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Permit IN CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00148 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 1 S135BD00300 Jurisdiction: Tigard Site address: 9735 SW SHADY LN 103 Project: PMO Care Subdivision: None Lot: None Project Description: TI-Add toilet room and remodel existing toilet room. Contractor: ROBERT HAKES CONSTRUCTION Owner: MCFADDEN,ARTHUR L PO BOX 894 BY SKLARZ, ERIC CAMAS,WA 98607 621 SW MORRISON ST, STE 800 PORTLAND, OR 97205 PHONE: 503-318-1863 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VBDC Provision Review,COM TI-Ping 04/28/2016 $88.00 Occupancy Grp: B Occupancy Load: 82 Permit Fee-Additions,Alterations, 04/28/2016 $332.27 Demolition Dwelling Units: 0 12%State Surcharge-Building 04/28/2016 $39.87 Stories: 0 Height: 0 ft Plan Review 04/28/2016 $215.98 Bedrooms: 0 Bathrooms: 0 Plan Review Addl-Fire Life Safety 04/28/2016 $1.00 Value: $17,000 Info Process/Archiving-Lg$2.00(over 04/28/2016 $4.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $681.12 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 calli , 503.232.1987 or 1.800.332.2344. Is- ed By: / I Permittee Signature: \ I _aft _.�..�..- .�►,,-Noi►/./ , �, Call 503.639.4175 by 7:00 a.m.for the next available inspection .ate. This permit card shall be kept in a conspicuous place on the job site until completion of th . .ect. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial I - FOR OFFICE USE ONL\' w. City of Tigard it ! t d Recei ' n r/ permit No.: g Date/Bved `: 'f O�D �: / A_. 0//0.---e6/ 3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 • Other Permit: Phone: 503.718.2439 Fax: 503.598,1.968 .,,.,, Date/B : SY/� TIGARD Inspection Line: 503.639.4175 F'. ti•' 0' ' - Date Ready/By: `/ �� ® See Page 2 for Internet: www.tigard-or.gov Notified/Method. a'b /b Supplemental Information :, 'l'' if IL 4 t .IIVICION '''14''. REQUIRED DATA:I-AND 2-FAMILY DWELLING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 'ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwelling `Commercial/industrial Valuation: $ 1=1Accessory building LI Multi-family __Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ^/,t7 . , / L.44.16*- New dwelling area: square feet City/State/ZIP: -- j'�� Ct-7.2.Z., Garage/carport area: square feet Suite/bldg./apt.no.: l o?g Project name:F ' fAke 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. 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. �:�.� I _ . 0'3 y a • "P .- i -� r ► / Valuation: $ 'It Q�)� cam--,' _ Existing building arca: square feet — 11��// New building area: square feet XPROPERTY OWNER 0 TENANT Number of stories: Name: e)/f .4- S. Type of construction: Address: �, / 4e1 I , —_` �v t�-1,� ( � rice) Occupancy groups: City/State/ZIP: ,Cr OG7� c:I ?.mit Existing: Phone:( j? 'Si 7 L Fax:(Ec Z • a(2 ) New: VLAPPLICANT 0 CONTACT PERSON BUILDING PERMIT FS' Business name:crar,� c,, >r �+ 1L\x A�6 r r1H.1 fPleasereJerrojeesche Tei. ^+�' v Structural plan review fee(or deposit): Contact name: 14t44 FLS plan review fee(if applicable): Address: O• x 1 City/State/ZIP: r j ��� Total fees due upon application: f� Amount received: Phone:(� �• rill Fax::56514•57i, _ _ PHOTOVOLT IC SOLAR PANEL SYSTEM,F.5�` E-mail: .1.--a.k C;),cifirT)v`�^� - Commercial and res iential prescriptive instal on of CONTRACTOR roof-top mounted Phot:Voltaic Solar Pa , ystem. Business name: / ip tp.,yeig nit&�^S ,, a C i1 J Submit two(2)sets of ro. elan wi •inflection details and fire department access, . Jnr, • ith the 2010 Oregon Address: `�" v `'L 'ft+t,l) `r s•Solar Installation S.ecialty hecklist. City/State/ZIP: �� /�—, �— Permit fee(inclu. s plan revt- Q,, — V�[�r and ... inistrative fees): $180.00 Phone:( © 2�f Fax:( ) State surchr•e °.of permit fee): $21.60 CCB lie.: Total fee due upon application: $201.60 Authorized signature: D/tiL4 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: . �61 1 I Date:/� ._24-140 * Fee methodology set by Tri-County Building Industry ��r '`tt "v _ I Service Board. l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) ca-e) 4,-00 Rig City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT lig ■ el Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations T I G A R 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] S 1.7 000 MULTIPLIER(25%barrier removal requirement): TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 4 