Permit CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit #: SIT2011 -00013
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/19/2012
TIGARD Parcel: 2S101AB00100
Jurisdiction: Tigard
Site address: 12023 SW 70TH AVE
Project: Red Rock Center, Phase II Subdivision: Lot: 0
Project Description: Retaining wall for new office building.
Contractor: BONES CONSTRUCTION CO Owner: FRY, DOUGLAS
3508 $ 209TH AVE 23077 SW NEWLAND RD
ALOHA, OR 97007 WILSONVILLE, OR 97070
PHONE: 503 - 649 -5682 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee - Site Work 11/15/2011 $306.64
Plan Review 11/15/2011 $199.32
Type of Use: COM 12% State Surcharge - Building 11/15/2011 $36.80
Class of Work: NEW Info Process /Archiving - Sm $0.50 (up to 01/19/2012 $22.00
11x17)
Project Valuation: $22,000.00
Site Specifics:
Excavation Volume: cu. yd.
Fill Volume: cu. yd.
Impervious Surface: sq. ft.
Engineered Fill: Yes Soil Report Required:
Paving: No Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: No Retaining Wall: Yes
Fire Underground: Accessible Parking:
Fence:
Total $564.76
Required Items and Reports (Conditions)
1 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 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
Utilit ''cation Cen - Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 i i t 1. You may obtain a copy of the rules
o erect questions to (DUN( . cal'ng 503.232.1987 or 1.800.332.2344.
Issued By: i Permittee Signature: AL,
/ _....
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
Commercial FOR OFFICE USE ONLY
City of Tigard A Received ii
%\ Date/B / �At Permit No.: C , l I
14
- " 13125 SW-Hall Blvd.,- Tigard, 47223, ` t , - . Received
,�,
i 9 Other Permit:
Phone: 503.718.2439 Fax: 503.5.98:19�6 , `) n® DateBV: t • ` 1�� O — (xxJ 7
T [ G A R D Inspection Line: 503.639.4175 VO 0 � � �+ Date Ready/By: iuris: Ef See Page 2 for
Internet: www.tigard- or.gov OC" `V q \C31 Notified/Method: r j ate( Supplemental Information
c\ ... `
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
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: ) 2 0 Z- 3 S uJ '7 O &-- New dwelling area: square feet
City /State /ZIP: ) ,..-4 0 y • Garage /carport area: square feet
/
Suite/bldg. /apt. no.: Project name: Covered porch area square feet
Cross street/directions to job site: C,,,, J ,„, )„ N' ) Deck area: square feet
Other structure area: square feet
REQUIRED. DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
' DESCRIPTION OF WORK work indicated on this application.
S ife /"t 4--- t 0 N y t�vec_e_( Valuation: $ 2,7 ',f�
1 Existing building area square feet
New building area: square feet
•
qi PROPERTY OWNER ❑ TENANT Number of stories:
Name: f2, g L ( f l , c we S S ASU e• L t- C- Type of construction:
Address: !op / ' L ' -4 r A /'Z ( Occupancy groups:
City /State /ZIP: 1)_ G/f r Cr , of ) s "3 t( Existing:
Phone: (p'Z) 7 Yo LOT 'fa Fax: ( ) Y f ' / YJ New:
125-AppLICANT ❑ CONTACT . PERSON, BUILDING PERMIT FEES* •
(Please refer to fee schedule)
Business name:
Structural plan review fee (or deposit):
Contact name: 71 rl . / t L /-_ V
Address: n 1-- FLS plan review fee (if applicable):
y ?0,...) _ / Total fees due upon application:
City/State/ZIP: 9 Z / y
Phone: (fDZ W , Iry Y �� (} .— Fax:: (q2, ) S 9 y - •-e)/ y r--- Amount received:
E -mail: h S k ,� j J .e - - 0. co--„,..,,- - 6 ,St , f7 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR . roof -top mounted PhotoVoltaic Solar Panel System.
Business name: / S te" t s C , z....— Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 3 Sc) & 5-14/ 2-,o1' Solar Installation Specialty Code checklist.
City /State /ZIP: � y y O 7 Permit fee (includes plan review $180.00
and administrative fees):
� G
Phone: (r q S - r , Fax: 3 v2,) 6 "1' .--/7 / 7 State surcharge (12% of permit fee): $21.60
CCB lie.: Can "2 y Total fee due upon application: $201.60
• Authorized signature: / J' This permit application expires if a permit is not obtained
1 /�' ��_ � within 180 days after it has been accepted as complete.
Print name: / r 1 l c f ` L v- Date: /0 ( /(y * Fee methodology set by Tri County Building Industry
/ Service Board.
L \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB) .
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 03/03/2011
Building Division
Development Code Provision Review
T[GARD Commercial Projects with Approved Land Use
Building Permit No.: 1 3
Land Use Casefile No.: S'GIo2.c)1 D Doc..0-\ 9 — :
pv�Z 2OI d 0002_
Routed Plans:
Submittal Date: l / / l � ":""r
Submittal Date:
Submittal Date:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked (/) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items on the le ft side that are approved.
Planning Review (contact (A sr e / at 503 - 718 - 2 `Y3r or ` /7 @tigard- or.gov)
Land Use Approval
Building Plans Match Approved Plan: Yes iZ No ❑
❑ Maximum Building Height N
P f Conditions Met
Notes:
Original Plan: Approved l' Not Approved ❑ Date: e 2 E 3 +/ /
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
,la Actual Slope: V
•1 f PFI Permit #
,1;l' Conditions Met
Notes:
Original Plan: Approved Not Approved ❑ Date: ii U
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov)
t itreet Trees
d Protected Trees r
Notes: fr j to ,,,� 1 o r e . �rG �� s. i,l � c � m�r _ c„ /o oi41( -4 croJ -
Original Plan: Approved Q Not Approved ❑ Date: 1 /30/ AN/
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @ tigard - or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes 4 No ❑
Date Routed to Building: •
Page 2 of 2
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
111 „ City of Tigard •
Buildin g Division
T IGARD
TRANSMITTAL LETTER
TO: /9-A/ .4/ LS o DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: qe/Z % kE
•
COMPANY: / A 4 s /16—A,
B
PHONE: ��3 - 9 Va - L /9 rJ°' d 42
RE: /a < 3 5 e 7 77Zo //- 00 O /3
(Site Address) (Permit Number)
I.0 ci .
(Project name or subdivision name and lot number)
•
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
7' Other ( explain): i ,9 2 "an/S~6
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician Da te: `'
,,� ( ��� I'7� Initials: � �� �/�
Fees Due: ❑ Yes Leo Fee Description: Amount l ue:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011
•