Permit 11—
q CITY OF TIGARDBUILDING PERMIT
I e COMMUNITY DEVELOPMENT Permit#: BUP2016 00023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2016
Parcel: 1S 134BC00200
Jurisdiction: Tigard
Site address: 12198 SW SCHOLLS FERRY RD
Project: Spec Space Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: TI for new tenant:Removing non-load-bearing walls,adding(3)ADU bathrooms,constructing a demising wall,and
modifying existing storefront for new door locations.
Contractor: OWNER Owner: ATLAS GREENWAY LLC
ATLAS INVESTMENTS 333 NW NINTH AVE, STE 1009
333 NW 9TH AVE, SUITE 1001 PORTLAND, OR 97209
PORTLAND, OR 97204
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/18/2016 $804.75
Demolition
Occupancy Grp: B Occupancy Load: Plan Review 01/20/2016 $523.09
Dwelling Units: 0 Plan Review-Fire Life Safety 01/20/2016 $321.90
Stories: 0 Height: 0 ft 12%State Surcharge-Building 02/18/2016 $96.57
Bedrooms: 0 Bathrooms: 0 Wash Co Trans Dev Tax 02/18/2016 $1,962.00
Value: $60,000 Parks SDC Improvement 02/18/2016 $553.00
Parks SDC Reimbursement 02/18/2016 $99.00
DC Provision Review,COM TI-Ping 02/18/2016 $88.00
Floor Areas: Info Process/Archiving-Lg$2.00(over 02/18/2016 $14.00
11x17)
Total Area: 1793
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,462.31
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 7orr11�.800.332.2344.
Issued By: `� A ' rmi ee 1�TiaYare: /7' l/
G
Call5 . 7 y 7:00 a.m.for the next available inspe ion date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
a r
Building Permit Application
Commercial 1-OR()Is I It l 1 til_ t)\i 1
Received ��y�.�
City of Tigard `l�O Date/By: ! ge ` Permit No.:6(�go167-,Wlk�L3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revitw �. ' /
II Phone: 503.718.2439 Fax: 503.59$` Date/By: 11 2_01 Ife, Other Permit�/y evi -- xl 7
I _ D
Inspection Line: 503.639.4175 `i-%" Date R-.. :, lung H See Page 2 for zJ1
Internet: www.tigard-or.gov �l % Q Notified/Method:0`�M, 4/! i Supplemental Informati
.c\GO\O‘A .577/bi-i°,,9/tip 2 /7A efoof:444,
TYPE OF WOI `( `dr,100\ REQUIRED DATA:1- 2-FAMILY DWELLING
0 New construction a 0: ;�1 �IiOtt Permit fees*are based on the value of the work performed.
et Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement be I they: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1-and 2-family dwelling Valuation: $
�Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12198 SW Scholls Ferry Road, New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:landlord improvements 50.0 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:1S134BC00200 ' Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
remove existing non load bearing walls,caseowrk,etc. Valuation: $$60,000.00
modify existing storefront for new door locations Existing building area: 14406 square feet
3 new ADU bathrooms,new demising wall between tenant spaces New building area: same square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Atlas Investments Type of construction: 5
Address:333 NW 9TH Ave.,Ste.1001 Occupancy groups:
Y 8t' Ps:
City/State/ZIP:Portland,Or.97204 Existing: B&A2
Phone:(971)8884423 Fax:( ) '
New: same
ra APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Integrate Architecture&Planning (Please refer Sofee schedule)
Structural plan review fee(or deposit):
Contact name:Philip Sydnor
FLS plan review fee(if applicable): ,
j`
Address:1715 N.Terry Street /
Total fees due upon application: y'94/.cf'f
City/State/ZIP:Portland,Or.97217
Amount received:
Phone:(503)3122561 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:phil@integratearch.com
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:iiiaggii1OPOROBRaiihrUciejegl Submit two(2)sets of roof plan with connection details
., /4/4:01-. 1--. Ti) and fire department access,along with.the 2010 Oregon
Address:211,1"0 A , 1 A S Solar Installation Specialty Code checklist.
City/State/ZIl Vtw r Permit fee(includes plan review $180:00
and administrative fees):
Phone:(360➢6a7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:0.1071X7
_ Total fee dae upon application: $201.60
..,/2/4 /Selij.........)
