Permit t CITY OF TIGARD BUILDING PERMIT
1 . COMMUNITY DEVELOPMENT Permit#: BUP2020-00039
TIGAR15 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/26/2020
Parcel: 1S135BC00700
Jurisdiction: Tigard
Site address: 10795 SW CASCADE AVE
Project: The Wiggle Room Subdivision: None Lot: None
Project Description: TI for new tenant: New walls for offices and finishes.
Contractor: PKNW CONSTRUCTION LLC Owner: CASCADE FUTSAL LLC
PO BOX 3686 5010 NE OREGON ST
HILLSBORO, OR 97123 PORTLAND, OR 97213
PHONE: 503-536-6427 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/26/2020 $955.35
Demolition
Occupancy Grp: A-2 Occupancy Load: 289 12%State Surcharge-Building 02/26/2020 $114.64
Dwelling Units: Plan Review 02/12/2020 $620.98
Stories: Height: ft DC Provision Review, COM New-Bldg 02/26/2020 $203.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 02/26/2020 $382.14
Value: $80,000 Info Process/Archiving-Lg$2.00(over 02/26/2020 $6.00
11x17)
Tigard CET-Non-Residential-Admin 02/26/2020 $32.00
Floor Areas: Tigard CET-Non-Residential-AH 02/26/2020 $768.00
Wash Co Trans Dev Tax 02/26/2020 $10,424.81
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $13,506.92
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. Tho 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 503.232.19 or 1.800 2.2344.
Issued By: ermittee 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 l SI::ONLY
City of Tigard ReceivedDateBy: Permit No.:
/:t�av ! — a.)go '0J0, i
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit: �
s Phone: 503-718-2439 Fax: 503-5 ENED Date/By: ) i 9— , ,a-77--4. 7
T I G A R U Inspection Line: 503-639-4175 Date Ready/By: /,. �: RI See Page 2 for
Internet: www.tigard-or.gov FEB1 n r1o90 Notifi�vle.i•� , IFF I Supplemental Information
E (r L L r It-
TYPE OFWmPdbGFTIGAR�to RE 1REDDATA:1-AND2-FAMILY DWELLING
oxteTPA?
ipIVISI Permit fees*are based on the value of the work performed.
❑New construction
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling , ommerciaUindustrial
Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Ic t y c 6,144 PAll" New dwelling area: square feet
City/State/ZIP: T\'Gtn �.t0/ Garage/carport area: square feet
Suite/bldg./apt.#: Project name:-10,.yrA.t.* a„Kjzr Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: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.
k t "'_{e _ __ kiw Valuation: $ •
-
l ��S ? ��Q 1r Existing building area: square feet
rl.K.%
�; �'(/ k. New building area: square feet
0 PROPERTY��}Y OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT sik /y�� El CONTACT PERSON BUILDING PERMIT FEES*
Business name: C €Q <- (Please refer ra jee l J
^�
Structural plan review fee(or deposit):
Contact name:
�G -2— O A� FLS plan review fee(if applicable):
Address:
City/State/ZIP: V oc. 6J q'1 z 114
Total fees due upon application:
Phone:(Str, ta +> Z,, p" - so Fax::( ) Amount received:
E-mail: GG t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r�to�l``- G l�--- Commercial and residential prescriptive installation of
CONTRACTOR vv roof-top mounted PhotoVoltaic Solar Panel System.
Business name: NW /Q�" u G'7'(�� Submit two(2)sets of roof plan with connection details
`�" and fire department access,along with the 2010 Oregon
Address: r 6)(r F 5 G-dli Solar Installation Specialty Code checklist.
City/State/ZIP: 1 � ,-7/. Permit fee(includes plan review $180.00
rr 5 c� ( and administrative fees):
Phone:�� `� 47 2'cS Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Ill
Authorized signature: 'drThis permit application expires if a permit is not obtained
`t— within 180 days after it has been accepted as complete.
Print namtCerle,r. . - Date: 2.42,k -o * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■ ■ Accessibility: Barrier Removal Improvement Plan
111111
- 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): $
1:\Building\Pernvts\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
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.
