Permit (136) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00113
f i_;r1 I;I7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2019
Parcel: 1 S 135DD05106
Jurisdiction: Tigard
Site address: 11999 SW PACIFIC HWY
Project: Bank of America Subdivision: None Lot: None
Project Description: New drive-up ATM
Contractor: ANDERSEN CONSTRUCTION CO Owner: CCC PROPERTY MANAGEMENT LLC
6712 N. CUTTER CIRCLE BY CHERI LETHIN
PORTLAND, OR 97217 2137 NW CEDAR VIEW LN
PORTLAND, OR 97229
PHONE: 503-519-5949 PHONE: 503-268-0123
FAX: 503-283-4393
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 05/01/2019 $243.00
Occupancy Grp: B Occupancy Load: 0 Permit Fee-Additions,Alterations, 05/01/2019 $1,068.30
Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/01/2019 $128.20
Stories: 0 Height: 0 ft Plan Review 05/01/2019 $694.40
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/01/2019 $427.32
Value: $94,883 Info Process/Archiving-Sm$0.50(up to 05/01/2019 $4.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,565.72
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 Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Y, may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
.Issued By: Per ee Signature:
Call 503.639.4175 by 7:00 a.m.for the next availabl n:.ection date.
This permit card shall be kept in a conspicuous place on the job- until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial l(m O l r l c t: 1 sl ON l.1
City of Tigard Received
►:,�� ,� i�
;� II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review •-•,-
-:-
-J �) •
s Phone: 503-718-2439 Fax: 503- • Date/B : 01
l l( ^lz l) Inspection Line: 503-639-4175 et0 Date Ready/By: orris: la See Page 2 for
Internet: www.tigard-or.gov
yolk 41% I- Notified/Method: Supplemental Information
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o New construction ■ s: A
Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement VI a ther: 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: $ 94, 883 . 00
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:l 1999 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name6 of A Tigard ATM Cap Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Greenburg Rd & Pacific Highway W Other structure area: square feet
RIQUIRE0 DATA COMMERCIAL-Oaf CLOIOWST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#:1 S 1 1 55B8u18OO 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.
Electrical and existing site modifications to install new drive-up Valuation: $
A I M Existing building area:5,947 square feet
New building area: 0 square feet
PRUP t1 Y Q?V R10,. N Number of stories: 1 story
Name: Bank of America Type of construction: V-B
Address: 11999 SW Pacific Highway Occupancy groups:
City/State/ZIP: Tigard, OR 9722 Existing:B
Phone:(5 0 3) 268-0123 Fax:( )
New:
APPLICANT 13 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Jones Lang Lasalle ' "tvfre'"�'es
k
Structural plan review fee(or deposit):
Contact name: Jim Foster
Address:
800 5th Ave, Seattle WA FLS plan review fee(if applicable):
City/State/ZIP:
Seattle WA 98104 Total fees due upon application:
Phone:(206) 200-3374 Fax::( ) Amount received:
E-mail: j i m. f o S t e r@ am. j 11 . c o m PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
— .---.—..........---.—..........-3460404$4,44,-------------- ---. roof-top mounted Photovoltaic Solar Panel System.
A
nder mi
sen Construction Submit two(2)name: O S t r U C t i O ri ( )sets of roof plan with connection details
fire d de
artment access,along with the
2010 Oregon
Address: 6 712 N. Cutter Circ 1 e Solar Installation Specialty Code checklist.
City/State/ZIP: Portland OR, 97217 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(2 O C 795-8148 I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: {30 s
Total fee due upon application: $201.60
Do..yagneaoyn --.
Authorized signature: J I m Foster DN:m=limFoster,o=Rhoµ This permit application expires if a permit is not obtained
email=ilm./osterpam.jlLcom,<=U5
m.201904m0114007,00. within 180 days after it has been accepted as complete.
Print name: Jim FosterDate: 4/11/19 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pern its\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
A
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
14 111
Accessibility: Barrier Removal Improvement Plan
I
Commercial & Multi-Family - Additions or Alterations
TI 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\Permits\BUP_COM PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
II " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
r►c. 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# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ 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.
