Permit CITY OF TIGARD BUILDING PERMIT
3 COMMUNITY DEVELOPMENT Permit#: BUP2019 00233
Ti G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2020
Parcel: 1 S 136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: Indoor in-ground concrete swimming pool and spa.
Contractor: BLUE MOUNTAIN POOLS INC Owner: DVKOCR TIGARD, LLC
13121 S WARNOCK RD 1419 W MAIN STREET, SUITE 110
OREGON CITY, OR 97045 BATTLEGROUND,WA 98604
PHONE: 503-760-4554 PHONE: 360-723-0024
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VB Permit Fee-COM-New Construction 11/20/2019 $615.74
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 11/20/2019 $73.89
Plan Review 08/22/2019 $400.23
Dwelling Units: DC Provision Review,COM TI-Ping 11/20/2019 $102.00
Stories: Height: ft Plan Review-Fire Life Safety 11/20/2019 $246.30
Bedrooms: Bathrooms: Info Process/Archiving-Lg$2.00(over 11/20/2019 $6.00
Value: $64,000 11x17)
Info Process/Archiving-Sm$0.50(up to 11/20/2019 $7.50
11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,451.66
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 o tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23
Issued By: Permittee Signature
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
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.
7
4 Building Permit Application
Commercial RECEIVED wiz iz of l ici i Si OM.)
City Tigard T1 and AUG019 G 2 2 Received .ii. __ . / az0[9. ®0�33
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III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
-
Phone: 503-718-2439 Fax: 503-598-196fl.,ITY OF TIGARD Date/By: 9 9 q1 Related Permit:
Inspection Line: 503-639-4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION
TIGARD Notifie et ```r. Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
I: New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
J Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ O II Cie
❑ 1-and 2-family dwelling 0 Commercial/industrial [.r
IDAccessory building El Multi-familyNumber of bedrooms:
❑Master builder Other:Sw/q,WWes/ Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: //799 S��/ , 6,9k IQ,t. New dwelling area: square feet
City/State/ZIP: �ljfm/ 0A , 7 3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: 1,/ //C501( -CN k) Covered porch area: square feet
Cross street/directions to job site: Deck area: L5-atto square feet
Other to ea;,d,5j Y Z square feet
REQUIRE DA :COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
CONS CTia1( 6/ _. Q— iuiu6 e&A/C&r Valuation: $ � �j�
1 C � � rY ��.rJ [i7 C.JC I� Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:-GQ'egA j/s
Address: Occupancy groups: °�
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ] CONTACT PERSON BUILDING PERMIT FEES*
I (Please refer to fee schedule)
Business name: F r kua ,u7Aihv patjz,c Structural plan review fee(or deposit):
Contact name: FLS plan review fee(if applicable):
Address: l3��N 2111/t/OZ4
� Total fees due upon application:
eCity/State/ZIP: !�fr, Ok‘
Phone: 3) -7��1fS�g Fax::( )
Amount received:
E-mail:•Eµ(P Pf gy,f/7S(13Lvc 1040/(Arri ✓R_2 , Cash PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: ife ` M/ � S Submit two(2)sets of roof plan with connection details
` `�/ / and fire department access,along with the 2010 Oregon
Address: / 0l0e/ c5, Re4,e1 )- Solar Installation Specialty Code checklist.
City/State/ZIP: OR�) �,� c Y� OR. q-7 Permit fee(includes plan review $180.00
Phone: 2 � ��� Fax:( ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB Lic.:
9� 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.
Print name:5-7ZW-.1( ii, 1„Wi his\/ Date: Q 7 �///_- / * Fee methodology set by Tri-County Building Industry
"' 7 o I`�`� / 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
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:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
p
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . . 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 ❑ 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.
1:A Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11 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:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019