Permit ``: _. CITY OF TIGARD ` ' '' "' ` BUILDING PERMIT
It COMMUNITY DEVELOPMENT Permit #: BUP2012 00030
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 r,/ D ate Issued: 02/16/2012
Parcel: 1 S126CA01000
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 115
Project: Sport Clips Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Interior work for future tenant.
3/15/2012: REPRINT PERMIT for increase of project valuation from $39,400 to $79,400
Contractor: TOP DRAWER DEVELOPMENT Owner: CAFARO NORTHWEST PARTNERSHIP
24400 SW BAKER ROAD PO BOX 422
SHERWOOD, OR 97140 FLORHAM PARK, NJ 07932
PHONE: 971 - 404 -8798 PHONE:
FAX: 503 - 625 -0821
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 02/16/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 02/16/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 02/16/2012 $619.25
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 02/16/2012 $74.31
Value: $79,400 Plan Review 02/16/2012 $402.51
Plan Review - Fire Life Safety 02/16/2012 $247.70
Info Process /Archiving - Lg $2.00 (over 02/16/2012 $14.00
Floor Areas: 11x17)
COT Address Fee 02/16/2012 $50.00
Total Area: 0 Additional Permit 03/20/2012 $336.10
Accessory Struct: 0 Additional Plan Review 03/20/2012 $218.47
Basement: 0 Plan Review Addl - Fire Life Safety 03/20/2012 $134.44
Carport: 0 12% State Surcharge - Building 03/20/2012 $40.33
Covered Porch: 0 Info Process /Archiving - Lg $2.00 (over 03/20/2012 $10.00
Deck: 0 11x17)
Garage: 0
Mezzanine: 0
Total $2,220.11
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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. ATT • : . . _ • law re• .ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 •010 through OAR 95 I -0090' Y.. ay obtain a copy of the rules or direct questions to OUNC by callinr,•03.232.1987 or 1.800.332.2344.
Issu =d By: ill Z Permittee Sign lure: Al') , ./'
/ Call 503.639.4175 by 7:00 a.m. for the next available inspection- • ate.
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.
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
I II City of Tigard 1..______ (. Buildin g Division 1 64
TARO TRANSMITTAL LETTE
O1
ez $ i 4 v ' ,
TO: _ 1G1. DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
. MAR 15 2012
V\pZ� � = Q CD
FROM: CITY OF TIGARD
.. -
BUILDING DIVISI
COMPANY: o p ' a,.., ,o6,Nr-
PHONE: C V1 1 - 4-- 8 - 1 9 9 By:
RE: 909 �w AL," 4/14 'F. 7/' P o /A-004050 (Site dress) (ermit umber)
p�A'Pr & , P
( ro�ect name or s name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. t A Engineer's calculations.
X Other (explain): j pt, t , t p s S TLr0.4T w o r L y
REMARKS:
FOR FFI E USE ONLY
Routed to Permit echnician: Date: g s( i_ Initials
Fees - Fee Description: Amount Due:
$
Special
Instructions:
Reprint Permit (per PE): es ❑ No
Applicant Notified: Date: Initials:
I:\ Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011
CITY OF TIGARD BUILDING PERMIT
71 f' Permit #: BUP2012 -00030
COMMUNITY DEVELOPMENT
,TIGARD
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/16/2012
ti F Parcel: 1S126CA01000
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 115
Project: Spec Space Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Interior work for future tenant.
Contractor: TOP DRAWER DEVELOPMENT Owner: CAFARO NORTHWEST PARTNERSHIP
24400 SW BAKER ROAD PO BOX 422
SHERWOOD, OR 97140 FLORHAM PARK, NJ 07932
PHONE: 971 - 404 -8798 PHONE:
FAX: 503 - 625 -0821
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 02/16/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 02/16/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 02/16/2012 $619.25
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 02/16/2012 $74.31
Value: $39,400 Plan Review 02/16/2012 $402.51
Plan Review - Fire Life Safety 02/16/2012 $247.70
Info Process /Archiving - Lg $2.00 (over 02/16/2012 $14.00
Floor Areas: 11x17)
COT Address Fee 02/16/2012 $50.00
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: Yes 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. Those rules are set forth in OAR
952 - 001 -0011 - -- • OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1111101 , / S r
Issued ;
y: ( Perm Signature: �'� /�/,,i�
Call 503.639.4175'by 7:00 a.m. for th"e nexfavailable spectio date.
This permit card shall be kept in a conspicuous place on the job sae 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
Received a/ Permit No.: City of Tigard Date/B : 1.7, � � `��� /�/
° 13125 SW Hall Blvd., Tigard, OR 97223 = B 1 4 2012 Plan Review 71.
