Permit 7. it i CITY OF TIGARD BUILDING PERMIT
�� rs
,. COMMUNITY DEVELOPMENT Permit #: BUP2010 -00113
T iGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/03/2010
Parcel: 2S101 DA01200
Jurisdiction: Tigard
Site address: 7165 SW FIR LP 100
Subdivision: Lot: 0
Project: Alternative Services
Project Description: TI
Owner: FEES
AMERICAN PROPERTY MANAGEMENT Description Date Amount
2154 NE BROADWAY, STE 200 Permit Fee - Additions, Alterations, 06/03/2010 $789.69
PORTLAND, OR 97232 Demolition
PHONE: 503 - 284 -2147 12% State Surcharge - Building 06/03/2010 $94.76
Plan Review 06/03/2010 $513.30
Plan Review - Fire Life Safety 06/03/2010 $315.88
Contractor:
OWNER
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $58,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,713.63
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: Yes
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 4 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 -0100. You m- • • a • - rules or direct questions to OUNC by calling 503.246.6699 or 800.332.2344.
Issued By: � �
40 Permittee Signature: /y dv� �/
4 id
!� 9.4175 by 7:00 a.m. for an inspection that business'day.
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.
li n l IS ti -
Bi2 Permit Application
44 a 1 1,145 ' �'C'1`r` g4d� "h1� ',,,- °g.'F '. 1 , d fi I .4 . 1 ' ' r
Commercial ��O 1 , 4 , 1, ' 1 ; i . Y4 ,I1 ,'' OK 01 1 Ic1 f t1ON 1 v1 ;; , ,
; tli :2:4 I u , 'Imam ;,;' m 4 4 14., di 11L 9:i 1 v ( h , b dr m ,;t,;':; :... ., ,
City Of Tigard j � Q eee 4
a
,..„ 6 „) ..„-e
•- %. Date/B : . � P erm i t
No.: ` � _ 1
13125 SW Hall Blvd., Tigard, OR 97 ' - \\ C Plan Revie 1,
III
,' C !' Phone: 503.639.4171 Fax: 503.598.19: ' �y� �\ . �� Date/B : 1wf' ®� Other Permit:
:I --; G A D Inspection Line: 503.639.4175 0 Date Ready /By: ® See Page 2 for
Internet: www.tigard-or.gov. �� �� � Notified Method: Supplemental Information
'
TYPE OF WORK '°:". REQUIRED DATA:; I- 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 all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2-family dwelling Valuation: $
y g ❑ Commercial /industrial
El Accessory building 1:1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /Hp 5 . J F,Y /0:2,p New dwelling area: square feet
City /State /ZIP: r re Q e- Garage /carport area: square feet
Suite/bldg. /apt. no.: 100 Project name: AOr- 45,,0. i2-'L't.eQS Covered porch area: square feet
Cross street/directions to job site5,,j7d a Ave; Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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
' ) DESCRIPTION ON OF WORK work indicated on this application.
( \ c J- ,4_,,t � `. ` c /( i* r` Valuation: $ .i G2 c)
�yt"C oh I �,rti 4..� S 1 �
) � J Existing building area: J ✓ 5 Z square feet
New building area: 2 v 5n Zsquare feet
l
El PROPERTY OWNER • ❑ TENANT - Number of stories: j
Name: 64 a/o-Cr-1'64 et r y 1 2 p ; /, �,t,, �� Type of construction: V-
Address: t7 / sit /0/:: S Ne j ; Occupancy groups:
City /State /ZIP: it if. ,d, _ d i e ! 97232_ Existing: i3
Phone: (3)2 —?11/7 7 Fax: ( ) New: j3
CONTACT PERSON
� O ERSO
NOTICE ,
APPLICANT
Business name: ap,, eta p.,. !/' lo.,.� All contractors and subcontractors are required to be
Contact name: ,J L licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
/ / apply:
Phone: (S;;;) ) / , — 2 )d3 Fax:: ( Se3)2£3 y _ / 6,6 7
E -mail: r
' pr.,_:, CONTRACTOR.
Business name: a i /. � 4.a.) r , -. by /0
Bn : r e „/ BUILDING PERMIT FEES*
(� ro J (Please refer "lo fee schedule)
Address:
l�rtt � ,Q. '✓ a d c Structural plan review fee (or deposit):
City /State /ZIP: ? D r ti d .e ( ) i . 47 7 3 2
FLS plan review fee (if applicable):
Phone: (M) ;163 2Z 1.1.41 —Z I t� - 7 Fax: ( ) /
Total fees due upon application: �► , 4,3
CCB lic.: �
Amount received: 17 / 3, (o )
Authorized signa ure: This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
`
Print name: �rv/G 6 �,�-. Date: ei 3�/ 0 * Fee methodology set by Tri -County Building Industry
// / Service Board.
I: 1Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB)
•
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: $
(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 -CONI PermitApp.doc 06 /25/08
iii
Building Division
Plan Submittal Requirements
TI► G A 12 D Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name El 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. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
Building Division
Plan Submittal Requirement Matrix
T 1 G n'tt
Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and:alterations.)< Required.at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
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)
1:\ Building \ Permits \BUP -COM PermitApp.doc 06 /25/08
a Building Division
Over -The- Counter (OTC) Building Permit
T c n i ° : Check ]List
Description of Project: l
. GENERAL.INFORMATION
Class of Work:* k Li - Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* Ct(A/( First floor: N: S:
Type of Construction: -.51:-.5 `Second floor: E: W:
Occupancy Group:j Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: 'Z Note: Combine total floor area for E: E:
Height: _ all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
• REQUIRED TrEMS
Fire sprinkler: Handicap access:
Smoke detector: Protected corridors: . tee j
Fire alarm: j3D - Parking spaces ( #): `
Notes:
r ,,
Total Valuation: $ iit 47 (,)CO
INSPECTIONS FEES DUE
Footing /foundation Firewall $ ( e' f Permit Fee
Post /beam structural Smoke detector $ 'f (',
4 , ., State Surcharge •
Shear wall Misc. inspection $ i j, -3 Plan Review Fee'
Masonry Approach /sidewalk $ 3IS, FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
• $ k 71 �3 Total Fees Due
*OPTIONS:. •
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. '
CLASS OF WORK. ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND. = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC- BUP.doc 08/19/08