Permit CITY OF TIGARD BUILDING PERMIT
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14 0,_ COMMUNITY DEVELOPMENT Permit #: BUP2013 -00122
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/10/2013
Parcel: 25111 BCO2603
Jurisdiction: Tigard
Site address: 10310 CANTERBURY LN
Project: East Butte Heritage Park Subdivision: TIGARDVILLE HEIGHTS Lot: 7
Project Description: New restroom and picnic shelter
Contractor: DA NEAL CONSTRUCTION INC Owner: CITY OF TIGARD
36296 NE WILSONVILLE RD 13125 SW HALL BLVD
NEWBERG, OR 97132 TIGARD, OR 97223
PHONE: 503 - 625 -6802 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: Vg Permit Fee - COM - New Construction 06/10/2013 $545.80
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 06/10/2013 $65.50
Dwelling Units: 0 Plan Review 06/10/2013 $354.77
DC Provision Review, COM TI - Ping 06/10/2013 $67.00
Stories: 1 Height: 0 ft DC Provision Review, COM TI - LRP 06/10/2013 $10.00
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 06/10/2013 $35.50
Value: $51,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 205
Basement: 0
Carport: 0
Covered Porch: 400
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,078.57
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors:
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 o ' suance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Not, , :r. Those rules are s 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 calli a • 3 . ; 7 or 1.800.332.2344.
Issued By: I Permittee Signature:
A4
I
Call 503.839.4175 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.
in lding Permit Application PL 6 X' Te
,, RECEIVED
Commercial FOR OFFICE 115E ONLY
City of Tigard MAY 16 2013 Date/By: I LP I 3 Permit No.:
�.t_p c2,01 3' pD 04._
ill C ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Sri 4,3 i ,
o f -cV/
Phone: 503- 718 -2439 Fax: 503-598-19 CITY OF TIGARD Dat i Other Permit
I' I C;,,,t I) Inspection Line: 503 -639 -4175 BUILDING DIVISION Dat ReadyBy: // , / / f l* 13 See Page 2 for
s Internet: www.ti 8 ardor. ov = � ie shod t l� (L 1 j (C7 Supplemental Information
i i TYPE OF WORK r REQUIRED DATA: 1- AND 2- FAMILY DWELLING
N ew 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1- and 2-family g ❑ Commercial /industrial
El Accessory building 0 Multi- family Number of bedrooms:
❑ Master builder E Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 O 3 j O s, 6i. eel nt bu yt. . rte, New dwelling area: square feet
City /State /ZIP: 7i.T/4-2,j) oR_ q - 722 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: /1/4-57 ,ah //e Alard4se PR711[.• Covered porch area square feet
Cross street/directions to job site: „I; 14..). X03,- pi. Cu t- £I4 1-40.C_ 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead and the pigfit for the
DESCRIPTION OF WORK work indicated on this application. fork. Yr 5
A J.24 S fvw. wi d A 4._ n 1G. S /tom /le{ Valuation: $ 40i O --D -a rill otO
Existing building area square feet
,�,/ New building area: square feet
1 rROPERTY OWNER I 0 TENANT Number of stories:
Name: C ill 0 1, f..rt j) Type of construction:
Address: / 3 125 S N7, N 4Ld- i3_V1) Occupancy groups:
City /State /ZIP: T y MC-P i 9721 3 Existing:
Phone: (3O) 6 39 - 4171 Fax: ( $'D 6 y-`/- 2757 New:
Er-APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: D A A)/IAL (O,J5Td1LGr%ON 71 (Please refer lojeeschedul�
T Structural plan review fee (or deposit):
N
Contact name: ' ✓ / 1) 4 , E/2/c4450
AR
FLS plan review fee (if applicable):
Address: 362..54) /.4 N. 1. t 4 o - jit ,Q
City /State /ZIP: V&A, 441.4 d� 7 / 3Z
Total fees due upon application:
4
/ � ax:: (5'03) 6 2S - 2e3(, Amount received:
Phone: (joj) ( /0 8O Z
E -mail: eV'1 L/t 5o*1 fig m / lc" m4 ;,/, t Om PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
a Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: DA ./V & L con)57-1L c //d a )nlf--- Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: v36 Z44, 4. 0, W1.54,710 v /4 i2cQ Solar Installation Specialty Code checklist.
City /State /ZIP: b- in i'71. /I 6, '03-0 W Permit fee (includes plan review $180.00
r and administrative fees):
Phone: (03 ) 6 2S _.2:E4i t g' vz Fax: (.�0'3) 6 is - 203 6
/J State surcharge (12% of permit fee): $21.60
CCB lic.: 47 L, 6 :_ I . L1a 3 - 6 1°2 Total fee due upon application: $201.60
r
Authorized signature: '' This permit application expires if a permit is not obtained
1. �' r within 180 days after it has been accepted as complete.
Print name: D „, J A), Y/c -/CS u Date: she, /! 3 • Fee methodology set by Tri -County Building Industry
/ Service Board
1:\Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012 440 -4613T(1 I /02 /COM/WEB)
5 o
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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 tolindividuals 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] $ 1
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): $
1::\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012 \ • 1
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14 Building Division
Development Code Provision Review
T i c n ii Commercial Projects with Approved Land Use
Building Permit No.: &U-r a-01 3 - Cry (ate
Land Use Casefile No.: &J P 90( a- O DUO t
mezzo 20 /3 z doy
Routed Plans:
Submittal Date: s • S
•
Submittal Date: Ib % o�u -bry } pi e,, e ,
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 ' :. at 503 -718- .21Y_ or — _P @tigard - or.gov)
Land Use Approval
uilding Plans Match Approved Plann Yes No ❑
Ll' Maximum Building Height 3 C /2 5h
❑ Conditions Met b •ic r J
❑ Street Trees /e � C („0"..v + `8
❑ Protected Trees ��w
Notes: 41 �_ / 2 .S P`La29 • /),- .4l
Original Plan: Approved xr Not Approved ❑ Date: -C
Revision 1: Approved • lA Not Approved ❑ Date: S " 7 / 3 - /-3
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)
.ar Actual Slope:
❑ PFI Permit # N A-
❑ Conditions Met
Notes:
Original Plan: Approved a Not Approved ❑ Date: S 22- 13
Revision 1: Approved ,Er Not Approved ❑ Date: 5 7 it L3
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: 174,
.eG662c( ',,Y/ J Let Qe 4
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applica
Revision 2: Date Sent to App • ant
Okay to Issue Permit Yes No ❑
Date Routed to Building:
g 2 -3 /!'y
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Page 2 of 2
.1
FOR OFFICE USE ONLY — SITE ADDRESS:
This form is 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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
i a 1111 Transmittal Letter
TIGARD l 3125_S W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: � DATE R i
. W ED
DEPT: BUILDING DIVISION
MAY 2 2 2013
• FROM: t ok E lit C- CITY OF TIGARD
��� C6-,-41 BUILDING DIVISION
COMPANY: l�
PHONE: c
RE: / 0 10 V1 -- rajc700/ S — UD l6 2. 2
(Site Address) (Permit Number)
E 0-4-V ) 6 C .2±-0--t--e- L L___
(Project name or subdivision name and rot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
j 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. P. Engineer's calculations.
Other (explain): I n •
REMARKS: t C (V Ac . c rks- I -� i t o,1�1/ I I t ovo 1/s L.,-
LA 4.0 006 J. '„_ate _ 16 5 000 T T . -
NO .._ _..: _ IL. , I / _.. tc...-)
FOR O F1 USE ONLY .
Routed to Permit Technician: Date: & ( � 13 Initials: a4
Fees Due: ❑ Yes ®' Fee Description: Amount Due:
$
• $
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\ Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012