C : • Phone: 503.718.2439 Fax: 503.598.1960 Date /13 : /` f ∎� a er Permit: 30
T [ G A R D Inspection Line: 503.639 CI't x OF TIGARD Date Ready /By: ' Juris: 10 See Page 2 for
Internet: www.tigard- or.gov J Notified/Method:� /5 �, f " 1 Supplemental Information
BUILDING DIVISION 41.4_ to / . t__;
'TYPE_ OF WORK - REQUIRED DATA: 1- AND 2-FAMILY. DWELLING
0 New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
R Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
C ATE GORY OF CONSTRUCTION work indicated on this application.
❑ 1- 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: ti 00 9 S W 14,64 $L V a New dwelling area: square feet
City/State /ZIP: .--1 4..a4,0 Q a_ Q 7 ZZ 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ' A t Cam. f p _ LL LtJ a R< Covered porch area: square feet
Cross street/directions to job site: LC V E_ 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.
� Valuation: $ 3 O ) 400
1 «d L.A./LA- P�►aZ� -(4 7 tt+.∎- \, / lt�C� , 6 1/4. .. 1
Existing building area: square feet
J.rAC.. 'FDA_ - Pr/ ∎J A_%. —r .3.44,,J 1
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: II 13
Address: Occupancy groups: N 0 OGG . Pet..)c 7
City /State /ZIP: Existing: M
Phone: ( ) Fax: ( )
New:
• • [APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
p (Please to fee schedule)
Business name: 0 P &A ;GISl (j� )G S I G
� Structural plan review fee (or deposit):
Contact name: 1 „a, (L t o - ac..., t FC A
FLS plan review fee (if applicable):
Address: 22(o0S 5 tA) P1N13 14 uA e7 C.7
o
City/State /ZIP: S Gudpo D O n__ 9 -, t ,� Total fees due upon application:
Phone: (5;3 ) ( ga - 4. 4 4-.4 Fax : : ( ) Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* -
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: i�as7o4 0 ,, N
Va
D 8 l Submit two (2) sets of roof plan with connection details
10 P Ve'A i r.L. v and fire department access, along with the 2010 Oregon
Address: 2_44 b O S W -3„,,, RD Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee (includes plan review
s N LrR.uJo or) o q 7 t 4 0 and administrative fees): $180.00
Phone: ([o 1) C _ $.751 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: I 3 3 ` 2
3 Total fee due upon application: $201.60
Authorized signatur �.�� t This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ' )A a % J 5� 0 J S , at Date: Z `Fee methodology set by Tn County Building Industry
1 1 L Service Board.
111 q 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] $ 3 ' , 4 06. 00
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 9 B SO . Oa
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): $
1■11, nit•—‘G ACCGSS A■ D SP/IGC A n-C t 0 c7
CO 1K hLI J? wt TN 0 S L ZO tO c 1.1 1 lI
I: \Building \Pemiits \BUP -COM PemutApp.doc 03/03/2011
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: --- "&-c 06/2-0665, 2 ❑ Expedited Review
Plan Submittal Date:
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& • ' J -- at 503 - 718- 2 V3r or 7 '1Y @ tigard- or.gov)
❑ Zoning H2 u(„ Permitted Use Yes ❑ No ❑ ("to 7E' • n. , r `7T)
❑ Land Use Required: Yes ❑ No •r (explain below)
Notes: 1 twss v 01/14.4.u. - v -te-/ lv( - t, 4 le' Cr""4... -te-f re- L
P4t, (
t / 4i s 4210` v; 'er it U.........." €.i 01.41.
4 Approved ❑ Not Approved Date: -2:14/1 2--
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
• 'I Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description: ( 1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION `Zia
*Class of Work: LT Occupancy Group: .F Type of Construction:
*Type of Use: �'i/V Occupancy Load: 1a"" Oregon Specialty Code: --zJ I)
SPECIFICS
Number of Stories: I 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: te Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ `1 r) FEES DUE
$ V -, 00 DC Prov Rvw, COM TI — Ping
$ ,C0 DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ : , 1 i ' , 2 • Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 1 , 3 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ A c 412_,5 Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ 2 7,7C Plan Review, Fire Life Safety
- $75,000 - $149,999 $160.00 $24.00 $ / ,C? 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. Ad n min Fee
Permit Coordinator: $ 5()."° Other: t� 4
$ Other:
Building Staff: $ Other:
Date /Time: $ 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; 0111. = other (use for fences,.decks, retaining walls, signs, awnings or canopies);
REP = repair.
I:\ Building \ forms \OTC - BUP.docx 01 /13/2011