Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2013-00198
TI G AR.1_D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2013
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10330 SW GREENBURG RD
Project: Red Lobster Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Demolition of the exterior of the building only.
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:
Class of Work: Type of Const: Permit Fee-Additions,Alterations, 08/05/2013 $674.35
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 08/05/2013 $80.92
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $45,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $755.27
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. •87 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe on date.
Y P
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 RECEIVED
.ENED
Commercial FOR OFFICE I SE'ONI.V
City of Tigard AUG 5 2313 Received P,5" /3 ,L_ eui°.2043-00/9p
Permit No
e400.2042
_ a 13125 SW Hall Blvd.,Tigard,OR 97223 h Plan Review T is/J/�TeFrf' O rPermit(7,) 3_00O/9
m. Phone: 503-718-2439 Fax: 503-598-I9CITYOFTIGARD Date/By: a E72 Gi°7a / u.
-17 G A RD Inspection Line: 503-639-4175 BUILDING DIVISION Date Ready/By: Juris/�: ® See Page 2 for
u Internet: www.tigard-or.gov Notified/Method: 77(T 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(rotnded 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.
❑ I-and 2-family dwelling ❑Commercial/industrial
Valuation: $
m
❑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: /0 30 ,(� 1` PP ' New dwelling area: square feet
Xl �Q�f'/1 JC�r�r 0-C
City/State/ZIP: "rr c5A L/ 0 2 Y 7 22 _ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ged 4.o 4 S 4 r- 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(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
Valuation: $ _J�! U01 r�•-
c=I('4.e.4-rc:2_ 11r`...-t_) — pre ioLA.1/ _ _
Existing building area square feet
New building area: square feet
!❑ PROPERTY OWNER ; ❑ TENANT Number of stories: .
Name: L, c 0/ w (-r-1 4_(„2 Type of construction:
Address: c5 C‘4,1,..4 e h ;A 5,t. i ci 6:-_-/ Occupancy groups:
City/State/ZIP: S'4N , ;,A ,c',.,eel (p rf L/ /0 di Existing:
Phone:( ) Fax:( ) I 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: •
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
'_CONTRACTORS-' roof-top mounted Photo Voltaic Solar Panel System.
Business name: . / J Submit two(2)sets of roof plan with connection details
/�'�hP y t�0•-r��Pvv, / /r "' and fire department access,along with the 2010 Oregon
Address: I'M CJ 2A-tcc c A 1r a Solar Installation Specialty Code checklist. '
City/State/ZIP: �04 y _0,,,A 6,,„Nci,� F( �, 0 5/ Permit fee(includes plan reviej $180.00
II and administrative fees :
Phone:(3g(,) t/yy O Y 7 O Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: i g 6 7 3 Total fee due upon application: $201.60
Authorized signature: _ permit application expires if a permit is not obtained
4"— within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: A Y• o c,,✓pq tr?/� Date: 4' c,/3 Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB)
4 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_PermitApp.doc Rev.12/11/2012
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 El suite number
El zoning ❑ applicant name El 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.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012