Permit (283) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00114
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY W1
Project: SN Properties Partnership Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: TI for new tenant for change of use to repair-oriented retail(dog grooming)
Contractor: JAMES EDWIN HILL Owner: SN PROPERTIES PARTNERSHIP
23167 NE SUNNYCREST RD 1121 SW SALMON ST
NEWBERG, OR 97132 PORTLAND,OR 97205
PHONE: 503-704-4433 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 05/10/2017 $90.00
Occupancy Grp: B Occupancy Load: 12 Permit Fee-Additions,Alterations, 05/10/2017 $362.69
Demolition
Dwelling Units: 12%State Surcharge-Building 05/10/2017 $43.52
Stories: 1 Height: ft Plan Review 05/10/2017 $235.75
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 05/10/2017 $145.08
Value: $18,500 Info Process/Archiving-Lg$2.00(over 05/10/2017 $2.00
11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $879.04
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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.
7
issued By: %- r`7 L`u PermitteeSignature: 7 �j
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 RECEIVED I OR 01I( I 1_SI.O\l.1
City of Tigard Received Date/B : .� /d /7 41a, Permit NoA 7/•, , Z4/
N .C 13125 SW Hall Blvd.,Tigard,OR 9Y 1 0 2017 Plan Review e..,.�,�1
Phone: 503-718-2439 Fax: 503-598-1960 (+ Date/B : _ 0 "' Related Pnemb.. //7' Cly/�
TI It l) Inspection Line: 503-639-4175 CITY OF 1 IGARD Date Ready/B 7 kris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
sAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ElI-and 2-family dwelling 21 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ( b 2 co 5(.0 Pic,,`., ;<, /`I t'j\„..,a,y New dwelling area: square feet
City/State/ZIP: r,*9.@.r'cr 0 R co 2,2 y Garage/carport area: square feet
Suite/bldg./apt.#: (,t,)1. Project name: Covered porch area: square feet
Cross street/directions to job site: '-'r said O�rt a_ �q u 4,-€._ Deck area: square feet
t t.,f Pla ex R n1 av l U H W Li
q 9 Other structure area: square feet
REQUIRED DATA:COMMERCIAL'-I)SE 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 WORD work indicated on this application.
5(3/N46 id-(2-Ti r7 or vsii-c t.-d )9 -�-cep 4-i c.1e .A.9,p l'r►'�i, Valuation: $ I C( . 00
a?) hi�C � c Y Existing building area: square feet/200
orn2 O New building area: square feet
Q PROPERTY OWNER 9 TENANT. Number of stories:
Name: Type of construction: (AJf tL 4ny,U- 6
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
�l L� fl Structural plan review fee(or deposit):
Contact name: C..u• l c!1't_e_ Lard t.-
FLS plan review fee(if applicable):
Address: 6 8 6 0 S k ) L,`‘&>,- C 4
Total fees due upon application:
City/State/ZIP: A to ha._ , op., (170-7
Amount received:
Phone:(171 ) Z U 5.- '-f a o Fax::( )
, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: CtririIc.Q cried,st- .Q e-V '° • CvM
Commercial and residential prescriptive installation of
ft i �NTJTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: ~7�""'' %'1 uu��u/� „1r^iSTT--ll e. �1 Submit two(2)sets of roof plan with connection details
C-Q' and fire department access,along with the 2010 Oregon
Address: 22 i 161 r. fi S.04- (il.(4&tr Solar Installation Specialty Code checklist.
City/State/ZIP: � % 04_ on"i.3 'L„ Permit fee(includes plan review $180.00
and administrative fees
Phone:(.0) lit,t{—Ly4 73 Fax:(--•— t State surcharge(12%of permit fee): $21.60
CCB Lic.: 11(., 4 ti 1— -.57.70//7 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after It has been accepted as complete.
'" * Fee methodology set by Tri-County Building Industry
Print name: J Ay'�1, e� Date: 4.-I Z- `1 ` Service Board.
1:\Building\Pennits\BUP_COM_PermitApp.doc Rev.04/21/2014 440_4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T1GARD 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_Pem»tApp.doc Rev.12/18/2014
City of Tigard
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G n R D Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: I G2430 S W P oi Gi G''c. HI`61"v'wl Suite/Bldg#:
Project Name: P i r Dog Dcf y S-1)01
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T n-k r-co- TI_
Existing Business Activity: 1--c.p GI i ( n r i-tA-. rt-1-4.% i
Proposed Business Activity: I/ //
ly Verify site address/suite#exists and active in permit system.
7River Terrace Neighborhood: ❑ Yes ,zr-No
/
Zoning: C.. Cl
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License: M M 0 tiQ 11 Q QQ( 17—
I
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
(IAApproved by Planning: 11 V\""''— Date: S/ y / I 1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: -�/�C//7 0 T
Site Plans: # 3
Building Plans: #
Building Permit#: 2'Enter building permit#above.
Workflow Routing a-Planning 0 Permit Coordinator I wilding
Workflow Sign-off: 8'Sign-off for Planning(include notes from planning review)
Route Application Documents: Bluilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: �� �/,
By Permit Technician: X... =:% <7;k_.---
I:
% c---- Date: -��7' 7
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_060116.docx
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 El N/A
Tigard Trans SDC: 0 Yes ❑ N/A
Parks SDC: ❑ Yes El N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
11111 Over-The-Counter (OTC) Building & Fire Protection System Permit
i' Appointment Checklist
Permit Record#:
A:A/ 7 — DD/1 Y. .00 @ /o,o
Contact Name: C ayd,rce_ Cord,�r Phone#: q7J-o o S- Yd al
Business Name: 44161 _44- Q "�'Appt. Date/Time: - Sjam---
Site Address: �Gc l"14-/C-4 G. Bldg/Suite #: cd/
Project Name: Df ,-,,,, 43 Ai/
, 0
Project Description: &ax//
/,,,,,,s,4,-)2, S
Existing Use: New Use:
MMD Required: 0 Yes Related Record#: / ena 17 -(-)/d,
GENERAL INFORMATION
Class of Work: A IT Occupancy Group: a Type of Construction: V 4
Type of Use: (lj. Occupancy Load: j a_ Oregon Specialty Code: ,].,p) l_.
SPECIFICS
Number of Stories: j Building Height: 3 p Mixed Use:
Number of Dw Units: Number of Bathrooms: J Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: j 1,()CM Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: 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: )1C.-5 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: $ i g , S O 00_9
$ 4 0 DC Prov Rvw,COM TI—Ping
$ .3 A.,11911M1 Permit Fee Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 9.4.(9.,,, 12%State Surcharge
Project Valuation $ 3s. �J Plan Review,Structural
Up to$4,999 $0.00 $ ) 46", 0 g Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ 41, , o 0 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
�
.J $ Other:
Building Staff: 7 )
' ` /74-t $ Other:
Date/Time: AV-------✓ $ g 7 9 .04-TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16200 SW PACIFIC HWY W1 , TIGARD, OR, August 21 , 2017 at 12:21 :53
97224 PM
Record Type: Record ID:
Commercial - Building BUP2017-00114
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor