Permit 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
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom Hochstatter/Branden Taggart DATE RECEIVED:
/
DEPT: BUILDING DIVISION RhCEL V ED
FROM: Chloe Kirchhofer NOV 12 2020
CITY OF TIGARD
COMPANY: Mackenzie BUILDING DIVISION
PHONE: 503-224-9560 By:
EMAIL: Cx 11ZCk3H-Q{ fZ (1`>t1..1 ZG-c nl-r7
RE: 9020 SW Washington Square Rd. BUP2020-00217
• (Site Address) (Permit Number)
Lithia Driveway Suite 501
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: ASI-1
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
Rout o Permit Technician: Date: ))- I g- Initials:4
Fees Due: Yes ❑No Fee Description: Amount Due:
1.4( pi(At
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes Nil No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc
IL CITY OF TIGARD BUILDING PERMIT
01 s COMMUNITY DEVELOPMENT Permit#: BUP2020-00217
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29J2020
Parcel: 1 S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD, STE#501
Project: Lithia Driveway Subdivision: None Lot: None
Project Description: Work to include demolition,new walls,doors,relites,cabinetry and finishes.
Contractor: PACIFIC CREST STRUCTURES INC Owner: LITHIA REAL ESTATE INC
17750 SW UPPER BOONES FERRY RD SUITE ATTN DEBOER, MARK
190 150 N BARTLETT ST
DURHAM, OR 97224 MEDFORD, OR 97501
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: jjq Permit Fee-Additions,Alterations, 10/29/2020 $1,818.67
Demolition
Occupancy Grp: B Occupancy Load: 37 12%State Surcharge-Building 10/29/2020 $218.24
Dwelling Units: 0 Plan Review 10/07/2020 $1,182.14
Stories: 0 Height: 0 ft Address Fee-per lot/suite(up to first 20) 10/07/2020 $50.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 10/29/2020 $406.00
Value: $217,200 Plan Review-Fire Life Safety 10/29/2020 $727.47
Info Process/Archiving-Lg$2.00(over 10/29/2020 $12.00
11x17)
Floor Areas: Metro CET 10/29/2020 $260.64
Tigard CET-Non-Residential-Admin 10/29/2020 $86.88
Total Area: 0 Tigard CET-Non-Residential-AH 10/29/2020 $2,085.12
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,847.16
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ,
XX �' i,41 a7..�� elf l C f/h0,-1
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 411221•20 B
Commercial FOR FICE USE ON1A
RECEIVE OF
i City of Tigard Dritemy'* /ir ay 2°49 PcmitNoall).22 'a:V q-..
13125 SW Hall Blvd..Tigard,OR 97223 SEP 2 2 2020 Phm Rt.vicw it
Phone: 503.718.2439 Fax: 503.598.1960 Dawity: Jo- J,3— j7f , (-)•bcr Pcn'it:
1.,(,,44v,t) Inspection Line: 503.639.4175 CITY
wwtiard-o O D R2IdY13Y: /612-7ntenet: w . gr.gov BUILG 0= / ' /2-el tut- S65a pSpziee mPaegaet a1l fIonrf ormation
. toN c.--7.-v9,z- ofq_ef.- /e77E ,TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New cor.struction I 0 Demolition Permit fees'are based on the value of the work performed.
Indicate The value(rounded to the nearest dollar)of all
4 Additionialterationfreplacement J 0 Other: equipment,materials,labor,overhead,end the profit for the
GORY OF CONSTRUCTION work indicated on this application.
CATE
Valuation: S
f 1-and 2-family dwelling IN Commercial/industrial
0 Accessory building D Multi-family Number of bedrooms:
D Master builder 0 Other: Number of bathrooms:
IOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9020 SW Washington Square Rd. New dwelling area: square feet
•City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
t 10 11,i2-5
Suite/bldg./apt.no.:501 I Project name:Lithia oriveway Covered porch area: square feet
Cross streethiireetions to job site:Project located south of SW Hall Blvd Deck area: square feet
._ _____........_.....
Other structure area: square feet
REQUIRED DATA;COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: . Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Work to include demolition,new walls,doors,relites,cabinetryValuation $217,200.00
and finishes.
Existing building area: 5,430 square feet
New building area: 5,430 square feet
____LI PROPERTY OWNER El TENANT Number of stories: 6
Name:WYSE Real Estate Investors Type of construction: I-B
Address:810 SE Belmont St ' Occupancy groups:
City/State/ZIP:Portland,OR 97214 Existing: B
Phone:(5113)595-9685 Fax:( ) New: B
El APPLICANT Il CONTACT PERSON BUILDING PERMIT FEES*
_
(Maus Pole,t a fee Itileshole)
Business name:Mackenzie
Structural plan review fec(or deposit): /.2 32 -1*
Contact name:Katie Reinhart and Chloe Kirebhofer
ELS plan review fee(if applicable):
Address: 1515 SE Water Ave Suite 100
Total fees due upon application:
CityiState/ZW:Portland,OR 97214
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
PHOTOVOLTAIC SOLAR PANF'1,SYSTEM FEF,S*
E-mail:ekirchhofer@melmze.com
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Pacific Crest Structures,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:17750 SW Upper Hooneisferry Rd.,Suite 140 Solar Installation Specially Code checklist.
C Pe.rmit fen(includes plan review
(fly/State-LIP Durham;OR 97224 $180.00
. and administrative fees): ,
Phone:(503)968-8949 Fax:( ) State surcharge(12%of permit fee): , $21.60
CCII lie.:66915
Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit Is not Obtained
:
X--1.----------- within ISO days after it has been accepted as complete.
[Pint name:Katie Reinhart Date.09/09/2020 i ' Fee methodology set by Tri-County Building Industry
Service Board.
1:1fluild ins\Permits'OUP-COM PennitApp.doe 02124/2011 440-4613T(11/021COM/WEB)
•
. ..
City of Tigard
71 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
niMMIll
Building Permit #: 002020-Q]2/7
Site Address: 9020 SW Washington Square Road Suite/Bldg#: 501
Project Name: Lithia Motors
(_Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tenant improvement - all interior work. Combining 2 tenant spaces into 1 space.
Existing Business Activity: Medical office and office
Proposed Business Activity: Office
ElVerify site address/suite# exists and active in permits stem.
❑ River Terrace Neighborhood: ❑ Yes ILI No
ElZoning: MUC
QPermitted Use: U Yes U No U Spec Space
❑r Confirm no land use required.
ElBusiness License:
Exists: ❑ Yes Q No, applicant was provided a business license application
Notes:
� ��
Approved by Planning: �004 /Tti_--_ Date: 9/24/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved 1
Building Permit Submittal
Original Submittal Date: Q9/2.2/.20.2b
Site Plans: #
Building Plans: #n'�
Building Permit#: l_y1inter buildingermit# above. n�
Workflow Routing: &Planning U Permit Coordinator I�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: "-iOJ % Date: !O/Ol/ZDz.D
1:1B uil ding\Forms\B IdgPerm itRvw_COM_NoLandUse_11 1819.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 Applic, t:
❑ SDC Fees Entered: Wash Co Trans DevTax: ❑ Yes ❑ N/A
Tigard Trans .DC: ❑ Yes ❑ N/A
Parks SD ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coors ator: Date:
I:\Buil dingWForms\BIdgPerrnitRvw_COM_NoLandUse_I 11819.docx