Permit FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
i II Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: Tom Hochstatter DA3EQ, IJt)
DEPT: BUILDING DIVISION
AUG 12 MO
CITY OF"(`it A d.
FROM: Chloe Kirchhofer BthLDlN& DIVISION
COMPANY: Mackenzie
PHONE: 503-224-9560 By: .,
RE: 9020 SW Washington Sq. Rd. BUP2020-00161
(Site Address) (Permit Number)
Farmers Insurance, Suite 100
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
3 Additional set(s)of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: We've provided a more thorough set including code information, and the details requested
by email from Tom on 08/03/2020.
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: IS— 1 4,— 2.,. Initials: -4
Fees Due: rf Yes No Fee Description: Ammo t Due:
$ tJ
Special
Instructions:
Reprint Permit(per PE): n Yes .. Io ❑Done
Applicant Notified: Date: \ Initials:
I:1Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
CITY OF TIGARD BUILDING PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: BUP2020-00161
TIGARD D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/24/2020
.0
Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 100
Project: Farmer's Insurance Subdivision: None Lot: None
Project Description: Tenant improvement work to include minor interior demolition,new walls,doors,relites and casework.
Contractor: PACIFIC CREST STRUCTURES INC Owner: TOWMAN ONE EMBASSY CENTRE LLC
17750 SW UPPER BOONES FERRY RD SUITE BY TOWMAN LLC
190 25425 BASCOM AVE STE 230
DURHAM, OR 97224 CAMPBELL, CA 95008
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA Permit Fee-Additions,Alterations, 08/24/2020 $1,060.77
Demolition
Occupancy Grp: B Occupancy Load: 28
12%State Surcharge-Building 08/24l2020 $127.29
Dwelling Units: 0 Plan Review 07/27/2020 $689.50
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/24/2020 $254.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/24/2020 $424.31
Value: $93,400 Info Process/Archiving-Lg$2.00(over 08/24/2020 $4.00
11x17)
Metro CET 08/24/2020 $112.08
Floor Areas: Tigard CET-Non-Residential-Admin 08/24/2020 $37.36
Total Area: 0 Tigard CET-Non-Residential-AH 08/24/2020 $896.64
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,605.95
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. 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: J / ll U Permittee Signature: OA/ 70,,e)G7 ,_ 1-77d�
✓✓ 1 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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application -7
Commercial RECEIVED FOR OFFICE USE ONLY
f 1 C Co. V G Received
City of Tigard 7/2 size) -/) Penni(No. O
14 • 13125 SW Hall Blvd.,Tigard,OR 972211 Pla Review
) �y Q U 1 ZD2U tt
® Phone: 503.718.2439 Fax: 503.598.1 2 2020 Plant d t\Q s/i Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyiBy:y/� o p` f� ]uris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified Meth <(1� Supplemental Information
6c111/L C6'L0�
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑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.
ElI-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
ElAccessory building IDMulti-family
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:One Embassy Center-9020 SW Washington Square Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:Farmers Insurance Covered porch area: square feet
Cross street/directions to job site:Project located east of SW Scholls Ferry Deck area: square feet
Rd. 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.
Work to include minor demolition,new walls,doors,relites and casework Valuation: CA1+r}Qp
Existing building area: 2,643 square feet
T New building area: 2,643 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Lithia Motors,Inc. Type of construction: II-A
Address:150 N.Bartlett Street Occupancy groups:
City/State/ZIP:Medford,OR 97501 Existing: B
Phone:(541)774-7636 Fax:( ) New: B
❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Mackenzie ��
Structural plan review fee(or deposit): 6
Contact name:Chloe Kirchhofer
Address: 1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:ckirchhofer@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Pacific Crest Structures Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:17750 SW Upper Boones Ferry Rd.Suite 190 Solar Installation Specialty Code checklist.
City/State/ZIP:Durham,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)968-8949 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:66915 Total fee due upon application: $201.60
Authorized signature: 1 /n N t 2 This permit application expires if a permit is not obtained
���YYY t vwt within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:/ / J� * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.duc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
111 e COMMUNITY DEVELOPMENT DEPARTMENT
■
c�n D Building Permit Review — Commercial - No Land Use
TIBuilding Permit #: Qt,t(' Zo 2,0 — 00l (p /
Site Address: °IOW SW vJo ifinit 11 Rd. Suite/Bldg#: ( DD
Project Name: 1 YYYI$liq eV 1AirOt 1�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ti l_,
Existing Business Activity: Ace
Proposed Business Activity: (1,11 r��444`cp
fa-Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
.Zoning: tAkitCJ
X Permitted Use: 0., Yes ❑ No 0 Spec Space
M.Confirm no land use required.
'Business License:
Exists: .EC iEC Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 112I20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 7/2e/20
Site Plans: # -j
Building Plans: # 3
Building Permit#: gYEnter building permit#above.
Workflow Routing. [Planning 0 Permit Coordinator L31'Building
Workflow Sign-off: a- 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:
n! ,By Permit Technician: �\�" Date: 7/Z 3/Zp
I:\Building\Forms 1BldgPermitRvw_COM_NolandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
E Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to ant:
Revision Notice 2: Date Sent to A plicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev ax: ❑ Yes ❑ N/A
Tigard Trans SD . ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator. Date:
1:\Bui(ding\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx