Permit (17) CITY OF TIGARD BUILDING PERMIT
`' . COMMUNITY DEVELOPMENT Permit#: BUP2017-00152
T j AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2019
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Parcel: 25101 CB00500
Jurisdiction: Tigard
Site address: 12670 SW HALL BLVD, BLDG#3
Project: Canteen Vending Subdivision: None Lot: None
Project Description: Racking.
Contractor: B&B INSTALLATIONS INC Owner: MCLELLAN ESTATE CO
14401 S GLEN OAK ROAD BY CHRISTOPHER M CAVE ESQ
OREGON CITY, OR 97045 707 OLD COUNTY ROAD
BELMONT, CA 94002
PHONE: 503-722-8155 PHONE:
FAX: 503-722-8154
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 02/04/2019 $674.35
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 02/04/2019 $80.92
Dwelling Units: 0 Plan Review 06/13/2017 $438.33
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 02/04/2019 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $45,000 Info Process/Archiving-Sm$0.50(up to 02/04/2019 $7.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,205.10
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 ' work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cen- . 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 503.2 . 187 or .800.332.2344.
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Issued By: �/ . Permittee Signature:
C . 9.4175 by 7:00 a.m.for the next available inspection d
This permit card shall be kept in a conspicuous place on the job site until corn. = o• of the project.
Approved plans are required on the job site at the time of each in .-ction.
Building Permit Application
Commercial FOR OFFICE I:SF O\Fl
,"""'� Received
City of Tigard , r Date iv : 3 Permit No.:464420 7_ tw,��C'
14 II 13125 SW Hall Blvd.,Tigard,OR 9722R Plan Rev Related Permit LV
• Phone: 503-718-2439 Fax: 503-598-1960 (, - Date/By: ,����f/ � ��
I G A R D Inspection Line: 503-639-4175 JUN 1. 3 Z U 1{ Date ReaJr•: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: t/ A /7 j G I Supplemental Information
Cid' OF 11UNe ? t fl
at
TYPE OF .,DflG DIUIsif)r. 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 ITAAddition/alteration/replacement ❑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: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 17_ b 7 0 5 1,-1 1_)v 11 61,...,1 New dwelling area: square feet
City/State/ZIP: - • , 0 k et 2.2-3 Garage/carport area: square feet
Suite/bldg./apt.#: ¶ cA Project name: ( ,_j,,,- V'1 V�VrA tV�( Covered porch area: square feet
Cross street/directions tojob site: `� Deck area: square feet
NA /1 6 n r; H Vol7)IL et"` 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.
Valuation: $ LI`meg(Its
Existing building area:5.s.,,,,,,,,_ square feet
New building area: ,,, f square feet
0 PROPERTY OWNER TENANT Number of stories: ‘;
Name: (c",-1 -1 Type of construction:`,
Address: /Z U-7 o 5-4} Ox.I.) gL;A Occupancy groups: -,.t
City/State/ZIP: T, . c 1, 0 K 6i --)-1.L. , Existing:
Phone:( ) Fax:( )
New: `J,,,,
tpr APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
'Please refer to fee schedule)
Business name: Ni 4 "5Structural plan review fee(or deposit):
Contact name: ,- l
(r"�fC V C 1 t FLS plan review fee(if applicable):
Address: f y o e Ai C 1`7ir_ :t--1 L.. ' J� Total fees due upon application: i
5g, 33
City/State/ZIP: `)),r+t 0k Cy'? 0 `
ll ��, ��" Amount received:
Phone:(\V 5) 6)6,
t 4 s(2 Fax::( )
/ PHOTOVOLTAIC`SOLAR PANEL SYSTEM FEES*
E-mail:
.11---,7 e.„) b/, 4 , S. ! . --�
l� Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: 1 " 1A-3)7„, Submit two(2)sets of roof plan with connection details
!� `� ' 5 and fire department access,along with the 2010 Oregon
Address: Royal 5 LC, t I i, Solar Installation Specialty Code checklist.
City/State/ZIP: ( Q K Li-)-,) S Permit fee(includes plan review
r"'S"'r 1 _ and administrative fees): $180.00
.a'�
Phone:(' ) -7 L,.. ?i L, Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 0 k .7 f
! 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: �-� ;t Date: to ' * Fee methodology set by Tri-County Building Industry
,,i i t/ Service Board.
I:\Building\Permits\BUP_COM_PernutApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a Accessibility: Barrier Removal Improvement Plan
N IN
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_PemutApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . . 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 ❑ 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 with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
I
,.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
II ._ 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.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
'PI Transmittal Letter
G n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /0i --Z DATE RECEIVED:
i
DEPT: BUILDING DIVISION REC F!` 1
g1 .4 froiec:cL-- JAN 2 A 2019
FROM: /ti 0`A w,'S 1— 4,4 1, w 515�',, S CITY _. j
BUILDING L.t,ax; N
COMPANY:
PHONE:
(5.
° 3) / S e By:
RE: / Z G 7o SW 140,(1 V03, 13U, 1 tgV P Zoi '1 -o0 i5
(Site Address) J (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): 11 11�� f JJ
REMARKS: w �rn ,--t_ o C-�a o �e 1 c l 034 01---An P ick r
J
FOR OFFICE USE N Y
Routed to Permit Technician: Date: 2,�{ Initials:
Fees Due: ❑Yes N Fee Description: Amount s'}
$ 'I
$
$
$
Special
Instructions:
Reprint Permit(per PE : ❑Yes ❑No ❑ Done
Applicant Notified: Date: ('/).6�(c Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12670 SW HALL BLVD BLDG 3, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00152
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor