Permit a CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00090
T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/07/2010
Parcel: 2S101 BB01400
Jurisdiction: TIGARD
Site address: 12120 SW GARDEN PL, BLDG# 4
Subdivision: PARK 217 Lot: 0
Project: The Source Academy
Project Description: Interior T/I
Owner: FEES
WALTON CWOR PARK BC 8 LLC Description Date Amount
BY TTA/EPROPERTYTAX DEPT 325, PO BOX Permit Fee - Additions, Alterations, 05/07/2010 $134.54
4900 Demolition
PHONE: Plan Review 05/05/2010 $77.56
Plan Review 05/07/2010 $9.89
12% State Surcharge - Building 05/07/2010 $16.14
Contractor: Plan Review - Fire Life Safety 05/07/2010 $53.82
ALLIANCE RESTORATION SERVICES INC
8180 SW NIMBUS AVE
BEAVERTON, OR 97008
PHONE: 503 - 671 -0325
FAX: 503 - 671 -0234
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $3,666
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $291.95
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 al 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 wo ' 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 et forth in OAR
952- 001 -0010 through OAR 952 -001 -0100. You ma • ;, ° • ec questions to OUNC by calling 503.246. • • • •
Issued By: Permittee Signature*
! by 7:00 a.m. for an inspect' n that business day.
This permit card shall be kept in a conspicuous place on the job_site until- compl €tron of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ,- 6( Pg 77 1 L X
Commercial
R ECFIVF O FOR OFFICE USE ONLY
Received
Cih' of Tigard Perini! No
,,; MAY - 5 2010 Dare I3 / � >a�aWr� c�ov v ( ( I ; I n e S\ \' Hall Bh'd.. ll_ ^_ard. 0: 4 O7_ - Plan Received
+' l � Phon 5)l 6 ic). 11 71 Jay ?(1? �o) 19(,li v Other Permit.
Mil � Uale'I3�: I ��. n
Inspection l and 503., :w -4175 CITY OF TIGARD D:nc kcud_,'13,
TIGARD
Internet: \\ B U IL DING DIVISION LJ RAIN 5 /7 0 8`s� ,„„ El See Page 2 for
Beard -cx em Nonllcd'iblrthc d Supplemental Information
TYPE OF WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING
❑ Neo\ construction II Demolition I'crmii lees' arc ha.ed 00 the \:slur of the work performed.
Indicate the ∎aline (rounded to the nearest dollar) of all
❑ . Acldition /allcration/rcplacemcnl ❑ Other: equipment. materials. labor. o■ erhead. and the profit for the
CATEGORY OF CONSTRUCTION \\ork indicated un thi.:gpplication.
1 Valuation: s
❑ 1- and 2 -Iu mil∎ dhwiling II Commercial /industrial
❑ Acccssor■ building ❑ Nlulti -famil Number of bedrooms:
111 Master builder ❑Other: Number of bathrooms:
JOB SITE LNFOR\IA47ON AND LOCATION Total number of floors:
Jot) site address: 12120 SAY Garden Place Nev c dwelling aura: square feet
Cite /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: The Source Academy Covered porch area: square feet
Cross street /directions to job site: Deck area: square feel
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Eol no.: Permit fees* are based on the value of the work performed.
Indicate the val (rounded 10 the nearest dollar) of all
Tax map /parcel no.:
equipment. materials. labor. overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application.
