Loading...
Permit CITY OF TIGARD BUILDING PERMIT 111 11 a..- COMMUNITY DEVELOPMENT Permit #: BUP2009 -00160 •T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/27/2009 Parcel: 1 S134BC00300 Jurisdiction: Tigard Site address: 12264 SW SCHOLLS FERRY RD Subdivision: Lot: 0 Project: Snap Fitness Project Description: TI Owner: FEES FW OR- GREENWAY TOWN CENTER LLC Description Date Amount PO BOX 790830 Permit Fee - COM 08/27/2009 $366.70 SAN ANTONIO, TX 78279 12% State Surcharge - Building 08/27/2009 $44.00 PHONE: Plan Review 08/27/2009 $238.36 Plan Review - Fire Life Safety 08/27/2009 $146.68 Contractor: GIBB CONSTRUCTION & REMODELING INC 15755 SW SERENA WAY TIGARD, OR 97224 PHONE: 503 - 407 -9686 FAX: 503- 549 -8986 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 , Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $50,000 Floor Areas: Total Area: 0 • Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $795.74 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Protected Corridors: No 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 i - • • - , ith 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: Orego .w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95. 001 -0010 through OAR 9 • -1: -01 i I. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Is ed By: / • !/ / • Permittee Signature: • Call 503.639.4175 by 7:00 a.m. for an inspection that business ay. 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. `S Building Permit Application 'Commercial FOR OFFICE USE ONLY City of Tigard RE CEIVED Received ¢ a7 09 �' Permit No.: ��a� �Q/6a • 131 25 SW Hall Blvd., Tigard, OR 97223 P lan R e C ' 0 Phone: 503.639.4171 Fax: 503.598.1 Date/B ,ai y f TAIVZ KM Other Permit: �� 2 7 2009 lun, ® See 1 i C _ A ii D Inspection Line: 503.639.4175 Date Re. g Internet: www.tigard - or.gov Notified/Method: � Supplemental e2 Information CITY OF TIGARD TYPE %G DIVISION 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 tif Other: 1-iavikorc ( IVJ equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling g 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: 12,24, 0 4 S W rCi413 LA Pfaiht 12-Q , New dwelling area: square feet City/State /ZIP: D i , 9 7 Z2 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: S ,,'4P h T..1 ES S Covered porch area: square feet Cross street/directions to job site: f 21 S.- — C �� f U sue" ` 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 n/1�r work indicated on this application. /#NI /M Pgv air( - Ab Z r 14-S / Valuation: $ O t O c7 0 / 544414 Of-ft 7r '. , , / A r / 7 _ , a Existing building area: 2_2.5v 2_2.5v square feet / �t� j'' v"'- `W New building area: square feet ❑ PROPERTY OWNER I tzi TENANT Number of stories: l ' / Name: `r VE rn L..I.E'J Type of construction: 2r'f "v 6 Address: No( q 7,1 S 0 R IA, v - f - r P 2, Occupancy groups: City/State /ZIP: 1147440 t oil. 'j 7 2- Existing: Phone: (SO' )) sZ p 1 2Z. Fax: ( ) New: ❑ APPLICANT wif CONTACT PERSON NOTICE Business name: ('(PJ Cm�t,f4,14 64 mu 4 7a.,.fG j /1'G, All contractors and subcontractors are required to be Contact name: `f pyyl gl� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the kddress: / s--is-f S' (.e _firA GT T. jurisdiction in which work is being performed. If the City/State /ZIP: 7) 9 f f 7 7 I applicant is exempt from licensing, the following reasons X16 apply: Phone: ( ra3) `101 161'4, Fax: : (S03) 5-i of - ggR9 E- mail:. !/kpfg( .J 4- r, „/er CONTRACTOR Business name: Gi ((p (�yy.rf„yf V' &Hob 4u tjQ„ hie" BUILDING PERMIT FEES* Address: /T7 $r Sin, f oi CT. (Please refer to fee schedule) 1ir47� Structural plan review fee (or deposit): City/State /ZIP: , v Q •t7�/ Phone: (Sd )1.07- 1694, I F ax: (�3 ) �,{. -9./ $'6 FLS plan review fee (if applicable): :CB lic.: / 'Li 01 (1 c� Total fees due upon application: [ Amount received: Authorized signature: / � -.N.-- .�� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 6,21 /5 D g' (� vv�c * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(I 1 /02/COM/WEB) . t I Q Building Division Accessibility: Barrier Removal Improvement Plan TIGi \RD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every projcct 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: $ (D 1 Cy3(2) (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 I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Description of Project: —TT GENERAL INFORMATION Class of Work:* Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* kWI First floor: N: S: Type of Construction: Second floor: E: W: Occupancy Group: Third floor: Openings Protected Y /N ?: Occupancy Load: Total sq ft.: N: S: Stories: ( Note: Combine total floor area for E: I~;: Height: all floors above third floor and Roof Construction: _ _ Floor Load: add to the third floor s . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: REQUIRED Tl'EMS Fire sprinkler: e ° _ _ Handicap access: Smoke detector: Protected corridors: kln Fire alarm: Parking spaces ( #): Notes: Total Valuation: $ 9 ) INSPECTIONS FEES DUE Footing /foundation Firewall $ . , Permit Fee Post /beam structural Smoke detector $ / k , Crn State Surcharge Shear wall Misc. inspection $ ,, Plan Review Fee _ Alit Masonry Approach /sidewalk $ ' Mb 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: $ `5,7' 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. L \ Building \ Forms \OTC- BUP,doc 08/19/08