Permit BUILDING PERMIT
a CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00208
0 Date Issued: 02/10/2010
T f GAAO 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S136DC04400
Jurisdiction: Tigard
Site address: 11945 SW 70TH AVE
Subdivision: DARTMOUTH SQUARE Lot: 30
Project: TVF &R
Project Description: Seismic upgrades, upgrade to Category 4.
Owner: FEES
DARTMOUTH SQUARE LLC Description Date Amount
SUITE 2070, 805 SW BROADWAY Permit Fee - Additions, Alterations, 02/10/2010 $3,521.95
PORTLAND, OR 97205 Demolition
PHONE: Plan Review 11/13/2009 $2,289.27
12% State Surcharge - Building 02/10/2010 $422.63
Metro Const. Excise Tax - Commercial 02/10/2010 $600.00
Contractor: Use
HOWARD S WRIGHT CONSTRUCTION Additional Plan Review 02/10/2010 $200.00
425 NW 10TH AVENUE #200 Additional Plan Review 02/10/2010 $35.22
PORTLAND, OR 97209 Additional Plan Review 02/10/2010 $200.00
PHONE: 503- 546 -6180 Additional Plan Review 02/10/2010 $200.00
FAX: 503- 546 -6181
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $500,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,469.07
Required: Required Items and Reports (Conditions)
1 BUP Licensed Fabricated Steel
Fire Sprinkler: Parapet: 2 BUP High- Strength Bolts
Fire Alarm: Protected Corridors: 3 BUP Structural Welding
Smoke Detectors: Manual Pull Stations: 4 BUP Reinforced Concrete
Accessible Parking: 0 5 BUP Bolts in Concrete
6 BUP Structural Observation
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 ordance wit 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. AT NTION: Oregon law - ' es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through OAR 9 S O B 1i You may obtain a copy of the rules or direct questions to OUNC by calling 50 .246.6699 or 1.800.33 2344.
Issue By: ! /� � � �, Permittee Signature: 0- p
- �i g
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
- " Ili C I-IAIK..
) - fliiilding Permit Application -i 7 7 � r (_
RECEIVED "
Commercial l OR C)1 I Ic I i1 ., ONLY
.
.1"..r.',',:-:'.'/22";;. Received
City Tigard Date/B : , . !a Permit No..y . f o��r ..� bli
13125 SW W Hall Blvd., Tigard, OR 97223 NOV 1 3' 209 plan Review %'�f !�
� :11._... q Phone: 503.639.4171 Fax: 503.598.1960 DateB I ; V., (C) ��`'
r I C Ai l IY Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready ® See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: 'e. . Supplemental Information
-
TYPE OF WORK • '.''REQUIRED DATA: 1- AND 2- F AMILY 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
0 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1 -and 2- family dwelling ® Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11945 SW 70 AVE New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: NA Project name: TVF &R C.B.O.C. SEISMIC Covered porch area: square feet
Cross street/directions to job site: SW DARTMOUTH / SW 70 Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: FRUITLAND ACRES Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: WCTM # 1 S136DC/04400 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.
Replacement of building structural cross bracing w/ Buckling Restrained Braces. Valuation: $$500,000.00
Structural upgrade /bracing of various columns joists. Below slab plumbing work Existing building area: 39000 square feet
Partial demo and replacement of slab on grade, new depressed partial slab. New building area: 0 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: TUALATIN VALLEY FIRE AND RESCUE Type of construction: Zip
Address: 20665 SW BLANTON ST. Occupancy groups:
City /State /ZIP: ALOHA, OR 97007 Existing: B
Phone: (503)649 -8577 Fax: (503)642 -4814 New: B
0 APPLICANT ❑ CONTACT PERSON NOTICE
• Business name: PSE ARCHITECTS All contractors and subcontractors are required to be
Contact name: HANS ETTLIN licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4412 SW CORBETT AVE. jurisdiction in which work is being performed. if the
City /State /ZIP: PORTLAND, OR 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 248 -9170 Fax: : (503) 248 -0223
E -mail: hans @psearchs.com
CONTRACTOR "
Business n e: c L.,,) Al (Z j� o?. �0-4 ( f T 63, BUILDING PERMIT FEES*
Address: aZS )J k.) l D & 4 t• * (Please refer to fee sche dufe�
P� � Structural plan review fee (or deposit):
City /State /ZIP: 2 7 7
Phone: (503) 5C./6 • ep/ 8f� Fax: (5:3 ) 546 & i g /
FLS plan review fee (if applicable):
/ � 7(/ Total fees due upon application:
CCB lic.:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)
Commercial Application Checklist
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171, Fax: 503.598.1960
: T! c i n Internet address: www.tigard - or.gov
PROJECT
Project name: Date:
Address: City: State: ZIP:
Scope of work:
Reference no.: Map and tax -lot no.:
Contact person name: Company:
Phone: Fax:
Cellular phone: E -mail:
• NOTES AND INSTRUCTIONS
® The purpose of this checklist is to help define a complete submittal package for the scope of work. Plan
review will not take place until a complete package is submitted.
® This checklist can be used for all commercial construction projects, including new construction, additions,
alterations and tenant improvements.
® For complex projects, applicants should use the "location" space to note the item's location and page
number from the plans or the specification book.
® It is not necessary to duplicate submittal information, even if it is asked for in multiple sections.
® In the checklist, "Required" means that the applicant must provide this information for plan review.
® In the checklist, "P" means —
• if checked by the applicant — the information is provided for the plan review.
• if checked by the plans reviewer — this information is required for the plan review.
® In the checklist, "NA" means that the information does not apply.
® Choose only those sections of the checklist that apply to your scope of work. Section 1.0, "General Project
Data," must be included with each .roject submitted.
PRE s BMITTAL 'PROCESS
An applicant may request a pre - submittal meeting with representatives of the jurisdiction in which the project
will be built. The meeting may take place during the conceptual, schematic, or in- progress phase, or when the
applicant has completed plans.
INDEX OF CHECKLIST SECTIONS
1.0 General project data Page 2 7.0 Mechanical data (Types I and II
2.0 Civil data Page 2 kitchen -hood permits) Page 6
3.0 Architectural data Page 3 8.0 Plumbing data Page 7
4.0 Structural data Page 4 9.0 Electrical data Page 8
5.0 Mechanical data (new construction, tenant 10.0 Fire - suppression data Page 9
improvement, gas - piping permits) Page 5 11.0 Fire - detection and fire -alarm data Page 9
6.0 Mechanical data (additional or replacement 12.0 Re -roof installation data Page 10
rooftop- equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10
This checklist is for building department jurisdictions in Clackamas, Multnomah, and Washington counties.
440 -2734 (8 /01/WEB /COM)
1:\ Building \Forms \COM- Checklist.doc 11/13/09