Permit CITY OF TIGARD BUILDING PERMIT
f "! 111. COMMUNITY DEVELOPMENT Permit#: BUP2017-00063
Date Issued: 03/21/2017
-r[ ftR.L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD00500
Jurisdiction: Tigard
Site address: 13707 SW PACIFIC HWY 100
Project: Buster&Lilly's Subdivision: MELROSE Lot: 8
Project Description: Adding sound proofing to(2)existing walls.
Contractor: TODD HESS BUILDING CO Owner: VPT LLC
9414 SW BARBUR BLVD SUITE 150 610 SW ALDER ST STE 1221
PORTLAND, OR 97219 PORTLAND, OR 97205
PHONE: 503-220-5953 PHONE:
FAX: 503-222-2670
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/21/2017 $119.33
Demolition
Occupancy Grp: B Occupancy Load: 34 12%State Surcharge-Building 03/21/2017 $14.32
Dwelling Units: 0 Plan Review 03/21/2017 $77.56
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 03/21/2017 $47.73
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 03/21/2017 $4.00
Value: $3,000 11x17)
Floor Areas:
Total Area: 2736
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $262.94
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 401.: 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.••R 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. .44.
Issu d By: _, / / Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspe date.
This permit card shall be kept in a conspicuous place on the job site unti ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 3/,-/ a MoD OM
Commercial FOR OFFICE USE ONLY
CityTigard Received ������
UPI - of »�� ;-,,;,--,,----%} Date/B . , p( MOM Permit No.: 4
13125 SW Hall Blvd.,Tigaia, tt.47223 i ` ;' Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 3..._Al Other Permit:
.1 1 G A R D Inspection Line: 503.639.4175I' t,1- Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov '� � - ��'� Notified/Method. Supplemental Information
i
"e ) ,' !,74 s ( 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.
Valuation: $
0 1-and 2-family dwelling Commercial/industrial
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /1)707 S AlA) Pd (rll!L �,,,„y. New dwelling area: square feet
City/State/ZIP: T,1 4 fr. r OIZ,,,,,,3vet q 7 L L3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: I
1 d0 5'�lv '�i Lt ��y 5 Covered porch area: square feet
Cross street/directions to job site: 12,0-4.11-r L A,, y 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.
t i Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 7 07 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation:1 $ 3 PC o
-x--1 fj�f'' �KJ— e7 U♦►a �!!`�d� (��� (
Existing building area:NO Crjluare feet
New building area: No civ,444 .square feet
0 PROPERTY OWNER ,riA TENANT Number of stories: (
1 r
Name: �jv c�"f`„�Y �..1 l'y 5 17o 5 t)1 t --04,/e.. -t__G Ir Type of construction: `/(3
Address: L'ij 70`t ' tn) t? c. t 'F, a1A-"-f Occupancy groups:
City/State/ZIP: Tt e.) 4 y. j t 0 I , 11 2 Z-"j Existing:
Phone:( ) Fax:( ) New:
APPLICANTfI n 0 CONTACT PERSON BUILDING PERMIT FEES*
T D d GL ��4-!'�!'S b U l �C l h (Please refer to fee schedule)
Business name: '1 &tn.%edotOk /
1 1" J Structural plan review fee(or deposit):
Contact name: -3-0 S -F 5
Address: 4 at l Lf 4 , �A•r�V r j(fid FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: 'o(#1-6,le,_44 , o if--e 1 "., 97 214
Amount received:
Phone:(5o3) 220 - 5ei 5 3 Fax::(so)) 222. - Z1..'/n
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTORroof-top mounted Photo Voltaic Solar Panel System.
Business name: "C b 4 5.e, e3,� � ✓<<d�// L t^� co"'N. 1�a H Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: qtt j If , /,,,) 15a y.j,v y- 12- 'Vd , Solar Installation Specialty Code checklist.
City/State/ZIP: "t ah Permit fee(includes plan review
1 0 r '1 l Z �a and administrative fees): $180.00
Phone:(To)) 21 e' - ,elFax:(5o ) -1-2.1-- 2(o`Z
�jState surcharge(12%of permit fee): $21.60
CCBlic.: co(p 'B42..
Total fee due upon application: $201.60
Authorized signature: 4/ 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.
L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIIqCOMMUNITY DEVELOPMENT DEPARTMENT
I
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: --eak-t Pap/7-6n0 &' 3
Site Address: 15JD S\l 7 -t"t(.G Suite/Bldg#: IbO
1
Project Name: ( ,/t�- y Lt 11\4S Ic ) - -c.
(Name of commercial business occupyiAg the space cant,enter Spec Space.)
Planning Review
Proposal: Ti_ I .
Existing Business Activity: Pe laYVAI &,c, N J CJI, , k
Proposed Business Activity: t1 _ rn
XVerify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes 11 No
Zoning: C—G
Permitted Use: EYes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes: DOl (-11k -c- wi mil adIviii,ss locda y K v-h-td :cGrne.j .
Approved by Planning: /� Date: -3 I2,{ Iii
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 44/// 7
Site Plans: # 3
Building Plans: # �
Building Permit#: VEnt"erbuilding .ermit#above.
Workflow Routing: --
Planning L .• .i► , e Building
Workflow Sign-off: Sign-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: O�c---
By Permit Technician: C)1,,_ , Date: 4/7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, I ' eleased: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Ape ' ant:
Revision Notice 2: Date Sent to < .plicant:
Revision Notice 3: Date Sen o Applicant:
❑ SDC Fees Entered: W.- Co Trans Dev Tax: ❑ Yes N/A
igard Trans SDC: ❑ Yes ❑ N
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe •
Approved by P-rmit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: Pab(7 —0066 5
Contact Name: —374., .614 T5 Phone #: 56S- o"z2D—
Business Name: ,e,c�� f6tj u Lb/tJd, Appt. Date/Time: 3/s/ a;QO/*/
Site Address: /S767 Pao/Fre. K,V Bldg/Suite #: �pZ9
Project Name: c.e..s-rOQ- L
Project Description: ts t--,t—L.L. 50L,.,,ab PlluoF LJ9 u_--
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record#:
;` '
GENERAL INFORMATION
Class of Work: Occupancy Group: a 9 Type of Construction: 11911511151.101.111
Type of Use: p Occupancy Load: Oregon Specialty Code: j/
SPECIFICS
Number of Stories: 111011100, 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: a � 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: Y C s 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: $ 3,00
$ ,_ . '1'440" DC Prov Rvw,COM TI—Ping
$ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $p16a ,9 L^ TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
It _ q Building Division
Plan Submittal Requirements
T I GA R D Commercial& Multi-Family- New,Additions or Alterations
I
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011