Permit CITY OF TIGARD BUILDING PERMIT
11111 I , COMMUNITY DEVELOPMENT Permit #: BUP2013 00013
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TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/16/2013
Parcel: 2S 102 DA00401
Jurisdiction: Tigard
Site address: 13125 SW HALL BLVD PERMITS
Project: City of Tigard Subdivision: BARNUM PARK Lot: 9
Project Description: Remodel permit center office
Contractor: CENTREX CONSTRUCTION INC Owner: TIGARD, CITY OF
8250 SW HUNZIKER RD 13125 SW HALL
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 684 -0443 PHONE:
FAX: 503 - 620 -6692
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review, COM TI - Ping 01/16/2013 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 01/16/2013 $10.00
Permit Fee - Additions, Alterations, 01/16/2013 $225.80
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 01/16/2013 $27.10
Bedrooms: 0 Bathrooms: 0 Plan Review 01/16/2013 $146.77
Value: $9,400 Plan Review - Fire Life Safety 01/16/2013 $90.32
Info Process /Archiving - Sm $0.50 (up to 01/16/2013 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $568.99
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: No 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 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 / or b 1.800.332.2344. Issued By: � Permittee Signature: j 6L_ &C41
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 roaorFlcr Us ONLY City of Tigard Date/B e a � Es" , Permit No.: , l4 l � 1 3 oca
Ill 0 ° 13125 SW Hall Blvd., Tigard, OR 9 72 M 0� 4 2013 Plan Review
• Phone: 503 -718 -2439 Fax: 503 -5 6 Date/B : r j1J� I Other Permit:
T I G A It 0 Inspection Line: 503 -639 -4175 Date Ready : y. y ,,,, Juris: ® See Page 2 for
• „: Internet: www.tigard- or.gov IUI�� i fie l � � 3 n ' b Supplemental Information
BUILDING D
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
A Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling J] 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: 131 z S s J - 44-/..i_ New dwelling area: square feet
City /State /ZIP: I-1 ftp_.. C P72- 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: REn/5 9 Mar Covered porch area square feet
Cross street/directions to job site: e t -ley or j 2q a- Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (routded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. v
/1 X 1 Z- 42 C r o.ir /, i 1% 1 �/ ez, 1A-4,1) (z - Valuation: $ 9 too Di) !�
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Cl T Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: LF 1
l Structural plan review fee (or deposit):
Contact name: —1-1 1„t -E.,1_) IVO FLS plan review fee (if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone: ( ) Fax:: ( ) Amount received: . 69
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two (2) sets of roof plan with connection details
.9 ' and fire department access, along with the 2010 Oregon
Address: 2 . s--27 J 0,2 / K -A S Installation Specialty Code checklist.
City /State /ZIP: < fl 4_,,s, Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( )7j kg Y. pifif Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 3 _ 5 x23 e „ ) Date: i (9 1 3 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \ Building \Permits\BUP_COM_PermitApp.doc Rev. 12/11 /2012 440- 4613T(1 l /02 /COM/WEB)
Building Division
3' Accessibility: Barrier Removal Improvement Plan
. TI G AR'Dt
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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): $
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I: \ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012
Building Division
° Development Code Provision Review
T I GA RD Commercial Projects - No Associated Land Use Case
Building Permit No: t L CCD l 3 — 00 I -2 j *Expedited Review
Plan Submittal Date: (// ti / / 3
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 at 503 -718 1 / 1 4 or tiRt @tigard- or.gov)
Proposal: ( t r �,
/ - % /
Zoning 1 04,t
Permitted Use Yes OK No ❑
Land Use Required: Yes ❑ No M'
Notes:
lld Approved ❑ Not Approved Date: I
REVISED 10/4/12