Permit (176) CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2018-00012
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2018
Parcel: 2S102AC01800
Jurisdiction: Tigard
Site address: 9655 SW MCKENZIE ST 7
Project: Pacific Village Apartments Subdivision: None Lot: None
Project Description: Interior renovation for fire damage.
Contractor: ALL4U CONSTRUCTION, LLC Owner: PACIFIC VILLAGE HL LLC
32230 NE OLD PARRETT MT RD 1055 NW AUTUMN CT
NEWBERG, OR 97132 CAMAS,WA 98607
PHONE: 503-855-8507 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/01/2018 $509.05
Occupancy Grp: R-2 Occupancy Load: Demolition
12%State Surcharge-Building 02/01/2018 $61.09
Dwelling Units: 0 Plan Review 01/29/2018 $330.88
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/01/2018 $91.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/01/2018 $1.00
Value: $30,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $993.02
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 503.232.198 or 1.800.332.23 .
/,' / ---........X
Issued By: / -e ittee Signature: ( V�t``� / ��(/
Call 503.639.4176 by 7:00 a.m.for the next available inspection date. t L --- )(c.
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.
ill-
Building Permit Application
Commercial roll OFI l( I l: oNl.v
City of Tigard { . Received , permit No.:
y. Date/By: / /t r r n ` 2,50
13125 SW Hall Blvd.,Tigard,OR 972 I' I(
g l� Plan Review
Phone: 503-718-2439 Fax: 503-59 \ ate/By: 2 j i Related Permit: i 7"cit c"
TI G A R D Inspection Line: 503-639-4175 h, 1a4. ' ,'"= to Ready/By: ) / ,, J ® See Page 2 for
Internet: www.tigard-or.gov J� is �+ ,V N tified/Methgd: *G i/ /L , Supplemental Information
TYPE OF WORKCy c REQUIRE.'DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Deitition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
.Addition/alteration/replacement 0 Other: 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: $ U / U 6 0
ElAccessory building Multi-family Number of bedrooms: !
❑Master builder 0 Other: Number of bathrooms:
�`L,ziJOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addr_essss:: 7 j T New dwelling area: fy square feet
5� 5 irJ Nlc:.6G ERI''Z iE 5 1 �
City/State/ZIP: TdA,a_v ®JE T7 2-2.3 j Garage/carport area: 4— square feet
Suite/bldg./apt.#: Project name: t ine_ Ie_ ArVrTiighl Covered porch area: square feet
Cross street/directions to job site: Deck 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.
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.
ke.itiO tiA4T(NI /ti tekt e . Upv f Valuation: $
VV Existing building area: square feet
New building area: square feet
[PROPERTY OWNER 0 TENANT Number of stories:
Name: IA EN Roy Low& Type of construction:
Address: 61 5-s- S(,v t'4 t<rt,z_I c s-[ Occupancy groups:
City/State/ZIP: T6,t,,G). of.. q 2.2-3 Existing:
Phone:(563) 3(t7 G 0 Fax:( ) New:
la APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ppCr , _ i/0-14- a- 4- `f
/� �t � Structural plan review fee(or deposit):
Contact name: H.2.:iJ A i (az,x167
FLS plan review fee(if applicable):
Address: 6 9t�-s S Cd It.-(C tt�AI Z(Z LC
City/State/ZIP: 772-2-3
Total fees due upon application: ?3c)
ty 7/.t-� , u �'$
2 Amount received:
Phone:( Skyd(C) 104-6 o Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: �U(- � /�,,�— Cc in Commercial and residential prescriptive installation of
ty CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: ALL 4 u r oN C Te y�"'�(d�
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: 4)e R irk 0 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5-8 7,)) q-s-s' o 7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: Zi 2_ 3D Total fee due upon application: $201.60
Authorized signature: /et,...2_,L...., This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �n // Date: ( * Fee methodology set by Tri-County Building Industry
(amu C� �� �� Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11111 " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T 1 GARD 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
INCOMCity of Tigard
■
MUNITY DEVELOPMENT DEPARTMENT
T l G A R D Building Permit Review — Commercial - No
Land Use
Building Permit #: . • ,
Site Address: ° 55.5 Sv(i) /G vi 7
Suite/Bldg#:
Project Name: c. ,ll
(Name of commercial business occ,pying the c, ace. If vacant,enter Spec Space.)
Planning Review
Proposal: R -u;r
d i ✓'Q. (JO,✓v) .e-
Existing Business Activity: J
Proposed Business Activity: ✓l�Ln
Verify site address/suite#exists and active in permit syste
Tver Terrace N . hborhood:
�j ❑ Yes
V.
Zoning: p.-, __S
fi-Permitted Use: -if—Yes ❑ No
—onfirm no land use required. ❑ Spec Space
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
^
Approved by Planning:
Date: 4
Revisions (after Building Submittal only)
Revision 1: 0 A rovedReviewer Date
PP 0Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans:
# r ii
Building Plans: #
Building Permit#:
mer building permit ..above.
Workflow Routing:
®''manning ermit Coordinator g
Workflow Sign off: -off for Planning(include notes from planning review)
Route Application Documents: Building, original permit application, site plans,buildingplans,
beam calculations and trust details,if applicable,etc. engin eer and
Notes:
if ,By Permit Technician: ��
,. s.ik..''_ amu. _.
Date: >
r
I:\BuildingTorms\BldgPermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
Date:
I=1Approved,NOT Released:
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
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes6 4 /A
Tigard Trans SDC: ❑ Yes PA' N/A
Parks SDC: ❑ Yes 'A' N/A _
K to Issue Permit �� `�/
Approved by Permit Coordinator: a Date: Q
1:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx