Permit CITY OF TIGARD BUILDING PERMIT
111 I COMMUNITY DEVELOPMENT Permit#: BUP2021-00174
T r i;A 12 T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/16/2021
Parcel: 1 S135BA01802
Jurisdiction: Tigard
Site address: 10101 SW WASHINGTON SQUARE RD
Project: Bank of America Subdivision: OAKBURG Lot: 27
Project Description: New drive up ATM under existing canopy.ATM replaces existing pneumatic tube function.
Contractor: SCHUCHART CORPORATION Owner: PPR SQUARE TOO LLC
919 5TH AVE BY BANK OF AMERICA
SEATTLE, WA 98164 NC1-001-03-81
101 N TRYON ST
CHARLOTTE, NC 28255
PHONE: 206-682-3030 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 08/10/2021 $1,166.35
Occupancy Grp: B Occupancy Load: 0 Demolition
12%State Surcharge-Building 08/10/2021 $139.96
Dwelling Units: 0 Plan Review 08/10/2021 $758.13
Stories: 0 Height: 0 ft DC Provision Review,COM New-Bldg 08/10/2021 $218.50
Bedrooms: 0 Bathrooms: 0
Info Process/Archiving-Lg$2.00(over 08/10/2021 $14.00
Value: $110,000 11x17)
Info Process/Archiving-Sm$0.50(up to 08/10/2021 $2.00
11x17)
Floor Areas: Metro CET 08/10/2021 $132.00
Total Area: 0 Tigard CET-Non-Residential-Admin 08/10/2021 $44.00
Accessory Struct: 0 Tigard CET-Non-Residential-AH 08/10/2021 $1,056.00
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,530.94
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. `(ou may obtain a co the rules or direct questions to OUNC by calling 503.232.1967 or 1.800.332.2344.
Issued By: �Y W` Permittee Signature: yilef%
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 _7/Cola j
Commercial RECEIVE ,
IVE FOR OFFICE USE ONLY
City of Tigard JUL 0 3 2021 Date/By: 07 I5/2021 =' Yerm,,No.NP2021-001lt-f
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503-718-2439 Fax: 503-598-1960/"'IT �r.� . 9..4j Related Permit:
l.r,i�OF .�.�(Jn�r,�J Date/By:
T I GARD Inspection Line: 503-639-4175 l 1 Date ReadyBy: _ 7u s ® See Page 2 for
Internet: www.ti and-or. ov BUILDING -��✓1,�,0�.1 Notified/M r
g g 0� /� 1 I� Supplemental Information
//1 ✓ 1
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
1 CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Jobsiteaddress: 10101 SW Washington Square Rd. New dwelling area: square feet
City/State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Bank of Ame r i c a ATM Covered porch area: square feet
Cross street/directions to job site: Addition Deck area: square feet
SW Washington Sq. Rd. and SW Greenburg Rd. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: OAKBURG I Lot#: 27 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: 1 S 13 5 BA 018 0 2 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New drive up ATM under existing canopy . ATM
Valuation: $ 110, 000
replaces existing pneumatic tube functions . Existing buildingarca: 7, 490 square feet
New building area: N/A square feet
0 PROPERTY OWNER ® TENANT Number of stories: 1 - NO CHANGE
Name: Minh Ly, Type of construction: V
Address:J2000 Clayton Road, Bldg D Occupancy groups:
City/state/ZIP: Concord, Ca 94520 Existing: B
Phone:(916) 365-1724 Fax:( ) New: NO CHANGE
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: NORR (Please refer to fee schedule
Contact name: Structural plan review fee(or deposit): 563,/3
Joel Chapin
FLS plan review fee(if applicable):
Address: 1631 Alhambra Blvd
Total fees due upon application:
City/State/ZIP: Sacramento, CA 95816
Amount received:
Phone:(916) 453-3803 Fax::( )
E-maiLJoel . Chapin@norr . com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: S chuchart Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 919 5th Avenue Solar Installation Specialty Code checklist.
City/State/ZIP: Seattle, WA 98101 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(2 0 6) 6 8 2-3 0 3 O Fax:( ) State surcharge(12%of permit fee): $21.60
ecB Lic.: 234711
Total fee due upon application: $201.60
Authorized signature: Z "--' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 41 ire... 6+A•f'r--I Date: 6 .1 g.L i * 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
TIGARD Building Permit Review — Commercial - With Land Use
r.
Building Permit #: 3ciP2O21 -DO t 74
Site Address: ( p)bj th(0Tb J Suite/Bldg#:
Project Name: '
$Any
(Name of commercial business occupying the space. Tf vacant,enter Spec Space.)
Planning Review
Proposal: N p iTp it t- OF E S\ I f1.i'17at.L.
JQ V rify site address/suite# exists and active in permit system..
1t1 $.iaer Terrace Neighborhood: ❑ Yes 'ICJ No
PitcLand Use Case#: MMV c'2-t
Plans tch Approved Land Use:
tri Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
ding Height: Magnum Height Actual Height
Pr Conditions Met: Prior to Submittal ❑ Prior to Permit Issuance
11 Business License:
��Exists: ❑ Yes ❑ No, applicant was provided a business license application
YJ P ublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes, applicant was notified ,„. o Applied For: ❑ Yes ❑ No, stop intake
Notes: Co-NDlh OW OP frereovAL tiltr- -ntou s iorhtsciAr or ettavvretc p,ad
ApprovedDate: 7i'
PP byPlanning:�� — � /2(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7764/zap
Site Plans: #
Building Plans: # 3
Building Permit#: E-Enter building permit#above.
Workflow Routing: Er Planning 2"Engineering t2Permit Coordinator 'Building
Workflow Sign-off: E" Sign-off for Planning(include notes from planning review)
Route Application Documents: I Building: original permit application, site plans,building plans, engineer and
beam calculations an t details,if applicable,etc.
Notes:
By Permit Technician: Date: jf T 5-262/
I:\Building\Forms\BldgPennitRvw_COM_W ithLandUse_111819.docx
Engineering Review
F.-Slope at building pad: 2%f
F'PFI Permit#: aiss
[ Conditions "Met"prior to issuance of building permit tt/0.
[ Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)a1 J.
li'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er-No
Assess Water Quantity Fee in-lieu: ❑ Yes Qy-No
LIDA Facility on lot: ❑ Yes L2(No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: � ��� ,/�„ Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
.gr Conditions "Met"prior to issuance of building permit
El 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:
7SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /N/A
Tigard Trans SDC: ❑ Yes Vij N/A
Parks SDC: ❑ Yes jOi N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:
112)1 )2124
1:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_l 11819.docx