Permit (83) CITY OF TIGARD BUILDING PERMIT
: -
'Pi.■ COMMUNITY DEVELOPMENT Permit#: BUP2019-00006
Date Issued: 02/07/2019
-F I[ A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135BD00300
Jurisdiction: Tigard
Site address: 9735 SW SHADY LN 100
Project: King Lasik Subdivision: None Lot: None
Project Description: A new 17.25 sq.ft.wall sign on west-facing wall.The sign weighs more than 20 pounds and has internal
illumination.
Contractor: FASTSIGNS Owner: TIGARD MEDICAL MALL LLC
11525 SW PACIFIC HWY PO BOX 98
TIGARD, OR 97223 POULSBO,WA 98370
PHONE: 503-244-8813 PHONE:
FAX:
FEES
Specifics: Date Amount
Description
Type of Use: COM Permit Fee-Additions,Alterations, 01/28/2019 $180.17
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 01/28/2019 $21.62
Dwelling Units: 0 Plan Review 01/28/2019 $117.11
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/28/2019 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $6,580 Retumed Check Fee 01/28/2019 $20.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $341.40
Required Items and Reports(Conditions)
Required:
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:/7e‘..
Permittee Signature: Sir 7'/- -eGG !�/ j��
Call 603.639.4175 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 "� . w., ;&
'RE� „0,,,,„„,, i LSl:O\1.1'
{ Received > _
INCity SW Tigard 1�i Date/By: r (r/i 4e Permit No.: ,y�,,)I? atv
13125 Hall Blvd.,Tigard,OR 97223 )A.i' 1` ' Plan Review g
C Phone: 503-718-2439 Fax: 503-598-1960 ‘(3 S Date/By: 1— 30-� �� Related Permit:
& 1 ^ 't,
T 1 G A R D Inspection Line: 503-639-4175rlr t`: gate Ready/By: Jur s: ® See Page 2 for
P;" 6! i I' ° " Notified/Method: Supplemental Information
Internet: www.tigard-or.gov :iii {l ? c € �� �� PP
TYPE OF WORKREQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
- rl Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ther: ^G Ai _Z—A)S%U!/ equipment,materials,labor,overhead,and the profit for the
work ind'cated on this application.
CATEGORY OF CONSTRUCTIO1(
❑ 1-and 2-family dwelling Commercial/industrial
Valuation: $
0 Accessory building 0 Multi-family Number of be.1 Homs:
•
0 Master builder 0 Other: Number of bathroo
JOB SITE INFORMATION AND LOCATION Total number of floors:
New dwellingsquare feet
Job site address: y?'3 5 �� j`ICIG� �G�i-�� area: q
City/State/ZIP: 'T: aLtda r` i it 3 Garage/carport area: square feet
Suite/bldg./apt.#: t2 / Project name: f r,-2 J
, Covered porch area: s. . e feet
Cross street/directions to job site: U Deck area: square -et
c_5.(,() G(,e tA-1 14 a Other structure area: square fee
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.
:t ®� ` bllG[�(j11{y C,?1,////r1V/l 6,,0� -(7.67.11Valuation: $ (0d 5
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER TENANTNumber of stories:
Name: 4/.24,./0 /.,6,,,K Type of construction:
Address: C1 3 J (.3-(2.) ham rCl/ Occupancy groups:
City/State/ZIP: /'' aId l0 23 Existing:
Phone:( 5d 3 ,J Vt a-0 79, ., Fax:( ) New:
(APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: 9
1! (Please refer to fee schedule
S, t5�{ L/, �d Structural plan review fee(or deposit):
Contact name: h e I/v 10ot
Address: C ^ V J FLS plan review fee(if applicable):
��/7/n „ow,
'0) [r,,,, ,,/eA) / 7&c
City/State/ZIP: 1' a�Cj, D ' 94a Total fees due upon application: ' ' �,
Phone( `3) NX7' Fax::( ) Amount received:
E-mail:c J/lN/ "f 41 ,5-/
� PHOTOVOLTAIC;SOLAR PANEL SYSTEM FEES*
(' "St S � Commercial and residential prescriptive installation of
CONTRACTORroof-top mounted PhotoVoltaic Solar Panel System.
Business name: cc (.1 S hove., Submit two(2)sets of roof plan with connection details
_. /77 Nand fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
— -- and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: ig �7 ti, '7 Total fee due upon application: $201.60
2)7 � Thispermit application expires if a permit is not obtained
Authorized signature: 1 /1 lit �_ PP P
within 180 days after it has been accepted as complete.
Print name: h e I l �e/7 Date: it( /(� * Fee methodology set by Tri-County Building Industry/`� 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
® Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 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.
AY
4
(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
.11P11 Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I G A R D 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. El map&tax lot# El 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.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018
a
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1,11 Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TI G A R D 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