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Permit
it , • CITY OF TIGARD BUILDING PERMIT . COMMUNITY DEVELOPMENT Permit #: BUP2009 -00223 T i G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/10/2009 Parcel: 1 S 136AD04000 Jurisdiction: Tigard Site address: 11505 SW PACIFIC HWY D Subdivision: Lot: 0 Project: Holistic Pet Project Description: TI • Owner: FEES NORRIS STEVENS Description Date Amount 621 SW MORRISON #800 Permit Fee - Additions, Alterations, 12/10/2009 $119.33 PORLTAND, OR Demolition PHONE: 503 - 223 -3171 12% State Surcharge - Building 12/10/2009 $14.32 Plan Review 12/10/2009 $77.56 Plan Review - Fire Life Safety 12/10/2009 $47.73 Contractor: TODD CONSTRUCTION 4080 SE INTERNATIONAL WAY B -11 MILWAUKIE, OR 97222 PHONE: 503 - 653 -5704 FAX: 503 - 653 -5704 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $2,100 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 - Total $258.94 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Fire Alarm: No Protected Corridors: No Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This p rmitis 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 one in accordance with approved •lans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 ys. ATTENTION: Oregon law = •wires • • ollow the rules adopted by the Oregon Utility Notification Center. Those rule a e set forth ' OAR 52- 001 -0010 rough OAR • -2 -001 -0 • You may obtain a copy of the rules or direct questions to OUNC by calling 503. • . •699 0% 1' 3;,/ . I / sued By: / :/ Permittee Signature: _ J I . .I 11 Call 503.639.4175 by 7:00 a.m. for an Inspection that business d . y. 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 sits at the time of each Inspection. • ' -��. -M IVe(Soj/ 2•. d Building Permit 4plication RECEIVED Commercial FOR oFFICI: usE oNLV City g Dat : /A of Tigard DEC 10 2009 Received � to et y; l i i C Phone: 503.639.4171 Fax: 503.598.1 • 13125 SW Hall Blvd., Tigard, OR 9722 OF TIGARD Plan Dat : Re I �]� M Other Permit: �. , It I , Inspection Line: 503.639.4175 BUILDING DIVISION Date Read ':y: Juris: M See Page 2 for IG Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF K REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction PK emolition 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 C ommercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATI AND LOCATION Total number of floors: Job site address: I I $Q,S 'gy2 New dwelling area: square feet City/State /ZIP: a Garage /carport area: square feet Suite/bldg./apt. no.: Project name: ' L N RA-- 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 DESCCRIPTION OF WORK work indicated on this application. 3 op vL✓ S 1 D v/kC'ro'i �� Valuation: $ ;- 1 D o (2-I..) Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: - iyD rr 1 J , C _ -C.A.--1. Type of construction: G Address: L/ ; 0 --,yv� 0-00 Occupancy groups: p 0 ,.. , ,f,k oi f ! City/State/ZIP: „ ' Existing: Phone: (,C,3 'y2 3' _3 S / "` © � 7 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: a ,/ v licensed with the Oregon Construction Contractors Board O �" ^'�� I 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: ( ) I Fax::( ) E -mail: CONTRACTOR Business name: P O o B UILDING PERMIT FEES* �� (Please refer to fee schedule) Address: / d ,4_,,_ -) 3 Structural plan review fee (or deposit): City / State/ZIP: / (. �� w .....z._ 4.. (! (Pit" FLS plan review fee (if applicable): Phone: (-5 5 JQ 41 Fax: ( ) CCB lic.: r -/ 7 Total fees due upon application: / / Amount received: Authorized signature: 1 This permit application expires if a permit is not obtained g o / within 180 days after it has been accepted as complete. • Print name: / 4 � I p� Date: * Fee methodology set by Tri -County Building Industry Service Board. 1: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11 /02/COM/WEB) III I 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] $ B O° 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 06/25/08 . . Building Division T I GA RD Over - The - Counter (OTC) Building Permit Check List Description of Project: i 1 GENERAL INFORMATION Class of Work:' (,T Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* or First floor: N: S: Type of Construction: "?...• Second floor: E: W: Occupancy Group: Third floor: Openings Protected Y /N ?: Occupancy Load: 26) Total sq ft.: N: S: Stories: Note: Combine total floor area E: E: 1 for Height: all floors above third floor and Roof Construction: • _ Floor Load: add to the third floor sq. ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: � � R � EQUIRED ITEMS Fire sprinkler: O..I.J Handicap access: g � Smoke detector: Protected corridors: r7J Fire alarm: Parking spaces (#): Notes: Total Valuation: $ "? (G'n INSPECTIONS FEES DUE Footing /foundation Firewall $ I ( c?, 1 Permit Fee Post /beam structural Smoke detector $ 1 ' c, Zi State Surcharge Shear wall Misc. inspection $ Plan Review Fee Masonry Approach /sidewalk $ - .73 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: $ 255, 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 .... ✓ — . / . . �✓ ✓ ✓ . u • u,lW , n u ✓ I a u 4 I J U J 4/J 1 1 4 1 I • UU1 Oct 21 09 12:27p Rose 503 -293 -1721 p.1 S. . . ` ilousric_ per \ler , Nicw - 5fAc..6 L P + P Z 1 NJ 0 3 Zt CITY OF TIGARD A roved ... I t 2. 3 dltionany Approved .........«... [ I Letter to Follow .................. (, I !Mambo : I fi 4.1.11 L � t - ...J %mow l' M Z ive 6C6 ....)...... i 0 47- / ( amal■ 7 i Si 04- me 4'' • 11.,,' CGC g.1e611 5t' FFICE COPY 4 —" , c.T -" i, Woo Rated Corridor anew Code 3' AeonsibIlltip 7Z