Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00062
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/29/2011
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 390
Project: SFA Engineers Subdivision: Lot: 0
Project Description: TI
Contractor: PACIFIC CREST STRUCTURES INC Owner: WISCO REAL ESTATE EQUITY
17750 SW UPPER BOONES FERRY RD SUITE FUND I LTD PARTNERSHIP
190 BY WYSE INVESTMENT SRVS CO
DURHAM, OR 97224 1501 SW TAYLOR ST STE #100
PORTLAND, OR 97205
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 03/29/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 03/29/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/29/2011 $408.32
Stories: 5 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/29/2011 $49.00
Value: $21,750 Plan Review 03/29/2011 $265.41
Plan Review - Fire Life Safety 03/29/2011 $163.33
Info Process /Archiving - Lg Sheet (over 03/29/2011 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $969.06
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 - • • • - 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. ENTION: Oreg• Is requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OAR 9 • 101 i i :. You may obtain a copy of the rules or direct questions to OUNC by calling 50 32.1987 or 1.80' 332.2344.
ssued By: Permittee Signature: , 411101P_
Call 503.639.4175 by 7:00 a.m. for the next available i specti n date.
This permit card shall be kept in a conspicuous place on the job site until c. pletion of the project.
Approved plans are required on the job site at the time of each nspection.
, Building Permit Application
Commercial , i g... FOR OFFICE USE ONLY
City of Tigard MAR 2 9 2011 Received X49 // ,
Permit No.: [/
?IIPI ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ►MR1 Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : UM*
Inspection
HOARD CARD
Inspection Line: 503.639.4175 Date Ready :sr Juris: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
ID New construction 111 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.
❑ 1- and 2- family dwelling 'N1Comercial/industrial
Valuation: $
m
1:1 Accessory building ❑ Multi - family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: gC1221S24 1,4 k I I� , "r- New dwelling area: square feet
City /State /ZIP: I I ^C r t y t 4 , ( Tee 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: '�w Project name: S I - ,LX 6yk E.-yo I"' ( Covered porch area square feet
Cross street/directions to job site: "�"" V� Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
ll'' DESCRIPTION OF WORK work indicated on this application.
l __ " "SiYacixya-1L NA 1t�( G41.2 ' fri.. a J.p_ys1a.ct^ Valuation: $ Z ( 7 �0
Existing building area 1 1 ) IS square feet
New building area: n square feet
'p3 PROPERTY OWNER ❑ TENANT Number of stories: S.
Name: vi,irs (( Type of construction: 'L—
Address: ' S'ot � , N 1-0 ytd r G+ if_ I o Occupancy groups: 13
City /State /ZIP: r A--16 vt 4 eV_ t "12QG Existing:
Phone: ( ) Fax: ( ) New:
a APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: 17 , )k 4 c» ` ` -, !r ,. I.4 .. Pr Structural plan review fee (or deposit):
Contact name: r"i C_„r 1 FLS plan review fee (if applicable):
Address: 7 ( m S , J '"7� �-u 1'j
City /State /ZIP / �) Total fees due upon application:
VtQ btu v 1 � 11 Amount received:
Phone: 64 --) )7 _ e , lc 2 Fax: : ( )
PHOTOVOLTAIC SOLAR PANEL SYSTE . ES*
E -mail: �
5� / 0 - G�t,�T` ,1...0. ,
` CONTRACTOR Com . ial and residential prescriptive ins .lion of
roof -top me . ' ted Photo Voltaic Solar P. • System.
Business name: K ! f (.4 5 �,1. , � L i Submit two (2) of roof plan wi i th the 2010 details
'F�/` and fire department . ess, alo ._ • ith 2010 Oregon
Address: ' 1 Sj ICI 4l. iir • I . 4 Solar Installation Specia rde checklist.
mc Permit fee (incl • s • eview
City/State /ZIP: %I 1 C' 2
Phone: $180.00
(� 4 and • . inistrative - -
(j"? 1, ) L'
j L fi _ Fax: ) �Z �) ��efo �� State . ge (12% of permit fee): $21.60
CCB lic.: 676.,q IS' Total fee due upon appication: $201.60
Authorized signature: / /Y�� - This permit application expires if a permit is not obtained
�t within 180 days after it has been accepted as complete.
Print name: �� r Date: l /2 / 1 * Fee methodology set by Tri -County Building Industry
Service Board
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
s
1111 1111 Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per -cent (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 PermitApp.doc 02/24/2011
"�! _ " Building Division
Development Code Provision Review
T t c A R ° Commercial Projects - No Associated Land Use Case
Building Permit No: _ r: t,t-P b(/ XP - 03 xpedited Review
Plan Submittal Date: V 24// i
To the Applicant: oz o Go e J 51P
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planing Review (contact 1 at 503 - 718 - - Vd or @ @tigard- or.gov)
L'7 Zoning »111 C , Permitted Use Yes [ No ❑
Land Use Required: Yes ❑ No L7 (explain below)
1 7
Notes: I � 4 !� i :i A I/ %/ 1 1/ l itli ' 4 / . s-
FC' Approved ❑ Not Approved Date: 6—q4
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
1 1 17/4 -4..
Routed back to Building Division Date:
I: \CURPLN
Building Division
Over - The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: f
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction: 2J
*Type of Use: Occup ancy Load: Oregon Specialty Code: 20 IC
SPECIFICS .
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: y 7 Fire Alarms: c l - 5 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ , 7. . �. FEES DUE
$ 1 I'1 DC Prov Rvw, COM TI — Ping
$ ° . i DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ - ; I i; 3.2 Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ "` , CO 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ M= Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ IX,' Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ " i O.CC) Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ gkci 0 4 TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Foams \OTC- BUP.docx 01/13/2011