Permit (101) CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT
Permit#: BUP2016-00146
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2016
TIGARD Parcel: 2S109DB01800
Jurisdiction: TIGARD
Site address: 13058 SW BLACK WALNUT ST
Project: Summit Ridge No.5,Lot 159 Subdivision: WOODSIDE Lot: 10
Project Description: Temporary conversion of garage to sales office in model home.
Contractor: DR HORTON INC PORTLAND Owner: VENTURE PROPERTIES INC
4380 SW MACADAM AVE SUITE 100 4230 GALEWOOD ST STE 100
PORTLAND, OR 97239 LAKE OSWEGO, OR 97035
PHONE: 503-222-4151 PHONE:
FAX: 503-222-1304
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 05/04/2016 $88.00
Occupancy Grp: R-3 Occupancy Load: 12%State Surcharge-Building 05/04/2016 $14.84
Dwelling Units: 0 Plan Review 05/04/2016 $80.37
Info Process/Archiving-Sm$0.50(up to 05/04/2016 $5.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Permit Fee-RES-New Construction 05/04/2016 $123.65
Value: $6,150
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $311.86
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 OA- •52-001-0090. 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: � /
Signature: /,47' "1/0/°4../ �-l o 4/
Call 603.639.4175 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.
B"bildi. 2 Permit Application 4 f 21
RECEIVED
FOR OI'FIC1.: l SE ON 1.1
Received /� ��
City of Tigard nn D DateB : y a7 Permit No.: if
41 III 13125 SW Hall Blvd.,Tigard,OR 97221 t R 2 7 2016 Plan Review I / `� //
0 Phone: 503.718.2439 Fax: 503.5 oQ Date/B : !`!� Other Permit:
l r.1) Inspection Line: 503.639.4175 t� � T OF T Date Reay :y: /i / „ a Juris ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: / ���� Supplemental Information
».5,..-h'> 3v..and '''''' °a.<a.ir, . " :t`. .�'
Ti 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 0 Other: equipment,materials,labor,overhead,and the profit for the
�:
'-,��x ' -? work indicated on this application.
1:11-and 2-family dwelling Commercial/industrial Valuation: $
1:1Accessory building 0 Multi-family Number of bedrooms:
o Master builder 0 Other: Number of bathrooms:
.. .rk. # uJ ..$ 't'omx" - x
Total number of floors:f ' 'ws � a ^, "" "". WL ) EAx» n.r. ',. 'wa`3AY mP
Job site address: \3bNew dwelling area: square feet
City/State/ZIP:
Garage/carport area: [i//rr�� square feet
Suite/bldg./apt.no.: Project name: {1� �� 2 k t Covered porch area: square feet
Cross street/directions to job site: LJ
J Deck area: square feet
Other structure area: square feet
`,,,; �a ass _ .at ri-t: •) a1A.l: '<
Subdivision: Lot no.: tkO
Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
rilte ;; -,a;-,_ s 7,.."..t•7,,,, a� ���,,r 1 164.44.„,....7444,,,:,,,,-, work indicated on this application.
Vic.. '.` ` ij � 2. ' .'' r. '' x r '
- �S / , ` uz. �C�/ �� \ \„ t� / Valuation: $ �i �` 'L t'
0 � Existing building area: square feet
k_SC.,)
New building area: square feet
—
'..."'''..:, ;?[j.::*:. . .'' , ,. 1r.f 's ;'� Number of stories:
Name: ,-- ____k4 \kr\LJ Type of construction:
w
Address: ASV\[ ` Occupancy groups:
City/State/ZIP: � G, C la Existing:
Phone: jl 3.a3 —�h Fax:( ) New:
` a +�
s' f �yyy < >° _' F G . < x t � r.' �Ylp.Aiir ;
;yfj ,
Business name: Ck. �
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax: :( )
E-mail: =71xt i � Yt _st } i<WY s
w. w4+ �n Comm- ial and residential prescriptive installation of
�' `� )'<., ` .� � �1,,,,,,,,,,,:;:,
� '�." roof-top mo. ed Photovoltaic Solar Panel Sys - .
Business name: ^ i7r Submit two(2)se of roof plan with cot• ion details
and fire department ac • ,along , the 2010 Oregon
Address: Solar Installation Specialty ••e checklist.
City/State/ZIP: Permit fee(inclu• plan ew $180.00
and .• inistrative fees .
..Phone:( ) Fax:( )
State sur •.rge(12%of permit fee): $21.60
CCB lie.: /3 6 !' 9
�� Total fee due upon application: . 01.60
Authorized signature: '���,/ /i This permit application expires if a permit is not obtained
�,1,-� i within 180 days after it has been accepted as complete.
Print name:61,1 ep41 L1 ' 9 ,S Date: (/ 37/16
/ * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
I
,• 1
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
I
T l G n k n Building Permit Review — Commercial - With Land Use
Building Permit #: 1 J ut-P 201 (p--00 t 11
Site Address: 13 05 e Svv B(Cil ok uvcu Cnu t- Suite/Bldg#:
Project Name: SU mm;t- Rid ge,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: S`a(QS Q CC c _ i Y\ - lAiL° GJ C/I t-`-4 Le'
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ YesNo--�t�P2.01(0
1 Land Use Case#: SO 9)101 .c -.000011
0 000 I - 0 00 a2.
VPlans Match Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
$lness License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
--3Pti lic Facilities Improvement(PFI) Permit:
Required: E Yes, applicant was notified E No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: flr -tA- /3# 1 D sfi E%4,4 Date: '{/2 7 1 1 (p
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: 4/7A1 7/4c
Site Plans: # /1/,'i-
Building Plans: # Z
Building Permit#: [.nter building permit# above.
Workflow Routing: 213lanning Engineering ❑15ermit Coordinator $Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: Er Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: /,.JI, Date: 41 87/0
I:\Building\Forms\BldgPennitRvw_COM_W ithLandUse_0709I 5.docx
•
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prt. to issuance of building permit '
❑ Easements (encroachment .er engineering conditions of approval and p -t (not typical on SDR/CUP)
❑ Water Quality/Quantity Facilit}-.
Assess Water Quality Fee in-lieu. ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: • Yes E No
LIDA Facility on lot: ■ es ■ o
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Buildi 1 ubmittal only) RevieN • Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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: 111 Yes I/A
l Tigard"Trans SDC: ❑ Yes . 1..''N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
2R0
Approved by Permit Coordinator: Date: `%
I:ABuilding\Fonns\BldgPennitRvw_COM_WithLandUse_070915.docx
;7 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,
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: $ . ,).5
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex "�
restroom: 's^ —1.wt._ ��S-CJ $ ` O�
(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): $
l:ABuilding\Pcrrnits\BUP-COM Permit:App.doc 03/03/2011
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
13058 SW BLACK WALNUT ST, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00146
Chip Barnett
Violation Summary:
Inspector Contractor