Permit iii CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: BUP2015-00226
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2015
Parcel: 1 S 136CA01600
Jurisdiction: Tigard
Site address: 11655 SW PACIFIC HWY
Project: RV Northwest Subdivision: FAIRVALE Lot: 6
Project Description: Installation of(1)freestanding sign.
Contractor: CLARK SIGNS Owner: AMAN,WALTER S CREDIT SHELTER TR
PO BOX 1113 AMAN,WALTER S MARITAL TRUST ET AL
ST HELENS, OR 97051 BY AMAN, STEPHEN D TR
PO BOX 4127
PORTLAND, OR 97208
PHONE: 503-781-6081 PHONE:
FAX: 503-543-5141
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 07/30/2015 $195.38
ype of Const: Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 07/30/2015 $23.45
Dwelling Units: 0 Plan Review 07/30/2015 $127.00
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/30/2015 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $8,000
Floor Areas:
Total Area' 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $349.83
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. Speci- • Codes :nd all other ••Ilca• - law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 day- of issuance, .r if work is s sp: •••d for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility •tification Cent= . Those r e - set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co,. •=rules or direct questions to OUNC by•=fling '03.232.198 or 1.800. 2 3
Issued By: •ermittee Signature:
,.— . . _ _ . fi /-
r
Call 50 • 1� by 7:00 a.m.for the next available inspoc 'T I
This permit card shall be kept in a conspicuous place on the job site until completion of the pro Ct.
Approved plans are required on the job site at the time of each inspection.
I Building Permit Application
Commercial RECEIVED FOIZ 0E1.1( 1 l 51: O\I 1
City of Tigard
Received .7�F ham'• s��'-
Received
` Permit No.:
INI . '• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503-718-2439 Fax: 503-52)026e 1 2015 1► ►- 'elated Permit:
1 I c.A 1.1> Inspection Line: 503-639-4175 ^ p Date Ready/By: �j(� luris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: 7..�d (s/�iT1I Supplemental Information
I I I IIMI II I.11...1 IVISI )N if()/ . (//2!1,
- New construction ❑Demolition Permit fees'are based on the value of the wo . .erformed.
Indicat= e value(rounded to the nearest d. ar)of all
❑Addition/alteration/replacement ❑Other: equipmen. aterials,labor,overhead, •'. the profit for the
work indicat-• on this application.
❑ 1-and 2-family dwelling 14 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedroo
❑Master builder ❑Other: Number of bathroom (f�
Total number of'oors: )1
Job site address: 5 t,.7 , 4c._,,g,,_ td d New dwell'•_area: quare feet
City/State/ZIP: t *,s- .O i 6-rz.... 9 7123 Gara:: carport area: squ.. - feet R
Suite/bldg./apt.#: I Project name: 9..,l) Jar, ,....�.a - Covered porch area square fe- "````
Cross street/directions to job site: Deck area: square feet LP
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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
work indicated on this application.
6?)
! h Valuation: $ �/ k
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
NM❑ APPLICAN•l ' • ❑ CONT.-
ONTACT PERSON BUILDING PERMIT FEES*
Business name: d c_Qw N S
�! Structural plan review fee(or deposit):
Contact name: (hr e...
( FLS plan review fee(if applicable):
Address: I l V. /t 3
City/State/ZIP: �,.�.,, f I a �- q ?as Total fees due upon application:
Phone:( 3) -7g'q --�l(t( 7 I Fax::( ) Amount received:
E-mail: 4,_ . 4 C,Loaf t ( AS.(f)eN.^-
Commercial and residential prescriptive installati s of
• CO CTOR +' roof-top mou ted PhotoVoltaic Solar P. - ' stem.
Business name: v 4,4C--G 5/ 6 A)-5 Submit two(2)s. of roof plan wi • onnection details
C / A` and fire department. ess,al. _with the 2010 Oregon
Address: f t (�, f 13 d"Ai S / (J� Solar Installation Speci.• - ode checklist.
City/State/ZIP: 2 / 152 ti 747-{0 Permit fee udes pi. iew $180.00
. : administrative fee .
Phone:( 555 7 , . 7 Fax:( ) State su rdfrarge(12%of permit fee): $21.60
CCB Lic.: 40 3 Z / Total fee due upon appication: $201.60
Authorized signature: A� !/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ptti4.t I ciq,rt t___ Date: -L`?I f 5- ' Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
4- • \
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III • Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1 lc. A 1: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 . • ope.
(2) Alterations made to th path of travel to an altered area may be deemed •.sproportionate to
the overall alteration w en the cost exceeds twenty-five percent(250/. .
VALUATION: Total of all renovation,alteration or modification being d e,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requir- ent): x .25
TOTAL BUDGET F S.
' BARRIER R. OVAL: [2] $
ELEMENTS: In choosing which accessi•le ele• ents to provide der •''s section,priority shall be given
to those elements that will ,r. de the greatest acce s. . •-nts shall be provided in the
following order:
(a) Parking $
(b) An accessible e• rance: $
(c) An acces ..le route to the altere• area: $
(d) At ast one accessible restroom fo each sex or a single unisex
•stroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible eleme,is such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation omputation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N ' Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIC.;1 R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map& tax lot# ❑ project name ❑ site address ❑ suite number
❑ 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.
(s) Cop
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- ` C � 0-6 'C. Floor plan(s). 1
D. Cross sections. 4211- Lit
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. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Bull ding\Pemrits\BUP_COM_PemvtApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 • Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
[ [c. I D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal #of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
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
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
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_PennitApp.doc Rev.12/18/2014