Permit (19) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00184
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2015
Parcel: 2S104BB07900
Jurisdiction: Tigard
Site address: 14350 SW BARROWS RD 2
Project: Mathnasium Subdivision: RUSSELL'S SCHOLLS FERRY Lot: A
Project Description: Create new office and bathroom in existing retail space.
Contractor: NORTHWEST HOME RENOVATION LLC Owner: SPIRIT SPE HG 2015-1 LLC
11125 SW 106TH AVE BY HAGGEN OPCO SOUTH LLC
TIGARD,OR 97223 2211 RIMLAND DR, STE 300
BELLINGHAM,WA 98226
PHONE: 503-267-5552 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 07/09/2015 $301.85
Demolition
Occupancy Grp: E Occupancy Load: 47 12%State Surcharge-Building 07/09/2015 $36.22
Dwelling Units: 0 Plan Review 06/29/2015 $196.20
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/29/2015 $120.74
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 07/09/2015 $2.00
Value: $15,000 11x17)
Floor Areas:
Total Area: 1326
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $657.01
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 o er applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days o iss a e, or if wor is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti atio ��•-nter. Th. 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 calli'g 503. •.1987 or 1.80 2.2344.
Issued By: 4.1 -- ittee Signature:
503.639.4175 by 7:00 a.m.for the next available inspec'e.
This permit card shall be kept in a conspicuous place on the job site until completion of the proj . .
Approved plans are required on the job site at the time of each inspection.
t - of ar
Building Permit Application
Commercial RECEIVED 1(111 O1 1 1( 1 l til O\I 1
City of Tigard Received
DateB : ' . �s !i/ Permit No.L �e �/�QQ/e
w 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 9 2015 Plan Revi v
Phone: 503-718-2439 Fax: 503-598-1960 D DateB : AC�',.m o Related Permit:
Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready 71'.' Juris: ® See Page 2 for
TI(,ARD Internet: www.tigard-or.gov BUILDING DIVISIO i otified/Method: 771/S <3 Supplemental Information
( I s Z I) .Li.—.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction El Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded 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.
❑ rd'
1-and 2-family dwelling Commercial/industrial Valuation: $
ID Accessory building CI Multi-family Number of bedrooms:
CI Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14 3 c b 5w D Ar.'U ) R ok New dwelling area: square feet
City/State/ZIP: A 01 q 1 2-Z Garage/carport area: square feet
Suite/bldg./apt.# Z 11/4/Project name: H4- Ns/it Covered porch area square feet
Cross street/directions to job site: et k„..11),..) ; U dL4 . 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(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
11 DESCRIPTION OF WORK { work indicated on this application.
Q M t1q (\RA") 0V`(, -1_ ate- 00, ou.,._ Valuation: $ 151000
ON V�K` st C�1 A t-SS TA- Existing building area �t(* square feet
-K New building area: square feet
❑ PROPERTY OWNER cpf TENANT Number of stories:
Name: 1-L.-3 ke N' L V C Ar LL C.-j C k r►s J cA.,,,s,..+ Type of construction: •
Address: [ p b c 0 s t3 l 1l k`;� f Occupancy groups:
City/State/ZIP: 11 Z C�_I ` b 4\, .A 0 R. Existing:
Phone:(5 b3 9 2. ` (32,1?-9 Fax:( ) New:
❑ APPLICANT 1 ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 1,—...&,1/4_, 6t._,64. C),.) Carty-, (.f.-C M c3rL e.a3.v,�
(Please
iewfee( rota uAt):
/ Structural plan review fee(or deposit): /4?' -oz iv
Contact name: Cr,if 5 a h S
11 FLS plan review fee(if applicable): /20 , 7y
Address: ( O L c 0 51J �llt,na
rt 0.,A. 0� (L) Total fees due upon application:
City/State/ZIP:
7 Amount received: 3/4 , 9 y
Phone:(5.6- ) -1.4.2 b 2 T h Fax: :( )
1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
S 0 0 4^ b2.C..J Par @ IM A4LK1tS t 4•te• . cm.
