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Permit
CITY OF TIGARD COMMERCIAL MANUFACTURED STRUCTURE PERMIT I COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: CMS2016-00002 Date Issued: 02/11/2016 Parcel: 2S1060001600 Site address: 17255 SW Holly Ridge LN Jurisdiction: TIGARD Project: River Terrace Northwest,Lot 21 Subdivision: 2002-032 PARTITION PLAT Lot: 3 Project Description: Temporary sales office Contractor: POLYGON WLH, LLC Owner: ARBOR ROAD LLC 109 E 13TH STREET BY WEST HILLS DEVELOPMENT CO VANCOUVER,WA 98660 735 SW 158TH AVE BEAVERTON, OR 97006 PHONE: 360-695-7700 PHONE: FAX: 360-693-4442 FEES Specifics: Description Date Amount Type of Use: CMS Investigation Fee 02/11/2016 $90.00 Class of Work: NEW Type of Const: VB Investigation Building 12%State 02/11/2016 $10.80 Occupancy Group: B Surcharge Stories: 1 Height: 0 ft MH State Admin 02/11/2016 $30.00 Project Valuation: $7,500.00 12%State Surcharge-Building 02/11/2016 $33.06 Info Process/Archiving-Sm$0.50(up to 02/11/2016 $3.00 11x17) Erosion Control w/Development 02/11/2016 $80.70 Floor Areas: First Floor Area: 1183 Second Floor Area: 0 Third Floor Area: 0 Total Area: 1183 Required Setbacks: Left: 0 Right: 0 Front: 0 Rear: 0 Required: Parking Spaces: 0 Fire Sprinklers: No Total $247.56 Smoke Detectors: Party Wall: No Required Items and Reports(Conditions) 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.ATTEN : •r-..- aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 :010 through OAR 9 -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. Is.ued By: ( % Permittee Signature: _� Call 503.639.4175 by 7:00 a.m.for the next av actable 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. 111.111. Bulling Permit Application /5 / L-, Commercial RECEIVE® FOR OFI It I: lS►_ ON►., City of Tigard ReceivDate/By: �' y / //� Permit No.:C�l �t/�Gl.C� 13125 SW Hall Blvd.,Tigard,OR 97223J Q N 2 7 2016 plan Re ••[ �V 'p Related PeTmi. ' 8 Phone: 503-718-2439 Fax: 503-598-1960 DateBy: �� ► 2 )p[y� `. /CC/'O�/5.-009 7 pCITY OF TlGARU ;y. Iuris: ® SeePage2for Inspection Line: 503-639-4175 `� ^, Date Re. BUILDING D I Y I S I C 1 V Notified/Method: Supplemental Information Internet: www.tigard-or.govL.i a7 � l0 /(0 mimimigiiiimrimilimliair2/ 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. ,_,/ Indicate the value(romded to the nearest dollar)of all ❑Addition/alteration/replacement E Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: _ Total number of floors: Job site address: /7R53 s j ,44, gi,tt' Lti,Pe _ New dwelling area: square feet City/State/ZIP: J Garage/carport area: square feet Suite/bldg./apt.#: Project name:W ed ,7rtve pint Covered porch area square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision: I Lot#: a./ Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the AAnn work indicated on this application. 470,0�..A-/- 7;;;../.1.e."" 7,7e. Q�DI�."1 Valuation: $ '�i 3t ? — Existing building area square feet New building area: square feet Number of stories: Name: �p _Type of construction: Address: /O4' G► /3 (.57;7 Occupancy groups: City/State/ZIP: 0:4. Gl/,. 9$' Existing: Phone:(3‘,0) 695--77x0 Fax:(3Y7) �f3 4."f"S', -. New: Business name: f Structural plan review fee(or deposit): Contact name: ,y,...-y< �a 1'2 ' FLS plan review fee(if applicable): Address: 4,,vi - z . �'/'City/State/ZIP: Total fees due upon application: .Phone:.(+ ) 3 �j . Fax::(.4p)403 yfi Amount received: ----/D E-mail: Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: / 04,11.:2.,.., �jL� !�. Submit two(2)sets of roof plan with connection details / �_ and fire department access,along with the 2010 Oregon Address: /Q Solar Installation Specialty Code checklist. City/State/ZIP: �4hLOvci 4.A.4- 99 ii• Permit fee(includes plan rev $180.00 and administrative fees): Phone:�,,,,) b 95 7 a Fax:( ) t 4419. State surcharge(12%of permit fee): $21.60 CCB Lic.: 2ty tp 3 sr. Total fee due upon appication: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ‘C .4-4ry Date: /.._02.7.../6- * Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permmits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) J411.1, +rT ] City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III a ■ Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations I I 6 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 [2]of Valuation Computation): I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 f ,, RECEIVED City of Tigard JAN 2 7 2016 COMMUNITY DEVELOPMENT DEPARTMENT ■ CITY OF TIGARD r l c n o Building Permit Review — Commercial - Yftl(fiTiUNe Building Permit #: 0 t-1 bc9 /Co-00002- Site ©002- Site Address: 11E% SW ttvl I v) H olq€ Ln Suite/Bldg#: Z) Project Name: (2—NY—r -ferWice NorthW€J-f- .SGteS oc Com. (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review- } Proposal: 1 evr i - ,S Gl l e i 0 N>i-cia, Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: p /Z. Yes ID No Land Use Case#: PO_ 2t2lc --000QS, 1 U8 ZVI.J --0000 r T JP`kI .5-- ❑ PlanMatch Approved Land Use: o00-24Site Plan It Landscape Plan ❑ Other: ❑ Urban Forestry Plan ' LJ Elevation Plan /Building Height: Maximum Height J� Actual Height gConditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance 0 Business License: Exists: ❑ Yes ❑ No, applicant notified to obtain business license /Public Facilities Improvement (PFI) Permit:fF�1.,0f S — C) 1 12 Required: ❑ Yes,applicant was notified ❑ No Applied For: IZYes ❑ No, stop intake Notes: Approved by Planning: (l a on sZ. 8 .(O Date: 1/21 /I C 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: //071/6 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. � � Workflow Routing: . Planning engineering [1hTerrnit Coordinator ❑ Building Workflow Sign-off: 0" 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: 07/C, I:\Building\Forms\BldgPer mitRvw_COM_W ithLandUse_0709I 5.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ 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: ❑ Yes /No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: 014,44.4 441 Date: 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved Jot 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: ❑ Yes Tigard Trans SDC: ❑ Yes 51.-.N/A Parks SDC: ❑ Yes f -N/A OK to Issue Permit Approved by Permit Coordinator: Date: 2---)s-"A- I: -- d"A I:\Building\Fonns\BIdgPennitRvw_COM_WithLandUse_0709I 5.docx