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: $ 4) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex tip+ restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, S (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ tQf✓ 1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 10 Building Permit Application Commercial FOR OFFICE USE ONLY City of Tigard ReceivedDate/B : Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503-718-2439 Fax: 503-598-1960 Date/B : Related Permit: T I( ARD Inspection Line: 503-639-4175 Date Ready/By: II: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING 0 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. ❑ I-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑ Number of bedrooms: Accessory building 0 Multi-family El Master builder El Other: Number of bathrooms: B SITE INFORMATION AND LC ►TION Total number of floors: Job site address: New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.#: Project name: 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 0: 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: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( 1 New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer toJee.schedule Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax: :( Amount received: E-mail: PHOTO S* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: 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 $180.00 and administrative fees): Phone:( 1 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 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: Date: * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Commercial - No Land U s e Building Permit #: / a-014, -aG l Site Address: °1135 SW Shady Ln• Suite/Bldg#: (03 Project Name: PMO Care, (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: add +Oiler room oto feinakl e si'Inc iv; e-+ room Existing Business Activity: ( , 1 CQ.') orici Ge Proposed Business Activity: same Verify site address/suite#exists and active in permit system. l'illRiver Terrace Neighborhood: ❑ Yes X No NrAt Zoning: MUC NIA/Permitted Use: ❑ Yes 0 No 0 Spec Space /Confirm no land use required. g Business License: Exists: 0 Yes I/No,applicant notified to obtain business license Notes: Approved by Planning: I_,. -TT 1OOt Date: b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 470-00 Site Plans: # 3 Building Plans: # 3 Building Permit#: [3rTnter building permit#above. Workflow Routing: [Planning or or [ Building Workflow Sign-off: off for Planning(include notes from planning review) Route Application Documents: ding: original permit application, site plans,building plans,engineer and .--� beam calculations and trust details,if applicable,etc. Notes: OTC-- L-- By Permit Technician: Date: 4/9-(//6 I:\Building\Forms\BldgPermitRvw_COM_NolandUse_070915.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Subm• .1 only) Revision Notice 1: Date •- to Ap• ; ant: Revision Notice 2: Date Sent t. - -•licant: Revision Notice 3: Date t to Applica • ❑ SDC Fees Entered: ash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes /A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Bui Iding\Fonns\BldgPennit Rvw_COM_NoLand Use_070915.docx r Iii q City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit T I O J\R I) Appoint ent Checklist Permit Record#: l �0 P7 ((p `OC.)/e79 Contact Name: ,(cul/ l` Phone #: (5- 703_�5 Business Name: o���, �," Appointment Date: ,� /fib e ,7,7;00;U Site Address: q 73 C SW S LN cs-zi de. /v� Bldg/Suite #: Project Name: Prilt7 (et,�_ Project Description: 4 6r JJL __6� ,, tMcv,k) c —+ , Ct & ftn,,u Existing Use: g New Use: B MMD Required: ❑ Yes kNo Related Record#: ,'. , GENERAL INFORMATION Class of Work: AL{ Occupancy Group: Type of Construction: Vit of Use: Occupancy Load: Oregon Specialty Code: Qc,iif SPECIFICS I Number of Stories: 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: 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: $ : 1 ,��"' $ DC Prov Rvw,COM TI—Ping $ Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge Project Valuation $ Plan Review,Structural Up to$4,999 $0.00 $ Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $351.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_020916.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9735 SW SHADY LN 103, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2016-00148 Chip Barnett Violation Summary: Inspector Contractor