Permit T.
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00072
Date Issued: 9/18/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AA00490
Jurisdiction: Tigard
Site address: 12085 SW HALL BLVD 120
Project: La Real Subdivision: None Lot: None
Project Description: Installing new 80"x 108"wall for TI.
Contractor: CAESARS CONSTRUCTION Owner: HALL STREET CROSSING LLC
PO BOX 1231 BY MR&MRS ROGER W TOM
CLACKAMAS, OR 97015 8067 SW RIGERT COURT
BEAVERTON, OR 97007
PHONE: 503-734-4490 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/18/2022 $53.27
Occupancy Grp: B Occupancy Load: 49 Demolition
12%State Surcharge-Building 05/18/2022 $6.39
Dwelling Units: Plan Review 03/11/2020 $34.63
Stories: Height: ft Plan Review-Fire Life Safety 05/18/2022 $21.31
Bedrooms: Bathrooms: Info Process/Archiving-Sm$0.50(up to 05/18/2022 $1.00
Value: $300 11x17)
Hourly Building Rate 05/18/2022 $90.00
Hourly Building 12%Surcharge 05/18/2022 $10.80
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $217.40
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 OOA-R-952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2232.1987 or 1.800.332.2344.
Issued By: r� Permittee Signature: *„.. r
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.
4. Building Permit Application
Commercial FOR OFFIch, usi: 0A1.1
g ���VE� Received / /
0.
- Cl of Tigard E Date/ // ���J
P ii%v
14 • 13125 SW Hall Blvd.,Tigard,O l! y ��
Phone: 503-718-2439 Fax: 503-59 Plan Review
Date/By:
Inspection Line: 503-639-4175 '� ' 1 1 za2a y I'"��{,/�i ��j
T I G A R D P Date Ready/By: �uiis: _ ® �¢e Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: r inl:iV7i-- Supplemental Information
BUILDING DIVISION C-fi '/
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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
CATEGORY OF CONSTRUCTION work indicated on this application.
D 1-and 2-family dwelling Commercial/industrial
Valuation: $ 0 a�
-
❑Accessory building Multi-family
Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: tL�oRS- St, i !�Alai( 97 (/vc New dwelling area: square feet
City/State/ZIP: //g cry .77223 f "1 Garage/carport area: square feet
Suite/bldg./apt.#: as Project name: /Q. Et- LLG Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
t D 46 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: /S I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: t ✓ r Indicate the value(rounded to the nearest dollar)of all
/ �`/`-'o' ¢/1 • 't-/`-'� ''/t d/ ,�2 fl i- equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
h i...../ wed/ got X e r ' Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
r�ScYY S i)/?f/A..tuP70't5 /1G Structural plan review fee(or deposit):
Contact name: 'rScc✓ /G z
,n .r� FLS plan review fee(if applicable):
Address: p V 1 n ia 3/
p^�/t Total fees due upon application:
city/State/ZIP: C/�ck6): /2 s 12). (/r%l'�
Phone:(5j?) '3`y_,V,�gU Fax ( ' ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Kati (en hack/5 e2 cTn•7cyI/ K:e-2LUr
CO CTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name: / Y7 Submit two(2)sets of roof plan with connection details
C< /ie ys S Y CDS f'YLo- forts //C and fire department access,along with the 2010 Oregon
Address: 9Za Se Zrta/ 4 Solar Installation Specially Code checklist.
City/State/ZIP: R Permit fee(includes plan review
fJP-e4htZi.4.4
��v and administrative fees): $180.00
Phone:( ') � y�`/9a Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: /PZ 9 /Y
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
y 03 r 1/- ZG within 180 days after it has been accepted as complete.
Print name: -cl,V l o Date: — * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUPCOM_PennitApp.doc Rev.04/21/2014 440-4613T(1l/02/COM/WEB)
4
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:\Building\Permits\BUP_COM_PcrmitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III " 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 0 site address ❑ suite number
0 zoning 0 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:\Building\Pemrits\BUP_COM_PermitApp.doc Rev.03/05/2019
11
4
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
INIll Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T I c n uD 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:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
ligCOMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: f)I( 6`00— 7i
Site Address: 12Dg5 SW -h u( Bkid Suite/Bldg#: I2-0
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T. t .
Existing Business Activity: ce.g ,b(I(ayti f
Proposed Business Activity: k' 7W1r7(,1/1i'
Verify site address/suite#exists and active in permit system.
OE-River Terrace Neighborhood: ❑ Yes No
�'Zoning: 14 u(�j(p
-124„Permitted Use: Eyes ❑ No 0 Spec Space
Confirm no land use required.
Business License:
Exists: Jam-Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: 40 l Date: 3/r 1 bit)
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: .20
Site Plans: #
Building Plans: #
Building Permit#: ,12-Enter building permit#above.
Workflow Routing: ir Planning 0 '' -o r ,L/J Building
Workflow Sign-off: l" Sign-off for Planning(include notes from planning review)
Route Application Documents: ErBuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: y�j�
By Permit Technician: _/_ Date: 3/// /1 Q
I:\Building\Forms\BldgPemvtRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance f bull g permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Sub i o )
Revision Notice 1: ate Sen . Applicant:
Revision Notice 2: ate nt to Applicant:
Revision Notice 3: D. e Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes D N/A
❑ OK to Issu 'ermit
Approved by Permit Coordinator: Date:
I:\Building\FormslBIdgPermitRvw_COM_NoLandUse_111819.docx