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Permit q CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2013 -00144 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/12/2013 Parcel: 2S 102AC00700 Jurisdiction: Tigard Site address: 12540 SW MAIN ST 120 Project: Fish - Field. Inc. Subdivision: BURNHAM TRACT Lot: 1 Project Description: Certificate of Occupancy for new retail store. Contractor: OWNER Owner: DOLAN & CO LLC BY FLORENCE T DOLAN 4523 NE DAVIS ST PORTLAND, OR 97213 PHONE: PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 06/12/2013 $53.27 Demolition Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 06/12/2013 $6.39 Dwelling Units: 0 Stories: 0 Height: 0 ft • • Bedrooms: 0 Bathrooms: 0 Value: $500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $59.66 Required: Required Items and Reports (Conditions) Fire Sprinkler: 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: 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 RECEVED Commercial FOR OFFICE USE ONLY JUN 1 2 2013 Received City of Tigard Date/By: e / S O& / 3 4 4 1 — Permit N o t e a / 0 , / 3 — 4 9 . ° 13125 SW Hall Blvd., Tigard, OR 97223 �I-� OF TI Plan Review • Phone: 503 -718 -2439 Fax: 503 - 598 -196 Date/By: Other Permit: -r I G ,\ it I) Inspection Line: 503- 639 -4175 BUILDING DIVISION Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: 7 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 (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. ❑ 1- and 2- family dwelling ❑ 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: Jobs site ,adsress: ( 2 S c{ d St.. itne,,,C, S f . lic. 1 a o New dwelling area: square feet ty /State ^r�` • Garage/carport area: s uare feet E r - - - � P: g UR- R Z 2�,' q Suite/bldg. /apt. no.: ti -2_,0 I roject nam2l r Sk — F,'. ( 1,. r Z , L Covered porch area square feet Cross street/directions to job site: C-f`EtJi4tzT 1. 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. r , ( 4 Q tJ Er.J Rat l L e� Valuation $ � °' �� , t) 0 Existing building area l /! PO � square feet - C ' New building area: square feet its ' r CO PROPERTY OWNER ❑ TENANT Number of stories: Name: Do ‘. 00,4„. a t^ a C o Gv, p-a rr (L I- G Type of construction: Address: vita A f tv iq Ti A_s?_c Occupancy groups: City /State /ZIP: P c it q 7 3... d q Existing: Phone: ( ) Fax: ( ) New: t0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: OEM e_ 4- A)-( J (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: City/State /ZIP: Total fees due upon application: Phone: ( ) Fax:: ( ) Amount received: 6 6, (, E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: 060 �4.-- 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 li Total fee due upon application: $201.60 Authorized signature: 2 a-- _ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. — Print- name: ---- p R D d l 0 Da etet ( .. ( . 4- 2 ( • Fee methodology set by Tri County Building Industry Service Board I:\Building\Permits\BUP _COM_PermitApp.doc Rev. 12/11/2012 440 -4613T(11 /02 /COM/WEB) e 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, 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 \Pemvts \BUP_COM_PemritApp.doc Rev. 12/11/2012 w I III a 0 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 ❑ 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 I G A R 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. 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