I:\Building\Pemvts\BUP_COM_PennitApp.doc Rev.03/05/2019
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.
is\Building\Permits\BUP_COM_Pem9tApp.doe Rev.03/05/2019
City of Tigard
W COMMUNITY DEVELOPMENT DEPARTMENT
T l c n z n Building Permit Review — Commercial - With Land Use
Building Permit #: �/J�j�j--00031
Site Address: 1039 Cag pAt Suite/Bldg#: -
Project Name: -TL \,lf Itch"
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T-n 7r T I (/ ua c �wrc - l�sub l,�a r�c oo✓
��
III V-rify site address/suite# exists and active in permit syssttei
1! er Terrace Neighborhood: El Yes LPS No
Land Use Case#: h yt ipe do (j(J1
Plans Match Approved Land Use:
IV Site Plan ❑ Landscape Plan ❑ Other:
Urban Forestry Plan ❑ Elevation Plan
/Building Height: Maximum Height Z.4j0 AAc9l Height
(!2 Conditions Met: ❑ Prior to Submittal Lnl Prior to Permit Issuance
U4" 3usiness License: ��
Exists: ❑ Yes E�1"No,applicant was provided a business license application
[ 'Public Facilities Improvement (PFI) Permit:
Required:: 0 Yes applicant was notified t✓J No Applied For: ❑ Yes ❑ No,stop intake
Notes: AM/llltit v ,STT C^ 1-I2-tUTA
Approved by Planning: . �s.,l�� Date: 2-tL71.026
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: pZ//,Z
Site Plans:
Building Plans: # 3
Building Permit#: El�nter building permit#above.
Workflow Routing. fanning L4Engmeeringrnut Coordinator ceding
Workflow Sign-off: 11-'5ign-off for Planning(include notes from planning review)
Route Application Documents: fIding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ivy > Date: 1/1/2
I:\BuildingTonns1BIdgPen tRvw_COM_WithlandUse_l 1 I819.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes D No
Assess Water Quantity Fee in-lieu: 0 Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
O NOT Approved by Engineering: Date
Notes: n f p GN117
Approved by Engineering: %� Date: Z/l c,/2020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
O 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: 10 Yes ❑ N/A
Tigard Trans SDC: ❑ Yes [)/A ,6
Parks SDC: ❑ Yes Ld' N/A 0
❑ OK to Issue Permit
Approved by Permit Coordinator: W Date: /d 1 /2�7
1:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_111819.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
41 Transmittal Letter
T o;.t: 11 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: TOWN DATE RECEIVED:
DEPT: BUILDING DIVISION RECE E VED
JU 9 2020
OF TIGARD
FROM: �Q— _ LDING DIVISION
COMPANY: C£ Ge„. OtraY
PHONE: VJ d ^ e)C:3 '*5-,+ sy:I
RE: t a 1 at y. 4.7 C P.?►O Z O.00 C 3 t
(Site Address) (Permit Number
oject n4 'vision name and of numb i
ATTACHED ARE THE FOLLOWING ITE ;; 17
Copies: Description: Copies: Description:
Additional set(s)of plans. U Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Wes. 1( ►Q lj'-e_ r-rc.^ QGC "e4 SLR► "`
c�-k-Ins hUe -t�-a llm—
/ FOR OFFICE USE ONLY
Routed to Permit T-chnician: Date: 6 -may • aO Initials:
Fee Description:
Amount Due.
Fees Due� Y ❑No
Jar r�` e� $
1 r A r `kc
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes v I No ❑ Done
Applicant Notified: c 4 .2_ Date: C/ h/,),) J Initials: .
I:1Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
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.
IrrCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM:
COMPANY:
PHONE: By:
RE:
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. ' Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
$
Special
Instructions:
Reprint Permit(per PE): _ ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00039
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' '" Date Issued: 02/26/2020
Parcel: 1 S 135BC00700
Jurisdiction: Tigard
Site address: 10795 SW CASCADE AVE
Project: Wiggle Land Subdivision: None Lot: None
Project Description: TI for new tenant: New walls for offices and finishes.
Contractor: PKNW CONSTRUCTION LLC Owner: CASCADE FUTSAL LLC
PO BOX 3686 5010 NE OREGON ST
HILLSBORO, OR 97123 PORTLAND, OR 97213
PHONE: 503-536-6427 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/26/2020 $955.35
Demolition
Occupancy Grp: A-2 Occupancy Load: 289 12%State Surcharge-Building 02/26/2020 $114.64
Dwelling Units: Plan Review 02/12/2020 $620.98
Stories: Height: ft DC Provision Review,COM New-Bldg 02/26/2020 $203.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 02/26/2020 $382.14
Value: $80,000 Info Process/Archiving-Lg$2.00(over 02/26/2020 $6.00
11x17)
Tigard CET-Non-Residential-Admin 02/26/2020 $32.00
Floor Areas: Tigard CET-Non-Residential-AH 02/26/2020 $768.00
Total Area: Wash Co Trans Dev Tax 02/26/2020 $10,424.81
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $13,506.92
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332,2344.
Issued By: mittee 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.