Permit (128) CITY OF TIGARD BUILDING PERMIT
1111 s ' COMMUNITY DEVELOPMENT Permit/1: BUP2017-00322
T f(;A R.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/11/2018
Parcel: 2S102AB02401
Site address: 12511 SW MAIN ST Jurisdiction: Tigard
Project: Kepler's Upholstery Subdivision:ELECTRIC ADDITION TO TIGARDVILLE Lot: 15
Project Description: Replacing existing awning.
Contractor: MCGEE BLINDS&AWNINGS INC Owner:
620 SE WATER AVE ANKELE, BRIAN
SE D, OR 97214 3570 SW RIVER PKWY UNIT 1703
PORTLAND, OR 97239
PHONE: 503-235-4111 PHONE:
FAX:
Specifics: FEES
Type of Use: COM Description Date Amount
Permit Fee-Additions,Alterations, 01/11/2018 $134.54
Class of Work: ALT Type of Const: VB
Occupancy Grp: U Occupancy Load: Demolition
Dwelling Units: 0 12%State Surcharge-Building 01/11/2018 $16.14
Stories: 0 Plan Review 01/11/2018 $87.45
Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/11/2018
Bedrooms: 0 Bathrooms: 0 11x17) $7.50
Value: $3,967
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $245.63
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.
Issued By: Permittee Signature
.46/1...e.irsZeg....._,
Call 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.
Building Permit Application
Commercial
OR OI I I( I l Sl:ON1.1
City of Tigard rl
Received /4 13125 SWHall Blvd.,Tigard,OR JECEIVED Date/By: ! 7 x PermitNo.:jp)
114 � Plan Review- s "���D�7......a.).1
y�`-���
Phone: 503-718-2439 Fax: 503-598-1960 ' t✓ r ff Related Permit:
Inspection Line: 503-639-4175 F�/` 1 2017 Date/By: ``�
T I G A R CJ p O t�-� � Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov N•ified/Method:
CITY OF flGARD ��J/ +7, /J h Supplemental Information
TYPE OgIPING DIVISION
REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
ErAddition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling (Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder
❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: f04 N S. L.A.)- '7196t—c..;_, `•�p. New dwelling area:
�2square feet
City/State/ZIP:
l9,1 y7 �3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
I 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./_ y
__„....f.2.2,-,,, ` . moo" 1-C�r C .l1Jo `�,,,,
Valuation: $ �ti� !_
�. ��r�-,ticrr. ! /
Existing building area: square feet
New building area: square feet
PROPERTY OWNER n I [ TENANT Number of stories:
Name: 6i;a.,r, LP.-►�t1eg.2c.
Type of construction:
Address: ,a s//
S' '`'�.j `'?'rl,, ��P Ste`, Occupancy groups:
City/State/ZIP: £ x.) 6 47..223
Existing:
Phone:(5o3) to -39_ 70/ Z Fax:( )
New:
APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name: . (Please refer to fee schedule)
C Q
6//x$44 / i„1.):�Ir S
Contact name: Structural plan review fee(or deposit):
r,7 Nor,;- ,�,b ro e/c
Address: �a D S. E.
Li 1a �. obv..o FLS plan review fee(if applicable):
City/State/ZIP: / �L. 972., y Total fees due upon application:
U
$ 1 023S_z"// I Fax::(s® 736 U4 0 Amount received:
Phone:(
E-mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name: �� Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
Phone:( ) and administrative fees): $180.00
Fax:( )
CCB Lic.: L 0 4-12.. 4.7.7 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signatur • —
This permit application expires if a permit is not obtained
/� i^ within 180 days after it has been accepted as complete.
Print name: C� �__J/ if >?�f�/'Bd�G Date: * Fee methodology set by Tri-County Building Industry
— Service Board.
I:\Building\Permits\BUP COM_PernvtApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & MultiFamily - 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
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: � �Z.v j 7— ,1-X
Site Address: 12 511 sw IVtc7.iSi- . Suite/Bldg#:
Project Name: (Lep )er& eh a
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Reviewrep
Proposal: 2:vita, 01 d r i W(''1'h neitv
Verify site address/suite# exists and active in permit system.
121/River Terrace Neighborhood: ❑ Yes ❑ No
,LI Land Use Case#: 0 2 X1-7 — 0 0002_
4l Plans Match Approved Land Use:
Site Plan C- Landscape Plan ❑ Other:
g—IntrinTrForestry Plan g Elevation Plan , /,,/_
Z Building Height: Maximum Height Actual Height 1V0 �^'"�/w'e
'E—Eonditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
)zrBusiness License:
Exists: X' Yes ❑ No,applicant notified to obtain business license
LI Prthiit F cilities Improvement (PFI) Permit:
Required: ❑�,QYes,applicant was notified Cl No Applied For: El Yes ❑ No,stop intake
-t
Notes: pip Yr`2 C-c S F"+" Gl v/v1 1\03 c ioi r?,1 CSL,
Approved by Planning: ! l/),1\ Date: , 0-1 y/ j-7
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: / /P-1/A 7
Site Plans: # 3
Building Plans: # 3
Building Permit#: (__,, ct�Ser building permit#above.
Workflow Routing: Eh'I nningC iveering [rmit Coordinator Z1-14mmlding
Workflow Sign-off: CI81gn-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
I:\Building\Forms\BldgPermitRvwCOM WithLandUse 060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: �Z G!P Date: /�1/—/./7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes( ::1 (1: i' N/A
OK to Issue Permit JJ
Approved by Permit Coordinator: Date:
/ /`9/01* -
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_07091 5.docx