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Permit (133)
CITY OF TIGARD BUILDING PERMIT • mINPermit#: BUP2018-00345 �' COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2018 T I c.;�I..1) g Parcel: 2S102AC00700 Jurisdiction: Tigard Site address: 12540 SW MAIN ST 201 Project: Dolan PBS NMSO Subdivision: None Lot: None Project Description: New interior walls and doors with relites. Relocating existing electrical. Contractor: SUMMIT CONSTRUCTION Owner: DOLAN&CO LLC PO BOX 10345 BY FLORENCE T DOLAN PORTLAND, OR 97296 4523 NE DAVIS ST PORTLAND, OR 97213 PHONE: 503-223-9703 PHONE: 503-225-9009 FAX: 503-242-3841 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 12/18/2018 $98.00 Occupancy Grp: B Occupancy Load: 65 Permit Fee-Additions,Alterations, 12/18/2018 $256.22 Demolition Dwelling Units: 0 12%State Surcharge-Building 12/18/2018 $30.75 Stories: 0 Height: 0 ft Plan Review 12/18/2018 $166.54 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/18/2018 $102.49 Value: $12,000 Info Process/Archiving-Lg$2.00(over 12/18/2018 $8.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $662.00 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. 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 obt•'n a copy of the rules or direct questions to OUNC by calling 503.23 . 987 or 1.800.332.2344. Issued By: 1�� j Pe ee Signature: zyy .. Call 503.639.4175 by 7:00 a.m.for the next available ins I tion date. This permit card shall be kept in a conspicuous place on the job site I completion of the project. Approved plans are required on the job site at the time • ach inspection. L , Building Permit Application Commercial ItIECEIVED boli,orrice, t si oy.l.l City of Tigard Received / ' /-' V' / Date/B ill "I 13125 SW Hall Blvd.,Tigard,OR 97223n p c 1 8 2.018, Plan Review = Phone: 503-718-2439 Fax: 503-598-196Date/B : a„- - I ': / Related Permit: TI G A R D Inspection Line: 503-639-4175 OF �( �� Date Ready/By: • Juris: 65 See Page 2 for Internet: www.tigard-or.gov � ff u�J �gi Notified/Method: Supplemental Information TYPE /E WORK DIVISION 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 El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwellingCommercial/industrial Valuation: $ Number of bedrooms: ElAccessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1059-10 5\„j 1_l N h '?4". New dwelling area: square feet City/State/ZIP: • 0.r O t OR ��a2' Garage/carport area: square feet Suite/bldg./apt.#: ` Project name: 40,4 k NM,C) Covered porch area: square feet Cross street/directions to job site: )i k t L . � ! � icr,-0‘V„1 Deck area: square feet Qua ,011.1f ail 'Al 4.4,e, f( 01O w ' r . got 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#: 241`0`�A�i�t 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. Nev ere o✓ k Grn C3 S �..itTlrl -`r es Valuation: $ 1100 0 31.10 e, ,e; Od\ Existing building area:ly\\5 square feet X ��e cam-` , New building area: /� square feet 51 PROPERTY OWNER a TENANT Number of stories: ;L Name: b&1, 1 .\t ,% 1 Type of construction: V \)—15 ]n� 41 Address: 1S‘ Iv , h '9. Occupancy groups: 15 1 M City/State/ZIP:��041 I CR, )r)X c1 Existing: r, 1-\ Phone:(703) la .,... ribpcA Fax:( ) I New: 124,APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* I .� (Please refer to fee schedule) Business name: CAA.,, t 4 a ineLra Structural plan review fee(or deposit): Contact name:-Tm.h L FLS plan review fee(if applicable): Address: 1540\17 SV n0 AZ NVe. City/State/ZIP: 1.70T.-..ANI 1 03.. CA71Z4 Total fees due upon application: Amount received: Phone:( ) 2 2Ce-q -66 Fax::( ) CIO \ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:I-Arc„1t: Li I vl c., Wyvi Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:' .50 pity'1t U c., i o to Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:7.0. `cy2J-4S 1R Solar Installation Specialty Code checklist. City/State/ZIP: �Crii-knCJ 0'\ Permit fee(includes plan review $180.00 / and administrative fees): Phone:(yxy5) 225 ci?p2j Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.:itd eValyiKACD329C Total fee due upon application: $201.60 Authorized signature: .. eL4This permit application expires if a permit is not obtained I/li) Print name:S r1 IJ0a1l within 180 days after it has been accepted as complete. Date: 1!Z I(�J I * Fee methodology set by Tri-County Building Industry / Service Board. I:\Building\Permits\BUP_COM_PertnitApp.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 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.11/5/2018 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT !Pi " Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TIGARD 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 El site address ❑ suite number El zoning ❑ applicant name El 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. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018 t City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ® 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.11/5/2018 City of Tigard •• BUILDING DIVISION IN 1 Over-The-Counter (OTC) Building & Fire Protection System Permit1 1 1 T 1(,A E:n Appointment Checklist Permit Record#: ) Chip' -1-9eA3if 5--- Contact Name: ire-,c>ov paisPhone#: j ?- --62,3— Business Name: rf 01 ,4 . Appt. Date/Time: i',[ `lig ' 4!do Site Address: `,j e) Jet)7)1,4,11/,SY-.• Bldg/Suite #: 1 Project Name: ,O,/ " */1//r)3-62 New Tenant? 0 Yes I . No Project Description: 4/,.m./ t,%/4-1/8, l« `id LJJ4(, Existing Use: New Use: 6 MMD Required: 0 Yes ALL No Related Record#: APPUC iO$.S?ECIFIC O1 ATION GENERAL INFORMATION Class of Work: ii J Occupancy Group: Type of Construction: V.. _ Type of Use: Occupancy Load: 6 Oregon Specialty Code: a())4., SPECIFICS Number of Stories: 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: i O; j /g 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: `l 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 a, 000M r $ ig- DC Prov Rvw,COM TI—Ping $ GPermit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2018) $ ‘30,7 r 12%State Surcharge Project Valuation $ 16 C .s'4. Plan Review,Structural Up to$4,999 $0.00 $ 1 o a.Lig Plan Review,Fire Life Safety $5,000-$74,999 $98.00 $ 8 Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $388.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ 4 6 a - TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070118.docx City of Tigard 11111 111 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: /401/(610/5'CO3 Site Address: (2- 611 C SW iVICA'(eiS f Suite/Bldg#: I Project Name: © 0 t of n PBS NMS 0 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: t Y)4Vt r Existing Business Activity: OP/1(Z, Proposed Business Activity: Verify site address/suite# exists and active in permit system. jzfRiver Terrace Neighborhood: ❑ Yes VNo 4 Zoning: 1v1 Lr G6 0 Permitted Use: /ZI Yes ❑ No ❑ Spec Space VI Confirm no land use required. g.Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: Date: f 2 1 v// 8 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: /e- Site Plans: # Building Plans: # Building Permit#: !' nter building permit#above. Workflow Routing: E Planning Building Workflow Sign-off: II Sign-off for Planning(include notes from pinning review) Route Application Documents: II Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: iI 1 / Date: /4/r/f( I:\Building\Forms\BldgPeimitRvw_COM NoLandUse 060116.docx .lam 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 Applic. ': Revision Notice 2: Date Sent to Ap.Icant: Revision Notice 3: Date Sent to,.'"pplicant: ❑ SDC Fees Entered: Wash .Trans Dev Tax: ❑ Yes ❑ N/A Ti•.'d Trans SDC: ❑ Yes ❑ N/A arks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permi Approved by P-'emit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw COM NoLandUse 070915.docx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I Ci A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or. TO: /4"1DATE EI D: DEPT: BUILDING DIVISION r JAN 7 2019 FROM: ef� o �ank,SeY CIT' OF FIGARO COMPANY: Li 2. T 13C--. / ' 3UILDING DIVISION PHONE: X3 . 22(.2 - \x.'6S By.R:::/7„ ._:r RE: \2 %-\D 5\.J Mt;$:w , - \,-. 5„-, ,, a,D\ •fx5 Qo16 -OO'51-1 (Site Address) (Permit Number) D0\G.0 PUS 1 t.)t,Ab '151.42 , oor2oo (Project name or subdivision name aid lot number) i 1 % ATTACHED ARE THE FOLLOWI I I T' . Copies: Description: ()pies: Description: Additional set(s) of plans. U , 3 Revisions: \IJ4-\\'vA-a..` Cross section(s) and details. \ Wall bracing and/or lateral analysis. Floor/roof framing. Basement and and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: \ ,n --4r ,,,r-c..,‘ r�r-�► i ova c c., 1 owt wcx S 4 n�.fLJ 411 'i n Wrn., e . ,v. D c FOR OFFICE USE ONLY Routed to Permit T- 'ician: Date: ) - I o- )0 Initials: -4) Fees Due: n No Fee Description: Amount Due: • S 14r pl�.... rav% $W------- $ -- $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No- n Done Applicant Notified: Date: /1/U l ct Initials:�(i,� I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12540 SW MAIN ST 201 , TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2018-00345 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor