Permit CITY OF TIGARD BUILDING PERMIT
■ . - COMMUNITY DEVELOPMENT Permit #: BUP2009 -00048
T I G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/19/2009
Parcel: 1S 136 DB00201
Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Chase Bank
Project Description: TI - minor framing, infill alcove.
Owner: FEES
FRED MEYER STORES, INC Description Date Amount
BY NICKEL & COMPANY LLC, STORE #375, PO Permit Fee - COM 03/19/2009 $62.50
BOX 35547 Tax - 12% State Surcharge 03/19/2009 $7.50
PHONE: Plan Review 03/19/2009 $40.63
Contractor:
FORTIS CONSTRUCTION INC
1705 SW TAYLOR ST #200
PORTLAND, OR 97205
PHONE: 503 - 459 -4477
FAX: 503 - 459 -4478
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $0
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $110.63
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 da • N: 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 OA' 9 -001 -0 ' 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2' :. • • 9 or 1.800.332.2344.
Issued =y: / � j/ 4 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 -"? % o
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,• Commercial rigLif 'E1 FOR OFFICE USE ONLY
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City of Tigard RReaceived /9 D Permit No.: it , / � i ...,0, g
• 13125 SW Hall Blvd., Tigard, OR 97223 MAR 18 200'i Plan Review .� — r"
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : / Other Permit:
C
TI G n RID
Inspection Line: 503.639 rate Read /B : �� ' ® See Page 2 for
Internet: www.tigard- or.gov CTfY
OF 11 fied/Me thod:�, Supplemental Information
BUILDING DIVIS
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLIN •
❑ New construction ❑ Demolition Permit fees* are based on the value of the work perf• ed.
Indicate the value (rounded to the nearest dollar) • all
Addition/ tera t replacement ❑ Other: equipment, materials, labor, overhead, and the •roftt for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Rgommercial/industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of fl. • :
x Job site address: I 1 56S S D . ( Fl j- j y New dwelling ' a: square feet
■ City/State/ZIP: (& i1 t / 0.., 5 1 2-Z / Garage/ . sort area: square feet
Suite/bldg. /apt. no.: Project name: (,( /1 f- Coy ed porch area: square feet
Cross street/directions to job site: Peck 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
n DESCRIPTION OF WORK work • 1. icated on this as p lication.
A I )J 0 0- q I A) (----- ' aluation: $ 7 S
p.,:) 6` f t.t.— A(,L-o. t/ � � Existing building area: square feet
New building area: square feet
lc ❑ PROPERTY OWNER (TENANT Number of stories:
Name: F --- e'D c" I Y� -�?- / C (/ /k c 6. /ts/J k Type of construction:
Address: I i S G S C P - c r F ( C p ,t-) u Occupancy groups:
City/ State/ZIP: 7 ( G,0\--u) , ,s A / 7 2— LS Existing:
Phone: ( ) l Fax: ( ) New:
)APPLICANT ,ONTACT PERSON NOTICE
Business name: S7 L -. L , . M ( Ti' All contractors and subcontractors are required to be
Contact name: r / V licensed with the Oregon Construction Contractors Board
t`—:) 6 V ` i under ORS 701 and may be required to be licensed in the
Address: ? ` : IL4---S 7 jurisdiction in which work is being performed. If the
City/ State/ZIP: V p .- 7 L . t /M.) 0 b -; C; ? '2— Z
applicant is exempt from licensing, the following reasons
Phone: (S03 )37- -0 . b 3 O Fax:: (�3) .e.- f i, Z( ? v
E -mail: `0,,,, t_fa. Z —.? c:_--'n_ V...1 i 7 , cL PA
k CONTRACTOR
Business name: a t �__-1 — % 5 CO /NJ i /-, BUILDING PERMIT FEES*
Address: ) v c,� S t✓) r C■ei• `i' L 3 !L S? C .
(Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
��X D� , z
Phone: 9 ) Li _ 117 Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: I S ('� / (� Total fees due upon application:
_ ( Amount received:
k Authorized signatut , \\ / This permit application expires if a permit is not obtained
Y / within 180 days after it has been accepted as complete.
I
Print name: ., v , , ,A /„ . I Date: 3 b, • Fee methodology set by Tri- County Building Industry
rf / O� Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(I1 /02 /COM/WEB)
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•
1
° Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 10/30/07
•
lig _ ° Building Division
Plan Submittal Requirements
TI G A R D 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.
1: \Building \Permits \BUP -COM PemvtApp.doc 10/30/07
,
lill Building Division
Plan Submittal Requirement Matrix
T I G n R D 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 *
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)
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I: \Building \Permits \BUP -COM PemutApp.doc 10/30/07
•
2 ` Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Description of Project: 1
GENERAL INFORMATION
Class of Work:* r Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* CC 94.k First floor: N: S:
Type of Construction: 1:3 Second floor: E: , W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: , 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: Handicap access: .. ��.. `
Smoke detector: Protected corridors: V 1
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 426: C )
INSPECTIONS FEES DUE
Footing/ foundation Firewall $ b2. Permit Fee
Post /beam structural Smoke detector $ (,,_ 0 State Surcharge
Shear wall Misc. inspection $ 4 40. (, 2 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:
$ II 0 , - 5 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.
L \ Building \ Forms \OTC - BUP.doc 08 /19/08