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Permit � CITY OF TIGARD BUILDING PERMIT - ' ' COMMUNITY DEVELOPMENT Permit #: BUP2012 -00014 Date Issued: 01/26/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102CB03200 Jurisdiction: Tigard Site address: 9975 SW FREWING ST 140 Project: Adeo Home Care Subdivision: FREWING'S ORCHARD TRACTS Lot: 21 Project Description: TI Contractor: INNOVATIVE CONTRACTORS LLC Owner: BY PICOCO 6107 SW MURRAY BLVD #208 MASSIH LLC BEAVERTON, OR 97008 4343 VON 'CARMAN AVE 3RD FL NEWPORT BEACH, CA 92660 PHONE: 503 - 780 -4876 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 01/26/2012 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 01/26/2012 $9.00 • Dwelling Units: 0 Permit Fee - Additions, Alterations, 01/26/2012 $210.59 Stories: 2 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 01/26/2012 $25.27 Value: $8,500 Plan Review 01/26/2012 $136.88 Plan Review - Fire Life Safety 01/26/2012 $84.24 Info Process /Archiving - Lg $2.00 (over 01/26/2012 $6.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $535.98 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 '• - or•anc th 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. • TENTION: Oregon aw re.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 101 -0010 through OAR 952,110 1091. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19: - 1.800.332.2344 Is - ued By: / _ /// Permittee Signature: 411111P I Call 503:639.4175 by 7:00 "a.m. for the next available insp: tion'dat, 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 RECEIVED % F � OR � OFFICE USE ONLY �yy� Cl Of TI and R eceived iII'�' +�!'_� Permit No.: ^ �� /�` (/� Ili 1 g DateB i G " 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review C : Phone: 503.718.2439 Fax: 503.598.196, t AN 2 6 2012 Date/B : C � � Other Permit: Inspection Line: 503.639.4175 Date Rea.A:y: tills: ® See Page 2 for TIGARD Internet: www.tigard- or.gov CITY OF TIGARD N otified/Method: Supplemental Information BUILDING DIVISION 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. dwelling Valuation: $ ❑ 1- and 2-family g ❑ Commercial /industrial ❑ 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: q - / .7 f J W i N6 S - r New dwelling area: square feet City /State /ZIP: - 674 re. 0 04 g 1 2_z_ Garage /carport area: square feet Suite/bldg./apt. no.: Project name: S U l'Te /110 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. /� / n•t• i'Je&IkS build o i�- ) 1. vte + !rap •• Valuation: $ C�/ 5V J J P F ( [UM/ i uv I t / e c 1 r l - 6L ( ) [t}/ vv b i N� ) b u 1 / ,,,)� i � Existing building area square feet p eril? .1 - 640 rit— ` 1 (! New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: � 1/L W4- /AN() J1•CtA/t Type of construction: Address: e) g L k f + s . f Occupancy groups: City /State /ZIP: Lekik.e, 0 .S kJ e.4 0 © /` C I 7 0 '1 5 Existing: Phone: ( 50+3) 70 L1 Li Z Lt C.) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: Total fees due upon application: ! b City /State /ZIP: Phone: ( ),. F es:: ( ) Amount received: E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel Syste . Business name: / if ha >la- c v' L l.;O0 5 u e , /Nff C Submit two (2) sets of roof plan with a -- -c ion details and fire departme ' access . _ with the 2010 Oregon Address: /7 70 • ,. e -en 41 IS R • Solar Installation S. a ry Code checklist. City /State /ZIP: jg 1., A..)/3 62 5.7e6g Permi a (inclui plan review $180.00 and administ ;ye fees): Phone: (5 &Q*:;. — 5'0 3 Fax: ( ) State , charge (12% of pe . fee): $21.60 CCB lie.: 9�� / `v/ y// y _ __ Total- fee due.upon application: $201.60 Authorized signature: `' This permit application expires if a permit is not obtained Jc within 180 days after it has been accepted as complete. Print name: efe r e_ \/&< �l i Date: , — Zs - I Z * Fee methodology set by Tri County Building Industry f Service Board. I: \Building \Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) _ " Building Division • Accessibility: Barrier Removal Improvement Plan TI-GARD 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 -COM PermitApp.doc 03 /03/2011 ‘,. 1,11 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 03/03/2011 II .1 Building Division Plan Submittal Requirement Matrix - TTG A [t D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 3 (site plan required showing location and square footage of all buildings to be demolished) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 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), if applicable. 1: \ Building \ Permits \BUP -COM PermitApp.doc 03/03/2011 AD Eo i4o f_ 0 t -' IN : Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: 'a t t- / a - ai ( ❑ Expedited Review Plan Submittal Date: / ,e/ / _ To the Applicant: ➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. ➢ If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review ( contact I at 503 - 718 -2y/ g or b 1 @tigard - or.gov) ❑ Zoning 04 Permitted Use Yes [Er No ❑ ❑ Land Use Required: Yes ❑ No ❑ (explain below) ,�� Notes: 1� 3"15 4 - c.e., - �ed•�, Are ..he lam'' ..s. Ad wc.., A pproved 0 Not Approved Date: 1 S i — a. Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN III q Building Division T l GAR D Over - The - Counter (OTC) Building Permit Check List Project Description: l - APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: Occupancy Group: Type of Construction: *Type of Use: Occupancy Load: Oregon Specialty Code: 7 23 D SPECIFICS Number of Stories: Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback — Left Sideyard Setback — Front Sideyard Setback — Right Sideyard Setback — Back CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access. Parking Spaces: REQUIRED ITEMS Fire Sprinklers: )3° Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ FEES DUE $ /04 DC Prov Rvw, COM TI — Ping $ DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ � (, Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ '2.. . , 12% State Surcharge Up to $4,999 $0.00 $0.00 $ Km Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ d ir, , Ai Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ a , Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ Other: Date /Time: $ SW,/e) 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. 1: \Building \Forms \OTC- BUP.docx 01/13/2011