Permit CITY OF TIGARD BUILDING PERMIT
3 COMMUNITY DEVELOPMENT Permit#: BUP2013-00217
T t G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2013
Parcel: 1 S 136AD04000
Jurisdiction: Tigard
Site address: 11513 SW PACIFIC HWY
Project: Vine Gogh,LLC Subdivision: VILLA RIDGE Lot: 7
• Project Description: TI
Contractor: BNK CONSTRUCTION INC Owner: PACIFIC TERRACE COMMERCIAL LLC
45 82ND DR, SUITE 53B BY SMITH, EDITA M
GLADSTONE,OR 97027 833 NW 170TH DR
BEAVERTON,OR 97006
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 08/27/2013 $70.00
Class of Work: ALT Type of Const: VB
Occupancy Grp: A-3 Occupancy Load: 43 DC Provision Review,COM TI-LRP 08/27/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 08/27/2013 $498.03
Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 08/27/2013 $59.76
Bedrooms: 0 Bathrooms: 0 Plan Review 08/27/2013 $323.72
Value: $28,600 Plan Review-Fire Life Safety 08/27/2013 $199.21
Info Process/Archiving-Lg$2.00(over 08/27/2013 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0 •
Garage: 0
Mezzanine: 0
Total $1,166.72
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:4,0.9.4 Permittee Signature:
C,14' ' 5 by 7:00 a.m.for the next available Inspe ' da .
This permit card shall be kept in a conspicuous place on the Job site until omple'on of the project
Approved plans are required on the job site at the time of each Inspection.
•
Building Permit Application
Commercial 04C0i0; FOR OFFICE u51:oL1
Received of Tigard �' J' Permit No.: p odd 1 — tjv�7
Date/By:
q Ili 2 13125 SW Hall Blvd.,Tigard,OR 97 < � Plan Re '
I' r
Phone: 503.718.2439 Fax: 503.5't3f ° � rt. Date/B Other Permit:: �ti)�►.
i G n it D Inspection Line: 503.639.4175 't ` Due R : • : Jufig. ® See Page 2 for
T
Internet: www.tigard-or.gov � G ,0 Notified/Method: � Supplemental Information
TYPE OF WOR S'NN. DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑ s ton 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:
Job site address:11513 SW Pacific Hwy. New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldgJapt.no.: Project name:Vine Gogh Artist Bar and 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.
New Interior Partition Walls a upgrade(1)existing Toilet Room to meet current Valuation: $$28,600.00
ADA requirements. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Norris&Stevens(Owner's Rep.) Type of construction: VB
Address:621 SW Morrison St#800 Occupancy groups:
City/State/ZIP:Portland,OR 97205 Existing: B
Phone:(503)223-3171 Fax:( ) New: N/C•
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:NW Precision Design (Please refer tojeeuhedute�
Structural plan review fee(or deposit):
Contact name:Darin Bouska
FLS plan review fee(if applicable):
Address:22605 SW Pinehurst Ct
City/State/ZIP:Sherwood,OR 97140 Total fees due upon application:
Phone:(503)680-6444 Fax::( ) Amount received:
E-mail:Darin@NW-Precision.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:BNK Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:45 82°"Drive,Suite 53B Solar Installation Specialty Code checklist.
City/State/ZIP:Gladstone OR 97027 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)557-0866 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:107555
Total fee due upon application: $201.60
Authorized signature: • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Darin Bouska Date:5/29/13 I • Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitABUP-COM PermitApp.doc 02/24/2011 440-46I3T(I I/02/COM/WEB)
IN ° 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] $ 28, 44:3 O
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1, I S o
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 $ COvAf t.l AV T
(b) An accessible entrance: $ C to v.%A 6%...)-r
(c) An accessible route to the altered area: $ Cor"PL.%APT
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 8i 5 0 0
(e) Accessible telephones: $ i..) /A
(f) Accessible drinking fountains:and, $ J 1 A
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $ 81 Soo
L:\Building\Permits\BUP-COM PcrmitApp.doc 03/03/2011
a Building Division
Development Code Provision Review
T I G A ii D Commercial Projects - No Associated Land Use Case
•
Building Perini o: 1. . 0 /3--(XV-/ 7 Expedited Review OTC_
Project Name: : ' 41037
Site Address: 7 ' 1 0k/ 7 , Suite/Bldg #:
Plans Routed: /
Original Plan Submittal Date: r/---7//3 Routed By:
1St Revision Submittal Date: Routed By:
2"d Revision Submittal Date: Routed By:
To the Applicant:.
➢ if the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718-2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left;,,ly if approved. '/,/
Planning Review (contact v!" , at (503) 718 -�y Yaor 494 @tigard-or.gov)
Proposal: r ,a,
A/ r✓ V/ii IMMI F ;'/ •
/
Zoning C:C.
Permitted Use Yes [No ❑
Land Use Required: Yes [No ❑
Notes: vim( � 7UA € ®,/,41,41'
i!trce. ,
Approved ❑ N t pproy d ❑ DCPR Not Required—No DCPR Fees Due
Date Routcd to Building: t
1:\CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev.01/16/13
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11513 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2014-01-08 00:00:00
BUP2013-00217
PASS - C of O
Violation Summary:
Inspector Contractor