Permit 111 CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: BUP2015-00058
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/17/2015
Parcel: 25101 BCO2800
Jurisdiction: Tigard
Site address: 8250 SW HUNZIKER RD
Project: Centrex Subdivision: 1990-082 PARTITION PLAT Lot: 1
Project Description: TI for existing tenant.
Contractor: CENTREX CONSTRUCTION INC Owner: SEVERSON, JAMES A&ROBIN 0
8250 SW HUNZIKER RD 29404 SW HEATER RD
TIGARD, OR 97223 SHERWOOD, OR 97140
PHONE: 503-684-0443 PHONE:
FAX: 503-620-6692
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/17/2015 $1,105.95
Demolition
Occupancy Grp: B Occupancy Load: 40 12%State Surcharge-Building 03/17/2015 $132.71
Dwelling Units: 0 Plan Review 03/10/2015 $718.87
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/10/2015 $442.38
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 03/17/2015 $187.00
Value: $100,000 DC Provision Review,COM TI-LRP 03/17/2015 $28.00
Info Process/Archiving-Lg$2.00(over 03/17/2015 $24.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 03/17/2015 $120.00
Use
Total Area: 6710
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,758.91
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 503.2 •:7 or 1.800 32.2344.
01°
Issued By: / Permittee tg ,
s
�9.4175 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.
t Bui►Ming Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard vED `eed I ''' permit No.: �� / r s ` C3 5
opp
4
13125 SW Hall Blvd.,Tigard,OR 9 '�CE I Plan Rev' M '
Phone: 503-718-2439 Fax: 503-59S-i60 Date/B : v� M Related Permit:
,`lam
Inspection Line: 503-6394175 ^R 1 2015 Date Ready : __ Joris: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov MA O Notified/Method: r ��� , Supplemeataunformation
a. GAR !'.4_2 it.4_ 0 „ ....
TYPE OF 2%. G DI _, 1111REQU 1 D DATA:1-AND 2-FAMILY DWELLING
❑New construction • Demolition 'ermit 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.
CI 1-and 2-family dwelling S Commercial/industrial Valuation: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 5j) 1.40 l km) 72.n New dwelling area: square feet
City/State/ZIP: f a A.b4, Jail- r 7 2- ' Garage/carport area: square feet
'-5/ r
Suite/bldg./apt.#: I Project name: C CST (E] I)7t_y Ly' Covered porch area square feet
Cross street/directions to job site: _� "!D #- I-4 p- L / Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
Valuation: $ je ' z7 YalT hhL lQ ter bc.
Existing building area‘750- square feet
New building area: z=.2,. ...1)square feet
] PROPERTY OWNER ❑ TENANT Number of stories: _
Name: 6/1/ , X- ESZ; Type of construction:
/
Address: 0_,..04.1 Jk:(T.42..._ K p Occupancy groups:
Ad",.m.k_ y
City/State/ZIP: 5 ka ip 1 V/2- Existing: i LI;A, r
Phone:( ,) 93g L)S_7 Fax:( ) New: 3j j
pc APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Structural plan review fee(or deposit):
Contact name:
— FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application: 1i,/ el.
Phone:( ) Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: S iv) 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 5180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: -4, g Total fee due upon appication: $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: S„H .L 1( � [.�� Date: ?` 15” * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
r �
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
,
■ Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T G A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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): $
l:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
. 1
City of Tigard
1114 COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A K D Building Permit Review — Commercial - With Land Use
Building Permit #: e/�„,p/S-,_,,,
Site Address: gO150 S . 7` ,,,�,' -e- ,,Q,I Suite/Bldg#:
Project Name: CeA/frex lar,,,s-f-yu 'cam/
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ex(2 1+'1 e t- vi-ace, S pc4 L¢.. 't 11 s i<i.Q. e x't S fi+n c j 1 nctiv S t-nzuL 13„i 0_4,1
From i,to0O s-yc+ 4-o 3, 2too =-i_ Fr
Verify site address/suite #exists and active in permit system.
—R—River Terrace Plan District: El Yes ❑ No
Land Use Case#: M M 0 2o 1 S - 0000 q
j' Plans Match Approved Land Use:
7 Site Plan El—Landscape Plan --B—Other:
—2- 1ban Forestry Plan Elevation Plan
0 Building Height: Maximum Height Actual Height
zr Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
XBusiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
r. Public Facilities Improvement(PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: El Yes El No, stop intake
Notes:
Approved by Planning: 1/V-1 O re � r3 to Date: 3/ I 0 I I S
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Op”
Site Plans: # /fi
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing:
D-151;11.1•iiig eering g—Permit Coordinator g
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: adding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: _ _ Date: ,1/4/5—
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 030415.docx
e
Engineering Review
"1=1-Actual Slope: /k
a PH Permit#: . f / A
Conditions Met 14
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date: 1 . )S
-7°7'Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
__
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
OK to Issue Permit
Approved by Permit Coordinator: 411 le Date: 31Y/5-
1:\Building\Forms\BldgPermitRvw_COM_WithLandUse 020415.docx