removal of interior, non - load bearing walls Valuation S"" j VotcD
Existing building area: square feet
Ne\\ building arca: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: The Source Academy (David Kilian) Type of construction:
Address: 12120 SW Garden Place Occupanc■ groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone: (503)830 -0818 Fax: ( ) New:
Z APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Alliance Restoration Services Inc All contractors and subcontractors are required to he
Contact name: John Mortemore licensed with the Oregon Construction Contractors Board
under ()RS 7(11 and may be required to be licensed in the
Address: 8180 SW Nimbus Ave jurisdiction in which work is being performed. lithe
City/State/ZIP: Beaverton, OR 97(1(18 applicant is exempt from licensing. the following reasons
apply:
Phone: (503) 671 -0325 Fax: : (503) 671 -0324
E - mail: johnm@alliancerestoration.com
CONTRACTOR
Business name: Alliance Restoration Services Inc BUILDING PERMIT FEES*
Address: 8180 SW Nimbus Ave (Please refer 10 fee schedule)
Structural plan review fee (or deposit):
Cil■/Sttnc YIP: Beaverton, OR 97008
Phone: (503) 671 - 0325 lax: (503) 671 - 0324 ITS plan rcyiec■ lee (if applicable):
Total lees due upon application:
1 CCB lie.: 153236 1
Amount received:
Authori /ed signature: This permit application expires if a permit is not obtained
I within 18(1 days after it has been accepted as complete.
Print name: John . , trtemor•e l)atc: 5/4/10 Fee methndulug .et h ■ 'I ri - Coon( Building Indust
- Service Board.
I 1-Wilding l'ermits.lil l' -CU,NI I'ernm:App doe 10 /0) 440 -4( 1 71) 1 1 /(I2 /(_ (rf1 I:H i
•
I c.: IZecI oration Service Inc.
Opera lot 1rt ?o:
Estimator: \Iar1: Collacchi
Reference: Business: (50 3) 671 -0525
Company: Alliance Restoration Services
Business: 5150 N \V Nimbus Avenue
Beaverton. OR 97005
Type of Estimate: Other CITY OF TIGARD
}
Date Entered: 4 '2010 Date Assigned:
Approved T
Conditionally Approved [ ]
See Letter to: Follow [ ]
Price List: ORPO5B_3PR10 A -,
Restoration!Sei- vice.Remodel Permit Nu ber: l � — d 0 1 l0
Estimate: THE SOt "RCE ACADEJ\'IY Add - i1-_' _ l 14 1■ 'w•
By: Alta I ' Date: 1 40
Attached please fund our estimate for remodel to the above address.
Additional costs including. but not limited to. concealed or pre-existing damage. rot. mold. decay. infestation. electrical.
plumbing. or H\ AC code upgrades. permits and fees. abatement. or other requirements are not included unless specifically
mentioned in the text of this estimate. These additional costs. if any. will be identified and documented as soon as possible
following discovery.
The amounts in this estimate are based on the assumption that the work is to be completed in its entirerv. If portions of the
work are to be deleted. the remaining amounts may require adjustment. Alliance Restoration agrees to perform the work:
described herein in a workmanlike manner for the above price. Any variations or additions to the scone will require an
additional signed Change Order by both parties.
T i�aoi' , fn• tha n•�nn...- , - L mil .0=12
OFFICE COPY
Alliance Nestor Irion Service. inc.
TM _SOURCE_
GENERAL.
CAT SEL ACT DESCRIPTION
C'ALC QNT\ REMOVE REPLACE TOTAL
1. D \1O DUMP - Dumlpster load - Approx. 20 yards. 4 ions of debris
1.00 EA [D] 525.00- 0.00 = 525.00
4. DMO LAB - General Demolition - per hour
2 *8 *2 32.00 HR [D] 45.4 i= 0.00 = 1.455.04
L.abor for (2) men for (2) days to demo office walls and approx. 11' of common wall and put in dtunpster and clean -up
5. FEE TIPF Taxes. insurance. permits C fees (Bid item)
1.00 EA [ *D] 0.00- 324.96 = 324.96
6. ELE MISC — ELECTRICAL
1 1.00 EA [ *] 0.00- 750.00 = 750.00
Labor and materials to demo electrical m wads between (4) offices. Leave all existing lights. Fixtures will be connected to (1)
existing switch in the end office. Terminate outlet cables above drop ceiling. terminate low voltage cables above drop ceiling.
