Permit (39) CITY OF TIGARD BUILDING PERMIT
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IN I COMMUNITY DEVELOPMENT Permit#: BUP2016-00152
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2016
Parcel: 25101 DA00105
Jurisdiction: Tigard
Site address: 13009 SW 68TH PKWY A
Project: Extended Stay America Subdivision: VARNS ACRES Lot: 9
Project Description: Building A-Dry rot repair for(4)staircases.
Contractor: FIKE INDUSTRIAL CONSTRUCTION LLC Owner: BRE/HV PROPERTIES LLC
P.O. BOX 873607 TAX DEPTARTMENT
WASILLA,AK 99687 EXTENDED STAY HOTELS
OP BOX 49550
CHARLOTTE, NC 28277
PHONE: 503-357-6003 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 05/10/2016 $1,709.95
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 05/10/2016 $205.19
Dwelling Units: 0 Plan Review 05/10/2016 $1,111.47
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/10/2016 $683.98
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 05/10/2016 $4.00
Value: $200,000 11x17)
Info Process/Archiving-Sm$0.50(up to 05/10/2016 $5.00
11x17)
Floor Areas: Metro Const.Excise Tax 05/10/2016 $240.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,959.59
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 503.232.1987 or 1.800.332.2344.
.--7
Issued By: ittee Signature: 476,..''RA
orliWet
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.
,
f Building Permit Application/1 & itt
Commercial /y (� I OR t1F► ►( I. I �►�_ tl\►.\
City of Tigard MAY V i/ 2016
Received
9 / Permit N c2o/6—Dp/�i�
11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev
Phone: 503-718-2439 Fax: 503-598-116f Date/B 41 <j Related Permit:
t �,I� Inspection Line: 503-6394175 C j Y OF�i IGAK'D Date Rea.yt �� Juris: ® See Page 2 for
Internet: www.tigard-or.gov
BUILDING
DIVISION Notified/Method: S/�a /b I Supplemental Information
TYPE OF W . , iitt=ATA:I-AND 2 EAMIL`Y'IDWELlI
❑New construction 0 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
. OIlY"or, CON ".--' ION work indicated on this application.
El1-and 2-family dwelling ElCommercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
1:1Master builder 0 Other: Number of bathrooms:
Mil,SITE TNFORMATION,AM LOCATION Total number of floors:
Job site address: 1'30011 �'(o 6841 are/A.)11New dwelling area: square feet
City/State/ZIP: 77-•1A, D/Z Garage/carport area: square feet
Su•e/bld /apt.#: A- Project name: g/ftjv CM1 /LGL Covered porch area: square feet
Cross street/directions to job site: `J Deck area: square feet
Other structure area: square feet
REQUIREDHATA:,CO11MMERCIA,IY US.E 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.
Zgy.QO% / / ,/ //�/ Valuation: $ aa0O 000 a 'V
2 Th`i2 G�,S ' ( ) / ,
Existing building area: square feet
New building area: square feet
CI PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
T::,--,::;; ' sq. APPUI+'AN ' ' ' v CONTACT PERSON BLILDIX G PERMIT FEES*
a I/?I�t us 1/4' 6�lj (Please refer to fee sche,4).,.
Business name: rje i d 3 TE CTI l��
Structural plan review fee(or deposit):
Contact name: %7/e 1/ 3 T-fr S
Address: \` 6 5 ,fj(A) FLS plan review fee(if applicable):
City/State/ZIP:
Total fees due upon application:
Amount received:
Phone:(..1(7D) 4: -7,0 0,3�p . Fax: :( )
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PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES
E-mail: '{NI! !/l .TI ICS'/ GIST, l4-/-OUT t!00e •.CO
i Commercial and residential prescriptive installation of
CONTRAC "
roof-top mounted Photovoltaic Solar Panel System.
Business name: F,6 /I�d uSTK�� r< / n��T/ 64�' Submit two(2)sets of roof plan with connection details
l and fire department access,along with the 2010 Oregon
Address: /9.O. 6ox ,to!,1••r,,J,,c,; 873&,07 Solar Installation Specialty Code checklist.
City/State/ZIP: (A)15 5l//ll_ ,q-Jas, 91k,g-/ - 360 7 • Permit fee(includes plan review $180.00
and administrative fees):
Phone:('7a7) 357 4 60 3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: f 0 3-1 / rTotal fee due upon application: $201.60
Authorized sign< - Thispermit applicationexpiresifapermitisnotobtained
�1 within180daysafterithasbeenacceptedascomplete.Print name:- ►ml(�/J I�� J atj(ki/lAls/L
. Date: 5/q (1(0,- * Fee methodology set by Tri-County Building Industry
))) iC 1l Service Board.
I:\Building\Pennits\BUP COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
J `
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
RI Accessibility: Barrier Removal Improvement Plan
I
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] $
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:ABuilding\Permits\BUP_C<)N1_Pcrmit\pp.doc Rev.12/18/2014