Permit (164) CITY OF TIGARD BUILDING PERMIT
111 COMMUNITY DEVELOPMENT Permit#: BUP2019-00079
T
1G AR f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2019
Parcel: 2S110DD14000
Jurisdiction: Tigard
Site address: 10650 SW SUMMERFIELD DR
Project: Summerfield Club House Subdivision: SUMMERFIELD Lot: B
Project Description: Deck replacement for ADA accessibility.
Contractor: CASCADE NW CONSTRUCTION Owner: SUMMERFIELD CIVIC ASSOCIATION
801 E MAIN ST 10650 SW SUMMERFIELD DR
MOLALLA, OR 97038 TIGARD, OR 97224
PHONE: 503-919-2201 PHONE: 503-620-0131
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/25/2019 $3,735.73
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 04/25/2019 $448.29
Dwelling Units: 0 Plan Review 04/03/2019 $2,428.22
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/25/2019 $388.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/25/2019 $1,494.29
Value: $542,000 Info Process/Archiving-Lg$2.00(over 04/25/2019 $8.00
11x17)
Info Process/Archiving-Sm$0.50(up to 04/25/2019 $17.50
Floor Areas: 11x17)
Metro Const.Excise Tax 04/25/2019 $650.40
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $9,170.43
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 .tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
.41111W
Issued By: ii411/f. tair.4 Permittee Signature:
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 FOR OFFICE USE ONLl'
City of Tigard RECEI V L Received 4 iDatro S 's Permit No.: t ~\C1- j
,111 w 13125 SW Ha11 Blvd.,Tigard,OR 97223 ,APRO 3 2019 Plan Review 1,..11 Phone: 503-718-2439 Fax: 503-598-1960 Date/B : — IRelated Permit:
I I C,ARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: Ju is: H See Page 2 for
Internet: www.tigard-or.gov Notified/method: 4 All �� Supplemental Information
BUILDING D'V'uiC;: r- ., ..=.1._. `
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❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
2 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
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j; j� � g /�/y� , , �','�,��;r / work indicated on this application.
0 1-and 2-family dwelling IE Commercial/industrial
Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
7j� j�� % rA//l/ % /%ti fic- ,7 !rk 0,} f%%irk
� � 3 /, 0 /, Total number of floors:
Job site address: to tg c-0 S‘,J 6V -(LACI t=LD bit, New dwelling area: square feet
City/State/ZIP: 11(;{1-4 i •jZ__ 61 722.LI Garage/carport area: square feet
Suite/bldg./apt.#: 1 Project name: 50rv124•it I.-01 :rivet-00*L Covered porch area: square feet
Cross street/directions to job site:
��.16 {�� Deck area: square feet
Other
struct.F,u'.:reearea: ....... square�feet
/
/ 21 � C°' /2< �PFccl ✓ j',9idyl#r"1'-
//tex.1fi 'TIN//o,� ,:,,a* ,/ t f1m; w!
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
', : �:9 i r//,_ ice%%" /:;wcw>; ,, . /i!:" -i f/..; //,�•,, equipment,materials,labor,overhead,and the profit for the
G/j/ // r4j �/, /� I,y al 4, 1 , � �� �i, ty% work indicated on this application.
IN..C- - p. p u c l)!, N, A•. 4cCf S 31t_I T y Valuation: $ �2 /c):36
Existing building area: square feet
New building area: square feet
,, CN
/// .:, �/if // Number of stories:
.vi l ""_..:... .:....»iiun 1...::'vYlliii ..;..:s.;fJ..L JIJJJJrL,'.Y 111...Gf�.i,1.:1,J..(i ;:.J;'_.;JJ l.//L,J...'.Julga,J.�./1,;;.i.:<;»Ll d1,iu..,XhI:IfJ,oN„J.ettJl
Name: b.1 t.,,tvv' F t CL{, 601J co,;(2.1,1. Type of construction:
Address: /065-0 54 5”(,,,,.. ..r.L.'t i t-6 0K Occupancy groups:
City/State/ZIP: Ti G ,,6 CUR q'7 2 a_(-1 E• xisting:
Phone:(Co S) (,2o of !I Fax:( )
New:
)ra / /.. .irii% :.h / .1/, „ : % :.D,G;.,m.,,//-;'a.t`•,/,;' ai:i/: (,�� v i.;.:.,;-..:/.,;:.,_ o.o.rl i � t � .3 . �/, ./,.. "
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.
Business name:
_ Structural plan review fee(or deposit):
Contact name:
L 1,j.6.I,01-1 . FLS plan review fee(if applicable):
Address: C.
City/State/ZIP: Total fees due upon application:
Phone:(" .5 C)3- 332 -O Ci' V Fax:: ( ) Amount received:
E-mail: ANtlY1M u cA-ScA-Aiz:'V W t C)N11 1=,;(..f\-,-)AJ `,DAA ! ' O%r )/7 L %�-; % . :. .. A / 3 i, .%
l',"•',,.:' " r"rte/!V j,r 7 ,/ ., ' / . ia,.,;, r r,%!rfi ��,,er s '. ,,,'/irr�r,��/%
Commercial and residential prescriptive installation of
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r/000v . ari „:,?' r ! 7e _ „: , i,/j✓i,/ ,,, � ii/ /
roof-top mounted Photovoltaic Solar Panel System.
Business name: C,{ t, if: Afkr) (,Gr.J S' G.1-t u!+) Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 801 i!. r'1AIti 51-,,, Solar Installation Specialty Code checklist.
City/State/ZIP: M.OLA-LA Of( ei7X13$ Permit fee(includes plan review $180.00
and administrative fees):
Phone:(so ) e i 9 - 7?0 i Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 2e.)1 —1 3 ij
Total fee due upon application: $201.60
Authorized signature: C tIms '_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
•
Print name: c�Y f JN4 LL Date: Z.(/;,// 9 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11 mi Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1 1 C;AR 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.
(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.03/05/2019
1
City of Tigard
e
COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: t,,.AC'- f.
Site Address: ,0& S 0 - //1 orme r4,11 ,,br Suite/Bldg#:
Project Name: --c_UIllIJt.P 2a (2_itd-j) gust AecyL ,/( el/Ai/4--
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review d
Proposal: 1,it r'-epA x) jai i_. &)o c
2
4.2-ii .i 72o
a nrr71:
Existing Business Activity: e/USA�/....._. OCCesc rrz� ,i A-
Prop..ed Business Activity: // // 2 // 7/
►A Verify site address/suite# exists and active in permit syst
Ai,Fiver Terrace Neighborhood: ❑ Yes Of No
gi-oning:
DC'J J )
yermttted Use: Yes ❑ No ❑ Spec Space
Co no land use required.
Business License:, -
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved byPlanning: ./. Date: 9
PP �� /%�`� ��3 �
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: V?r A 1 Cfi
Site Plans: # 3
Building Plans: #A3
Building Permit#: g Enter building permit#above. ��
Workflow Routing: Ed Planning S Permit Coordinator L1 Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Q`Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: °4--J\` '\ Date: L\ 1 1 1 Ci
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:
pilk-SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes aN/A
JOK to Issue Permit
Approved by Permit Coordinator: T.AO -- Date: y ` 1(J 1 1121
I:\Building\Forms\BldgPennitRvw COM_NoLandUse 070915.docx