Permit 74 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00316
I[c A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/14/2022
Parcel: 2S 1136000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Remodel an existing locker room and enclosed an existing office space
Contractor: FIRST CASCADE CORPORATION Owner: CLEAN WATER SERVICES
PO BOX 2158 2550 SW HILLSBORO HWY
LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123
PHONE: 503-699-8970 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 01/03/2022 $2,525.35
Occupancy Grp: B Occupancy Load: 212 Demolition
12/o State Surcharge-Building 01/03/2022 $303.04
Dwelling Units: 0 Plan Review 12/23/2021 $1,641.48
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 01/03/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/03/2022 $1,010.14
Value: $335,000 Info Process/Archiving-Sm$0.50(up to 01/03/2022 $8.00
11x17)
Metro CET 01/03/2022 $402.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,324.01
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 ain a copy of th ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
r Issued By: Permittee Signature: c------�— f [_-7'' -( s
G L�
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 It I
Commercial NOIS�,IAIQ ONIQ�IIf FOR OFFICE USE ONLY
01:1VOIJ ..i' A 112 Received City of Tigard l.�/.z;2 Zo2� �,�' aU)21;12 et2F//p
De e ive Permit No.:
11 '" 13125 SW Hall Blvd.,Tigard,OR 97223 as z 9 i 330 Plan Review ^ f��
_: Phone: 503-718-2439 Fax: 503-598-1960 Date/By: iO.—a 7— I �// Related Permit:
Ti GAKU Inspection Line: 503-639-4175 �.y, Date ReadyBy: NH Juris Fa See Page 2 for
Internet: www.tigard-or.gov a 3/ `1 4.' Notified Method:).A 130 / / Supplemental Information
TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING
El New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑x Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
ID1-and 2-family dwelling El Commercial/industrial
IIIAccessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16580 SW 85th Ave New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Durham WRRF Women's Locker Covered porch area: square feet
Cross street/directions to job site: Room Remodel Deck area: square feet
Durham Rd and 85th Ave Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remodel an existing locker room and enclose an existing office space. Valuation: $ 335,000
Existing building area: 31,505 square feet
New building area: 31,505 square feet
l PROPERTY OWNER El TENANT Number of stories: Single
Name: Clean Water Services Type of construction: IIIB
Address: 2550 SW Hillsboro Hwy Occupancy groups:
City/State/ZIP: Hillsboro, Oregon 97123 Existing: B
Phone:(503 ) 681-3600 Fax:( )
New: B
i3 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Clean Water Services /
Structural plan review fee(or deposit): / �. 5?
Contact name: Michael Idehara
16060 SW 85th Ave FLS plan review fee(if applicable):
Address:
City/State/ZIP: Tigard, Oregon 97224 Total fees due upon application:
Amount received:
Phone:(503 ) 547-8152 Fax: :( )
E-mail: ideharam@cleanwaterser✓ices.org PHOTOVOLTAIC SOLAR PANEL,SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ••"/$g.. 'PIA,— eas rade e Submit two(2)sets of roof plan with connection details
"vl' and fire department access,along with the 2010 Oregon
Address: l 3 / �iW G s-711 Solar Installation Specialty Code checklist.
City/State/ZIP: �,( � , /„ Zf, �/, �`� Permit fee(includes plan review $180.00
N — 5 t / C/ J and administrative fees):
Phone:( 3) 70 ax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: / 9 / �j t
�/ ��� ( �L l/�`/ Total fee due upon application: $201.60
Authorized signatur � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �/G4_-4-..- Date: / �/Z * Fee methodology set by Tri-County Building Industry
/r Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 1/02/COM/WEB)
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 3UPWZ 1-00 3/ l '
Site Address: ( 6 cj /3 a 5w g 5-°'i / v,t, Suite/Bldg#:
Project Name: PUY' 1M,W Zi e (CkaittIJa!1-e Vr` ecc)
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review f r (�
Proposal: I/�okel ',ill S i-r,A fj Lcd -e r C O(M -604054 tt 14, Q,��7wSp -2
Existing Business Activity: L' i tei 1, V"4(" Seev r c-e-c
Proposed Business Activity: - -
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes g} No
IA Zoning: P
A Permitted Use: Yes ❑ No ❑ Spec Space
(? Confirm no land use required.
541 Business License:
Exists: t® Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Ae,(A4iii ty Date: ( Z /Z(A0 Li
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /2l(0/2O2f
Site Plans: # 3
Building Plans: # 3
Building Permit#: [ Enter building permit#above.
Workflow Routing: R Planning ❑ Permit Coordinator [ "Building
Workflow Sign-off: [? Sign-off for Planning(include notes from planning review)
Route Application Documents: E'Building. original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: /0Z/42/
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.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 Applicant:
❑ SDC Fees Entered: Wash Co Trans,Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1
5
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx