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Permit ry CITY OF TIGARD BUILDING PERMIT '` ! I I . COMMUNITY DEVELOPMENT Permit#: BUP2015-00301 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2015 Parcel: 2S102AC00500 Jurisdiction: Tigard Site address: 12492 SW MAIN ST Project: Baileys on Main Subdivision: BURNHAM TRACT Lot: 1 Project Description: Build(2)half walls and install(1)interior door. Contractor: TENANT Owner: WOODARD LIVING TRUST GINA SCHLATTER PO BOX 23303 10945 SW 63RD AVE TIGARD, OR 97281 PORTLAND, OR PHONE: 503-643-8275 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 10/26/2015 $56.66 Demolition Occupancy Grp: B Occupancy Load: 15 12%State Surcharge-Building 10/26/2015 $6.80 Dwelling Units: 0 Plan Review 10/26/2015 $36.83 Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 10/26/2015 $22.66 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 10/26/2015 $0.50 Value: $600 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $123.45 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 ap.' able law. All work will be do - - : - • e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is • nded for more the 180 • •s. ATTENTION: Ore..• law re• - you to follow the rules adopted by the Oregon Utility Notification Center. Thos- are set forth in OAR 952-001-0010 through OAR 95 •01 :190 •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 :r'I •4. _ �,, Issued By: , / `L� _'� �'� Permittee Signature: C //� • 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 Application Commercial RECEIVEP FOR OFFI( F L SL O\I A 14 Received / City of Tigard Received : l0 Permit No.: 4„pc90/StQn,3 • 13125 SW Hall Blvd.,Tigard,OR 9 2 3 Plan Review Phone: 503.718.2439 Fax: 503.5 9js02 6 ?0 15 Date/B : Other Permit: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: Ed See Page 2 for Internet: www.tigard-or.govd1TV of liGAR t Notified/Method: Supplemental Information TAfiF(())YN JJVISION REQUIRED 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 R Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling gcCommercial/industrial Valuation: $ ❑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: I 2_46'2_, 5 W ✓vlt154-M S` New dwelling area: square feet City/State/ZIP: G i,n__,o r O� f'. ‘"7 Garage/carport area: square feet Suite/bldg./apt.no.: �T�Prroject name: Covered porch area: square feet Cross street/directions to job site:—Ia., no Deck area: square feet W� b9 1��J\ Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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 �510 .�}e�� (ICJ equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this applicati n. .00 Valuation: $ �u t c) v �'� �F.. Vim) 1.\ �C)'P met 'Qp,� 0 v '(C \-k- �Zy kt■(n.li x--z' I\N) U N� Existing building area: square feet w Pc Li -74:)ii x l' . k"tL� New building area: square feet ❑ PROPERTY OWNER ,TENANT Number of stories: Name: tC-1 ifN4. '5,ckt_j A (? Type of construction: Address: \`Z--mil S WN RT Occupancy groups: City/State/ZIP::�> -_-_-., , 0 Existing: Phone:(S33 c ,L) -3-27G Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:—7 F l Structural plan review fee(or deposit): Contact name:C-7 7Cn ��' �} ( � ' c�3 / v FLS plan review fee(if applicable): Address:j --�(�s - City/State/ZIP: -o ei L( Total fees due upon application: C 3 -��-7 Amount received: / �'�� Phone: Fax: ) E-mail: C-1-1 ,n�Q C cS C e.0 c e-_,_,(\:(:, • Co PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. . Business name:�G,Lc' Submit o(2)sets of roof plan with connecti.. •- ails and fire .:.artment access,along with 110 Oregon Address: SolarInsta : ion SpecialtyCs,- ecklist. City/State/ZIP: Permit (includ .an review $180.00 an. •. mistrative fees): Phone:( ) Fax:( ) State sur .rge(12' •f permit fee): $21.60 CCB lic.: 4 , Total fee due upon ap i • ation: $201.60 Authorized signature: 01211, This permit application expires if a rmit is not obtained \ I 1 within 180 days after it has been ac •.ted as complete. Print name: C--) i,n ��G 1n`0.Tl �_i(-• Date: \�l'��f�`J * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • el Building Division Accessibility: Barrier Removal Improvement Plan TIGARD 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 per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, bl7 excluding painting and wallpapering. [ii $ (CO, 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): $ .0)./ I:\Building\Permits\BUP-COM PecmitApp.doc 03/03/2011 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Commercial - No Land Use ,, Building Permit #: Site Address: ia2/9 SGv An Suite/Bldg#: _ Project Name: /Ze‘ 'c r,,? biz)/ C2,4 - (Name of comm• c 1 business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: °' Existing Business Activity: Ge ' Oe- ° - f- l-47727/ f47/ j Proposed Business Activity: .�az A j •r'∎' , ' ` [ erify site address/suite# exists and active in permit syst . /l'.ver Terrace Neighborhood: ❑ Yes 1a No 11 ,Zoning: /r/u — ermitted Use: I► Yes ❑ No ❑ Spec Space [V Confirm no land use required. CI Business License: Exists: ❑ Yes [No,applicant notified to obtain business license Notes: n ji / Approved by Planning: .,===.... ... 71 Date: _ /(,%I (�,�/5_ Revisions (after Building Submittal only) Reviewer / Date Revision Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: I:\Building\Forms\BIdgPermitRvw_CO M_N o Land Use_070915.doc x 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: ❑ 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: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.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 12492 SW MAIN ST, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2015-00301 Jeff Grove Violation Summary: Inspector Contractor 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 12492 SW MAIN ST, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00301 Jeff Grove You are ﬁnaled out and your Certiﬁcate of Occupancy is on your front door Thanks, Jeff Violation Summary: Inspector Contractor