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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2013 -00127 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013 Parcel: 2S 113AC00102 Jurisdiction: Tigard Site address: 7272 SW DURHAM RD, STE# 800 Project: Pattern Ninja Subdivision: COUNCIL VIEW ACRES (LOTS 21-44) Lot: 25 -27,2; Project Description: Change of occupancy from B to A3. Contractor: Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY TIGARD, OR 97224 PHONE: PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 05/22/2013 $53.27 Demolition Occupancy Grp: A -3 Occupancy Load: 219 12% State Surcharge - Building 05/22/2013 $6.39 Dwelling Units: 0 Plan Review 05/22/2013 $34.63 Stories: 1 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 05/22/2013 $1.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $95.29 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 -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 1.800.332.2344. Issued By: Permittee Signature: n As �. 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 FOR OFFICE USE ONLY City of Tigard REC R ® ",_ MAY 2 2 2 0 r Permit No.'� / _ 0 0 02 NI ° 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review 'p, , 11 Phone: 503- 718 -2439 Fax: 503 - 598 -1960 Date/By: ` it , 0 Other Permit. Inspection Line: 503 - 6394175 CITY OF AGARI° Date Ready/13y: Juris: El See Page 2 for T I G A R D „ Internet: www.tigard - or.gov BUILDING ified/Method: Supplemental Information G D VIS,UF PP TYPE OF WORK 1� ¢J V 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 ID Addition/alteration/replacement p Other: 0 a(�p�� I equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION b_ d - 4e work indicated on this application. ID m 1- and 2- family dwelling Comercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ''7 272 so ctu'f-11GC VA 4- New dwelling area: square feet City/State /ZIP: li ; �c 64?-___ 61.-722-34 - � Garage /carport area: square feet Suite/bldg. /apt. no.: goo Project name: V&k X ig 1V1 J� Covered porch area: square feet Cross street/directions to job site: 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. NCB t�ck1_ , 1,u S - . pc-- OCCSJV U/1 Valuation: $ a i 4 Existing building area square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: 'P0■��rO S k"- Type of construction: Address: 1t -- 0 s1/3 Se GI CA, qv i L 4soo Occupancy groups: City/State /ZIP: 1 CA.,‘„'tA 0N,,e. q —7 - Existing: Phone: (533) 124 - L23CV Fax: (S 62ZL —7 S New: 3 APPLICANT C1 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee (or deposit): Contact name: .)AM ire-- FLS plan review fee (if applicable): Address: City/State /ZIP: Total fees due upon application: Amount received: Phone: ( ) Fax:: ( ) E - mail: Nrk/ /I en 0� �a]('l,� t � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* , ` Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: NO-- Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State /ZIP: Permit fee (includes plan review $180.00 and administrative fees): Phone: ( Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signs . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �i Date: ` l l3 * Fee methodology set by Tri -County Building Industry (JtAn r �7 Service Board. 1: \Building\Permits\BtP_COM PermitApp.doc Rev. 12/11/2012 440 4613T(11 /02 /COM/WEB) Building Division Accessibility: Barrier Removal Improvement Plan 'T.IGARD' 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): $ I:\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012 11 q Building Division Plan Submittal Requirements T I G A R D 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 El 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. I:\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012 :,+'-',' - ' Building Division Plan Submittal Requirement Matrix T a GA +R F D .• Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 3 (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. I:\ Buildin \Pernvts \BUP_COM_PermitApp.doc Rev. 12 /11/2012 Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: 7* C(e-- APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: A Occupancy Group: fk. Type of Construction: 2(2 *Type of Use: er Occupancy Load: 2rt Oregon Specialty Code: 090 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: $ 0 FEES DUE $ DC Prov Rvw, COM TI — Ping $ DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ £j j, 7 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ i ;' 1 12% State Surcharge Up to $4,999 $0.00 $0.00 $ 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 $ (, Q 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: $ � rj � 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; OM = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. L \ Building \ Forms \OTC - BUP.docx 07/01/2012 _ " Building Division Development Code Provision Review T [ G A R D Commercial Projects with Approved Land Use Building Permit No.: .1660 c i r ct/ Land Use Casefile No.: c9 0/3 — ,2OO/ 2 0 e e u / 9 ' e7 Routed Plans: Submittal Date: �� Submittal Date: Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (■) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. Planning Review (contact -V' oeS G at 503 - 71824 or 1� @tigard- or.gov) Cad' Land Use Approval ©wilding Plans Match Approved Plan: Yes CV' No ❑ ❑ Maximum Building Height 01 A- IWConditions Met ❑ Street Trees Qi / ❑ Protected Trees N 1 Notes: M M D p p i e d ' Cha vtri� C ClKe/ . Original Plan: Approved "Er Not Approved ❑ Date: Si 24 1 3 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) ❑ Actual Slope: cyo ❑ PFI Permit # ❑ Conditions Met Notes: • Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Permit Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ❑ No ❑ Date Routed to Building: • • Page 2 of 2