Permit n
CITY OF TIGARD BUILDING PERMIT
III COMMUNITY DEVELOPMENT Permit#: BUP2015-00264
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2015
Parcel: 1 S134DC03001
Jurisdiction: Tigard
Site address: 11130 SW TIGARD ST
Project: Dirkson Nature Park-Educational Center Improvement Subdivision: CHERRY HILL ACRE TRACTS Lot: 6
Project Description: Replace existing deck and stair,add porch cover and replace roof and siding.
Contractor: LEE CONTRACTORS LLC Owner: TIGARD,CITY OF
PO BOX 896 13125 SW HALL BLVD
BATTLEGROUND,WA 98604 TIGARD,OR 97223
PHONE: 360-852-2317 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 12/15/2015 $88.00
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 12/15/2015 $301.85
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/15/2015 $36.22
Stories: 0 Height: 0 ft Plan Review 12/15/2015 $196.20
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 12/15/2015 $44.00
Value: $15,000 11x17)
Info Process/Archiving-Sm$0.50(up to 12/15/2015 $7.50
11x17)
Floor Areas:
Total Area: 0
Accessory Structs 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $673.77
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATT : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 010 through AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
ilk ,
Building Permit ApplicationA CE!VE
Commercial FOR OFFICE l SE ON I 1
Cityof Tigard Received i _
g a7 �S � Permit �]� ) ``
ASA 2 7 2015 Date/By:
`�
13125 SW Hall Blvd.,Tigard,OR 9 Plan Review po. i j, - r
Phone: 503.718.2439 Fax: 5 3}��9 Date/By: .er q h 5(l Other Permit:
T 1 G A R D Inspection Line: 503.639.4175L1 12" OI 1'1 GA lJ t Date Ready/By: / n— Jurist ® See Page 2 for
Internet: www.tigard-or.go$UILDIN AU Notified/Method: 4 31 /, j7 "�� Supplemental Information
G DIVi,S1p�. . �ttst. of //! ✓ /�
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(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.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
ElAccessory building ElMulti-family
13Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11130SW Tigard Street New dwelling area: square feet
City/State/ZIP:Tigard,Or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: n en er Covered porch area: 340 square feet
Cross street/directions to job site: 0� S n ►"' i0� Deck area: 300 square feet
Tigard Street at SW Twin Park PI Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1 S134DC03000-03001 Indicate the value(rounded to the nearest dollar)of all
it equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1.Demolition of existing deck and stair Valuation: $$15,000.00
V2. construction of new deck and porch tsith roof I . -Q .4.% (4--Gam , � Existing building area: 150 square feet
�) „-�„ 3,. x L v— New building area: 640 square feet
`, ® OPERTY OWNER 0 TENANT Number of stories: NA
Name:City of Tigard Parks and Recreation Type of construction: V-B Wood frame
Address: 13125 SIV Hall Blvd Occupancy groups:
—
. City/State/ZIP:Tigard,Or 97223 Existing: A-3
Phone:(503)639-4171 Fax:( ) New: A-3
® APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name:City of Tigard Parks and Recreation (Please refer rofee schedute.)
Structural plan review fee(or deposit):
ii L.ntact name:Jeff Peck
• FLS plan review fee(if applicable):
Address: 13125 SW Hall Blvd
City/State/ZIP: fees due upon application:
Tigard,OR 97223
Phone:(503)718-2466 I Fax: :( )
Amount received:
E-mail:jeffp@tigard-or.gov PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Q1, Commercial and residential prescriptive installation of
CONTRACTOR fJ roof-top mounted •sotoVoltaic Solar Panel System.
Business name:
� � Submit two(2)sets o f plan with co coon details
2e„5,_44
and fire department access,-,lo the 2010 Oregon
Address: Solar Installation Special "..e checklist.
City/State/ZIP: Permit fee(in ..es plan -view $180.00
an. .dministrative - .
Phone:( ) Fax:( ) State sure itrge(12%of permit fee): $21.60
CCB lie.:
Total fee due upon application: $201.60
Authorizedsignature: AIM ' This permit application expires if a permit is not obtained
=I•Nip
4101 .i, within 180 days after it has been accepted as complete.
IMP
Print name:Jeff Peck Date:8/27/2015 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
° 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 $
(h) 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: $
(0 Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:ABuilding\Permits\BUP-COM PermitApp.doc 03/03/2011
J • 1 1
City of Tigard
1111/ COMMUNITY DEVELOPMENT DEPARTMENT
T l G R Building Permit Review — Commercial - With Land Use
AD
Building Permit #: i P?O/5 -O 0 .9- L 9
Site Address: 1/1 3 0 7i,54ed ,Spt Suite/Bldg#:
Project Name: 13 r bks, /%tick, ��../c - /�..ic /
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: //T! `/
/L/DA, l &&c/1.4./ lav►,ptv- w72in40e.,Eli
❑ Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: /My) ❑ Yes ❑ No
Land Use Case #: G/7P 01„0/5 -Go�•L
Plans Match Approved Land Use:
� S
- Geyy
❑ Site Plan 0 Landscape lan 0 Other:
❑ Urban Forestry Plan 0 Elevation Plan
Building Height: Maximum Height _ al Height
❑ Conditions Met: 0 Prior to Submittal rior to Permit Issuance flee. Pb
O Business License: n(,J 4/f- 10-
Exists: 0 Yes 0 No,applicant notified to obtain business license
❑ Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified 0 No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: 4,( m, Ay Pets.. ." Date: (P--,) 7,-/S
Revisions (after Building Submittal only) / Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: - 07/5--
Site Plans: # 3
Building Plans: # 5
Building Permit#: 0'Enter building permit#above.
Workflow Routing. Planning .12--)-ngineering a-Permit Coordinator -.Building
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
7A--IBy Permit Technician: Ck &Q-t�--9-1_) Date: f,, -7A--
1:\Building\Forms\BIdgPermitRvw_COM_
:\Building\Forms\BldgPermitRvw_COM_W ithLand Use_0709 I 5.docx
1 r . . i
Engineering Review
2 -Slope at building pad: r—GiC)
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes X No
Assess Water Quantity Fee in-lieu: 0 Yes kr No
LIDA Facility on lot: scir Yes 0 No
❑ NOT Approved by Engineering: Date
Notes: kX ?U4 i- IC.— -/(- A -7!zt7�(s il a_
?FI wl k- TIL g£AuIt FP4 at 7V /.�dXiG aN ?I64L ST
Approved by Engineering: /411 LC C.i a Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O 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:
pfSDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes C`J '"/A
Tigard Trans SDC: 0 Yes tg, N/A
Parks SDC: 0 Yes /147N/A
OK to Issue Permit
Approved by Permit Coordinator: /G 4 Date: 1/./Pc
I:\Building\Fortns\BldgPennitRvw_COM_W ith LandUse_070915.docx
i