Permit ~ a
•
CITY BUILDING PERMIT
ITY OF TIGARD
PERMIT #: BUP2009 -00012
.11;11 COMMUNITY DEVELOPMENT DATE ISSUED: 1/30/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135CB -00600
SITE ADDRESS: 11530 SW TIEDEMAN AVE ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: LEAFGUARD
Project Description: Rack storage.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 43 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,500.00
•
Owner: Contractor:
MCCALL PROPERTIES, INC OWNER
808 SW 15TH AVE
PORTLAND, OR 97205
Phone: Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 1/15/2009 $40.63
[FLS] FLS Pin Rv . 1/15/2009 $25.00
[BUILD] Permit Fee 1/30/2009 $76.80
[TAX] 12% State Surch 1/30/2009 $9.22
(additional fees not listed here)
Total $237.67
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 than 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 may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 5 �� r R Permittee Signature: ��".
v Call 503.639.4175 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.
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. , G CSR 1 I '3 T1 IZI E—.uRO
B ermit App cation RECEIVED
Commercial FOR OFFICE USE ONLY
City of Tigard JAN 1 5 2009 Received Permit No.:
_ • Cc , 111.14p-, s... •.•1 2
q 13125 SW Hall Blvd., Tigard, OR 9727 Plan Review �� i.
C Phone: 503.639.4171 Fax: 503.598.19 OF �G�D Date/B : di��I� TL- f ,, Other Permit:
T I G n R D Inspection Line: 503.639 BUILDING DIVISION Date Ready /By: � / See Page 2 for
Internet: www.tigard or.gov Notified/Method: L•' /1 Supplemental Information
TYPE OF WORK / REQ I' D DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
A Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ether: G 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: /75 5 j 7 f p i e iei/Y]l n ✓e— New dwelling area: square feet
City /State /ZIP: - r y 4 , i____ D � — 9 7.2 Garage /carport area: square feet
Suite/bldg. /apt. no.: ✓ Project name: / 4,F Utif,/1 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.
Tax map /parcel no.: 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.
/.h /� li "; /e 1e ss 2 ,ono M f r Val uation: $ 35 0 l3 , ° O
.55 - b Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ['p TENANT Number of stories:
Name: L ( & do G /-� (/� Type of construction: `31P/
Address: / / f-J12 s LI/ I I eje /h4 y 4 t/- Occupancy groups:
City /State /ZIP: •or` i b,- - 6, j2 4 ) 23 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT /i1 CONTACT PERSON NOTICE
Business name: A/ a ( /; 71 — All contractors and subcontractors are required to be
Contact name: fl licensed with the Oregon Construction Contractors Board
tie
h �P ��� G under ORS 701 and may be required to be licensed in the
Address: ) 7 ; ? $ "I ki.`( r ,<___ jurisdiction in which work is being performed. If the
City /State /ZIP: i, f -14 n�� 0 7 �1 L applicant is exempt from licensing, the following reasons
,{ j apply:
Phone: Y o.3 fJ q 3 0 f 3 Fax:: Irk?) Lr3 d_ i�f!
E -mail:
CONTRACTOR
Business name: t9/� j7 P te ' 1: y1 4//e/ BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /ZIP: — Structural plan review fee (or deposit): ({.O. ( 3
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): 2 5 • Co
CCB lic.: x, Total fees due upon application: co
-1 , (o
Amount received:
Authorized signature:
J�� „ — ` �,.e� This permit application expires if a permit is not obtained
r � /� within 180 days after it has been accepted as complete.
Print n /-fill/ � f L Date: //5-)7 * Fee methodology set by Tri -County Building Industry
v Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I1/02 /COM/WEB)
. , . v
'Pi _ ° 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): $
L \ Building \ Permits \BUP -COM PermitApp.doc 06/25/08
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• Building Division
Plan Submittal Requirements
'T I G A R 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 ❑ 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
s
lip
a Building Division
Plan Submittal Requirement Matrix
T I G A R D 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)
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
CITY OF TIGARD 41, _
BUILDING DIVISION PERMIT BUP2009.00012
13125 SW Hall Blvd., Tiard, OR 97223 -. ' DATE ISSUED: 1/30/2009
Phone:: (503) :639 -4171 i Nr�dloptiq ; ' '
Inspection Requests (24 Hrs.): (503). 6394175 , w:
INSPECTION WORKSHEET FOR DATE 2/1012" 9 TIME: 7 :01AM PAGE: 9
SITE ADDRESS;: ' 11530 SW TIEDEMAN ,AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LEAFUUAR[) .
DESCRIPTION: Rack s°tarage.
OWNER: MCCALL PROPERTIES, INC, PHONE . #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11W20 Pour Time:
Code # Inspection Description ' Confirm # Contact # Message
299, Fines inspection 080437 -01 603-51,9 N
Corrections /Comments/ Instructions:
02' PASS` 1 P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL / ' ALL FOR INSPECTION ❑ ADDITIONAL FEES. ASSESSED
C 4/
, Inspector: Date: 47_____I____I ® Phone #: (503) 718-
• r"''/
E`om: 02165/2009 14:41 #2E: P.002/002
e fr-
{tI 1C
-1 SP: e Dr • Suite 14f
OR 97223
• Fax: 503-629 2?
„3.443.3799
SPECIAL INSPECTION
FINAL REPORT
DATE: February 5, 2009
PROJECT: LEA04-01
PERM IT#: 13UP-2009-00012
ADDRESS: 11530 SW Tiedinan Ave
C1TY: Portiand STATE: OR
To Whom It Ma: Coneerr.:
ACS Testing, Inc. attests that their inspectors performed special inspection(s) on a
continuous and/or periodic basis as reoyircd by the specific jarisdicti::»i and/or TBC, Special
inspection(s) were performed for the fo1lowin14:
Wedge Anchors
Based ort personal observation, inspection and reports reviewed by rue for the above project,
1 attest on behalf of ACS that work `‘ peribaned to the best of my knowlodge: in
accordance with approved plans, specifications. and the applicable codes and standards for
this jurisdictioll
/
Approved by:
Christina Scnrnidt
Office Manager
CITY OF TIGARD •
BUILDING DIVISION
P ERMIT lf
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED ED #: B u
Phone: (503) 639-4171 :Nwive
Inspection Requests (24 Hrs.): (503) 639-4175 —_.,_. 1.L.
INSPECTION WORKSHEET FOR DATE: 2/6/2009 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 11630•SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME LEAFGUARD
DESCRIPTION: Rack storage. .
OWNER: MCCALL PROPERTIES, INC, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 2/6/2009 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
299 Final inspection 000367-01 03-619-3043 N
Corrections/Comments/Instructions:
A) A_ < 4-ge-y C_-(srt- 1 --- --72. 0 i-rt 3/A-
. .
ll:' - \ VI P' RTIAL APPROVAL D CANCEL El NO ACCESS
.40:1
Ar. ? IMI ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
- Inspector: - Date: --[-/-- Phone #: (503) 718-
IS
. . . .