10300 SW GREENBURG ROAD STE 200 1
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CITY OF TIGARD Commercial Building Permit Application Recd By__�
13125 ISW HALL BLVD. Tenant Improvement DateRecd_r 1
TIGARD, OR 97223 Date to P.E.
d Date to DST
(503) 639-4171 Pennit ,
Print or Type Related SWR e
Incomplete or illegible applications will not be accepted Called___
Name of Development/Project — Existing BuildingN Nr,w Building L]---7
Job L i ncoln Gentiev' � __ -- ----
Address Street Address Suite Building (-IhOVIl1 Cew,'E�r-
1020& sw Grixr,16urq Data
Bldg# City/stale zip - -_- Existing Use of Building or Property:
F Ive
C -F 1(7C
Name
Property ki4- er6ct er Pr-l°erties Lqc, XXIV Proposed Use of Building cr Property:
Owner Mailing f,ddress --- Suite
(034.)0 SN Gr""6Vtg d 2UD NQf Stories—
City/state Zip Phone ) severl
For'dP,4,d �. 9WIZ 9-52-59ao Sq.t. Of Project
-Occupant Name —_-
mgl -ix Occupancy Classes)
Name --- - �j
Contractor Malibv faei-f e Ty e(s)of Construction
Prior to permit Mailing AddressSulta ^` F r2
issuance,a copy 1 Will this project have a Fire Suppression System?of all licenses 735 NE J9cl o*1 - c4-Dl
are required If City/State Zip Phone _- Yes _ NO [�
expired In C.O.T. Americans with Disabilities Act(ADA)
database N�l�sho�, DIS • 9 7IZ�- 693 9797 Valuation X 25% = $���'DUO Participation
Oregon Const.Cont.Board Lic.fr Exp.Dale Complete Accessibility Form
059045 02 (6/0. Project $ — --- -
Name Valuation 2-+'/ )( n
Architect Giw zgl'r�i'fe�' In ra' Plans Required: See Mat,ix for number of sets to submit
Mailing Address Suite on back
920 SW 3"'Av"Oe
City/State Zip Phone I hereby acknowledge that 1 have read this application,that the Information
Port� ( op- 9-1204 2ZI-9(05a' given is correct,that I am the owner or authorized agent of the owner,and
that plans submitted are in compliance with Oregon State Laws
Engineer Name
Signature of Owner/Agent Date -
Mailing Address Suite Y >-k r j/9/9 f5
Co t ct Person Name Phone
City/State Zip Phone c
FOR OFFICE USE ON_L';
Indicate type of work: New O Addition O Demolition O Mep�TUt ` Land Use:
Accessory Structure O Foundation Only O Alteration jK
_ Repair O Other O Notes:
Description of work.
i + -
Tehaioj 10A rr,'%re&Ie4
TIF.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
IICOMNEWTLDOC (DST) 5/98
COMMERCIAL. PIAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plan., AND a COMPLETED
application. For an electrical submittal, the applicatinn must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
- Total # of
TYPE OF SUBMITTAL_ Plans KEY-
Submitted
S (Pri✓ate) S = Site Work
B (Ne,v or Add) B = Building
F (New or Add or Alt) 3 (_ = Fire Protection System
M (New or Add or Ait} 1— M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
*B or B & M (Alt)
*B & M & P & E(Alt) 3
*B & IUl & P & E & F(Alt)
NOTES.
*Shaded areas designate AI_I' submittals only.
I-WsWmaxtrixl.doc 07/08/98
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project foi renovation, alteration or modification to affected buildings a,id related
facilities shall be made to insure that the path of travel to the altered area and the
restroom,telephones and drink ng fountains are readily accessible to individuals with
disabilities,unless such alterations are disproportionate to the overail 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%).
YAI.SJMON of a!l renovation, alteration or modification being done oa
excluding painting, wallpapering. (1) $z r OaO,
multiply'_ 25% Barrier removal requirement. `
BUDGET FOR BARRIER REMOVAL (2) $ 'f POC',"'
In choosing which accessible elements to provide under this section, priority shalt be given to
those elements that will provide the greatest access. El�rnents shall be provided in the following
order:
(a) Parking c.-f-15 COTS/ s-TfLIepit-0� z1+0AGF $
(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:
larms:TOTAL: Shall equal line 2 of value computation �coCxa O°
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