(Assume there are no floor penetrations). (Assume existing circuits feed only office outlets and that no ocher equipment is "fed
through" the circuit outlets. Demo electrical m wall dividing large rooms. (3) 120v outlets. (2) low voltage outlets. (1) 30 amp.
120,'208 volt outlet. (Assume that no other equipment is "fed through" the outlet circuits. This price does include the electrical
permit fee.
Totals: GENERAL 3.055.00
Line Item Totals: THE SOURC'E ACADEMY 3.055.00
Grand Total Areas:
2.385.00 SF Walls 1.113.88 SF Ceiling 3.498.88 SF Walls and Ceiling
1.1 13.88 SF Floor 123.76 SY Flooring 245.50 LF Floor Perimeter
0.00 SF Long Wall 0.00 ' SF Short Wall 245.50 LF Ceil. Perimeter
1.1 13.88 Floor Area 1.182.41 Total Area 2.385.00 Interior Wall Area
1.566.67 Exterior Wall Area 22..50 Exterior Perimeter of
Walls
0.00 Surface Area (.0U Number of Squares 0.00 Total Perimeter L.en_ h
(1.U() Total Ridge Length 0.00 Total Hip Length
T = SC)t_ RCE .CADET \i: 4 .'a . 2
L. e _All i a n ce IZesioration Sem Inc.
i me 11:111 Foil
Cr: , 2:11;:ad 055 00 .:05
Piofit 10 0°, .' 00 30c 50
Replacement Cost Value S3.666.00
Net Claim S3.666.00
Mark Collacchi
C _ 4'2 2110
liance Recto/ ation Services. Inc.
s\ ...
li(1 hv C'ateoory
0&1) Items Total Dollars "
GENERAL DEMOLITION 1.980.04 54.01%
ELECTRK AT 750.00 20.46%
PERMITS AND FEES 324.96 8.86
Subtotal 3.055.00 83.330,
Overhead 10.0 305.50 8.33%
Profit (rt 10.0P 305.50 8.33%
O&P Items Subtotal 3.666.00 100.00%
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PARK 217 - BUILDING 4- SUITE 1212n
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SCALE: 1/16" = V-0"
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www.irsar: 503.221.2077 a rp■•. \,ION: P21 7-4
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. RECEIrn
f`n MAY °' 5 2o10
'o Building Division CI C
� . .. ; v :w.
CITY OF T,CARD
,, ; , Accessibility: Barrier Removal Improvemeci�II 01visr .
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and relined
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 per -cent (25 "i0).
VALUATION: Total of ;ill renovation, alteration or modification being done,
excluding painting and wallpapering: 1 $
MULTIPLIER (25% barrier removal requirement): x 25
TOTAL BUDGET FOR BARRIER REMOVAL: 121 S
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 S
(b) An accessible entrance: S
(c) An accessible route to the altered area: S
(d) At least one accessible restroom for each sex or a single unisex
restroom: S
(e) =Accessible telephones: S
(f) ;Accessible drinking fountains: ancl, S
(g) When possible, additional ;accessible elements such as storage and
alarms: S
TOTAL (shall equal line [2] of Valuation Computation): S
i Aliuii,line \I'rrmiis \Ii1_ IPA :( t \I Print•Ahh•,I.)c n6/2s /n5
,as�tt *
T I GARD
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
❑ map & tax lot # ❑ pa)ject name ❑ sire address
❑ zonin ❑ applicant name ❑ phone number
13. 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).
13. 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.
). _Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I : \ A ■■c UiV-'i /nN
Building Division
Plan Submittal Requirements
Commercial & Multi - Family - New, Additions or Alterations
suite number
1 t h,I
Building Division
® Plan Submittal Requirement Matrix
rT�IGARD
�� Commercial &Multi - Family -New, Additions or Alterations
"rMttabr.
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required'at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
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 contracror, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
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