Permit CITY OF TIGARD BUILDING PERMIT
' • COMMUNITY DEVELOPMENT Permit#: BUP2014-00191
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2014
Parcel: 1 S1348C00200
Jurisdiction: Tigard
Site address: 12180 SW SCHOLLS FERRY RD
Project: Pharmaca Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Convert former restaurant to retail pharmacy
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: Vg Permit Fee-Additions,Alterations, 08/28/2014 $2,072.35
Demolition
Occupancy Grp: M Occupancy Load: 145 12%State Surcharge-Building 08/28/2014 $248.68
Dwelling Units: 0 Plan Review 08/12/2014 $1.347.03
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/12/2014 $828.94
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 08/28/2014 $56.00
Value: $260,000 11x17)
Info Process/Archiving-Sm$0.50(up to 08/28/2014 $5.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 08/28/2014 $312.00
Use
Total Area 4500
Accessory Struct: 0
Basement 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,870.00
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 160
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- 10 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• 1.8003 234
dole Is ed By: (p / ' / Permittee Signature: -� , --�
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.
1
Buildtng Permit Applicati
Commercial RECEIVED I (>I,OFFICE USE ONLY
City of Tigard Q
Date/By: /2- / Permit No.: 6u °An( _a}/Q/
13125 SW Hall Blvd.,Tigard,OR 9722 UG 1 2 2014 Plan Review
[i p g ta�pOf f D y y ,/ 2t/ Related Permit: /1147)496/f/-ejoag
Phone: 503-718-2439 Fax: 503-59 -ff'FIp Date/13 : ���
T I C;A R D
Inspection Line: 503-639-4 175 Date Read /B Turin. ® See Page 2 for
Internet: www.tigard-or.gov �]/ll� ^u.�^ t ��otif�ied/Met / 6"7 A Supplemental Information
JtJ 1 J!T l �..ice►// _ ./ . ,
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(routded to the nearest dollar)of all
n Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling Commercial/industrial Valuation: $ ■
❑Accessory building ❑Multi-family Number of bedrooms: CA
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
M•
Job site address: 121 00 S\ i a30ri..t, II. New dwelling area: square feet
City/State/ZIP: 1 A9, •i 'I/223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: c;4J Z)11,p(& Covered porch area: square feet
Cross street/directions to job site: LZI7C" Deck area: square feet Pc,
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST JI`
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
11316331-
`- 331-( P S Valuation: $z C. ,�°
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER :1 TENANT Number of stones:
Name: JJL.' Type of construction:
Address: 4140 p f}u,-gA51-, clit,,L,E Occupancy groups:
City/State/ZIP: .6 G • Co 833o1 Existing:FM3512Sazisti.r. -
Phone:(3cr 3 --'3146 Fax:( ) New: gi►RlL
❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Please re er to ee schedule
Business name: \(yVS—TE1214, ecksTaUct-(04 Structural plan review fee(or deposit):
Contact name: you,.Sil 'S414 FLS plan review fee(if applicable):
Address: 2,30:7 p". 3 r4
City/State/ZIP: s C� 1 �� Total fees due upon application: �f�.5 7
Amount received:
Phone:(1503 ) sit-- F. „ I Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: I, i - - :40_47111".0 .0a AUL-iv.% a ` -
Commercial and residential prescriptive installat.• of
CONTRACTOR roof-to. 1 ounted Photo Voltaic Solar Panel S tern.
Business name: - i. Submit two sets of roof plan with con. tion details
and fire departm• .ccess,along wi . I e 2010 Oregon
Address: Solar Installation Spe •• Code -cklist.
Permit fee(incl • i. review
City/State/ZIP: an. .+ministrative $180.00
Phone:( ) Fax:( ) States arge(12%of permit fee): ` $21.60
CCB Lic.: 6;7/7 l Total fee due upon appication: $201.60
This permit application expires if a permit is not obtained
Authorized signatur • p pp p p
within 180 days after it has been accepted as complete.
Print name: �, .,t..,'lv Date: E— 12 1 * Fee methodology set by Tri-County Building Industry
c Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
I
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I(;A R D 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] $ 250,033
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 61,CO
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 $ .�.L.
(b) An accessible entrance: $ (C)030
(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, 14/4"
(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
I.
1;1 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - With Land Use
r
Building Permit #: u Pov��—6d /9/
Site Address: i Z1 g0 SW SchA Is Vex r\/ Rd. Suite/Bldg#:
Project Name: Phat mot coy
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: --erarri 1mpiOv ern eri+s 4o( ne_A faat use
VVerify site address/suite #exists and active in permit system.
L�17/Land Use Case#: M MDZO I1'I-0001 l3
L11" Plans Match Approved Land Use:
Site Plan ❑ Landscape Plan 0 Other:
❑ Urban Forestry Plan ❑ Elevation Plan
/ Building Height: Maximum Height Actual Height
qA � Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Notes: rl O e�4-e i or CN.na hti e s .
Cho ncy� of use -C--v--, res+-u LA.,. a •.+ -Fb ree4 a, 1 s Ale s.
Approved by Planning: ^..k Q C ffrioeli-r Date: Si d I/ i Li.
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submitt
Original Submittal Date: D(0--(14(
Site Plans: # is.-1/4-
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: nning U.-engineering .'"Permit Coordinator - uilding
Workflow Sign-off: J: S1 -off for Planning(include notes from planning review)
Route Application Documents: _ ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: C �0-t 7 Gv — o,
Ad D d ���
By Permit Technician: , CCef2 Date: ,�//c!
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_042914.docx
Engineering Review
❑ Actual Slope:
❑ PFI Permit#:
❑ Conditions Met
Notes: Aia 4", c z,•,,rsAs t„r G MS'v gNi
Approved by Engineering: ■IPP.... Date: Si',25 r PI
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions Met 7XTo(-Priorto Issuan2,e _s e of B-uilding Permit Notes: /&0 e' (;ft,"4,76 �tav 474 SU!IWP-1
/. ��4:ne /r ' I -01/ -/4/ A. ( coC .` G
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
P. OK to Issue Permit
Approved by Permit Coordinator: ` � 15 Date: v :4
I:\Building\Forrns\BldgPermitRvw_COM_W ith LandUse_042914.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
12180 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00191
Chip Barnett
Violation Summary:
Inspector Contractor