Permit f p CITY OF TIGARD BUILDING PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: BUP2015-00119
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2015
Parcel: 1S135BA00102
Jurisdiction: Tigard
Site address: 10206 SW WASHINGTON SQUARE RD
Project: Ulta Subdivision: OAKBURG Lot: 9
Project Description: Landlord work-Furred walls in front of existing demising walls.
Contractor: GBC CONSTRUCTION LLC Owner: PPR SQUARE TOO LLC
2273 NW PROFESSIONAL DR STE 200 PO BOX 847
CORVALLIS, OR 97330 CARLSBAD, CA 92018
PHONE: 541-752-0381 PHONE:
FAX: 541-752-0472
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/23/2015 $674.35
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 04/23/2015 $80.92
Dwelling Units: 0 Plan Review 04/23/2015 $438.33
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/23/2015 $269.74
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/23/2015 $4.00
Value: $45,000 11x17)
Info Process/Archiving-Sm$0.50(up to 04/23/2015 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,471.34
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 it • • 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
day ATTENTION; Oreg• law requires you to follow the rules adopted by the Oregon Utility Notification Cent-. Those rules, are a forth in OAR
-001-0010 through OAR 952 r 1-0r• •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1••or 1.800.332.2.4.
Issued By: '' I _// Permittee Signature: J ,1
Call 503.639.4175 by 7:00 a.m.for the next available inspect• date./
This permit card shall be kept in a conspicuous place on the job site until completio oft e project.
Approved plans are required on the job site at the time of each inspection.
' Building Permit Application
Commercial RECEIVED I ()1t Ul I It l I til (1\11
Received Mi�
City of Tigard Dateiv J Permit No.:-` I • �',. /
13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 2 2015 Plan Revi t' 7-•�.f V `
Phone: 503-718-2439 Fax: 503-598-1960 Date/B : g 4, Related Permit:
I I:I> Inspection Line: 503-639-4175 LITY OF TIGARD Date ReadyB . X3,5 furls. ® See Page 2 for
I Internet: www.tigard-or.gov BUILDING DIVISION No' e eth . Supplemental Information
1
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dolls)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
❑ 1-and 2-family dwelling ❑Comercial/industrial Valuation: $
m
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
4 Total number of floors:
Job site address: 10 lot S w W C S& . h 4 tD ri S 6 „ Q 4.. e A New dwelling area: square feet
City/State/ZIP: - a 4 r O V 1 1 2 t3 4 Garage/carport area: square feet
1
Suite/bldg./apt.#: Project name: U 11 A Covered porch area square feet
Cross street/directions to job site: A Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rotded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
F u w
W. W c I S' ., I-D n p Valuation: $ 415,r
•1 0 ', ; M Q W Q II s Existing building area square feet
V ✓ { New building area: square feet
Number of stories:
Name: A/) p C e . L Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( 1 New:
❑ APPLICANu ❑ CONTACT PERSON
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) Fax::( )
Amount received:
E-mail:
Comm- ial and residential prescriptive installation o
' CONTRACTO; roof-top me ted PhotoVoltaic Solar Panel S .
Submit two(2 - of roof plan with co 1• ion details
Business name: (� C c C t,s k y G L , d n and fire department. ess,along . • the 2010 Oregon
Address: Z Z 1 3 t W P Y c'1 t=SS :0.4_1 Q i.. S r...t C Z 0 0 Solar Installation Specia :,e checklist.
Permit fee(inc •.s pi. view
City/State/ZIP: C 6, U A 1 •1 V 913 3 4 . . .r, inistrative fee • $180.00
Phone.... 1.S y _0� ax: ui t) ']S.. 0 Z State .. arge(12%of permit fee): $21.60
CCB Lic.: 1 `l't 4l
Total fee due upon appication: $201..1
Authorized signature: ' This permit application expires if a permit is not obtained
...LA r within 180 days after it has been accepted as complete.
Print name: Q Q L I I A t� t V Date: l,f Z ki i J ** Fee methodology set by Tri County Building Industry
1 Service Board.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1 I(„\1:l) 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 121 of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
i ' Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
I G R D 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# El project name El site address ❑ suite number
El zoning El 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_PetmitApp.doc Rev.12/18/2014
v.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submitta o Tans
(Includes new,additions and alterations.) Required at
:: s Submittal
Demolition Permit
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Firc Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
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.12/18/2014