Permit CITY OF TIGARD BUILDING PERMIT
` '` �. COMMUNITY DEVELOPMENT Permit #: BUP2010 -00197
r I G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/25/2010
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 510
Subdivision: Lot: 0
Project: Gress & Clark
Project Description: TI
Owner: FEES
WISCO REAL ESTATE EQUITY Description Date Amount
FUND I LTD PARTNERSHIP, BY WYSE Permit Fee - Additions, Alterations, 08/25/2010 $804.75
INVESTMENT SRVS CO, 1501 SW TAYLOR ST Demolition
PHONE: 12% State Surcharge - Building 08/25/2010 $96.57
Plan Review 08/25/2010 $523.09
Plan Review - Fire Life Safety 08/25/2010 $321.90
Contractor:
PACIFIC CREST STRUCTURES INC
17750 SW UPPER BOONES FERRY RD SUITE
190
PHONE: 503 - 968 -8949
FAX: 503- 598 -6658
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 5 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $59,600
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,746.31
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 4 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 <Du of the rule direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / „� - Permittee Signature:
. 39.4175 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 ,
Commercial ., FOR OFFICE USE ONLY
City of Tigard ��� ��►U Received , � Permit No: i _ .-..� r
Date /B
:� ° 13125 SW Hall Blvd., Tigard, OR Phone: 503.639.4171 Fax: 503.598.1960 _ Date /B : 9722 Pl R ev i ew . . !• Er IC) D
41.1, Other Permit
TIGARD Inspection Line: 503.639 Date Ready /:y: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method. M Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ 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: 1 1' 20 4 (,4 J P4 AA � t j„ NINA New dwelling area: square feet
City /State /ZIP: 'Citia►eA , "�" � c V �� Garage /carport area: square feet
Suite/bldg. /apt. no.: S (p Project name: ,f0,e k c(„47,.... Covered porch area: square feet
Cross street /directions to job site: mss Deck area: square feet
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.: equipment, materials, labor, overhead, and the profit for the
• DESCRIPTION OF WORK work indicated on this application.
Valuation: S 5-1,6.00,c/0
N oi- - S-F►-K e-h. cvvL c ewe ' y -t 4 vi t n4 I khrtr l'e #
1 Existing building area: Ci ( (S" square feet
New building area: d — square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: S
Name: (/gkrse 1 Nof 6 A.4.4 A_ < w „ tmcd 65 Type of construction: 11 fl
Address: t S0, s j 4 1 / , ti __r, . n_ . 1 CD Occupancy groups:
City /State /ZIP: ?� (A 1 ` "1 S Existing:
Phone: (3 zei 4 _04C1p Fax: (S".3) 2 21 ^ 2 SU7 New:
El APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1 120 0 , 4 4 5 "� /A.„� k, l'O C. All contractors and subcontractors are required to be
Contact name: 'j��r e..... t licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 311'i 1 S Gd S gy R A1c/ ( jurisdiction in which work is being performed. If the
City /State /ZIP: eav yte 1 it . fr „, _% I�� an 1 1; applicant is exempt from licensing, the following reasons
apply:
Phone: (TZ 1001 ._.14,, Fax:: ( )
E -mail: VSalie & „ie.,. -t6- . -%t.4
'\ / T1 L CONTRACTOR
Business name: ?eta tt Cvteri S+y14 ch.trej BUILDING PERMIT FEES*
(Please Address: t 1 7 SI) S W (A , t ?� r C yni 5�f�`Ga viewfe schedule)
4 't 1 2 / Structural plan review fee (or deposit):
City /State /ZIP: (it Y�'tGlw►
Phone: (�j 8,1 q Fax: ($03 ) sit `S FLS plan review fee (if applicable):
CCB lie.:
`� 1 Ste Total fees due upon application: 1 - 7116, , 31
Amount received:t �6 '
Authorized signature: T his permit application expires if a pe it i n obtained
within 180 days after it has been accepted as complete.
Print name: - e. f� ` c + 1
S Date: �/ /� to * Fee methodology set by Tri- County Building Industry
" Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)
� 1
Building Division
Accessibility: Barrier Removal Improvement Plan
TLGARD
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 [2] of Valuation Computation): $
I: \Building\Permits \BUP -COM PermitApp.doc 06/25/08
lik Building Division
Plan Submittal Requirements
TIGARD<
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: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
Building Division
TIGARD Plan Submittal Requirement Matrix
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\Permits \BUP -COM PermitApp.doc 06/25/08
Eli
lig .
Building Division
Over- The - Counter (OTC) Building Permit
T i c n ii ° Check List
Description of Project: T1
GENERAL INFORMATION
Class of Work:* Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: 5— Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction: .
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: - J Handicap access:
Smoke detector: Protected corridors: td
Fire alarm: 417 ( 5 Parking spaces ( #):
Notes:
Total Valuation: $rj`fi ttin ,
INSPECTIONS . FEES DUE
Footing /foundation Firewall $ fi r !' , 7/5 Permit Fee
Post /beam structural Smoke. detector $ 1G. State Surcharge
Shear wall Misc. inspection $ Z ,C Plan Review Fee
Masonry Approach /sidewalk $ , FLS Plan Review Fee
Framing $ Additional Permit Fee
•
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 174 4y., ( Total Fees Due
,
*OPTIONS: .
TYPE OF USE: COM = commercial; CMS • commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC- BUP.doc 08/19/08