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Permit (121)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMEN / 0 I ;: :: w Request Permit Action , "//b/�7 " T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: t2C Owner ❑ Applicant Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) 00 eZ-Look C(m5-1 elaLC Mailing Address: P0 %x 3/y-5- City/State/Zip: f A 00 Q (� �-P' Phone No.: 503 -5'7? - 5 ) PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). 0 INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: '3((^, P Qa)/ 7 bQ 2Z 7 Site Address or Parcel#: i13 cis- .5 cc, /- 4" 4 foci Project Name: Skif'gt-s Subdivision Name: Lot#: EXPLANATION: ZIV Dc t,1 e.Tr /YHA /'G> [n/� '9 n/.5 g'L'77a,-.0 z&I /'z.. Signature: A '/, '1 Date: /C:>-- r 40/ 7 Print Name: 13i/ ( C k l.(J Refund Policy 1. The Community Development Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80%of the land use application fee for issued permits. d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80%of the building permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Rte to Sys Admin: Date/pas ,if? By ' Rte to Bldg Admin: Date 7/ 6 /7 By +- - Refund Processed: Date nJ if By .4? Invoice Processed: Date By Permit Canceled: Date // 6//7 B y "��. Parcel Tag Added: Date By Receipt# Date Method Amount$ I:\Building\Forms\RegPernmitAction_062614.doc CITY OF TIGARD BUILDING PERMIT li ... COMMUNITY DEVELOPMENT Permit#: BUP2017-00227 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017 �t' A ° g Parcel: 2S102AA03301 Jurisdiction: Tigard Site address: 12345 SW HALL BLVD 30 Project: Tigard Terrace Apartments Subdivision: None Lot: None Project Description: Replacing and modifying existing stairs for units 12 and 32. Contractor: OVERLOOK CONSTRUCTION LLC Owner: KC TIGARD TERRACE LLC PO BOX 83145 PO BOX 83145 PORTLAND, OR 97283 PORTLAND, OR 97283 PHONE: 503-577-5071 PHONE: 503-577-5071 FAX: 503-283-9870 Specifics: FEES Description Date Amount Type of Use: COM Permit Fee-Additions,Alterations, 08/24/2017 $149.75 Class of Work: ALT Type of Const: VB Demolition Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 08/24/2017 $17.97 Dwelling Units: Plan Review 08/10/2017 $97.34 Stories: Height: ft Info Process/Archiving-Lg$2.00(over 08/24/2017 $6.00 Bedrooms: Bathrooms: 11x17) Value: $5,000 Info Process/Archiving-Sm$0.50(up to 08/24/2017 $5.00 11x17) Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $276.06 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 9 -001-00901.You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1•87 or ;00.332.2344. Issued By: e- . Permittee Signature: / Al A1 / Ir 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. w • Building Permit Application CommercialA EC_ Cl of Tigard Received x^'// C!, 25 g Date/By: v /` //(� Permit No.: ��/). " 13125 SW Hall Blvd.,Tigard,OR 97223 0 Plan Rev D'` _ Phone: 503-718-2439 Fax: 503-598-1960 AUG1 2017 Date/By: t,! Related Permit:13u4100J/ T I G A K D Inspection Line: 503-639-4175 Date Ready r, kris: Ea See Page 2 for'� Internet: www.tigard-or.gov Cli V `, 'if- IGmARD Notified/Method:d ?l /7 I Supplemental Information 1 _ n1\t SI0N , ' i C • TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction El Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all dition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTIONwork indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ El Accessory building Multi-family Number of bedrooms: ❑Master builder IDOther: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 6 d3ts 3.41/ I-An Blvd New dwelling area: square feet City/State/ZIP: Ti I G� ' ©R- q '7 2-2:3 Garage/carport area: square feet Suite/bldg./apt.#: // Project name: / jl T /L4c e 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 I DESCRIPTION OF WORK �` work indicated on this application. odi Re_ ' l' e (kJ Q;ck ,54-4) Valuation: $ ,C-re .- t Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: !_,...—. Name: !Br l Coy/11C(.n/ Type of construction: Address: ` �q W _ & / Occupancy groups: City/State/ZIP: t Oft 9 Cj'(� l Existing: Phone:cs-d3.-577--51'7/ Fax:( ) New: 0'APPLICANT %CONTACT PERSON BUILDING'PERMIT FEES* Business name: t1 eg.L.. 'k Cytz,S. ' Cl/ON/tL` — (Please refer to fee schedule) k..- � Structural plan review fee(or deposit): Contact name: 4�. /( Can/G.-(.1) FLS plan review fee(if applicable): Address: /qCf 34 10 ("LiL y9421, k o City/State/ZIP: rLt 'YtC. /0 33x�- 3 — Total fees due upon application: 77_ L/ Phone:(,5 1` -~ ' 5-7 7—5 '7/ Fax::( ) Amount received: E-mail: U�'►IC(�I,/ ,6 c :( f CO)1'1PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: 0 0 ..R k J Lf,_C Submit two(2)sets of roof plan with connection details * nn and fire department access,along with the 2010 Oregon Address: 4 24: ,4" s.- '`G1"r1i i t) Solar Installation Specialty Code checklist. City/State/ZIP: 11.01._, ' Ul i Z71/?? Permit fee(includes plan review $180.00 and administrative fees): Phone:( ...3...-7 7—537( Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: J co is' Total fee due upon application: $201.60 Authorized signature: ,//i This permit application expires if a permit is not obtained "'VVV within 180 days after it has been accepted as complete. Print name: l I I (e.;(`(� Date: y,--(0 —( 7 * Fee methodology set by Tri-County Building Industry WWWW 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 M 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: [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.12/18/2014 ' City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 . . Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations T I 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. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number El zoning 0 applicant name ❑ 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. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT . " 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 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not ..,4 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. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1114 ii T 1 c A R D Building Permit Review — Commercial - No Land U s e Building Permit #: 622 /7- )o. „2 7 Site Address: 42g ,.5 ) /// / Suite/Bldg#: Project Name: `7-P—r CP (N.775`5,of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 4002,er -extiS7� S k) c � r� Airy? . 0 AL) C S ,�' -ela-/ e <<� Existing Business Activity: ,�GL/7tt: j'/ k'�ch/ C c _ c A 1 Propo Business Activity: j/ 1/( /t. 'V I/ Verify site address/suite#exists and active in permit syst 14 1% 'ver Terrace raNeighborhood: ❑ Yes No ng: i U- rmitted Use: VYes ❑ No ❑ Spec Space VIV onfirm no land use required. Business License: Exists: Yes ❑ No,applicant notified to obtain business license Notes: . J Approved by Planning: -'� r Date: �c�l Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Building Permit Submittal / Original Submittal Date: 0 G!(o/77 Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: Planning ria.,Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: }❑l Building: original permit application, site plans,building plans,engineer and / beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: •/ ,--• Date: D /(Uy I:\Building\Forms\BldgPennitRvw_COM NoLandUse_060116.docx 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 /A Tigard Trans SDC: ❑ Yes er /A Parks SDC: ❑ Yes LV/A OK to Issue Permit Approved by Permit Coordinator: /( Date: 0 Eli 7 J• &./,4,k, sire. reh06 ,0►1 1....) mein' N. csea....«/t /1!s U A T6 2 Q u hl,all rei u,• I:\Building\Forms\BidgPermitRvw COM_NoIandUse_070915.docx