Permit (39) CITY OF TIGARDIII BUILDING PERMIT
111. ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00173
T f G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2016
Parcel: 1 S 136AD04000
Jurisdiction: Tigard
Site address: 11507 SW PACIFIC HWY
Project: Spec Space Subdivision: VILLA RIDGE Lot: 7
Project Description: Landlord work. Demolition of interior walls in preparation for TI.
Contractor: KERNER CONSTRUCTION INC Owner: PACIFIC TERRACE COMMERCIAL LLC
20140 SW YORK ST BY SMITH, EDITA M
ALOHA, OR 97006 833 NW 170TH DR
BEAVERTON, OR 97006
PHONE: 503-539-8191 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/23/2016 $149.75
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/23/2016 $17.97
Dwelling Units: 0 Plan Review 05/23/2016 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 05/23/2016 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,500 Misc Administration Fee 05/23/2016 $2.50
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $269.56
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0 r-
1
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o'er applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 da •f issuance, or if wor 's suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility otific-tion Center. Th.s= rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co or direct questions to OUNC by calling 5i .232.1987 or 1.81 0.3 2.2344.
4LIssued By: ' ee Signature:
C.,Arlefir4175 by 7:00 a.m.for the next available inspect li .te. IIIPP
This permit card shall be kept in a conspicuous place on the job site until co p-tion of the p •ect.
Approved plans are required on the job site at the time of each ns,ection.
Building Permit Application
Commercial Vr{"1 ► t)►Z O► ► I( I. l til: t)\I 1
r. ED Received
City of Tigard " �V� Date/B : /�b "� Permit No.:
1114 111
13125 SW Hall Blvd.,Tigard,OR 97213 $ Plan Review •r, Related ` • ._ •
Phone: 503-718-2439 Fax: 503-598-196p�M %3 20 Date/B : e ated Permit:�a)61 ( r
I I c, ,:,I Inspection Line: 503-639-4175 �V1t� Aad Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov C1� (IF ItG lii�VOw' Notified/Method: Supplemental Information
�ID1V (IN MIA,
Y
r TYPE OF9 1P, REQUIRED DATA:1-AND 2FADWELLING
❑New construction fl-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
work indicated on this application.
CATEGORY OF CONSTRUCTION .
❑ 1-and 2-family dwelling i66ommercial/industrial Valuation: $ 4
/1s-D d
AccessorybuildingNumber of bedrooms: �!
❑ 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB.SITE INFORMATION AND LOCATION Total number of floors:
Job site address: %,907 (7 W ?ot.G.V [/w New dwelling area: square feet
City/State/ZIP: ..1/Z( )-Q ITI JC' I) Garage/carport area: square feet
r �
Suite/bldg./apt.#: Project name: J' i, Re- Covered porch area: square feet
Cross street/directions to job site: "VDeck area: square feet
Other structure area: square feet
REQUIRED.DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
De-Y/A-44/4.A- ).-i,A / 4 Valuation: $
r"' ) L.4_ � Existing building area: square feet
vj 6 " New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
- , 1,12K4PPLICANif 0 CONTACT PERSON BUILDING PERMIT FEES*
�� (Please refer to fee soloed )
Business name: ��e.n„...„. 1-7/��j 7YVC
Structural plan review fee(or deposit):
Contact name:
Ya IA. FLS plan review fee(if applicable):
Address: 2 p 1 G(0 50 IA-J YdY E.- I -
City/State/ZIP: -lJ-� ePe q ?Oa Total fees due upon 76
application:
Phone:( "� 5.3 1 el Gt I Fax: :( )
Amount received:
!�a V _..,-�� �c 111 Ga. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: I I�+-Q- ,,
N. Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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: 4-b0-1, e__
" Solar Insta/!alien includes Code checklist.
Ciry/State/ZIP: � -e Q Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: I Cf 70 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: `.../ A Date: * Fee methodology set by Tri-County Building Industry
7 f Service Board.
1:A Building\Permits\BUP_COM_PennitApp.doc Rev.04/2 I/2014 440-4613T(I1/02/COM/WEB)
sr
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIII
■
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] $
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): $
1:ABuilding\Pcrmits\BLVP_CO\I_Permit:App.doc Rcv. 12/18/21114