Permit (162) CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2019-00114
T f(;A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2019
Parcel: 2S 115BA00100
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY Z
Project: Spec space Subdivision: None Lot: None
Project Description: Demolition of existing interior non load bearing walls,refrigeration,ductwork,some concrete slab,some plumbing,
and electrical.
Contractor: DEACON CONSTRUCTION LLC Owner: TECOLOTE RESOURCES INC
901 NE GLISAN ST STE 100 KELLY'S LEGACY LLC, ET AL
PORTLAND, OR 97232 BY HESSLIN HOLDINGS INC
23421 SOUTH POINTE DR STE 270
LAGUNA HILLS, CA 92653
PHONE: 503-297-8791 PHONE: 503-297-8791
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/01/2019 $2,615.95
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/01/2019 $313.91
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 05/01/2019 $8.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $350,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,937.86
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 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 C= -r. Those r es are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o. -in a copy of the rules or direct questions to OUNC by calling 503.232 •:7 or 1.800. x:44.
Issued By: /' Permittee Signature: _
Call 503.639.4175 by 7:00 a.m.for the next available inspectio
This permit card shall be kept in a conspicuous place on the job site until co tion of the project.
Approved plans are required on the job site at the time of each i -pection.
Building Permit Application
Commercial
RECEIVE a rt)►Z 01 1 I('1 l Sl. ()\l \
IPil City of Tigard EE!iew
iffez13125 SW Hall Blvd. Tigard,OR 97223II hl ot2��9 P
Phone: 503-718-2439 Fax: 503-598-1960 Date/B : Related Permit:
T I G n R n Inspection Line: 503-639-4175Ready/By:CITY OF TIGARD Date Read/B Juris 10 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA.1-AND 2-FAMILY DWELLING
❑New construction a-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 ❑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: $
Accesso buildin Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: J 6 o r SC,) 704 C t`i. ` 4„y New dwelling area: square feet
City/State/ZIP: `�e G c'I(� 61e- 5 '7 ,).q Garage/carport area: square feet
Suite/bldg./apt.#: . Project name: ,,,,,(/m.sk' '-,-ic 4.7"7:`54a Covered porch area: square feet
Cross street/directions to job site: Tcx�,v Sc. r�� Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
ic Valuation: $ 3.5 c.:,,,K c nrs.4-'::,-�J •--/Q .r c-z w 4/(51,1, /c.e,(-f S.a{.. '.Q
ciL k J-,:-.,<r Sc.-17e., c e-sc .eft" /1. s O,.k /1,k.6',,; Existing building area:�-?cee, square feet 1,144-,j(
C:=---it;(-1-1'.'C,9. / New building area: "_,) `;.k square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction: 69'‘.e,„e„,
Address: Occupancy groups:
City/State/ZIP: Existing: ')(
Phone:( ) Fax:( ) New:
lit-APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
C (Please refer to fee schedule)
Business name: l�eci_C r-,
Structural plan review fee(or deposit):
Contact name:4”rt„, 5
A t••3. FLS plan review fee(if applicable):
Address: gt , , .."-/ S
City/State/ZIP: -��,.r 1-1.4?",Il t (Z., (77,2 36:1- Total fees due upon application:
Amount received:
Phone:(�3) .?-4?"7—F-7 1 ( Fax.:_:�=�Celf'��3- 7-YD•�I7
-4 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: ,..\...,Irc7C�,rol1 e" 6N c,;1 , c(.),-7
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 34;.",rS `_ /s„�1r� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
_ q State surcharge(12%of permit fee): $21.60
CCB Lic.: X I f'$ 1 1
Total fee due upon application: $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: .4 d em' ,e'04,...4,7c Date: 5 ,7t// 7 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\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
T I G A R D 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\Pemrits\BUP_COM_PermitApp.doc Rev.11/5/2018
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TI GA RD 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 ❑ site address ❑ suite number
❑ zoning ❑ applicant name 0 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. ADDITIONALL1NFO TION AS FOLLOWS:
A. Fire Department4uilding e .
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018
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 Submittal # of Plans
(Includes new,additions and alterations) Required at
Submittal
Demolition Permit 2
(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
Fire 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\Pemrits\BUP_COM_PemritApp.doc Rev.11/5/2018
City of Tigard
Nv COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A Ro Building Permit Review — Commercial - No Land Use
Building Permit #: 6 1444,20/ F -----a7//
Site Address: J6 CAe..4 � Suite/Bldg#: -"
Project Name: 77v
Na( im of commercial business occupying tiP.pace. If vacant,enter Spec Space.)
Planning Review
Proposal: 1/74i - d in 6 40014_
Existing Business Activity: -��b2C�S— 6,y l �� ,'
Propos-d Business Activity: Q e .99.9 ce
IG V-rify site address/suite# exists and active in permit sy_st e
11 ''ver Terrace Neighborhood: El Yes U7No
l ning: c-q
ig ermttted Use: Yes El No El Spec Space
4Confirm no land use required.
Yes
License:
Exists: El Yes ❑ No,applicant notified to obtain business license
Notes:
f _`
Approved by Planning: !� s� Date: S.-///1 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: El Enter building permit#above.
Workflow Routing: El Planning El Permit Coordinator ❑ Building
Workflow Sign-off: ❑ 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: Date:
I:\Building\Forms\BldgPennitRvw_COM NoLandUse_060116.docx
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_NoLandUse 070915.docx