Permit CITY OF TIGARD BUILDING PERMIT
III COMMUNITY DEVELOPMENT Permit #: BUP2012 -00247
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/18/2012
T t c_ "� L7 9 Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 410
Project: MacDonald Env Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Construct interior non - bearing walls in TI
Contractor: PACIFIC CREST STRUCTURES INC Owner: WYSE INVESTMENT SERVICES
17750 SW UPPER BOONES FERRY RD SUITE 1501 SW TAYLOR ST STE 100
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE: 503 - 294 -0400
FAX: 503 - 598 -6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Ig DC Provision Review, COM TI - Ping 12/18/2012 $67.00
Occupancy Grp: B Occupancy Load: 25 DC Provision Review, COM TI - LRP 12/18/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/18/2012 $487.01
Demolition
Stories: 5 Height: 0 ft 12% State Surcharge - Building 12/18/2012 $58.44
Bedrooms: 0 Bathrooms: 0 Plan Review 12/18/2012 $316.56
Value: $27,875 Plan Review - Fire Life Safety 12/18/2012 $194.80
Info Process /Archiving - Sm $0.50 (up to 12/18/2012 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,135 81
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 do •^ a. rdance 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
s. ATTENTION egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
52- 001 -0010 through OA 52- -00 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I ed By: t9 Permittee Signature: �/
...
Call 503.639.4175 by 7:00 a.m. for the next available inspection d ,=
This permit card shall be kept in a conspicuous place on the job site until coin 0 , ion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Er il City of Tigard (� 06 Received t e -/4 Ill a— Permit No `, _ , _ 4.7 • 13125 SW Hall Blvd., Tigard, OR 97223 a 2012 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:
T I GARD Inspection Line: 503.639.4175 Cu OFTIGARD Date Ready /By: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: 1E1 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.
111 I - 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: 9020 SW Washington Square Road New dwelling area: square feet
City/State /ZIP: Tigard Oregon, 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 410 Project name: MacDonald Env. TI Covered porch area: square feet
Cross street/directions to job site: SW Eliander Ln 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.
Tax map /parcel no.: 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.
Construct interior non - bearing walls in tenant space. Valuation: ,$$14s99900'j Q
Existing building area: 91316 square feet
New building area: 91316 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Wyse Investment Services Type of construction: IB
Address: 1501 SW Taylor St., Suite 100 Occupancy groups:
City/State /ZIP: Portland, Oregon 97205 Existing: B
Phone: (503)294.0400 Fax: ( ) New: B
® 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
Total fees due upon application:
City/State /ZIP: Portland, Oregon 97211
Phone: (503) 284 -6917 Fax:: ( ) Amount received:
E -mail: ksaxton@kasapdx.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: PACIFIC CREST STRUCTURES INC Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 17750 SW UPPER BOONES FRY RD 190 DURHAM OR 97224 Solar Installation Specialty Code checklist.
City/State /ZIP: Salem, Oregon 97032 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 968 -8949 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 66915
Total fee due upon application: $201.60
T his permit application expires if a
Authorized signature: P PP permit is not obtained P P .4)tif& di within 180 days after it has been accepted as complete.
Print name: Kevin Saxton Date: Nov. 6, 2012 * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitAp •.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB)
31111 _ 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 -CO\1 PcrmitApp.doc 03 /03/2011
1 ! ' Building Division
Over- The - Counter (OTC) Building Permit
TIGAKI)
Check List
Project Description: 6 i ' oP a417
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: h I--r Occupancy Group: 110 Type of Construction: 1 A
*Type of Use: CC)/1 Occupancy Load: .25 Oregon Specialty Code: „2
SPECIFICS
Number of Stories: 5 Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: _ Mezzanine:
SETBACKS
Sideyard Setback – Left Sideyard Setback – Front
Sideyard Setback – Right Sideyard Setback – Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS _
Fire Sprinklers: X Fire Alarms: ,X Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 7 `6 75 FEES DUE
$ G -) DC Prov Rvw, COM TI – Ping
$ /n DC Prov Rvw, COM TI – LRP
DC Provision Review Fee for COM TI $ K Permit Fee – Add, Alt, Demo
Project Valuation Planning LRP $ .?<" 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ X Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ >( Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ hi Siatr 5 Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ j ( 3� e' 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.docx 07/01/2012
i l liq .
" Building Division
Development Code Provision Review
T 1 G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: 1LU .24)1.1- OO - T ❑ Expedited Review
Plan Submittal Date: ( 4 1, y
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.
Planning Review (contactG ds at 503 - 718 - u(3 ! or r jp @tigard or.gov)
Proposal: •
-sec E" / _ 1 I , -.24iat
Zoning 1M/
Permitted Use Yes ,2-- No ❑
Land Use Required: Yes ❑ No
Notes:
proved ❑ Not Approved Date: /Z — 6 " / L
REVISED 10/4/12