Permit CITY OF TIGARD BUILDING PERMIT
�~ COMMUNITY DEVELOPMENT Permit#: BUP2014-00246
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2014
Parcel: 1 S 134BC00200
Jurisdiction: Tigard
Site address: 12186 SW SCHOLLS FERRY RD
Project: Mud Bay Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: TI build-out of existing retail space,non-structural partition walls and finishes.
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, 10/28/2014 $1,371.71
Demolition
Occupancy Grp: M Occupancy Load: 118 12%State Surcharge-Building 10/28/2014 $164.61
Dwelling Units: 0 Plan Review 10/22/2014 $891.61
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/22/2014 $548.68
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 10/28/2014 $187.00
Value: $144,000 DC Provision Review,COM TI-LRP 10/28/2014 $28.00
Info Process/Archiving-Lg$2.00(over 10/28/2014 $16.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 10/28/2014 $5.00
11x17)
Total Area: 3813 Metro Const.Excise Tax-Commercial 10/28/2014 $172.80
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,385.41
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
1 Special Inspection(see plans)
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-N! . • • r-.R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 2, .800. 44.
i
I sued By: 0 / 1' Permittee Signature: �/ /ale
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / v
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.
w
Buildin Permit A licat'
CEIVEP Commercial i ()um I I( I I ',l ()NI 1
IN__ City of Tigard T 2 2 2014 Received is, / _ Permit No 4 ',pi lP
13125 SW Hall Blvd.,Tigard,OR 9 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: di�v ( e` er Permit:
i i( 11,1) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: > Juns: ® See Page 2 for
Internet: www.tigard-or. T ��f_ ,�r",� ION Notified/Method:l`r '/K Supplemental Information
rZlr]'rwjvjx�'1� j�j[, QU1REEDD`DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition
Indicate the value(rounded to the nearest dollar)of all
2 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: 7 C W- New dwelling area: square feet
City/State/ZIP: ' ay-6 t) QJ n �22 Garage/carport area: square feet
Suite/bldg./apt.no.: `C-t t Projeci name: Much & Covered porch area square feet
Cross street/directions to job site: C L c11tEj ' l tL �; i Deck area: square feet
A.)tt) 1/,./..-t 4 Ave. (sot: 2as) 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.: qtr"t'(�i�ly� j �� 2.06 equipment,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.
Valuation: $
7. k , W1 t` � ? - 04- e , (I_spa vial-5 . f44,�
,, rr� I Existing building area: `' 7 square feet
1 1 itA t( 100411-1-00t 1ti tSt P a . i'
New building area: -0-` square feet
❑ PROPERTY OWNER TENANT Number of stories: `
Name: VVd a y tit U.24414 . 0 f t 111C/- Type of construction: \j 6 y_ 7 iv
Address: *77,-)2_111C1 /hilt 6 iA) ���JV Occupancy groups: INA
City/State/ZIP: ¶—Uiti liA) hilt
G 1A IC>5)L _ Existing: M
Phone:(` ) IL-XI 1 Fax:(?ty;� ,-ro: , a& 2
New:
❑ APPLICANT a CONTACT PERSON BUILDING PERMIT FEES*
` i (Please refer w fee schedule)
Business name: 1(� PCP 01/kA". a Q`s Structural plan review fee(or deposit):
Contact name: 7; pj L4/1 'EM ittcL ;
-
Address: I fl" E v 1 +- we 1\10-
FLS plan review fee(if applicable):
�j�, y Total fees due upon application:
City/State/ZIP: C a'i l e, w of J --��
�` Amount received: ''LL a
Phone:( 0) 2c. 1,50,4--
- I F ::( ) (. , 1441 `/�7� �7
hd poi.`L I lt�l i f. % UM
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail G)Gi )' G+ t
CONTRAOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: (JJ G, /' 6 r Submit two(2)sets of roof plan with connection details
��� (' Q��t,`,. � �t �� and fire department access,along with the 2010 Oregon
Address: 21500 Eo. ,,cl�' f f O ` ' "i tic/ Solar Installation Specialty Code checklist.
