Permit CITY OF TIGARD BUILDING PERMIT
11 4 -s' COMMUNITY DEVELOPMENT It : Permit#: BUP2017-00013
If, Date Issued: 01/25/2017
TT C;AR f� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2 Parcel: 1 S135CB00600
i
iliall
Jurisdiction: Tigard
Site address: 11570 SW TIEDEMAN AVE
Project: LN Curtis Subdivision: None Lot: None
Project Description: Create showroom with office and storage uses adjacent to showroom.2/14/17 REPRINTED to correct address
from 11530 to 11570 SW Tiedeman
Contractor: COMMERCIAL CONTRACTORS INC Owner: MCCALL PROPERTIES LLC
1265 SOUTH 35TH PLACE BY NED MCCALL
RIDGEFIELD,WA 98642 5480 NW FRONT AVE
PORTLAND, OR 97210
PHONE: 503-227-4440 PHONE:
FAX: 503-227-6644
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 01/25/2017 $357.00
Occupancy Grp: M Occupancy Load: Permit Fee-Additions,Alterations, 01/25/2017 $1,468.35
Demolition
Dwelling Units: 12%State Surcharge-Building 01/25/2017 $176.20
Stories: 1 Height: ft Plan Review 01/25/2017 $954.43
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 01/25/2017 $587.34
Value: $160,000 Info Process/Archiving-Lg$2.00(over 01/25/2017 $14.00
11x17)
Metro Const.Excise Tax 01/25/2017 $192.00
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $3,749.32
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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
952-001-0 hrough/AR 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.
Issue By: (- �.f. Permittee Signature: c
`
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. d
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.
CITY OF TIGARD BUILDING PERMIT
111
t1 ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00013
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2017
T[f ^ T. g Parcel: 1 S 135C 600600
Jurisdiction: Tigard
Site address: 11570 SW TIEDEMAN AVE
Project: LN Curtis Subdivision: None Lot: None
Project Description: Create showroom with office and storage uses adjacent to showroom.
Contractor: COMMERCIAL CONTRACTORS INC Owner: MCCALL PROPERTIES LLC
1265 SOUTH 35TH PLACE BY NED MCCALL
RIDGEFIELD,WA 98642 5480 NW FRONT AVE
PORTLAND, OR 97210
PHONE: 503-227-4440 PHONE:
FAX: 503-227-6644
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 01/25/2017 $357.00
Occupancy Grp: M Occupancy Load: Permit Fee-Additions,Alterations, 01/25/2017 $1,468.35
Demolition
Dwelling Units: 12%State Surcharge-Building 01/25/2017 $176.20
Stories: 1 Height: ft Plan Review 01/25/2017 $954.43
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 01/25/2017 $587.34
Value: $160,000 Info Process/Archiving-Lg$2.00(over 01/25/2017 $14.00
11x17)
Metro Const.Excise Tax 01/25/2017 $192.00
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $3,749.32
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 503.232.1987 or 1.800.332.2344.
Issued By: Ale Permittee Signature:
all 503.639.4175 by 7:00 a.m.for the next available inspection date. CC�� J%)`
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.
Building Permit Application
$ j �,
11
Commercial EC E v..:" .4V
FOR OFFICE l'SF OM.l'
City of Tigard Received
/ Permit No.:
IN13125 SW Hall Blvd.,Tigard,OR 97213�N2017Date/B : i %7C3
! Plan Review So
Phone: 503.718.2439 Fax: 503.598.1960 , �� Other Permit: f yM�J�y17�1D�7
Date/B f
T I G A R D Inspection Line: 503.639.4175 CIT ¢ I I G A RD In �x, I Date Ready/Cy. Juns ® See Page Z for
Internet: www.tigard-or.gov Notified/Method:
Supplemental Information
BUILDING'DIVIS
TYPE OF WORK l� REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 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 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: SW Tiedeman Ave I 1 S 713 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:LN Curtis TI Covered porch area: square feet
Cross street/directions to job site:SW Tiedeman Ave and SW Tigard Ave Deck area: square feet
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.: Indicate 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.
