Permit CITY OF TIGARD BUILDING PERMIT
1 • COMMUNITY DEVELOPMENT Permit#: BUP2014-00127
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/29/2014
T[G:1 R I.7 g Parcel: 1 S135DD01000
Jurisdiction: Tigard
Site address: 11760 SW HALL BLVD
Project: Wells Fargo Subdivision:\RBER TRACTS NO.16 TO NO.40 INCL Lot: PTS 19
Project Description: Roof repair.
Contractor: EMERICK CONSTRUCTION CO Owner: WELLS FARGO BANK NA
P.O. BOX 66100 BY DELOITTE TAX LLP
PORTLAND,OR 97290 PO BOX 2609
CARLSBAD,CA 92018
PHONE: 503-777-5531 PHONE:
FAX: 503-771-2933
Specifics: FEES
Description Date Amount
Type of Use: COM I Permit Fee-Additions,Alterations, 05/29/2014 $164.96
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 05/29/2014 $19.80
Dwelling Units: 0 Plan Review 05/29/2014 $107.22
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/29/2014 $65.98
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/29/2014 $2.00
Value: $5,200 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $359.96
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
Issued By: � ee Signature:
Ca4175 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.
BiPildin2 Permit Application
4.
Commercial ��� 1.01t ()l l It I I .1 UN!.l
Received �
14 . City of Tigard .+F Date/B : !r/iferesM Permit No.: _ 1 _ GYM
13125 SW Hall Blvd.,Tigard,OR 9 ! Plan Review
Phone: 503-718-2439 Fax: 503-59 1 IN 24ik4 Date/B : T � � ��' ated Permit:
l I(i n li D Inspection Line: 503-639-4175 \\I\1\\( Date Read ris El See Page 2 for
Internet: www.tigard-or.gov ti��a p(ID Notified/Method: Supplemental Information 11
TYPE OF WO�� REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees* are based on the value of the work performed.
•❑New construction ❑Demolition P
— Indicate the value(rotnded to the nearest dollar)of all
pAddition/alteraion/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 12 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: // 7 W ,s--Al fc/ Q/y,. New dwelling area: square feet
City/State/ZIP: � .a*.1 02`, _172Z?) Garage/carport area: square feet
Suite/bldg./apt.#: / I R Project name: /44/s D -"al al Covered porch area square feet
Cross street/directions to'job site: ell -` ` Deck area: square feet
SA) //i F✓l V4 4- f l j Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot 4: Permit fees* are based on the value of the work performed.
Tax map/parcel#: 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. M
ie /tVf!/� �h rat)1 oteek 4' rj,, Valuation: S jt �i0O0
(U rv� i) . r Existing building area G40 square feet
Iv ( I l
New building area: 6,q40 square feet
Cgt PROPERTY OWNER I ❑ TENANT Number of stones: 2
Name: /sfl le We f l v, — Wells F D Type of construction: '/
Address: / SW pi d/Q S 550 Occupancy groups: g
City/State/ZIP: p,,-.4,,,,,,i, De. Cfr17'�1 Existing: R
Phone:(93 ) yo2 ^ /7,0/ Fax:( ) $77- 302-32.3q New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: I iy►rvWC &RV-MG-f Ib i �h.ry, viewuee( rdJeeos t):
Structural plan review fee(or deposit):
Contact name: lvlf 4 (t to rvi
Address: �$G� SE �/1{, FLS plan review fee(if applicable):
City/State/ZIP: ,% 6 Total fees due upon application:
Wiley 6�G �O a Amount received:
Phone:(563 ) 177�� ( I Fax: :(sv3) 77/ -24?3
�;/� /� �� -L6I1� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: k C
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Eivier�c g W,~truth.01 �a"0� Submit two(2)sets of roof plan with connection details
�� ����� l�v and fire department access,along with the 2010 Oregon
Address: P Solar Installation Specialty Code checklist.
City/State/ZIP: pp Malley, / P 4`7Orb Permit fee(includes plan review $180.00
�r!! -/ (/ ! and administrative fees):
(923) 777—St?I Fax:( S7 ) 302 3Z3.! State surcharge(12%of permit fee): $21.60
CCB Lic.: 10?23 Total fee due upon appication: $201.60
Authorized signature: . /Zi _ / ,�-�L This permit application expires if a permit is not obtained
`���tyjGLfir CGl1/`"" / within 180 days after it has been accepted as complete.
Print name: N� //an * Date: �j/�'/�[I
* Fee methodology set by Tri County Building Industry
F T Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
M Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TI GARD 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_PermitApp.doc Rev.04/21/2014
T
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I G n It 11 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 ❑ site address ❑ suite number
❑ zoning ❑ 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.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014
r
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 e' Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
1, G .\ D 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 3
(site plan required showing location and square
footage of all buildings to be demolished)
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
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.04/21/2014
71 _ Building Division
Over-The-Counter (OTC) Building Permit
T l c n li l Check List
Project Description: ''.'-E- ikt -
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: kL-C Occupancy Group: Type of Construction: 1)1-3
Type of Use**: C77-NA. Occupancy Load: Oregon Specialty Code: Q
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: Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ `?jzQ�,��° FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ Mai Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ .e.�Cj 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ (C7.Z Ian Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 4.1j,ctcoPlan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ (a)Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ `3c5-19,9(,TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11760 SW HALL BLVD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
July 9, 2014 at 12:34:02 PM
BUP2014-00127
Chip Barnett
Violation Summary:
Inspector Contractor