Permit CITY OF TIGARD
BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00074
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/07/2009
Parcel: 1S 136AD04000
Jurisdiction: Tigard
Site address: 11515 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Spec Space
Project Description: Interior demo of partition walls.
Owner: FEES
PACIFIC TERRACE COMMERCIAL LLC Description Date Amount
BY EDITA M SMITH, 833 NW 170TH DR Permit Fee - COM 05/07/2009 $62.50
BEAVERTON, OR 97006 Tax - 12% State Surcharge 05/07/2009 $7.50
PHONE: Plan Review 05/07/2009 $40.63
Plan Review - Fire Life Safety 05/07/2009 $25.00
Contractor:
BRIX CONTRACTING, LLC
17337 CEDAR RD
LAKE OSWEGO, OR 97034
PHONE: 503 - 432 -7332
FAX: 503 - 342 -6015
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $135.63
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. • e rules are set forth in OAR
952- 001 -0010 through AR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by callin a 03.2 , •.6699 or 1.800.332.2344.
Issued By: - Permittee Signature:
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.
Building Permit Application
Commercial RE FOR OFFICE USE ONES'
Received
City of Tigard 9 009 DateB : C. '
114 Permit No.: ` ■
%AK — E.A4 1
° 13125 SW Hall Blvd., Tigard, OR 97223 MAY 0 7 2009 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
TI C. n It D Inspection Line: 503.639.4175 CITY OF TIGAR 1 Date Ready/By: ® See Page 2 for
Internet: www.tigard BUILDING DIVISI0 otified/Method: UM Supplemental Information
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.
❑ I- 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: 11515A SW Pacific Highway New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Above Project name: Day Spring Spa Demolition 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: 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.
Demo existing walls to ceiling grid, demo carpart/base, safeoff electrical Valuation: $$2,000.00
and plumbing. Existing building area: 1,714 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Pacific Terrace Commercial, LLC do Norris Stevens Type of construction:
Address: 621 SW Morrison Occupancy groups:
City/State /ZIP: Portland, Oregon 97205 Existing:
Phone: (503)223 -3171 Fax: (503)228 -2136 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Brix Contracting, LLC All contractors and subcontractors are required to be
Contact name: Chad Brix licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 17337 Cedar Road jurisdiction in which work is being performed. If the
City/State /ZIP: Lake Oswego, OR 97034 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 432 -7332 I Fax: : (503) 342 -6015
E -mail:
CONTRACTOR
Business name: Brix Contracting, LLC BUILDING PERMIT FEES*
Address: 17337 Cedar Road (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State/ZIP: Lake Oswego, OR 97034
Phone: (503) 432 -7332 Fax: (503) 342 -6015 FLS plan review fee (if applicable):
CCB lic.: 183078 . 8 • I 0 Total fees due upon application:
1 Amount received: I .
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Chad Brix I Date: 4/6/09 • Fee methodology set by Tn-County Building Industry
Service Board.
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1,
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
ti
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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• .
a 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.
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Building Division
Plan Submittal Requirement Matrix
T l 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 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)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
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