Permit 111 li q CITY OF TIGARD BUILDING PERMIT
�' COMMUNITY DEVELOPMENT BUILDING
BUP2015-00180
Date Issued: 06/24/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DCO2504
Jurisdiction: Tigard
Site address: 7297 SW DARTMOUTH ST
Project: Party Fair Subdivision: FRUITLAND ACRES Lot: 16
Project Description: TI updates
Contractor: CPS CONSTRUCTION INC Owner: AMERICAN INDUSTRIES INC
9825 SW DAY ST 1750 NW FRONT AVE STE#106
SHERWOOD, OR 97140 PORTLAND, OR 97209
PHONE: 503-320-0918 PHONE:
FAX: 503-570-8713
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 06/24/2015 $187.00
Occupancy Grp: B Occupancy Load: 265 DC Provision Review,COM TI-LRP 06/24/2015 $28.00
Permit Fee-Additions,Alterations, 06/24/2015 $1,105.95
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 06/24/2015 $132.71
Bedrooms: 0 Bathrooms: 0 Plan Review 06/24/2015 $718.87
Value: $99,850 Plan Review-Fire Life Safety 06/24/2015 $442.38
Info Process/Archiving-Lg$2.00(over 06/24/2015 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,624.91
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 C••es :n• 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 iss .nce, • i1w•rk is suspended for more the 180
( ION: • :•on law requires you to follow the rules adopted by the Oregon Utility Notificati•• i ose rules are set forth in OAR
0 through OAR •52-01 ••90. You may obtain a copy of the rules or direct questions to OUNC by callin• :�. i 00 332.2344.
•A. / �, /e`er_/ Permittee Signature: f /1,=
Call 503.639.4175 by 7:00 a.m.for the next available inspectiolWr IF
This permit card shall be kept in a conspicuous place on the job site until completion , e pro rct.
Approved plans are required on the job site at the time of each inspection.
1 Buiitling Permit Application
Commercial FOR OFFICE USE ONLY
VO Received ),, /� Q,
1,1 City of Tigard Dateiv : L-r p'' I L/� Permit No iY,14„(�4.7t,I D–L'(,' i
• 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review ► (\��M�= Phone: 503.718.2439 Fax: 503.598.1 Date/B : ri��! � ti� Other Permit:
T I G A R D Inspection Line: 503.639.4175 q �1� Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov 1\,v I D Notified/Method: Supplemental Information
TYPE OF WORK, . REQUIRED DATA: 1-AND 2-FAMILY DWELLING
❑New construction ❑ Demlition Permit fees*are based on the value of the work performed.
a 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.
❑ I-and 2-family dwelling Valuation: $
®Commercial/industrial
❑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:7297 SW Dartmouth New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Party Fair Covered porch area: square feet
Cross street/directions to job site:72nd 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Demo,lighting,office,HVAC ductwork, floor covering and painting Valuation: $S99,850.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name:American Industries Type of construction: V-B
Address: 1750 NW Naito Pkwy,Suite 106 Occupancy groups:
City/State/ZIP:Portland,OR 97209 Existing: M
Phone:(503)222-0060 Fa.x:( ) New: M
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Day Road Design (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Ron Kief
FLS plan review fee(if applicable):
Address:9825 SW Day Road -
Total fees due upon application:
City/State/ZIP:Sherwood,OR 97140 —
Phone:(503)320-0918 Fax: :(503)972-1848 Amount received:
E-mail: ronkief @comcast.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:CPS Construction,Inc Submit tw, ets of roof plan with connect'.• details
and fire departme access,along wi 1 - 010 Oregon
Address:9825 SW Day Road Solar Installation S.• lty C.• ecklist.
City/State/ZIP:Sherwoo. s R 971• I Permit fee(incl �' lan review $18000
and • inistr. ' e fees):
Phone:(503)320-09 : Fax:(5 i 972-1848 State surcha•_e(12%of permi -e): $21.60
CCB lic.:102248`—/ Total fee due upon ... • . ion: $201.60
Authorized signal ' irf This permit application expires if a perms •• obtained
lI within 180 days after it has been accepted as complete.
Print name:Ron Kie ( / Date:06-22-15 * Fee methodology set by Tri-County Building Industry
Service Board. 1
1:1Building\Permits\BUP-COM PermitApp.doc 02/24/20 440-4613T(I 1/02/COM/WEB)
All
51,11 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] $ 99850
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 24962
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: $ 10037
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 14925
(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 03/03/2011
I
City of Tigard
,
II
/ COMMUNITY DEVELOPMENT DEPARTMENT
r c Ali i> Building Permit Review — Commercial - No Land Use
I Building Permit #: I t t P 9 / S I
Site Address: 3k) 2 S u,4 3+ Suite/Bldg#:
Project Name: / i 7J -
(Name of c ercial business occupying the space. If vacant,enter Spec Space.)
Planning Review rL /
Proposal: "7; I. '7 jr- ) P�, n T
Existing Business Activity: /p ce
Prop sed Business Activity: �' - „ .f , f _
Verify site address/suite# exists and active in permit syst
NI 4 :ver Terrace Plan District ❑ Yes V No
1: ning: C1-9- (pi>)
Vmitted Use: Yes ❑ No ❑ Space
Spec S
P P
firm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: _ f Date: (c /� �
Revisions (after Building Submittal only) Reviewer /// Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: La 94 / 5r
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Er-Planning remit Cody ator , O'Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: CYBuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07—C"
By Permit Technician . ���2 Date: _P 19'4/
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 031015.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submi only)
Revision Notice 1: Date Se to Applicant:
Revision Notice 2: Date . nt to Applicant:
Revision Notice 3: D. e Sent to Applicant:
❑ OK to Issue Pe it
Approved by Permit Coordinator: Date:
1:1 Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
P P . 1111 Building Division
Over-The-Counter (OTC) Building Permit
r i 6:v is n Check List
Project Description: I"(
GENERAL INFORMATION
Class of Work*: -)k (=1"— Occupancy Group: - Type of Construction:
Type of Use**: (Y)>1LA Occupancy Load: 24, Oregon Specialty Code: 2'514_
SPECIFICS
Number of Stories: I Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: ' Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: (t-' f.5 Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: ������.,
Total Project Valuation: $ CR) C_l�-C/ FEES DUE
$ ( 1 ,00 DC Prov Rvw,COM TI—Ping
$ 2-25 Ce) DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ [ ICY5,415 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 132.)'7( 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 71A ,g> Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ 442...,--4z, Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ t O,cj Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 262411 TOTAL FEES DUE
- • i - of 'COM E 1; f- -CO- - -. ;-IIl;.. .. .,Wed structure. . - .,.:
**CLASS OF WORK A iS=ac c j• =addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
ether(use for feie ,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx