Permit (48) opi CITY OF TIGARD BUILDING PERMIT
44
-"` Permit
#: BUP2016 00238
s COMMUNITY DEVELOPMENT
Date Issued: 07/28/2016
TfC.,Artft D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD00850
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY 110
Project: Blazing Gyros Subdivision: None Lot: None
Project Description: TI for new tenant:Converting existing office to a restroom.
Contractor: OWNER Owner: D W SIVERS CO
D W SIVERS CO 4730 SW MACADAM AVE#101
4730 SW MACADAM AVE#101 PORTLAND,OR 97239
PORTLAND, OR 97239
PHONE: PHONE:
FAX:
FEES
Specifics: Date Amount
Description
Type of Use: COM Permit Fee-Additions,Alterations, 07/28/2016 $164.96
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Building 07/28/2016 $19.80
Dwelling Units: 0 Plan Review 07/21/2016 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/28/2016 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $6,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $292.98
Required Items and Reports(Conditions)
Required:
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- =- • -s or direct questions to OUNC by calling 503.232.1987 or 1.800 . 4.
Issued By: ` l ' 'ermre° Signature: ,i.....----..,,1 l
e.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.
. ding Permit Application
Commercial FOR OFFICE USE Otil.l
City of TigardReceived7 f � '// Permit No.:
/ � 1 �� .7`��
_
'
13125 SW Hall Blvd.,Tigard,OR 97223 ,s,' * 11 Plan Review p-_,./01
n . —7 Z Other Permit:
114 I Phone: 503-718-2439 Fax: 503-598-1960 Date/By: � l
Inspection Line: 503-639-4175 Date Ready/By: j Juris: ® See Page 2 for
T It.,A It t)
Internet: www.tigard-or.gov Notified/Method: [ Supplemental Information
Jul �/� o
)
T.VPE OF WO -ri i,9 i< •<I H is i 1 REQUIRE13 DATA:l-AND 24AMILY DWELLING
❑New construction n <)epiolition Permit fees*are based on the value of the work performed.
`"'. E x, Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATCATEGORY OF
... id.� ��ON. work indicated on this application.
Valuation: $
El 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 12Other: Number of bathrooms:
JOB S1'fl INFORMATION AND LOCATION
Total number of floors:
Job site address: i 3 ,3f S tj,, 670c l c' \ C vA„,,) 4-140 t40 New dwelling area: square feet
City/State/ZIP: 7&(>\6?,, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 6‘0„.,1 ,0G CG / Qs 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 no.: 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
DESC x ON--OII,,WOR ., work indicated on this application.
P . (� Valuation: $ 6o U J
s k (4 O i.8-, ) C.o�"'ON"VII Qt S Existing building area ] (.1 square feet
c.
New building area: p)0 1/4) square feet
❑ PROPERTY OWNER • 0 TENANT Number of stories: 1
Name: .2i nY\ e..—e../i.,,^ Type of construction: e_tlytocitk
Address: 75' 7 5 e--(i, kyi(,10;;,1 .c A- Occupancy groups:
City/State/ZIP: Ti bA 6-< ' 0 12 C' 3 Existing: 6
Phone:(St 1)) (7 l 7.7:5---v) Fax:( ) New: d✓
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Pleaserefer tale scA )
Business name:
,..;igit'IP raj .6,r>1JZ' Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address: 1
Total fees due upon application:' tL"1 7, )
City/State/ZIP:
Amount received:
Phone:( ) Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commercial and residential prescriptive installation of
,',q,ON R CTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: � � � -c Submit two(2)sets of roof planwith connection details
69and fire department access,along withthe 2010 Oregon
Address: 3` �!'c J , Solar Installation Specialty Code checklist.
n � N� � eJ, �,}��j Permit fee(includes plan review $180.00
City/State/ZIP:
/' ,,✓--fi 1) and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: yuv ,, Date: /./ /t * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB)
1011%),
s4
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:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
ir
City of Tigard
IIII ■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: ettp i(, y- 13
Site Address: 80/C- S2k) Arlie 7_ Suite/Bldg#: de)
Project Name: Ikn
ai�
(Name of co ercial bu V ess occupying the space. If vacant,enter Spec Space.)
Planning Review l 1
Proposal: 77/ nito 7tvf22/7'/
Existing Business Activity: alh1 n' es-4A/Ask ,C
Proposed Business Activity: k // /1 y //
I Verify site address/suite#exists and active in permit sy,_ste/ .
ib AP.ver Terrace Neighborhood: ❑ Yes [ No
r►• honing:
62--c-) /
ermitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: - __„.44u,li.- Date:
-/2I/i/e
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:
Site Plans: #
Building Plans: #
Building Permit#: E. nter.--� building permit#above.
Workflow Routing: [L�l'lanning Coordinator g
Workflow Sign-off: 4:4 f for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ` Date: 7A//4,,
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_060116.docx
J .sp
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Ja'�"/A
Tigard Trans SDC: ❑ YesN/A
Parks SDC: ❑ Yes RN/A
e OK to Issue Permit
Approved by Permit Coordinator: Date: `. ///1"
I:\Building\Forms\BldgPennitRvw_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
13815 SW PACIFIC HWY 110, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
November 8, 2016 at 1:12:14
PM
BUP2016-00238
Jeff Grove
Violation Summary:
Inspector Contractor