City/State/ZIP: V ayl(o u vterg s � Ito[ Permit fee(includes plan review $180.00
Phone:( � - ! -� Fes'(`�, ,) �" and administrative fees):
�c'f i , s 1� J�V C,4 4 b(A State surcharge(12%of permit fee): $21.60
CCB lic.: -1 i Total fee due upon application: $201.60
Authorized signature: f' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name 6.tc1, t "tf A/'�C-, Date: W ( ;sir"r * Fee methodology set by Tri-County Building Industry
��""__ Service Board.
1:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
.. r
City of Tigard
III w COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - With Land Use
TIGARI)
Building Permit #: jIA I' J tf -Od02`7�p
Site Address: Ml FAO LSW Wiltei 1 Pci Suite/Bldg#:
Project Name: '4
(Name of commercial buss ss occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1 Or e,(In,1fltS - .
Verify site address/suite #exists and active in permit system.
8'Land Use Case#: IA MD 7J 14- paper
Plans Match Approved Land Use:
,Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Notes:
Approved by Planning: W 114t Date: I 019-24 I L+
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: /MA¢ /4/
Site Plans: # /J,
Building Plans: ,#,_//3
Building Permit#:
E lr; ter building permit#above.
Workflow Routing: ' Planning 13—rigineering . –Permit Coordinator uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: d'�3uilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
L
By Permit Technician: ` _ ik�'d�,;j '_ ' Date: 4 97-1
I:\Bui lding\Forms\BldgPermitRvw_COM_W ithLandUse_042914.docx
•
Engineering Review
❑ Actual Slope:
❑ PFI Permit#:
❑ Conditions Met
Notes: Aro 4-1.►) t'A.)i&-'tiyat te■r-G y ..
Approved by Engineering: Date: j e, 2 t. /v
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1�EGr"tC�it[;!Ry[rt'•r.,.w.»..y�.xpQ,prlWxLt�.M'ti •� ':..: _+ •••.fi iiVY`/'".:>.:.; "F R.1'JJMxY%:%'.
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
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:
OK to Issue Permit /
Approved by Permit Coordinator: ► d Date: 43/17
I:\BuildingWorms\BIdgPermitRvw COM_WithLandUse 042914.docx
, Building Division
I
Accessibility: Barrier Removal Improvement Plan
11c;ARI)
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] $ Hi i 000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ (17 ocr
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): $
1:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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 - C of O
BUP2014-00246
Chip Barnett
Violation Summary:
Inspector Contractor
CITY OF TIGARD BUILDING PERMIT
�~ COMMUNITY DEVELOPMENT Permit#: BUP2014-00246
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2014
Parcel: 1 S 134BC00200
Jurisdiction: Tigard
Site address: 12186 SW SCHOLLS FERRY RD
Project: Mud Bay Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: TI build-out of existing retail space,non-structural partition walls and finishes.
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, 10/28/2014 $1,371.71
Demolition
Occupancy Grp: M Occupancy Load: 118 12%State Surcharge-Building 10/28/2014 $164.61
Dwelling Units: 0 Plan Review 10/22/2014 $891.61
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/22/2014 $548.68
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 10/28/2014 $187.00
Value: $144,000 DC Provision Review,COM TI-LRP 10/28/2014 $28.00
Info Process/Archiving-Lg$2.00(over 10/28/2014 $16.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 10/28/2014 $5.00
11x17)
Total Area: 3813 Metro Const.Excise Tax-Commercial 10/28/2014 $172.80
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,385.41
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
1 Special Inspection(see plans)
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-N! . • • r-.R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 2, .800. 44.
i
I sued By: 0 / 1' Permittee Signature: �/ /ale
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / v
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.