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
l'rint name: / �--1 C.t Ike �J cc& Date: ( (2f4)( ' J * Fee methodology set by Tri-County Building Industry
V ` Service Board..
I:\Building\Perr is\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
1
L___
N Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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] $ ‘ 0 i v v
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ / s) )v.-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: $ 5, a a,..>
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ /S la
(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): $ 5 D 1 '
I:ABuilding\Permits\BUP-COM PermitApp.doc 03/03/2011
1
1
a a
City of Tigard
i 71 ■
COMMUNITY DEVELOPMENT DEPARTMENT
1 1 c A R D Building Permit Review — Commercial - With Land Use
Building Permit #: 414t)/(p --a) 3
Site Address: /07/5e ,S ,4e nik Suite/Bldg#:
Project Name: g �(
(Name ommercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7/• �f &) .1-pa, -
Verify site address/suite# exists and active in permit syste
piii,f-.ver Terrace Neighborhood: ❑ Yes E" N o
Viand Use Case#: MmicaMP— oa'0a
Pla Latch Approved Land Use:
Site Plan p Pandscape Plan ❑ Other:
pCrban Forestry Plan glevation Plan
lizi Building Height: Maximum Height 1./S- Actual Height �"�(jS gQ
Ionditions Met:
Business Lice e: ❑ Prior to Submittal ❑ Prior to Permit Issu nice//
Exists: Yes ❑ No,applicant notified to obtain business license
Oltublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes, applicant was notified L� No Applied For: ❑ Yes ❑ No,stopintake
9 PP pP
Notes:
Approved by Planning: / ��
Date: 1520 ,
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: 00//49
Site Plans: #
Building Plans: #
Building Permit#: nter buildingperrmmit�# above.
Workflow Routing: g—P i ling L�r;ngmeering Zlt Coordinator �g
,,,
Workflow Sign-off: l Sign off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: l , j//G,
i
1:\Building\Forms\BldgPennitRvw COM WithLandUse 0709 1 5.docx
. .I
Engineering Review
. 1Slope at building pad: 7
/...PFI Permit#: //1
2,(Conditions "Met"prior to issuance of building permit
/Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: E Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: l-
Date
Notes:
Approved by Engineering: jX Li' Date:
r`'
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"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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:
DC Fees Entered: Wash Co Trans Dev Tax: 234 Yes ❑ N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: Ves ❑ N/A
OK to Issue Permit .440
Approved by Permit Coordinator: /7110� ate: / .S
I:\Building'\Fonns\B IdgPennit Rvw_COM_W ith LandUse_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Is- Transmittal Letter
all Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti arg dor. og_v
TO: DATE RECEIVED•
DEPT: BUILDING DIVISION
FEB 8 2016
FROM: CITY OF 116ARD
BUILDING DIVISION
COMPANY:
PHONE: SO 3 _ 3! — ,2 BY:
RE:
rte rre^ss- erm
(project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Co ies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: IQ
FOR OFFICE USE ONLY
Routed to Permit"Technician: Date: Initials:
Fees Due: Yes o Fee Description: Amoun ue:
Special
Instructions:
-Reprint Permit(per PE : ❑ Yes I ❑No I ❑ Done
Applicant Notified: I Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
mEC-EIVE-P
FEB 8 2016
CITU Of GABD
TRANSMITTAL BUILDING DIVISIM
To Dan Nelson Date February 5,
Senior Plans Examiner
City of Tigard 2016
Fax Number
Phone
# of Pages (including transmittal)
W9 Form Project: Greenway Building C
improvements
Sent by ❑ mail ® courier ❑ UPS ❑ FedEx
❑ facsimile ❑ e-mail ❑ Dropped off
Qty Date Description
3 02.05.16 (3) full size copies of updated sheets A2.1, A2.2, and A5.1
Hi Dan,
Please find updated sheets A2.1, A2.2,and A5.1 with the slight change in bathroom layout which is
based on the future/final floor plan for Baja Fresh. Just let me know if you have questions. Thanks for
your assistance,
Phil Sydnor
This transmittal contains confidential information and is intended for the use of the recipient named above. If you have
received this document in error,please destroy it and notify us at 503.528.9899.
Integrate Architecture & Planning, p.c.
1715 n.Terry Street, Portland Oregon 97217 telephone 503.528.9899
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
12198 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00023
Jeff Grove
Violation Summary:
Inspector Contractor