Permit (35) CITY OF TIGARD BUILDING PERMIT
111
2 COMMUNITY DEVELOPMENT Permit#: BUP2019 00012
1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2019
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Parcel: 2S 103AA00101
Jurisdiction: Tigard
Site address: 10865 SW WALNUT ST
Project: Fowler Middle School Subdivision: None Lot: None
Project Description: Suspended ceiling replacement in women's gym bathroom.
Contractor: REMODELING & MAINTENANCE SERVICES Owner: TIGARD-TUALATIN SCHOOL DISTRICT
PO BOX 231061 BY MAPLETHORPE, BONITA
TIGARD, OR 97281 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-590-7269 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/23/2019 $119.33
Demolition
Occupancy Grp: B Occupancy Load: 12 12%State Surcharge-Building 01/23/2019 $14.32
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 01/23/2019 $4.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Plan Review 01/23/2019 $77.56
Value: $2,900
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $215.71
Required: Required Items and Reports(Conditions)
1 Work done before permit issued
Fire Sprinkler: Parapet: -please inspect and verify
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 fo s 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�jLofthe rule direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
5cz`c.c"-'""L c: y
Issued By: Permittee Signature: —
.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 FOR OFFICE l s,I 0\1.1
Received �y
City Of Tigard \'ED Date/By: rv,3' /y ," Permit No.;,,, �'� ,vi 9' �f
13125 SW Hall Blvd.,Tigard,OR 97223�ECE1 Y Plan Review ��yt/
C ` gg /� Related Permit:
Phone: 503-718-2439 Fax: 503-598-19604 Date/By: 1'�.�
T I G n R 1) Inspection Line: 503-639-4175 JAN c� ZOe Date Ready/By: ii,3/ *iI SeePage2 forInternet: www.tigard-or.gov H �7 Notifieethod: r `f Supplemental Information
{;�ry OF TLGA4�iD .1,1„i,'" ;r)
TYPE OF WO$1�,`W`NG D4V1$4 REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0Addition/alterati epla�nt ) 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
0 Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /0n,,S'51,,} 4•✓'�t..,44_ c5; New dwelling area: square feet
City/State/ZIP: p 1_..7 0 (. ' 72-z, ' t 4/ { r 4,, Seet,‹.j Garage/carport area: square feet
Suite/bldg./apt.#: " Project name: t,iLy4�' C;Y fry 7/7-64i,,t)-'*r Covered porch area: square feet
Cross street/directions to job site: CIL i i.--/'44 Deck area: square feet
ttit-1.4--i-kr 5.1 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
r —ct-A+Q-ti-- 5j,4..5/Iiz-4<<.tl L.„..4., Valuation: $ Z.-900
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: 7744.,e1.7 7,,,, fC.o .,c.. nt-.si-a--tc-,�s Type of construction: fe..i.sr,9ee , ry,"C4CC
Address: 6,9'4.ci 5,-0 5 ci,t4 Occupancy groups: L
City/State/ZIP: 77 64-R.49d ' 'j' 7 LZ.5 Existing:
Phone:(s')) ) Y3 i - `t-der& Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: „I r,.l S .LLA C 5 (Please referta fee schedule
�
Structural plan review fee(or deposit):
Contact name: (3d(tj 4 vL-to.at"/CH FLS plan review fee(if applicable):
Address: / o 641X '2_3/ 06 f
Total fees due upon application:
City/State/ZIP: 7t, 9?Z./,
Phone:( ) Fax::( ) Amount received:
3 a 72_(27
E-mail: /7 ? J L :r PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: 4.1 j�.t,,rt C' i.S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 01? ,^. ,j,. t--3( • / Solar Installation Specialty Code checklist.
City/State/ZIP: 7---A. ` j + 0-4-- c ?Le Permit fee(includes plan review $180.00
> and administrative fees):
Phone:(S?).) 3 Y� ) � .) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 4P 7 Total fee due upon application: $201.60
Authorized signature: {',,/ y �� This permit application expires if a permit is not obtained
7 within 180 days after it has been accepted as complete.
Print name: )4,,,.Z,-7-KA-1,,i, 0 4*.C'-4-/ Date: //2 1. r y * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
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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: [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.11/5/2018
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
:11P111 " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 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 0 suite number
❑ zoning ❑ 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.
I:\Building\Permits\BUP_COM_PemritApp.doc Rev.11/5/2018
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
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.
L•\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R o Building Permit Review — Commercial - No Land U s e
,N,
Building Permit #: Al j /1, -rk)i,,?
Site Address: I0,36 Si. t,, UAL(ii- Suite/Bldg#:
Project Name: revul, \"t. 01 lr►tea( `VI,r,A;3 0777..v ()-` rvc41
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: kt fifA ct S..(,1„L J Lt -(4,14. , All r1 dr.
Existing Business Activity: Sckac1
Proposed Business Activity: S i✓c;'1
[Vjerify site address/suite#exists and active in permit systte .
'River Terrace Ne hborhood: 0 Yes U No
R�Zoning: t'4 S
El/Permitted ermitted Use: 0 Yes 0 No ❑ Spec Space
EVConfirm no land use required.
iZA Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved byPlanning: '^^ � � Date: :2,311
PP � �"`""
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Ch3/del
Site Plans: # iv/1i
Building Plans: # 3
Building Permit#: U--EnreTbuilding,permit� it#above.
Workflow Routing: ti-1�n ening L7 Permit Coordinator ~ding
Workflow Sign-off: gl•'Si ff for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: �
By Permit Technician: s %-,-...€---- - Date: /j�y,3,/J
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
M14-Conditions "Met"prior to issuance of building permit
0 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:
lii—SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Kf N/A
Tigard Trans SDC: ❑ Yes tir N/A
Parks SDC: ❑ Yes 1j N/A
la OK to Issue Permit
Approved by Permit Coordinator: 4 Date: Q tZ3 i
l
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10865 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00012
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor