Permit CITY OF TIGARD BUILDING PERMIT
''1 11 • • COMMUNITY DEVELOPMENT Permit#: BUP2015-00283
Date Issued: 10/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101A603000
Jurisdiction: TIGARD
Site address: 7150 SW DARTMOUTH ST
Project: Pediatric Associates Subdivision: 2012-009 PARTITION PLAT Lot: 2
Project Description: Installation of(3)wall signs.
Contractor: MEYER SIGN CO OF OREGON Owner: DF DEVELOPMENT LLC
15205 SW 74TH AVE 17187 SIENA DR
TIGARD. OR 97224 LAKE OSWEGO, OR 97034
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions.Alterations, 10/08/2015 5225.80
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/08/2015 $27.10
Dwelling Units: 0 Plan Review 10/08/2015 S146.77
Stories: 0 Height: 0 It Info Process/Archiving-Sm$0.50(up to 10/08/2015 $3.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $10,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $403.17
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 ex if • k is not started within 180 days of iss ce, or if work is suspended for more the 180
days ATTENTION Oregon law requires you to follow the ules adopte• by the Oregon Utility Notificat- Cent-r. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090 You may obtain a copy of rules or dire.'questions to OUNC by calling '43./92.1•47 or 1.800.332.2344.
Issued By: Permittee Signature: / (777 Lrc_t____
• • .• 9.4175 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.
IV
Building Permit Application
Commercial RECEIVED FOR OFFICE I SE ONLY
City of Tigard � n3 g O 2015 Date/Bea Al! • Permit No.. ��165Od���
13125 SW Hall Blvd.,Tigard,OR
503 �j J Plan Review 7�M��
I Phone: 503-718-2439 Fax: 503-598- p Date/B : r o. ,•'elated Permit:
Inspection Line: 503-639-417CITY OF TIGARD Date Ready: / /rte luris: ® See Page 2 for
TIGARD Internet: www.tigard or.gOBDILDING DIVISION Notified/Method:`o� ���M, Supplemental Information
I� .
❑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
work indicated on this application.
El 1-and 2-family dwelling I. Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family ` Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address: 7/5-6 •v .'LU't r. New dwelling area: square feet
City/State/ZIP: 11 G¢A.IJ 04._ 11?-23 Garage/carport area: square feet
Suite/bldg./apt.#: 1Project name: // i)/Ark( 45).p C . 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: I 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
work indicated on this application.
/A/517/1.1_ 5 k-n o <<o ET TE A_j 1 AJ I /4-C+C4-71 Valuation: $ /0, 0 06 , 00
/#4-JvL , e,tJ gig e4%I 6 s kip ivy TV sr 4 ,Jo-r Existing building area square feet
‘' -JATI(j J3 New building area: square feet
Number of stories:
Name: (0-1/4-/L //e-c,/q-(r,65 p F.�,t)t714 i Type of construction:
Address: C/106 7 n L��Lr XIS 6- /)/Z' Occupancy groups:
City/State/ZIP: LA 4 IJ1A.I(7.1 CA4 1 ZZ 53 Existing:
A
Phone:( ) Fax:( ) New:
CONTACT PERSON BUILDING PERMIT FEES*
Business name: 4,-x_ /1.1 C . D 0 ,(� i.,kJ (Pltusereertola�:hedule)
C�2
Structural plan review fee(or deposit):
Contact name: p At t QC
Address: l5'a, S. [J •7[/-tJ ,4.lf FLS plan review fee(if arplicable):� Total fees due upon application:
City/State/ZIP: f `6A/ch NZ_ 910z14
Phone:(5e3 ) 4 1p e l6 0 I Fax::(5 )) 6 a - 7674 Amount received: MOT
E-mail: P.,„.„,-, (.11.5 16j Co. Co
Commercial and residential prescriptive i tallation of
roof-top mounted PhotoVoltaic So• '. el System.
Business name: t'V ,�C� ((t� • b 11/(..F.-601J Submit two(2) •is of roof with connection details
t C y� �`! �° and fire departmen .-• s,along with the 2010 Oregon
Address: 16 `0 If mioi Solarinstallatio :.ecialry •.e checklist.q.�(� >� et A Perm' ee(includes plan re
City/State/ZIP: 'l' ? } $180.00
and administrative fees):
Phone:(55)) G 2- . 6 w..) Fax:043) 6 a- 7 i 7 4 State surcharge(12%of permit fee): $21.60
!/
CCB Lic.: �( YO l Total fee due upon application: $201.60
Authorized signature: i (71e This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /Q—A) /,u j 6 e er/L4,4 i Date: set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
r
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.
(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:\Bmlding\Pemvts\BUP_COM_PemvtApp.doc Rev 12/18/2014