Permit u CITY OF TIGARD BUILDING PERMIT
E'7 2 „ COMMUNITY DEVELOPMENT Permit #: BUP2012 -00016
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/06/2012
Parcel: 1 S136DCO2504
Jurisdiction: Tigard
Site address: 7275 SW DARTMOUTH ST 160
Project: Shell Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: Prepare space for new tenant.
Contractor: CPS CONSTRUCTION INC Owner: AMERICAN INDUSTRIES INC
9825 SW DAY ST 1750 NW NAITO PARKWAY
SHERWOOD, OR 97140 PORTLAND, OR 97209
PHONE: 503 - 320 -0918 PHONE: 503 -478 -6603
FAX: 503 - 570 -8713
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 03/06/2012 $619.25
Class of Work: ALT Demolition
Dwelling Units: 0 Plan Review 01/27/2012 $402.51
Stories: 1 Height: 0 ft Plan Review- Fire Life Safety 01/27/2012 $247.70
Bedrooms: 0 Bathrooms: 0 Address Fee 01/31/2012 $50.00
Value: $39,500 DC Provision Review, COM TI - Ping 03/06/2012 $64.00
DC Provision Review, COM TI - LRP 03/06/2012 $9.00
Info Process /Archiving - Lg $2.00 (over 03/06/2012 $14.00
Floor Areas: 11x17)
12% State Surcharge - Building 03/06/2012 $74.31
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,480.77
Required' Required Items and Reports (Conditions)
Fire Sprinkler: 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. Speci- Code 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 .f issuan• =, or if wok is suspended .-ore the 180
days. ATTENTION: Oregon law .,- • uires you to follow the rules adopted by the Oregon Utility N ification I ent`�: / rul - .-forth in OAR
952 -001 0 through • • - 952 - .1 -0090. You may obtain a copy of the rules or direct questions to OUNC by • ling 503.2 .1 ' / 00.332. '1 • .
Issue y : 1 //
�iL W / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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 FOR OFFICE USE ONLY
City of Tigard n Pennit No.:
`J g DateB : R eceived 41 7 �/ �/ i 4 , /,,,, at
13125 SW Hall Blvd., Tigard, OR 97223 2012 Plan Review �1,
�
' n JAN 2 7 Phone: 503.718.2439 Fax: 503.598.1960 J DateB : � %llE Other Permit:
TIGARD Inspection Line: 503.639 Tv FTIGARD II ate ' ea. y /:yi 0 See Page 2 for
Internet: www.tigard- or.gov CITY b 0 Notified /Method: y1 , Supplemental Information
BUILDING DIVISION d kt tAV-PVA / -
TYPE OF WORK REQUIRED DATA: I- 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.
Valuation: $
❑ 1- and 2- family dwelling ® 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: 7275 SW Dartmouth, New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 160 Project name: Itualai1_ d a_ Covered porch area: square feet
Cross street/directions to job site: SW Dartmouth & 72 Ave 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.
Frame, sheetrock, mechanical, plumbing, electrical Valuation: $$39,500.00
Existing building area: 5811 square feet
New building area: 1400 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name: American Industries Type of construction: V -B
Address: 1750 NW Naito Parkway Occupancy groups:
City /State /ZIP: Portland, OR 97209 Existing: B
Phone: (503)478 -6603 Fax: (503) New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please reftr to fee scl,edale)
Business name: Day Road Design, LLC
Structural plan review fee (or deposit):
Contact name: Ron Kief
FLS plan review fee (if applicable):
Address: 9825 SW Day Road
City /State /ZIP: Sherwood, OR 97140 Total fees due upon application:
Phone: (503) 320 -0918 Fax: : (503) 570 -8713 Amount received: 6'
E -mail: RonKief @comcast.net P OTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Comore ial and residential prescriptive insta on of
roof -top unted PhotoVoltaic Solar Pan ystem.
Business name: CPS Construction, Inc Submit two : sets of roof plan with •.nnection details
and fire depart • t access, alon • • th the 2010 Oregon
Address: 9825 SW Day Road Solar Installation •cialty C -e checklist.
City /State /ZIP: Sherwood, OR 97140 Permit fee (inc .. - ! .Ian review $180.00
and ad •' t .tive fees):
Phone: (503) 320 -0918 Fax: (503) 570 -8713 State surchar: 12% of perm ee): $21.60
CCB lie.: 10224
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ron Kief '/ Date: 01/27/12 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)
•
. 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, - V
excluding painting and wallpapering: • [1] $ 59,000
MULTIPLIER (25 %' barrier removal requirement): x .25
•
• TOTAL BUDGET FOR BARRIER REMOVAL: [2] • $ 14,750 .
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: - $ 14750
(e) Accessible telephones: $
•
(f) Accessible drinking fountains: and $
(g) ' When possible, additional accessible elements such as storage and v.
alarms: $
TOTAL (shall equal line" [2] of Valuation Computation): • • . $ 14,750
•
•
1: \Building \ Permits \BUP -COM PcrmitApp.doc 03/03/2011
•
Building Division
Plan Submittal Requirements
TIGARD 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.
l: \Building \Permits \BUP -COM PermitApp.doc 03 /03/2011
a Building Division
Plan Submittal Requirement Matrix
T I GA RD 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 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 _ 1: \ Building \Permits \BUP -COM PermitApp.doc 03 /03/2011
III C Building Division qid-, /vim
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: LA. 0 ( —Can I eo ❑ Expedited Review
Plan Submittal Date: ( /at l y
1
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 f at 503 - 718 -2C/ or JO4» ?'/ @ tigard- or.gov)
❑ Zoning —6' At Permitted Use Yes L?' No ❑
❑ Land Use Required: Yes Ld' No ❑ (explain below)
Notes: NUM) e. 07 /4•/ UJC, lily 1t44- h Ili KW 4/ iist
Approved If?"NotApproved Date: tilt 7'4.
, ,w'v I —/ /1 Z 11
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or.gov)
Notes:
Routed back to Building Division Date:
i
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