Wholesale showroom of uniforms and police equipment with office and storage uses Valuation: $ 100/00000
adjacent to the showroom. Existing building area: 17,200 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:LN Curtis-Jeff Curtis Type of construction: V
Address: 1800 Peralta Street Occupancy groups:
City/State/ZIP:Oakland,CA 94607 Existing: S/M/B
Phone:(510)268-3325 Fax:( )
New: S/M/B
0 APPLICANT eit CONTACT PERSON BUILDING PERMIT FEES*
Business name:LRS Architects (Please refer to fee schedule)
Contact name:Amalia Mohr
Structural plan review fee(or deposit):
Address:720 NW Davis Street,STE 300 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97209 Total fees due upon application:
Phone:(971)242-8174 Fax: :( ) Amount received:
E-mail:amohr@lrsarchitects.com PHOTOVOLTAICSOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:CCI (Attn:Jake Money) Submit two(2)sets of roof plan with connection details
Address:5573 S 15`Circle and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Ridgefield,98642 WA Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)931-4361 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:123729
Total fee due upon application: $201.60
Authorized signature: X This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jake Money Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BOP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
I
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: /-2„-- P 9 ( -2 --00013
Site Address: i i 570 S W Ti t d of Ci r O v-e, Suite/Bldg#:
Project Name: L IV Cyril S TZ
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: V/V1 p kf J la LL S VW w ro o
Verify site address/suite# exists and active in permit system.
cz River Terrace Neighborhood: ❑ Yes AJ No
7 Land Use Case#: M f p 'L.01-1 — 00002-
Plans
OO7-ZPlans Match Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
'Building Height: Maximum Heightctual Height iV/P" "O "'I0✓1
Conditions Met: V Prior to Submittal ❑ Prior to Permit Issuance
Business License: l Na �G/1`� no h f
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
1 sblic Facilities Improvement(PFI) Permit: NP P/9
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: /1/10--1-A.,„:_ 111.... ...2_ Date: 1) 2-S / I-1
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: /79-51/7
Site Plans: ## 3
Building Plans: # 3
Building Permit#: [2 Enter building permit#above.
Workflow Routing: 2—Planning 'Engineering 1 ermit Coordinator 'Building
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: L _ / Ce_4zita Date: fir-
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 060116.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: Date:
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse_070915.docx
City of Tigard • BUILDING DIVISION
1111 Over-The-Counter (OTC) Building & Fire Protection System Permit
n Appointment Checklist
Permit Record#: Pao /7'4D/3
Contact Name: CLvv.eLQ t u J i\ el.-PlAPhone#: S 97/-a/a- is i 79
Business Name: �, i f 6 O Appt. Date/Time: o2/gs /7 t) /6.60
Site Address: 11 S 70 St i epaz-rvve ..vim Bldg/Suite #:
Project Name: (_.ND C - c:e. e� ..e-��o
Project Description:
Existing Use: New Use:
MMD Required: IX.Yes ❑ No Related Record#: H)-(b a.p 17---6006,;....
GENERAL INFORMATION
Class of Work: Occupancy Group: Type of Construction:
Type of Use: Occupancy Load: t ` ( Oregon Specialty Code:
SPECIFICS
Number of Stories: I . Building Height Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: ��20 Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet
Hazard Group: Battery Cales Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ l `1 t OQD
$ wit7,760 I C Prov Rvw,COM TI—Ping
$ i rr r 'ermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ I , 12%State Surcharge
Project Valuation $ " Plan Review,Structural
Up to$4,999 $0.00 $ 'Ian Review,Fire Life Safety
$5,000-$74,999 $90.00 $ (a , Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ IC°2`.--Metro Construction Excise Tax
(12 .as0 - n $ School Construction Excise Tax
�l Qk(x t� $ Hourly Rate Fee
t-i $ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ 3?Al.32 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx