Permit CITY OF TIGARD
PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00015
u ' Date Issued: 04/20/2010
T F G D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S110BC00900
Jurisdiction: TIG
Site address: 12475 SW BULL MOUNTAIN RD
Subdivision: Lot:
Project: Tigard 10 MG Reservoir Transfer Pump Station
Project Description: Construct new pump station to replace existing.
Owner: FEES
TIGARD WATER DEPT. Description Date Amount
8777 SW BURNHAM ST Permit Fee - COM - New Construction 04/20/2010 $11,962.58
TIGARD, OR 97223 12% State Surcharge - Building 04/20/2010 $1,435.51
PHONE: 639 -4171 395 Plan Review 04/20/2010 $7,775.68
Erosion Control 04 /20/2010 $640.00
Contractor: Erosion Plan Review CWS 04/20/2010 $208.00
JAMES W FOWLER CO Erosion Plan Review COT 04/20/2010 $208.00
12775 WESTVIEW DRIVE Additional Plan Review 04/20/2010 $119.63
DALLAS, OR 97338-9632 Metro Const. Excise Tax - Commercial 04 /20/2010 $3,100.48
Use
PHONE: 503- 623 -5373 Tig -Tual School CET - Non Residential 04/20/2010 $542.50
FAX: 503 - 623 -9117 CDC Bldg Review, COM 04/20/2010 $143.50
CDC Plan Review, COM 04/20/2010 $143.50
Specifics: CDC Plan Review, COM - LRP 04/20/2010 $42.00
Type of Use: COM
Class of Work: NEW
Dwelling Units:
Stories: Height: ft
Bedrooms: Bathrooms:
Value: $2,583,731
Floor Areas:
Total Area: 1085
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $26,321.38
Required: Required Items and Reports (Conditions)
1 BUP Structural Observation
Fire Sprinkler: No Parapet: No 2 BUP Structural Welding
Fire Alarm: No Protected Corridors: No 3 BUP Bolts in Concrete
Smoke Detectors: No Manual Pull Stations: No 4 BUP Ersn Cntrl 681 -4444
Accessible Parking: 5 BUP Reinforced Concrete
6 BUP Structural Masonry
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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 50 6.669 or 1.80 .332.2344.
� �
Issued By: - / ` a d W � Permittee Signature: �
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 Nil 09-06 9 -04061
Commercial FOR OFFICE IJSE ONLY
Cl Of Tigard R F t I I r i ate: e ceved l Pe rmitNo.: a g / t l 11 i c 0 / te 13125 SW Hall Blvd., Tigard, OR 97223 '' y lt
Ian Review .� L,tnn ac/
^/O _ dray Phone: 503.639.4171 Fax: 503.598.1960 Date/B : V Other Permit: c
TIGARD Inspection Line: 503.639.4175 JAN 2 7 2010 Date Ready /By: luris El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CI
OF TIGARD
TYPE OF WOI t TiNG DIvIS'QN REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Q■ew 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.
,-,
Valuation: $
❑ 1- and 2- family dwelling (Commercial /industrial .
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i L S6 /3(,/I /0 [ •"' New dwelling area: square feet
City /State /ZIP: 2 ` ( Ug C) - 72 v Garage /carport area: square feet
/
Suite/bldg. /apt. no.: ` Project name •.)(1 1 L ) 's 4. .t, �� Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
' ( / 1�--- _ /? , i i. Liz L,
7
t : _ Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: ) " / /O /2,1 ( �(�) equipment, materials, labor, overhe °c+ and the profit for the
' DESCRIPTION OF WORK work indicated on this application. U
`1 _ Valuation: e 'z f 1
— j `
i %) -1C. eu X.; �K�`1 - „r,r J vim rrc..) H / )c..,.. l
1 )
Sir Existing building area: square feet
?lam 11 c..0 t 11 S.1.--1 /1(•�:.� .- 1.- - 4- Li
New building area: % „. •. S square feet
[ ROPERTY OWNER ❑ TENANT Number of stories: /
r ,} /..,-)(....-.-, %4‘.. ;1-- .e
Name: ( tF-- , I / • GJ -i . Type of construction: ( ,ML) - Ae. • t "-�--.:,_.
Address: 7, , ) (.7) c ., / � ( 1 ? , ' / O ccupancy groups: J
City /State /ZIP: F tt c I J Ot `/ 7� 2T Existing:
Phone: ( SUS ) (. .)<) - C/ / 7/ Fax: ( ) New: j J
4;1- APPLICANT '‘ LY ONTACT PERSON NOTICE
Business name: C t , i i t , f , All contractors and subcontractors are required to be •
Contact name: 2 1 i ' • t � t � 5 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / �i \ 1C.-.> 1 e--// / ■ jurisdiction in which work is being performed. If the
{ 1 applicant is exempt from licensing, the following reasons
City /State /ZIP: l r<, r� C.�JZ 7.)._...1 ...\ apply:
Phone: (5G,) .6 --,•-) - `// 7 ( Fax:: ( )
E -mail: l,A..., rv�L�' 7 Lt• s c,..,_. 'v(•. -'./ .
CONTRACTOR
Business name: ) l J.- / BUILDING PERMIT FEES*
(Please refer to fee schedule
Address: /2 7 . 7 S 1 , ,,-,,,, ,,__ dc ‘ rr 5 i Do rte' Y Gk,, , Structural plan review fee (or deposit):
City /State /ZIP: ' / f _ , . ` (-)r ' 1 1> ,-'”
FLS plan review fee (if applicable):
Phone: (Sc.,...) (',) \ -� -.1„ 7 Z Fax: ( �Y) - ) C, 3 - 9 J / 7
CCB lic.: Total fees due upon application:
i �� t Amount received:
Authorized signature / /// / �f This permit application expires if a permit is not obtained
f / /' L ` - - '� 6 ^ within 180 days after it has been accepted as complete.
Print name: j�� J , f L � / � . l � � Date: / ._ Z( � � , * Fee methodology set by Tri -County Building Industry
! I Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
il l Building Division
�, Accessibility: Barrier Removal Improvement Plan
` TIG'AR
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 per -cent (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 121 of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 06 /25/08
kiir3,472 a
iiii Building Division
- Plan Submittal Requirements
TI GA RgD Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) 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.
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: \Buildin \Permits \BUP -COM PcrmitApp.doc 06/25/08
Building Division
Plan Submittal Requirement Matrix
TIGARD Commercial & Multi - Family - New, Additions or Alterations
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 contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
I: \Building \Perrnits \BUP -COM Perm tApp.doc 06 /25/08