Permit CITY OF TIGARD BUILDING PERMIT
m COMMUNITY DEVELOPMENT Permit #: BUP2012 -00072
T [ G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2012
Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY Z
Project: Petco Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: TI
Contractor: CURT FAUS CORP Owner: PACIFIC CROSSROADS PROPERTIES IN
5775 JEAN RD STE 105 BY WYSE INVESTMENT SERVICES CO
LAKE OSWEGO, OF 97035 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 503 - 699 -1103 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - COM - New Construction . 06/18/2012 $1,653.54
Class of Work: ALT 12% State Surcharge - Building 06/18/2012 $198.42
Dwelling Units: 0 Plan Review 04 /13/2012 $1,074.80
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 04/13/2012 $661.42
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 06/18/2012 $256.00
Value: $288,000 DC Provision Review, COM TI - LRP 06/18/2012 $38.00
Info Process /Archiving - Lg $2.00 (over 06/18/2012 $86.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 06/18/2012 $11.00
11x17)
Total Area: 0 Metro Const. Excise Tax - Commercial 06/18/2012 $345.60
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,324.78
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 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: `{�� S
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
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 ske at the time of each Inspection.
•
Building Permit Application
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City of Ti and , ,z. c Permit N c ��, ,
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• 13125 SW Hall Blvd., Tigard,OR 7223 �`�, Date/B � � Plan ' evie
Is . Phone: 503.718.2439 Fax: 503. ),196p 6. r i, , \ Date : W� � Other Permit:
T i c i , i � Inspection Line: 503.639.4175 UU �% D ate Ready : y: T luris: El See Page 2 for
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Internet: www.tigard or.gov \>,'R d'%�, a• � , Notifie. ., ethod: Ei " 1 _ • Supplemental Information
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TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Denio)ition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ddition/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: 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: / //,Q j frJ LL /f/ L / /t.4/ V New dwelling area: square feet
City/State /ZIP: 671440 a Z Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: /' TG49 Covered porch area: square feet
Cross street/diredions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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
V. equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this . lication.
Valuation: $ 88 007 °
/r�/Ttz/D� O.G �x / �jroi�G' � 7Z
1 Existing building area square feet
New building area: square feet
—a OWNER P. Number of stories:
1 Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( )
_ New:
-•r ■PLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES"
Please re er go ee schedule
• Business name:
/ /e- 7/740A/77:7e/71e- Structural plan review fee (or deposit):
Contact name: / 7
Address: %✓ 3 / /4 i 5 /n/ &TO� . f FLS plan review fee (if applicable):
City /State /ZIP: J'n erL�A / LQ Q�
.545 '7Z, Total fees due upon application:
�
Phone: ( 5 _ I Fax:: ( ) � �.-.�� �. -- Amount received:
` E- mail: /WI ,C* �p ",JC -
agjeyo ,e(/ /�,/it/e • • PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
! ` Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel Sys - ...
d• ; O u 5 / Submit two ( sets of roof plan with co . • ton details
try ` and fire dep., :. t access, alon i the 2010 Oregon
Address: I' s' i ] ffffing111111 Solar Installation y- 'al • 'ode checklist.
City/State /ZIP: Permit Fee dan review $180.00
.r d administra - fees :
Phone: (So3),O) I , 1 /OS I Fax: (5 4p / 10 �p surcharge (12% of permit $21.60
CCB lic.: l
Total fee due upon application: $201.60
\\' <A thorized signature. This permit application expires if a permit is not obtained
C. — within 180 days after it has been accepted as complete.
• Fee methodology set by Tri -County Building Industry
P rint name: ' 4,1 g- -• Date: m
Service Board
I:\ Building \Permits\BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(11/02/COM/W EB)
Building Permit Application Checklist
One- and Two - Family Dwelling l olz ()HALE usl: ()Nix
City of Ti and Received
1114 City g Date/By:
No.:
0 13125 SW Hall Blvd., Tigard,OR 97223
0 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
I' I L. n R D 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical
Internet: www.tigard- or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ,« NI) • /A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • •
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . _ ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ CI
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if El ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray -
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore Ion and shall be shown to be ap plicable to the •ro'ect under - review.
JURISDICTIONAL SPECIFICS
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". CI , ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ..,,, 0 ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. - .. , ❑ ❑ ❑
• 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. CI CI CI
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings .
on a lot of record approved prior to September 9, 1995. :`
I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440 - 4613T(II /02 /COM/WEB)
:1 _ ° Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: j f t) /ol ❑ Expedited Review
Plan Submittal Date: q7/ 3/2-
To the Applicant:
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Plaing Review (contact at 503 -718 id or 1 @tigard- or.gov)
ff Zoning C-0 Permitted Use Yes LL9 No ❑
Le' Land Use Required: Yes ❑ No IE1 (explain below)
Notes:
Approved ❑ Not Approved Date: 1 ! /
Permit Coordinator Review (contact Albert Shields at 503 718 - 2426 or albert@tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
•
•
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
Buildin g Division
TIGARD
TRANSMITTAL LETTER
TO: DATE RECEIVED:
DEPT: UI LDING DIVISION REC P1VED
APR 2 4 20/2
• FROM: C M / OF -
al b Ul T1 �R : 1 ?D
LD`NG D1 W
COMPANY: i0 1+
PHONE:
e
RE: r �4� �"� < u Avg-0007,-
it ress (Permit Number)
E( ck�
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: /5 (3 ("2— Initials:
Fees Due: ❑ Yes Ell< Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
(:\Building\ Forms \TransmittalLetter- Revisions.doc 02/08/2011