Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit# BUP2013 00172
Date Issued 07/15/2013
T I G AR 13125 SW Hall Blvd Tigard OR 97223 503 718 2439 parcel 1 S135A601003
Jurisdiction Tigard
Site address 10330 SW GREENBURG RD
Project Red Lobster Subdivision METZGER TOWN OF Lot 9
Project Description Interior demolition in preparation for TI
Contractor HALEY CONSTRUCTION INC Owner LINCOLN CENTER LLC
900 ORANGE AVE BY SHORENSTEIN PROPERTIES LLC
DAYTONA BEACH FL 32114 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO CA 94104
PHONE 386 944 0470 PHONE
FAX
Specifics FEES
Description Date Amount
Type of Use COM
Class of Work ALT Type of Const Permit Fee Additions Alterations 07/15/2013 $377 90
Demolition
Occupancy Grp Occupancy Load 12 /o State Surcharge Building 07/15/2013 $45 35
Dwelling Units 0 Info Process /Archiving Lg $2 00 (over 07/15/2013 $2 00
Stones 0 Height 0 ft 11x17)
Bedrooms 0 Bathrooms 0
Value $20 000
Floor Areas
Total Area 0
Accessory Struct 0
Basement 0
Carport 0
Covered Porch 0
Deck 0
Garage 0
Mezzanine 0
Total $42525
Required Required Items and Reports (Conditions)
Fire Sprinkler Parapet
Fire Alarm Protected Corridors
Smoke Detectors Manual Pull Stations
Accessible Parking 0
This per •it— is subject to the regulations contained in the Tigard Munic pal Code State of OR Spec ally Codes and all other applicable law All work w II
be •one in accordance wiiapproved plans This permit will expire if work is not started within 180 days of issuance or if work is suspended for more the 180
■ays ATTENTION Oregon I: • \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 00 • • • • • • - • •fain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2 4
t , / Issued By \)+ jul r , / - Permittee Signature ._
Call 503 639 4175 by 7 00 a m for the next available Inspection date
This permit • rd 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
I u.lding Permit Application
Commercial b EIVED F(.)R.OFF USE ONLY
71 City of Tigard JUL 1 5 ' 013 DateBy 7 �5 / C3.40, Permit No ' u -a�i7�
a 13125 SW Hall Blvd Tigard OR 97223 J Plan Review
0 Other Permit H H D 2.0(3 -QOO O 3
Phone 503 718 2439 Fax 503 598 1960 Date/By
'h'I'6 A R 13 inspection Line 503 639 -4175 CITY ®FTIGARD Date Ready/By i ® See Page 2 for
Internet www tigard or gov BUILDING DIVISION Notified/Method Supplemental Information
TYPE OF WORK REQUIRED DATA 1 AND 2 FAMILY DWELLING
❑ New construction El 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
ID 1 and 2 family dwelling ❑ Commercial /industrial Valuation $
El 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 lo 33n Sco ,CeN bLt rd New dwelling area square feet
City /State /ZIP ---n SAsr•C , 0 2 O 9 ev Garage /carport area square feet
Suite/bldg /apt no Project name ! . ti 4 45.4 , 2 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 (rouided to the nearest dollar) of all
equipment materials labor overhead and the profit for the
DESCRIPTION OF WORK work indicated on this application
Valuation $ 0 2 0 0410 4L?
Existing building area square feet
New building area square feet
❑ PROPERTY OWNER ❑ TENANT Number of stones
Name � J ef,t-N) C f ti ..��ti I-LC_ Type of construction
Address b1402ko5 P 2o PtLfl £6 (i_e_ 5s6 611 4,12,Jirt T 1 h(.. Occupancy groups
City /State /ZIP ,ktJ -a../1-13 C..( ,,Cc) QA - 4 tzl(O4 Existing
Phone ( ) Fax ( ) New
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name (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 ' 5 2' S
E mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES
CONTRACTOR Commercial and residential prescriptive installation of
roof top mounted Photo Voltaic Solar Panel Syst
Business name /44 r p � C Submit t •- • .: • roof plan with con. , ion details
v S w " and fire department acce ‘ . ong . • the 2010 Oregon
Address goo j er#,,. p Ave Solar Installation Special .. • . ecklist
Permit fee (In . • es plan review
City/State/ZIP A �P.AC G ( 3 �� .. administrative fees $180 00
Phone d) [fytl/ 0 y Fax ( ) State harge (12 / of permit fee) $21 60
CCB Irc !v6 t, 3 f ! 5/(p//6 Total fee due upon application
$201 60
Authorized signature T his permit apphcation expires if a permit is not obtained ..,:b"---------
within 180 days after it has been accepted as complete
D ate t , * Fee methodology set by Tr' County Building Industry
Print name
.e t) CJ-t (L 7 S j3 Service Board.
i \ Building \Permits\BUP_COM_PermitApp doc Rev 12/11/2012 440 - 4613T(11 /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
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_PemntApp doc Rev 12/11/2012
Building Division
Plan Submittal Requirements
T I GA 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 hsted 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 Accessibihty 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 \ Budding \ Permits \BUP_COM_PernutAppdoc Rev 12/11/2012
o ° 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
I \ Building \Permits \BUP_COM_PemvtApp doc Rev 12/11/2012