Permit 1 111 r� CITY OF TIG BUILDING PERMIT
12 COMMUNITY DEVELOPME Permit #: BUP2013-00049
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/05/2013
Parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14385 SW PACIFIC HWY
Project: Spec Space Subdivision: CANTERBURY PLACE, AMENDED Lot: PTS 1 -4
Project Description: TI
Contractor: OWNER Owner: KOLVE, G C
14389 SW PACIFIC HWY
TIGARD, OR 97224
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 03/05/2013 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 03/05/2013 $10.00
Permit Fee - Additions, Alterations, 03/05/2013 $164.96
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 03/05/2013 $19.80
Bedrooms: 0 Bathrooms: 0 Plan Review 03/05/2013 $107.22
Value: $6,000 Plan Review - Fire Life Safety 03/05/2013 $65.98
Info Process /Archiving - Sm $0.50 (up to 03/05/2013 $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 $436.96
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 -, cordance 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. • TENTIO : ' egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 .01 -0010 through OA' • 5 = : -0090. You may obtain a copy of the rules or direct questions to OUNC by callin 232.1987 or 1 00.332.2344.
Iss .• d By: . , g
�` /� t/ i 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 - ' , roR orH Icr.'usl, ONLY -
City of Tigard Receive
eBya / / Permit No "Nr 3. 6.. 7
1114 ° 13125 SW Hall Blvd., Tigard, OR 97223: MAR 5 2013 plan Review
`: ® ';: Phone: 503 -718 -2439 Fax: 503 -598 -1960 Date/By: Other Permit:
4.1:G \ R I) Inspection Line: 503 - 6394175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for
• 6 Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information
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 (rouided to the nearest dollar) of all
®,Additio alterati eplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling 4K Commercial/industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder 11 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I L 3E35 ,5u..) C 1.4( r. I New dwelling area: square feet
City /State /ZIP: 1 1C Nj) 01K, ,aa� "`' Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area square feet
Cross street/directions to job site: clq 4 HIV' rLcp,t, Deck area: square feet
L A., J P P . CT is 1 - t L Other structure area: square feet
Si _ REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Sub u Ar: vision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
t) 1 L Arum INNS Cn r- SOCK /
$ I n � 0
Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: A. 1o..t Type of construction:
Address: I Lt ')g V �) � AC(tC. irk-u.) e Occupancy groups:
City /State /ZIP: j covo O a 72:2-4 Existing:
Phone: ( _3 6a `7 Fax: (03 6E39 � j 8 C (
New:
EIAPPLICANT 13,-CONTACT PERSON BUILDING PERMIT FEES*
Business name: -At( ,o CO (Please refer toJeeschedul�
l Structural plan review fee (or deposit):
Contact name: V. Address: ' 1� � c5� ��l ('C.� c 14- us � FLS plan review fee (if applicable):
City /State /ZIP: I q D OR. g72�tt Total fees due upon application: Phone: 26 8 7 Fax:: gL� 6--c3/) Amount received:
q t - r - R n , , C & / \�!r�� �� 1 6 / co M PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
fd
E -mail: [v go ,ll C J
Commercial and residential prescriptive installation of
ONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: OW Mg42_, Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: I _3 8i SS F) u) P i Tz ` c Solar Installation Specialty Code checklist.
City /State /ZIP: G l ( "1 --1 Permit fee (includes plan review $180.00
O WR7 J and administrative fees):
Phone: Fax: 3 0 Sag _7 State surcharge (12% of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
-O ` �. • n , /i /� tl w T his permit application expires if a permit is not obtained
Authorized signatur
1`Z_1 y l� `-O within 180 days after it has been accepted as complete.
Print name: 4.4-1■‘ of Date: ,3 * Fee methodology set by Tri -County Building Industry
` Service Board.
1: \Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012 4404613T(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, P /y, Op
excluding painting and wallpapering: [1] $ '
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ /TOG c6
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 Rev. 12/11/2012
q Building Division
Development Code Provision Review
T I GA RD Commercial Projects - No Associated Land Use Case
Building Permit No: - ( 3 " 600 19 ' Expedited Review
Project Name:
Site Address: 11 3 ? 5 c P/)- i f-i C / / Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: �� /� Routed By:
1St Revision Submittal Date: Routed By:
2n Revision Submittal Date: Routed By:
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 l- at (503) 718-24n or @tigard- or.gov)
Proposal: lr. I2tti2 YY1:° .. / a ; J ■ W __ ?as
pr-JDc.nRe Li .
Zoning C 'C7
Permitted Use Yes C� No ❑ AA
Land Use Required: Yes ❑ No alitily
Notes: ��C1�..��� �J�t at������. c����'•' LJz •10 a
C.1Ml c u
.. Approved ❑ Not Approved ❑ DCPR Not Required - No DCPR Fees Due
Date Routed to Building:
I: \CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev. 01/16/13
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: i
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: WA 1. Occu.anc Grou.: MIM Type of Construction:
*Type of Use: 634 Occupancy Load: Oregon Specialty Code:
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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ tie-DC FEES DUE
$
'7, on DCProvRvw,COMTI — Ping
$ 0 / J DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ r, Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ , 6c1,0 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 0 , 27- Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 7 ,cc.) 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: $ 4, eiC TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo;
END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC- BUP.docx 07/01/2012