I:\Building\Pemvts\BUP COM PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
l t c;n R I) 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.
Afterlan review eview approval, the Plans Examiner will contact thea applicant to request
pP 9
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Permits\BUP_COM PecmitApp.doc Rev.03/05/2019
City of Tigard • BUILDING DIVISION
III ■ ii Over-The-Counter (OTC) Building & Fire Protection System Permit
T c,n i.i) Appointment Checklist
Permit Record#: 6l4/1),Mi 7*--- 0/43
jl
Contact Name E Phone# A' 3 7//.
Business Name: A t. Date Time: -_ -
Site Address: //yam EL,/ ,X-i Bldg/Suite #:
Project Name: df-p Y�-, c.t New Tenant? ❑ Yes E-1.05'
Project Description: /- ®f.-,)/e_-c70
Existing Use: (3 New Use: 8
MMD Required: 0 Yes Limo Related Record#: M,j, k ,,t,a
r
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: A Occupancy Group: ') Type of Construction: UL
Type of Use: Occupancy Load: Oregon Specialty Code: 2p 1)'4
SPECIFICS
Number of Stories: 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: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back -
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 Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ qq/Y J w i
$.._ - DC Prov Rvw,COM TI—Ping
$ 1• _g. 3e3 Permit Fee—Add,Alt,Demo
Project Valuation $ 6- ,j- Plan Review,Structural
Up to$4,999 $0.00 $ t}a,.--7,AQ.. Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ S Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time {- —TOTAL FEES DUE
I:\B ulding\Forme\OTC_BUP_FPS_070118.docc S•Z.ZS"(r.72
Frontl DSTS
Subject: Jason Coulter @ Andersen Construction; 11999 SW Pacific Hwy; Bank of America; (503)
283-6712
Location: CR 3 Permit Center
Start: Wed 5/1/2019 10:00 AM
End: Wed 5/1/2019 11:00 AM
Recurrence: Weekly
Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM
Meeting Status: Meeting organizer
Organizer: -Building_OTC
Resources: CR 3 Permit Center
T.I.for existing tenant: New drive-up ATM.
1
City of Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A R D Building Permit Review — Commercial - No Land Use
Building Permit #: gUI/ 2Ø0f/J
Site Address: L(1. SW ()ac; tiiiLAky Suite/Bldg#:
Project Name: �a�� �� �c, iu
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: tf 46141 64 t.-iL hj ; k, t.iutACti 't' 1f 1�� ) (..nen-U 4Th.
Existing Business Activity: P:,'1C41.l
Proposed Business Activity: `'
/Verify site address/suite#exists and active in permit systyn.�
VZiver Terrace Neighbo(,h od: 1=1 Yes No
/Zoning: hU-u V
L�V'ermitted Use: LUZ Yes El No ❑ Spec Space
•- DV Confirm no land use required.
Ly Business Licensse:,/
Exists: D Yes ❑ No,`applicant notified to obtain business licensee®
Notes: D®�\ r3 ! reiv%rtr� Cie- SCine r tfAc, as le.:r CAS. 1t.6L, 030 _
Approved by Planning: ,, r, Date: S'l— 1 f
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 'j 7/7i,
Site Plans: # 3
Building Plans: #
Building Permit#: iinter building permit#above.
Workflow Routing: lanning `� 9-Building
Workflow Sign-off: Sign-off for Planning(include notes from Panning review)
Route Application Documents: uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
` -72h
By Permit Technician: l ,�, ,� ��,�� /�'� Date:
I:\Building\Forms\BldgPermitRvw COM NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: te:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applican•
Revision Notice 3: Date Sent to Ap : ant:
❑ SDC Fees Entered: Wash C. 'rans Dev Tax: ❑ Yes ❑ N/A
Til : Trans SDC: ❑ Yes ❑ N/A
arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe
Approved b 'ermit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11999 SW PACIFIC HWY, TIGARD, OR, 97223 June 4, 2019 at 10:07:06 AM
Record Type: Record ID:
Commercial - Building BUP2019-00113
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor