Permit CITY OF TIGARD BUILDING PERMIT
•t Permit#: BUP2014-00172
e COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2014
Parcel: 1 S134BC00200
Jurisdiction: Tigard
Site address: 12186 SW SCHOLLS FERRY RD
Project: Spec Space Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: TI- Combining 2 existing suites(12186&12190 SW Scholis Ferry Rd)into 1 suite.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: ATLAS GREENWAY LLC
2300 E 3RD LOOP SUITE 110 333 NW NINTH AVE, STE 1009
VANCOUVER.WA 98661 PORTLAND, OR 97209
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/30/2014 $955 35
Demolition
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Building 07/30/2014 $114.64
Dwelling Units: 0 Plan Review 07/30/2014 $620.98
Stories: 1 Height: 0 ft Plan Review- Fire Life Safety 07/30/2014 $382.14
Bedrooms: 0 Bathrooms: 0 DC Provision Review.COM TI-Ping 07/30/2014 $187.00
Value: $80,000 DC Provision Review,COM TI-L RP 07/30/2014 $28 00
Info Process/Archiving-Lg$2 00(over 07/30/2014 $6.00
11x17)
Floor Areas:
Total Area 0
Accessory Struct: 0
Basement 0
Carport: 0
Covered Porch: 0
Deck 0
Garage: 0
Mezzanine: 0
Total $2.294.11
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
952-001-0 rough O• ' 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
Issu d By: i/ # Permittee Signature: \]/1\f) J
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- f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY VEIJ R .v Received 6.41....,
City of Tigard Date': a-1/ 9 , Permit No.: ,/ _6617.2
IL �.
.1� • 13125 h SW Hall.2 39 Tigard,OR 97223 0 2 9 2014 Plan Re ' �'1E ,
a Phone: 503.718.2439 Fax: 503.598.1960 Date B : .•� E � I '" permit:
T I �It I� Inspection Line: 503.639.4175 �/1 Of rlGARD Date Rea`1"': furs: 0 See Page 2 for
Internet: www.tigard-or.gov � �i�Vl Notified/INethod: Supplemental Information
7 t _
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 0 Commercial/industrial Valuation: S
CI Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
P/ G' °' pi l`2 JOB SITE INFORMATION AND LOCATION 1111111111. Total number of floors:
Job site address: W Scholls Ferry Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR .,`-)P i C p�C.-- Garage/carport area: square feet
Suite/bldgJapt.no.: I Project name: Covered porch area: square feet
Cross street/directions to job site:SW 121"Ave and SW Scholls Ferry Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
~ .
Subdivision: Lot no.: Permit fees*are based on the%alue of the work performed.
Tax map/parcel no.: 1S134BC00200 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.
Tenant Improvement of existing building including new restrooms,office and Valuation: $80,000.00
break room for future tenant 1�bl/�jiPJ/A4' a e-X. r rES /sJre Existing building area: 3,813 square feet
I P c sa PA G5~ New building area: NA square feet
® PROPERTY OWNER . Number of stories: I
Name:Atlas Investments Type of construction: VB.Non Sprinkl
Address:333 NW 91°Ave.,Suite 1009 Occupancy groups:
City/State/ZIP: Portland,OR 97209 Existing: Retail
Phone:(503)709-9918 Fax:( )
New:
iir ® APPLICANT El CONTACT PERSOI ERMIT FEES*
Jule)
Business name: \N extern Design Group
Structural plan review fee(or deposit):
Contact name:Jonathan Dunn — -—
FLS plan review fee(if applicable):
Address:2300 E.3"Loop,Suite 110
City/State/ZIP:Vancouver,WA 98661 Total fees due upon application: n'�
Amount reced: I
eis
Phone:(360)953-8515 Fax::( ) l �
J t
E-mail:jdunatawesterndesigngroup.nct PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*r
Co • ercial and residential prescriptive installation o
CONTRA-: roof-to. 1 stinted Photo Voltaic Solar Panel Syst .
Business name:Western Construction Services Submit two sets of roof plan with conn-. ..n details
and fire dep., • • access,along wit, . e 2010 Oregon
Address:2300 E.3"Loop,Suite 110 Solar Installation Sp iv Cs., ecklist.
City/State/ZIP:Vancouver,WA 98661 Permit fee(includ . .n review $180.00
and .• Inistrativ es):
Phone:(360-)699-5317 Fax:( )
State su I $21.60
CCB lie.:OR63717
Total .• ,•. 1.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jonathan Dunn Date:07.28.14 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
111‘ City of Tigard
• COMMUNITY DEVELOPMENT DEPARTMENT
T[G A K I? Building Permit Review — Commercial - No Land Use
r 1----6 Building Permit #: o-_`P<90 l - bCi-7
Site Address: 0`LI $Lo SW SehollS Rd. Suite/Bldg#:
1 l'?-.14:10
Project Name: f i V4 W M- I& eo � Ce
(Name of comm✓srcial business occupying the spa e. If acant,enter'S Spec Space.)
� PY 6 P P Pa )
Planning Review
Proposal: T. 1 . -new r~° yYIS$ o{ 1tP ow0 k n tV- fri.
Existing Business Activity: \/ CAV _
Proposed Business Activity: Vat
Verify site address/suite#exists and active in permit system.
• zoning: V
Permitted Use: ❑ Yes ❑ No IA Spec Space
,IRZ Confirm no land use required.
Notes: DO i/- 1S "tiYYiki.
Approved by Planning: — Date: 1,21.14
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: r7A9//`r(
Site Plans: # /‘-l/ 71
Building Plans: # 3
Building Permit#: .2"-inter building permit#above. 6,,
Workflow Routing. Planning ld" Building
Workflow Sign-off: ❑ Sign-off for Planning(indude notes from planning review)
Route Application Documents: ❑ Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: r Date: ?/4. //,'
I:1Buildingwonns\BldgPennitRvw_COM_NoLandUse_071514.docx
Permit Coordinator Review �n
❑ Conditions Met- Prior to Issuance of Building Permit n QC
Notes: AV
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Appli t:
Revision Notice 2: Date Sent to Ap. cant:
Revision Notice 3: Date Sent to % .plicant•.
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:1Building\Forms\B1 dgPennitRvw_COM_NoLandUse_07l 514.docx
11111 • " Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Ic-cT Occupancy Group: t, Type of Construction: �
Type of Use**: r7�M Occupancy Load: Oregon Specialty Code: cj.�l<C
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: 5: N: 5: Occupancy Separation:
E: W: E: W: Access.Parking Spaces: _
REQUIRED ITEMS _
Fire Sprinklers: Fire Alarms: I Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors: _
Standpipe Required: Pull Stations Required: Parapet:
I iazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ rUif FEES DUE
$ {'&l CCU DC Piov Rvw,COM TI—Ping
$ 2S. DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ vr!.4.. Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ L 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ `,I► itrib Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ ..".-',00W,4, Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ &,.� ► Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
5 Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other_
$ Other:
Building Staff: $ Other.
Date/Time: $ [214,t t TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OE 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:\Buil ding\Forms\O FC_BU P_070 114.docx
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
12186 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00172
Chip Barnett
Violation Summary:
Inspector Contractor