Permit (75) CITY OF TIGARD BUILDING PERMIT
al '.. COMMUNITY DEVELOPMENT1114
Permit#: BUP2016 00177
Date Issued: 06/23/2016
TR ,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S136AD04000
Jurisdiction: Tigard
Site address: 11507 SW PACIFIC HWY B
Project: The Bridge Subdivision: VILLA RIDGE Lot: 7
Project Description: TI for existing tenant. Tenant is expanding into adjacent suites C and D.
Contractor: KERNER CONSTRUCTION INC Owner: PACIFIC TERRACE COMMERCIAL LLC
20140 SW YORK ST BY SMITH, EDITA M
ALOHA, OR 97006 833 NW 170TH DR
BEAVERTON, OR 97006
PHONE: 503-539-8191 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/23/2016 $925.23
Demolition
Occupancy Grp: A-3 Occupancy Load: 285 12%State Surcharge-Building 06/23/2016 $111.03
Dwelling Units: 0 Plan Review 05/26/2016 $601.40
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/23/2016 $370.09
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/23/2016 $220.00
Value: $75,500 Info Process/Archiving-Lg$2.00(over 06/23/2016 $6.00
11x17)
Floor Areas:
Total Area: 5638
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,233.75
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No 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 /
-00 0 throw OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: ir-i: 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 compefion of the project.
Approved plans are required on the job site at the time of each inspection.
L,uifding Permit Application
Commercial �� FOR orric e: 1 SI ()N1,1
Received / / /' permit No.:
City of Tigard c),,e Date/By: /fD , / o�' !!v X !77
U 13125 SW Hall Blvd.,Tigard,OR 'gin► 1RI Plan Rev-..m. Related Permit: %%yy yyyy�
O Date/By: - 1l i 1 1( 6.�(tz !I/
Phone: 503-718-2439 Fax: 503-5' - '60 rp Juris. I H See Page 2 for
Inspection Line: 503-639-4175 ii Date Ready/By: r
T I('A R IJ p \'4 ,c,1,r`�QNi Notified/Method: / /P1 if-tf" j Supplemental Information
Internet: www.tigard-or.gov
r ®� INV° %J %I = r, - . . ..
TYPE OF W I L A ♦ `v REQUIRED DATA:1-AND 2-FAMILY DWELLING
demolition Permit fees*are based on the value of the work performed.
❑New construction Indicate the value(rounded to the nearest dollar)of dAs4ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTIONj
Valuation: $ -��'T 0
0 1-and 2-family dwelling Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
❑Master builder 0 Other:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
j w 7 New dwelling area: square feet
Job site address: I� 7 -,il) f p 0.C-i� t`n )--C t rt
City/State/Z1P: T q tw.C` C)-- . 171t-3 Garage/carport area: square feet
Suite/bldg./apt.#: B7�p Project name: 1 J -�-j Covered porch area: square feet
Cross street/direction!to job site: 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(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
wtt 115 a...4Valuation: $
Existing building area: square feet
a r � ) (
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
CLAPPLICANT ®.CONTACT PERSON BUILDING PERMIT FEES*
-\ (Please refer to fee seke4ule)
Business name: Ke rvWr re)v►.4 v L;/ (7- \ ..A-p`-C_ Structural plan review fee(or deposit):
Contact name: fa.
yu h �,Q^r A_s----'y'7 L� L 44 FLS plan review fee(if applicable):
Address: ZO 14#o 5 LA.1 15-I-- Total fees due upon application:
City/State/ZIP: /if 10 k ` '700 3 Amount received: l%,1,C/a
Phone:c.a.-63) 53 Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: QU4e.rhQj.- 9 G/y-I tU I ,t_ei 21/� Commercial and residential prescriptive instal ation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel S, tern.
Submit two(2)sets of roof plan with con -'tion details
Business name: and fire department access,along with e 2010 Oregon
Address: �� �C Solar Installation S,• ialry Code c klist.
Permit fee(inclua-s plan view $180.00
City/State/ZIP: and adminis : e fees):
Phone:( ) Fax:( ) State surcharge(12°/ Al Ie'sit fee): $21.60
CCB Lic.: F` Total fee due upon applica',T: $201.60
1 't7 7�3 _
This permit application expires if a p-rmit is not obtained
Authorized signature: ` a cam-- within 180 days after it has been accepted as complete.
t_
* Fee methodology set by Tri-County Building Industry
Print name:?y�pi 4,rDate: �2� e Board.
I:\Building\Pennits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
r
0
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III q Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1 IGARD 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] $ 7576D(=
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
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: fkiP 2 /(/) —06/77
Site Address: /1607 711) peic- /yiv Suite/Bldg#: 5,C, p
Project Name: VI,- """/
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
•
Proposal: /— ei i ' G,/ ' /_ - I''I-u
�i .
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes „eff---No //
Land Use Case#: 1/r 2-0( /---Op)/ -1 H/V 20/Ga -0 /
Plans Match Approved Land Use:
❑ Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
al Building Height: M ximum Height / q Actual Height
/Conditions Met: Prior to Submittal / ❑ Prior to Permit Issuance
Business License:
Exists: ,E1 Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: _ 4�---- Date: 6/2-0770/4,
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:
Site Plans: # /10„
Building Plans: #__,,, �
Building Permit#: I��nter building perms #above. _
Workflow Routing: al-.135;--ming Engineering L F Iermtt Coordinator g
Workflow Sign-off: [''Sign-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:
/
By Permit Technician: _
r Date: <-72/4,
I:\Building\Forms\BldgPennitRvw_COM_W ithLandUse_070915.docx
1
r
Engineering Review
Slope at building pad:
❑ PFI Permit#:
El 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: /1� ..1) Date: ��--it‘l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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:
rrl3CFees Entered: Wash Co Trans Dev Tax: ❑ Yes ,.T/A
Tigard Trans SDC: ❑ YesN/A
Parks SDC: ❑ Yes A N/A
K to Issue Permit
Approved by Permit Coordinator: //# l:, : —o/2/1_(E-----
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11507 SW PACIFIC HWY B, TIGARD, OR, 97223 September 15, 2017 at
11 :25:03 AM
Record Type: Record ID:
Commercial - Building BUP2016-00177
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor