Permit CITY OF TIGARD BUILDING PERMIT
1111 111
x COMMUNITY DEVELOPMENT Permit#: BUP2015-00323
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/10/2015
Parcel: 2S110AA00300
Jurisdiction: Tigard
Site address: 14145 SW 105TH AVE
Project: Pacific Health&Rehab Subdivision: KING CITY TERRACE CONDO Lot: 3-6
Project Description: Voluntary partial seismic upgrade
Contractor: SAUNDERS CONSTRUCTION INC Owner: CHP TIGARD LLC
1760 MONROVIA AVE UNIT Al BY CORNERSTONE HEALTH CARE
COSTA MESA, CA 92627 REAL ESTATE FUND INC
1920 MAIN ST#400
IRVINE,CA 92614
PHONE: 971-227-1272 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/10/2015 $767.10
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 12/10/2015 $92.05
Dwelling Units: 0 Plan Review 11/16/2015 $498.62
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 12/10/2015 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $54,451 Info Process/Archiving-Sm$0.50(up to 12/10/2015 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,364.27
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. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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 tfe project.
Approved plans are required on the job site at the time of each inspection.
a
1.
Building Permit Application
Commercial RECEIVEP FOR OFFICE USE ONI 1
City of Tigard Received i
Date/By: /5 Permit No.:6,,pa0,s 003.23 _
II . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev
Phone: 503-718-2439 Fax: 503,4 (19 ' 2015 Date/By: 1 t tt:t ( Related Permit:
1'WAR!)
Inspection Line: 503-639-4175 Date Read : : / Juris: ® See Page 2 for
Internet: www.tigard-or.gov
CITY
I1 ARD Notified/Method: �//� /� .,,� Supplemental Information
l l 1 OF ='u (((AA C y /
TYPE OF 17RK' 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
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1-and 2-family dwelling ommercial/industrial Valuation: $
ElAccessory building El Multi-family Number of bedrooms:
❑ Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /y/5/5 / /O5''.- &L New dwelling area: square feet
City/State/ZIP: %,erg oe Gf 7 Z Z4/ Garage/carport area: square feet
Suite/bldg./apt.#: / Project name: pa LI��C 1/14/41 .4- lee AKZ Covered porch area: square feet
Cross street/directions`` to job site: Deck area: square feet
fa fit ).ut4 y -Y Me,C f✓164(/. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the oo ork performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
/DESCRIPTION OF WORK / work indicated on this application.
0,0
Vel (Am . y pmt- d5e,IL. cy yaValuation: $ Sy5i5/ v
Existing building area: square/feet 1�
New building area: square feet
❑^PROPERTY OWNER 0 TENANT Number of stories:
Name: DA i.0 AV v& n/' oe._)e.ine,"1-- C0 v':1, Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:(r&) 14 -1 8 Q 8 f Fax' New:
0 APPLICANT NI CONTACT PERSON BUILDING PERMIT FEES*
Business name: H fC (-f-✓�-�L �( ( C�L (Please refer rofee schedule) _
Structural plan review fee(or deposit):
Contact name:
Address: FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:
Amount received: fli,g G"—
Phone:(5b 3) 70lb_ (c 6 a/_ Fax: :( )
E-mail: `� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR _ roof-top m. ted Photo Voltaic Solar Panel Systeu
Submit two(2 ets of roof plan with cons- on details
Business name:
Se..LtA44,„r5 6.2/15 �{c" '(avl and fire departm-'t access,along .. the 2010 Oregon
Address: 76 Q r r.OV i ik /111c. 4.1 Solar Installation 'cial :.a checklist.
City/State/ZIP: Cos )fess GR- G7 Z-7 Permit fee(inch plan review $180.00
/ a • :.min rative fees):
Phone:(GI yg) („qt, 0o34 Fax:(gl f9) 6.3 -Z!/f States arge(12%of pe 'sit fee): $21.60
CCB Lic.: ((/pp y�
�� �(� 7 7 7 Total fee due upon applicaillii $201.60
Authorized signature . , This permit application expires if a permi ' not obtained
within 180 days after it has been accepted as .mplete.
Print name: 44/11G-0,/ lC� Date: //—/e_7c * Fee methodology set by Tri-County Building Industry
T Service Board.
1:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 4404613T(I I/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 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: $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: 12]
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: S
•
(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): 4
I:A Building\Pennits\BUP_COM_Permiv\pp.doc Rev. 12/18/2014
l
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. 0 map&tax lot# ❑ project name 0 site address 0 suite number
0 zoning 0 applicant name 0 phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the"Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/21114
t
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
is ` Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
14145 SW 105TH AVE, TIGARD, OR, 97224
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
BUP2015-00323
Inspector:
Jeff Grove
Contractor