Permit 1111 U CITY OF TIGARD BUILDING PERMIT
.
1 • COMMUNITY DEVELOPMENT Permit#: BUP2015-00030
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2015
Parcel: 2S110DB00704
Jurisdiction: Tigard
Site address: 15444 SW PACIFIC HWY
Project: Washington Federal Subdivision: 1995-046 PARTITION PLAT Lot: PT 1,WI
Project Description: Removal and construction of interior partition walls.
Contractor: CROSS BROTHERS INC Owner: WASHINGTON FEDERAL SAVINGS
PO BOX 25557 ACCOUNTING DEPT BR 118
EUGENE, OR 97402 425 PIKE ST
SEATTLE,WA 98101
PHONE: 541-688-2042 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 03/04/2015 $301.85
Class of Work: ALT Type of Const: VB
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 03/04/2015 $36.22
Dwelling Units: 0 Plan Review 02/18/2015 $196.20
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/18/2015 $120.74
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 03/04/2015 $75.00
Value: $15,000 DC Provision Review,COM TI-LRP 03/04/2015 $11.00
Info Process/Archiving-Lg$2.00(over 03/04/2015 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $747.01
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 tut.zyle,sr direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: • ee Signature: I 0(/�,�t, 6 cm l/)"
i�_.� ,�J ff lyt �/
03.639.4175 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.
L_
Butilding Permit Application
Commercial IIECEIVEP FOR OFFICE USE ONLY
City of Tigard Received
: i girMWM Permit No.: A a - S` _ ,1
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 p 201E Plan Re ' '�
I Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 8 J Date/B ��h, I Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Re°y; � luns ® See Page 2 for
Internet: www.tigard-or.gov CITY OFTIGA1tD Notified/Method: !17> `7G Supplemental Information
I A L.' k
TN'PE OF 19" ) i I 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.
El 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15444 SW Pacific Hwy. New dwelling area: square feet
City/State/ZIP:Tigard,OR,97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Wash.Fed.ATM&ND add. Covered porch area: square feet
Cross street/directions to job site:East of SW Pacific Hwy between Deck area: square feet
SW Royalty Pkwy& Other structure area: square feet
SW Naeve St REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:R2055492 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.
Remove(E)int.part.walls and const.(N)int.part.wall.Install(N)through Valuation: $15,000
wall ATM&Night Drop.Route elect.&security conduits to ATM&ND.Constr. Existing building area: square feet
enclosure for ATM&ND security.Install(2)(N)ATM identification buttons New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:Washington Federal Savings Type of construction: V-B
Address:425 Pike St. Occupancy groups:
City/State/ZIP:Seattle,WA,98101 Existing: B
Phone:(206)777-8385 Fax:( ) New: B
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:ZCS Engineering Inc. (Please refer ro fee schedule)
— - - Structural plan review fee(or deposit):
Contact name:Andrei Shupenka
FLS plan review fee(if applicable):
Address:524 Main St.,Suite 2
City/State/ZIP:Oregon City,OR,97045 Total fees due upon application:
Phone:(503)659-2205 Fax::(503)659-2433 Amount received /� 77
E-mail:andreis@zcsengineering.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Lee-Built Construction Co.(aka Cross Brothers) Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 25557 Solar Installation Specialty Code checklist.
City/State/ZIP:Eugene,OR,97402 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(541)688-2042 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:150612 //f/RD Total fee due upon application: $201.60
Authorized signature: -44 This permit application expires if a permit is not obtained
JJ within 180 days after it has been accepted as complete.
Print name:Andrei Shupenka Date:02/11/2015 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I.
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G R D Building Permit Review — Commercial - No Land Use
Building Permit #: 8/4/61O 5--CT.Y")3C)
Site Address: /« „au Ae„,,Qe /7km Suite/Bldg#:
/ , ll /�
Project Name: �c�,4ts�l 7�t �� �ra�C
(Name of co er al business occupying the space. If vacant,enter Spec Space.)
Planning Review xx �,, // //
Proposal: /fl /i /l -•// i /-A y )frp. 6&/net✓-P > JCn Br r ri7'1�
L ARe 9 i .vi• Air _ I 1'4' /I. • a 4.1
Existing Business Activity: (P :0 S> CQSj
Pro;.sed Business Activity: -,,, ( `� ,,V_,-.. _ -4 ' ,-S
I' V rify site address/suite #exists
g
and active in permit system.
L
�
oning: a q (P )
ermitted d Use: ❑ Yes ❑ No ❑ Spec Space
onfirm no land use required.
Business Licen
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: C _ ���Z Date: c2--1 e- As-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 0L/i VI S
Site Plans: # 4.0-
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: le- Tanning g"-P-e—rmit Coordinator ..-g--Briilding
Workflow Sign-off: a-Sign-off for Planning(include notes from planning review)
Route Application Documents: LI-sluilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: a4-//g//s'
I:\Building\Forms1BldgPermitRvw_COM_NoLandUse_020415.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
to Issue Permit
Approved by Permit Coordinator: Date: / /Er
1:\Building\Fortes\BldgPermitRvw_COM_NoLandUse 0204I5.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15444 SW PACIFIC HWY, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00030
Chip Barnett
Violation Summary:
Inspector Contractor