Permit (41) CITY OF TIGARD BUILDING PERMIT
M N2. .. COMMUNITY DEVELOPMENT Permit#: BUP2017 00169
T t 2 AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017
Parcel: 1S136DB02501
Jurisdiction: Tigard
Site address: 11632 SW PACIFIC HWY
Project: Westside Dance Academy Subdivision: None Lot: None
Project Description: Repair dry rot on canopy/carport section.
Contractor: COOPER CONSTRUCTION CO Owner: WESTSIDE HOLDING CO LLC
PO BOX 2020 BY MELLANIE HENIFF
CLACKAMAS, OR 97015 11632 SW PACIFIC HWY
TIGARD, OR 97223
PHONE: 503-232-3121 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 06/21/2017 $164.96
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 06/21/2017 $19.80
Dwelling Units: 0 Plan Review 06/21/2017 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/21/2017 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,873
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $292.98
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 .rk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ' ose rules are set forth in OAR
952-001-001• rough a'R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• %.800.332.2344.
Issued :y: / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available ins ectio dat=
This permit card shall be kept in a conspicuous place on the job site until corn.etio of the project.
Approved plans are required on the job site at the time of each inspec ion.
,
' Building Permit Application
Commercial
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City of Tigard Received ..nDate/B : C/Y/ /7 iMMII Permit No.: I -e
da 7-50/6
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13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
114 '4 M Phone: 503-718-2439 Fax: 503-59841p5p 2 i -,,p , Date/B : Related Permit:
1 IGARD Inspection Line: 503-639-4175 Date Ready/By: Juris• 0 See Page 2 for
Internet: www.tigard-or.gov vs--,,, . Notified/Method: Supplemental Information
Tyrii kataifit;DIVISIOIN REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction . El 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 El Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $ C—Cg-73
0 1-and 2-family dwelling thcommercial/industrial i
El Accessory building El Multi-family Number of bedrooms:
Number of bathrooms:
ID Master builder :I Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: `1 632 ci.0 8 rie ,rgc .1-11„), New dwelling area: square feet
City/State/ZIP: T)imit/0 VIZ-s 9-7 22_3 Garage/carport area: square feet
Suite/bldg./apt.#: 1 Project name: 1,0 .s'IS:10 ''''. Orwe-2 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
pa-c,, 1 )(.1_. )4,...)4 - a 1-7 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.
OM' 001— Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: pieL_LAA),E-- iL\ A) i FF Type of construction:
Address: 1 1 6?2_ `.-7 kJ PAC-iiiL )4
vo (.....
Occupancy groups:
City/State/ZIP: Ti 4 Av) . O -. 9-7 2 2_.3 Existing:
/
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received: /02 Q. n
Phone:( ) Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: co area_ e 0,Nci-c.....c-Ti?,2%). e d Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: P, o, % 20"2—C' Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: C Licsc,K.AyrNsts. 0 Q._, CI'7 04.0 $180.00
and administrative fees):
Phone:( )3 ) 73z., 3)2_i Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lie.:a, e), u,c--- -4/, 7
Total fee due upon application: $201.60
Authorized signaturA,e, i This permit application expires if a permit is not obtained
Ili , within 180 days after it has been accepted as complete.
Print name: I z-xi,)J,) ,z,, ,-i__. Date: 6 -2.)- /7 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Perinits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . . Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and 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. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 : " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal #of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11632 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00169
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor