500 SW MAIN ST
Project: Dolan&Co Subdivision: BURNHAM TRACT Lot: 1
Project Description: Demolition of 2800 sf commercial building on sewer service(per UB,1 EDU). Previously an auto glass business.
SOC credits available for future construction upon approved final inspection.
Contractor: SCOTT DAHME CONSTRUCTION INC Owner: DOLAN&CO LLC
PO BOX 1389 BY FLORENCE T DOLAN
SHERWOOD, OR 97140 4523 NE DAVIS ST
PORTLAND,OR 97213
PHONE: 503-784-4909 PHONE:
FAX: 503-628-0858
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: DC Provision Review,COM TI-Ping 09/29/2015 $88.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 09/29/2015 $210.59
Demolition
Dwelling Units: 0 Erosion Control w/Development 09/29/2015 $80.70
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 09/29/2015 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $9,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $379.79
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. ' _ • •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those r les are set forth in OAR
95 101-0010 through OA• • 2-00 :1.0. 'lou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.810.3 23•.
;%/Is•Lied By: � Permittee Signature: 4'L,
•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.
Building Permit Applica u
Commercialjj'' EIVEI)
City of Tigard Received Date/By: 6 1 a3 /5 Permit No.: /S-Q'p 2.7g
13125 SW Hall Blvd.,Tigard,ORsf332 3 2015 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 DateBy: Related Permit:
I I c n R l) Inspection Line: 503-639-417�,tiff /! / q Date ReadyBy 9 �� f�-� Juris: 65 See Page 2 for
Internet: www.tigard-or.gov x-11 U!' 11(>'ARD Notifted/Method: /C`."�, Supplemental Information
B
ligriM1111.111111111111
❑New constructionmolition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
El 1-and 2-family dwelling JCommercialIindustrial
Valuation: $
ID Accessory building ID Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address: 12.sty , I.V. 11111,3 di New dwelling area: square feet
City/State/ZIP: •T 4 rkte,. , Or" '72 Garage/carport area: square feet
Suite/bldg./apt.4: Project name: Crtorsp,s r,t, Covered porch area square feet
Cross street/directions to job site: Vic,L•4 ci e-O Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel 4: Indicate the value(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Illark DESCRIPTION OF WORK work indicated on this application.
► Valuation: $
.
-re mot O � n .> P6 a-L n r.n,) , i
Existing building area 4
" square feet
iir-- &.,.-e P.c.,t , . . New building area: square feet
❑ PROPERTY OWNS -r--- ' ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLIC ❑ CONTACT PERSON BUILDING PERMIT FEES*
x4
Business name: 5_) Ii At a0%r Co-is�T -ilk.` Structural plan review fee(or deposit):
Contact name:
5,,,,77_ Pr FLS plan review fee(if applicable):
Address: Pr 0 &K i 3 gc,
Total fees due upon application:
City/State/ZIP: C } _rr,✓eet QC" 1 )) t4t
Amount received:
Phone:(5j ) 7f...4_ tigo 9 I Fax::(SZIS) C Z.e- (.9
E-mail: tSC a . c • .a
Commercial and residential prescriptive installation of
CONTRACTOR 8 -T- roof-top mounted Photo Voltaic Solar Panel System.
Business name: „nr 8,4.44.4e_/.LF r<S T yartc Submit two(2)sets of roof plan with connection details
p and fire department access,along with the 2010 Oregon
Address: 0 e(3 60, I. Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
�j (''{— �(v $180.00
�� and administrative fees):
Phone:(Si ) 7 d Z-q 4' f I 17 Fax:(`) ) 0J/ c e
State surcharge(12%of permit fee): $21.60
CCB Lic.: i 19
5 Total fee due upon appication: $201.60
Authorized signature: J� This permit application expires if a permit is not obtained
f �rj/ within 180 days after it has been accepted as complete.
Print name.
Lam_ / t/e'1G Date: �_ z3 c)----- ' Fee methodology set by Tri County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-46131(11/02/COM/WEB)
4
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIII
• Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1 I".\I.1) 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_PermitApp.doc Rev.12/18/2014
City of Tigard
• COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: �j o i `5-a o 3) -3 $
Site Address: 1 2c 00 S w M Ci t rl Suite/Bldg#:
Project Name: .r LkP3 o Co
(Name of commercial business occtfiying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: )Q NY' o e y, s by/ � b U j 1d.A vl)
Existing Business Activity: U-Pirn,0
Proposed Business Activity:
/Verify site address/suite# exists and active in permit system.
—$'River Terrace Neighborhood: ❑ Yes X No
7' Zoning: An U -(, 6 0
Permitted Use: ,'Yes ❑ No ❑ Spec Space 1:) rr1/1 v
/Confirm no land use required.
siness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes: Q tin l vl
Approved by Planning: /1/1( p I1iZC& gt t 0 dL • Date: 9/23/ I)
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: 94 5/'5C
Site Plans: # 3
Building Plans: #
Building Permit#: —Enter building permit#above. ��
Workflow Routing: Planning ❑ Peru ordinator [2 Building
Workflow Sign-off: .ign-off for Planning(include notes from planning review)
Route Application Documents: 0-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: Th. O ,,Qa-eo P e- -- vA- .
By Permit Technician: GiQ Date: C2.4 3/5--
1:\Buil ding\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Release : Date:
Notes:
Revisions (after Buildi : bmittal only)
Revision Notice 1: Date Sent to App i .nt:
Revision Notice . Date Sent to Applican
Revision Notic- 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPennitRvw_COM_NoLandUse 07091 5.docx