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: N v y v■,, 4■ TT .„..`.._ ?..e-4„p.``� �
, Submit two(2)sets of roof plan with connection details
` ` `„, and fire department access,along with the 2010 Oregon
Address: I I 12.5 Su (014 -V Av. - Solar Installation Specialty Code checklist.
City/State/ZIP: T;),...4-0( 01_ 11 Z Z 3 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5'03) Z` ( S5 S Z Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 2 0 I+ 541 Total fee due upon application: $201.60
Authorized signature: This permit application expires if s permit is not obtained
n within 180 days after it has been accepted as complete.
Print name: (' J - L Date: 4,4 i I r * Fee methodology set by Tri-County Building Industry
Service Board.
I:1 Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
:IN •
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T t G A ti 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:\Bull ding\Permits\BUP_COM_Per m itApp.doc Rev.12/18/2014
.1 .
City of Tigard
• • COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 2a/ DO/f y
Site Address: I'4 35 u S i.J 13A y i s Suite/Bldg#: :?.
Project Name: t-1 e- h as; tA r+-1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T,rt-Le✓;a. (e.r-,ua e( '�'t!((��
✓ eo .,,,,.,.,e re, al -k„a- + sI e, ct .
Existing Business Activity: n a, ( Salo n
Proposed Business Activity: m U+1,1 },.1,.;,., s P.r v;c_e-
Verify site address/suite# exists and active in permit system.
River Terrace Plan District ❑ Yes El No
I] Zoning: C - G
0 Permitted Use: g Yes ❑ No ❑ Spec Space
T'( Confirm no land use required.
0 Business Lk, se:
Exists: ❑ Y X No,applicant notified to obtain business license 6 ( 3 I
Notes:
Approved by Planning: C""4� CG�.„.„_-J Date: - q —IS
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: WZ9 / -
Site Plans: # ,3
Building Plans: # '3
Building Permit#: 43---Enter building permit#above.
Workflow Routing: g--Planning t❑-f ermit Coordinator ®'Building
Workflow Sign-off: &. 1.--Sign-off for Planning(include notes from planning review)
Route Application Documents: .2 Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _,��
A ► Date: 6,9/iS
I:\BuildingWorms\BldgPermitRvw_COM_NoLandUse 031015.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:
JK to Issue Permit ,
Approved by Permit Coordinator: /7/ I `z/ Date:
1:\BuildingWorms\BldgPermitRvw_COM_NoLandUse 031015.docx
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
44
fr Transmittal Letter a
TI c;A R u 5 SW 149. Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUL 1 2015
FROM: t / CITY OF TIGARD
BUILDING DIVISION
COMPANY:
)• PHONE: 5O3 2 6 b2—r1 By:P
RE: �, ID ' 611)-- aD -&tP i 0oN fi
(six Address) (Permit Number)
k47-14 IN\A-e-, i Li, Y
(Project name or subdivision name . , of number)
ATTACHED ARE THE FO:. 0 Ai!►'G IT r.
Copies: Description: t . Copies: Description:
Additional set(s)of i ' s. 8,-) , Revisions:
Cross section(s)an• •etails. . . ' :. : • - al analysis.
Floor/roof frami L. Basement and retaining walls.
earn calculati• s. Engineer's calculations.
Other expl.•(,________.-----15
RE ARKS: / pZnv\ ✓ u- 8--,/� crYvL cF )-
- -la • A '=$---16.. .&._t 0-6,---1/ 17/3-it c)-./"" •
., ,. , FOR O F E USE ONLY
•uted 4 Permit Technici .- Date: ''7 `7 175 Initial d %l;7v
Fees : e: ❑ Yes [ 10 Fee Description: Amount I -• :
$
,$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
(:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14350 SW BARROWS RD 2, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00184
Chip Barnett
Violation Summary:
Inspector Contractor