Permit q CITY OF TIGARD BUILDING PERMIT
.111 ° COMMUNITY DEVELOPMENT Permit #: BUP2012 -00094
T 1G ARE) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 2S110DC00500
Jurisdiction: TIGARD
Site address: 11445 SW SUMMERFIELD DR
Project: Schwindt Medical /Dental Office Subdivision: WILLOW- BROOK -FARM Lot: 17
Project Description: Demolition of existing 547 square foot office building. Upon final inspection, SDC credits available for future
construction.
Contractor: EMMETT PHAIR CONSTRUCTION COMPANY Owner: CDBK PROPERTIES LLC
PO BOX 4722 11565 SW DURHAM RD BLDG F 100
SALEM, OR 97032 TIGARD, OR 97224
PHONE: 503 - 545 -9583 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 05/09/2012 $149.75
Class of Work: DEM Demolition
Dwelling Units: 0 Info Process /Archiving - Lg $2.00 (over 05/09/2012 $2.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Erosion Control 05/09/2012 $26.00
Value: $5,000 Erosion Plan Review CWS 05/09/2012 $8.45
Erosion Plan Review COT 05/09/2012 $8.45
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $194.65
Required: Required Items and Reports (Conditions)
1 Ersn Cntrl 681 -4444
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
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 throw e h 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 B r
� / P ermittee Signature: ��� ∎r aney'
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 site at the time of each Inspection.
,
Building Permit Application
Commercial RECEIVED
of Tigard D ,,,F1=IMMeceived Q �nv�� Cl rJ g Date /By: Permit No.: Ai 04 C
C q 13125 SW Hall Blvd., Tigard, OR 97223 M AY - 9 7012 Plan Review Other Permit j/ Qi1/ee0 V) :�
Phone: 503.718.2439 Fax: 503.598.1960 Date /By:
T I G A IZ D Inspection Line: 503.639 Date Ready /By: Jur s MI See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notify /Method: I II Supplemental Information
BIM DING DIVISIO lir At w ,mac.;..„
TYPE OF WORK / R 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
El Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1- and 2-family g ®C ommercial /industrial
❑ Accessory building 12 Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11445 SW Summerfield Dr New dwelling area: square feet
City /State /ZIP: Tigard Oregon, 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: Swhwindt Dental Office Covered porch area: square feet
Cross street/directions to job site: SW Durham Rd Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: 500 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S1 W IODC Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Demolish existing building, parking lot, trees and other site improvements Valuation: $$5,000.00
Existing building has 1 toilet an sink /, // Existing building area: 567 square feet
(5/q/IP, f"-'�r 46jj c.c , lo �� 1•t• iJYJ e -o4 5) New building area: square feet
® PROPERTY OWNER i L1 TENANT Number of stories: I
Name: CDBK Properties LLC Type of construction: VB
Address: 11565 SW Durham Rd, Bldg F, Suite 100 Occupancy groups:
City /State /ZIP: Tigard OR 97219 Existing: B
Phone: (503)322 -8450 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: KASA Architects (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Kevin Saxton
FLS plan review fee (if applicable):
Address: 4119 NE Cesar E Chavez Blvd
City /State /ZIP: Portland, Oregon 97211 Total fees due upon application:
Phone: (503) 284-6917 I Fax: : ( ) Amount received: 'f /C� �P
E -mail: ksaxton @kasapdx.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Emmett - Phair Construction Submit two (2) s - of roof plan with Conn ion details
and fire department . cess, along with 2010 Oregon
Address: PO Box 4722 Solar Installation Spec • I Code c list.
City /State /ZIP: Salem, Oregon 97032 Permit fee (includes : an iew $180.00
and administra • - fees):
Phone: (503) 545 -9583 Fax: ( ) State surcharge (12% o' permit - . : $21.60
CCB lic.: 57 y21 g /a y Total fee du-.- pon application: $201.60
Authorized signature:
1/ 0stifx
— This permit application expires if a permit is not obtained
� � � within 180 days after it has been accepted as complete.
Print name: Kevin Saxton Date: May 09, 2012 • Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440 -4613T(1 I /02 /COM /WEB)
!PA
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): .$
1:\ Building \ Permits \ BUP -COM PermitApp.doc 03/03/2011
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0
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 # El project name ❑ site address ❑ suite number
El zoning El 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.
l: \ Building \Permits \BUP -COM PcrmitApp.doc 03/03/2011
a Building Division
Plan Submittal Requirement Matrix
T I G A 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 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
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), if applicable.
l: \ Building\ Permits \BUP -COM PcrmitApp.doc 03/03/2011
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1 , 1 a •
Building Division
Development Code Provision Review ( 1Yh'� Pe
T c n Commercial Projects with Approved Land Use
Building Permit No.: PLt-P 90 i a_ 6 9 4/
Land Use Casefile No.: CQQ 9C I I -6C603
Routed Plans: � J /
Submittal Date: /
Submittal Date:
Submittal Date:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those ite s n the left side that are approved.
Pl i d ' g and Use Approval Review (contact at 503 -718 -0�7 �V or @tigard or.gov)
❑ Building Plans Match Approved Pan: Yes No ❑
❑ Maximum Building Height
❑ Conditions Met NO
Notes:
g ia Original Plan: Approved ( Not Approved ❑ Date: ' ' 04' Zi
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope: cyo
❑ PFI Permit #
❑ Conditions Met
Notes:
Original Plan: Approved Not Approved ❑ Date: 6 hp i Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
h
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov)
❑ Street Trees
❑ Protected Trees
r \„.—
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building:
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