Permit CITY OF TIGARD BUILDING PERMIT
g • COMMUNITY DEVELOPMENT Permit #: BUP2009 -00146
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2009
Parcel: 2S102AB04300
Jurisdiction: Tigard
Site address: 12400 SW MAIN ST
Subdivision: Lot: 0
Project: Sunshine Gallery
Project Description: Interior TI.
Owner: FEES
TIGARD MAIN ST COMMERCIAL PROPER Description Date Amount
12488 SW AUTUMNVIEW ST Permit Fee - COM 08/05/2009 $226.95
TIGARD, OR 97224 12% State Surcharge - Building 08/05/2009 $27.23
PHONE: Plan Review 08/05/2009 $147.52
Plan Review - Fire Life Safety 08/05/2009 $90.78
Contractor:
CHOICE NW CONSTRUCTION INC
12195 SW NAEVE ST
TIGARD, OR 97224
PHONE: 503 - 807 -1387
FAX: 503- 642 -3233
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $492.48
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors: No
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 follow the rules adopted by the Oregon Utility Notification Ce ter. Tho , r les are set forth in OAR
952- 001 -0010 through 0 R 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC callin ; or 1.800.332.2344.
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Issued By: 51 .01u f' l 9 �� Permittee Sig • -
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Call 503.639.4175 by 7:00 a.m. for an Inspection that bus •<s da .
This permit card shall be kept in a conspicuous place on the job site until • mpletion of the project.
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application
Commercial �,VV�
C FOR OFFICE USE ()N1.1
ill
City of Tigard C � 0* Received
Date/B Permit No.: „alp 03IL
O J
1 13 125 SW Hall Blvd., Tigard, OR 97223 �
C Phone: 503.639.4171 Fax: 503.598.1960 p� D
Plan �e j A `� Other Permit:
T G iii) C Inspection Line: 503.639.4175 0 NO Date Ready :y: See Page 2 for
Internet: www.tigard- or.gov l NA Notified/Method: IMPJ Supplementallnformation
TYPE OF WORK 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 all
Addition/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: $
El ❑ Accessory building I] Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12 50 MAN ST New dwelling area: square feet
City/State /ZIP: 'r'„�,, p�� Garage /carport area: square feet
1 Suite/bldg. /apt. no.: Project name: 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
4Q DESCRIPTION OF WORK
UP ly1ZaP1r M.► ToRo2 work indicated on this application.
Valuation: $ ;,00 0
Existing building area: L GO square feet
g New building area: 1,200 square feet
PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: CNe►s OK - CA Type of construction: SF •
1 Z Address: Occupancy groups: 2
City/State /ZIP: ^- - 0Q. Existing:
Phone: ( ) Fax: ( ) New:
N.
APPLICANT 0 CONTACT PERSON NOTICE
Business name: C� c, s- r•
lo� �o�zZr1o�.► T� All contractors and subcontractors are required to be
Contact name: AV licensed with the Oregon Construction Contractors Board
� ( under ORS 701 and may be required to be licensed in the
Address: t Z i �S SW l,III•aJco• GT jurisdiction in which work is being performed. If the
City /State /ZI ? ( (1 -t applicant is exempt from licensing, the following reasons
apply:
Phone: (L ) - 1 3 �" I I Fax : : ( ) ( 2i- 3 j
E -mail: CNOIC 1.4 Li Cel#ysr OD eZ CAS r •NFI
\._ CONTRACTOR
^� Business name: tut, F � A B E BUILDING PERMIT FEES*
""N•...,._ �`� Address: ' (Please refer to fee schedule
� City/State/ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone : ( ) I Fax : ( )
Total fees due upon application:
CCB lie.: 4 9 2.48
Amount received:
Authorized signature: x AA This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Tlipiei✓ 1 Date :1.4'4n * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2/23 /07 440- 4613T(11 /02/COM/WEB)
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Building Division
Accessibility: Barrier Removal Improvement Plan
T1GARD
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): $
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1: \ Building \ Permits \BUP -COM PermitApp.doc 06/25/08 '
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Building Division
Plan Submittal Requirements
T I G A It 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 PemvtApp.doc 06/25/08
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Building Division
Plan Submittal Requirement Matrix
T G n 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 ofa 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)
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I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
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