Permit CITY OF TIGARD BUILDING PERMIT
1111 il ' COMMUNITY DEVELOPMENT t Permit#: BUP2020-00005
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
T1{�,�IRD 9 .� Parcel: 251016A00402
ff-Vid ��' Jurisdiction: Tigard
Site address: 12235 SW 72ND AVE
Project: Basecamp Subdivision: None Lot: None
Project Description: Demolition of a 2,210 sq.ft.house. Septic tank to be pumped and filled. UPON FINAL INSPECTION,DEMO
CREDITS FOR PARKS AND TRANSPORATION FEES WILL APPLY.
Contractor: LEASE CRUTCHER LEWIS Owner: BASE CAMP I LLC
550 SW 12TH AVENUE PO BOX 10638
PORTLAND, OR 97205 EUGENE, OR 97440
PHONE: 503-223-0500 PHONE:
FAX: 503-223-2874
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 01/22/2020 $286.64
Demolition
Occupancy Grp: Occupancy Load:
Erosion Control w/Development 01/22/2020 $80.70
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 01/22/2020 $14.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $13,970
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $381.34
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
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. 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: Permittee Signature: /)/)�/.J�'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. GJ !/
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
COMMUNITY DEVELOPMENT Permit#: BUP2020-00005
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
Parcel: 2S101 BA00402
Jurisdiction: Tigard
Site address: 12235 SW 72ND AVE
Project: Basecamp Subdivision: None Lot: None
Project Description: Demolition of a 2,210 sq.ft. house.
Contractor: LEASE CRUTCHER LEWIS Owner: BASE CAMP I LLC
550 SW 12TH AVENUE PO BOX 10638
PORTLAND, OR 97205 EUGENE, OR 97440
PHONE: 503-223-0500 PHONE:
FAX: 503-223-2874
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 01/22/2020 $286.64
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Development 01/22/2020 $80.70
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 01/22/2020 $14.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $13,970
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $381.34
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
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. 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:Li,% 'ermittee Signature: r"--
Ca 503.639.4175 by 7:00 a.m.for the next available inspectio 'ate.
This permit card shall be kept in a conspicuous place on the job site until completion oft e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received
�8 " DateB : 1 4- Permit No.: i ,..., _
" 13125 SW Hall Blvd.,Tigard,OR 97223 FIVER Plan Revie
• e Phone: 503-718-2439 Fax: 503-598-1960 a'") z.�
Date/B : Related Permit:
II G A K U Inspection Line: 503-639-4175 9 Date Ready/By: luris_ ® See Page 2 for
Internet: www.tigard-or.gov JAN 2020 Notified/Method:l , / ,J, Supplemental Information
4 q Ur I ri',lit11,-,
TYPE OF yrciRitcIeq"rtildiQ REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction X Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑I 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 Valuation: $
Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
r-Master builder X Other: Construction Trailers Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:72nd Avenue f jyj.,,i,- JL...) %V`i'i, New dwelling area: square feet
City/State/ZIP: Tigard/Oregon/97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Basecamp Construction Trailers Covered porch area: square feet
Cross street/directions to job site: SW Elmhurst Street Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#:402 Permit fees*are based on the value of the work performed.
Tax map/parcel 4: 2S 1 01 BA/402 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.
Removal of existing structures to prepare an area for Valuation: $ 13,970
construction staging, trailers, parking, etc. Existing building area: 2,21 0 square feet
New building area: N/A square feet
® PROPERTY OWNER H TENANT Number of stories:
Name:Base Camp 1 , LLC Type of construction:
Address: 4550 Kruse Way, Ste. 125 Occupancy groups:
City/State/ZIP: Lake Oswego/Oregon/97035 Existing:
Phone:( ) Fax:( ) New:
X APPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:AKS Engineering & Forestry, LLC Structural plan review fee(or deposit):
Contact name:Chuck Gregory
FLS plan review fee(if applicable):
Address:12965 SW Herman Road, Suite 100
Total fees due upon application:
City/State/ZIP:Tualatin/Oregon/97062
Phone:(503) 653-6151
Fax: :(503) 653-6152 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mailchuckg@ales-eng.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business nameLease Crutcher Lewis Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:550 SW 12th Avenue Solar Installation Specialty Code checklist.
City/State/ZIP:Portland/Oregon/97205 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) .1,9
Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:9291 9 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: Matt Baker Date: 1/6/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsBUP_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
TIGARD 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
. Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 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\Permits\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
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\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
U COMMUNITY DEVELOPMENT DEPARTMENT
C
r1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 1621),-2A-2-e) -- Q )04—
Site Address: /-2� 'c s2jv = 6 A4' Suite/Bldg#:
Project Name: &_cpec
(Name of commer./al business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Agin LI Q,2/C) 1 A )l/
Existing Business Activity: AJ`j4_
Proposed�� Business Activity:
►LI' Verify site address/suite# exists and active in permit syst .
Illi ''ver Terrace Neighborhood: ❑ Yes 2 No
Zoning:
rmitted Use: �J Yes ❑ No C1Spec Space
l Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date:
"4/2-6
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: 4I ab
Site Plans: # /
Building Plans: #
Building Permit#: L . -r building pe above.
Workflow Routing: P, Planing Permit Coordinator ❑ Building
Workflow Sign-off: t n pff for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /�� , Date:
1:\Building\Forms\BldgPermitRvw_COM_Nol andUse_111819.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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ErTN/A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: CI Yes i N/A
OK to Issue Permit
Approved by Permit Coordinator:
/freliate: /A�o
1:\Building\Forms\BldgPennitRvw_COM_NolandUse_111819.docx
Submittal
RECEIVEDAKS Transmittal
JAN 9 2020
AKS Engineering &Forestry LLC 112965 SW Herman R_d. S i =100 Tualatin, OR 97062
CITY OF �' C' 1.
FROM: Chris Knight 9E_I#e DING DIVISION
AKS Engineering & Forestry LLC TO: Branden Taggart
12965 SW Herman Rd. City of Tigard Community Development
Suite 100 13125 SW Hall Blvd.
Tualatin, OR 97062 Tigard, OR 97223
KnightC@aks-eng.com brandent@tigard-or.gov
503-563-6151 503-718-2449
PROJECT: 72nd Avenue MOB DATE SENT: 1/9/2020
4762
SUBJECT: City of Tigard Demo Permit TL402 ID: 00092
Submittal 1
PURPOSE: As Requested VIA: Courier
REMARKS: Hello Branden,
Please see the attached demolition permits showing valuation for the demo
work including abatement. Per your instructions I have only filled out the
first page but have submitted one demo permit for each property.
Please feel free to contact me with any questions you may have.
Thank you,
Chris
ChristopherAKS
Knight, EI
AKS ENGINEERING & FORESTRY, LLC
12965 SW Herman Road, Suite 100 I Tualatin, OR 97062
CONTENTS
QTY: DATED DESCRIPTION: ACTION:
1 1/9/2020 Demo Permit Application - TL402
QTY: DATED DESCRIPTION: ACTION:
2 1/9/2020 Construction Plans
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