Permit CITY OF TIGARD BUILDING PERMIT
= COMMUNITY DEVELOPMENT Permit#: BUP2015-00100
-F t G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2015
Parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: TI for existing tenant:Removing existing storefront door and installing a 4-panel storefront door system.
Contractor: JR ABBOTT CONSTRUCTION CO INC Owner: FW OR-GREENWAY TOWN CENTER LLC
307 SE HAWTHORNE AVE., SUITE 150 PO BOX 790830
PORTLAND, OR 97214 SAN ANTONIO,TX 78279
PHONE: 360-597-2036 PHONE:
FAX: 503-293-2400
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 04/09/2015 $75.00
Occupancy Grp: M Occupancy Load: DC Provision Review,COM TI-LRP 04/09/2015 $11.00
Permit Fee-Additions,Alterations, 04/09/2015 $531.09
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 04/09/2015 $63.73
Bedrooms: 0 Bathrooms: 0 Plan Review 04/09/2015 $345.21
Value: $31,200 Plan Review-Fire Life Safety 04/09/2015 $212.44
Info Process/Archiving-Sm$0.50(up to 04/09/2015 $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 $1,240.47
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: • Permittee Signature:
t..a 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.
uildim2 Permit Application
Commercial `I O FOR OFFICE USE ONLY
City of Tigard ce`Y
Date/13 ed Yi i Permit No.:e• /rI, i.if
13125 SW Hall Blvd.,Tigard,OR 972 Plan Revie
a 1�; ® Related Permit:
Phone: 503-718-2439 Fax: 5C3-598- D �O1 DateB 1♦({
TIGARD Inspection Line: 503-639-4175 AQf� �O late•ea. 7 _ 13 See Page 2for
Internet: www.tigard-or.gov N� GP otitiied/Method: I( ,i7, S/'' Supplemental Information%TYPE OF WOppFi��K\`(10`6 CI REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 DYemolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
-0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I-and 2-family dwelling IRI Commercial/industrial Valuation: $
❑Accessory building 1:1 Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11 La.() 5j 5c.4+c,f(s c c4.9 New dwelling area: square feet
City/State/ZIP: -rt G C d/ o. el Z 2,to Garage/carport area: square feet
Suite/bldg./apt.#: J Project name: r . FU oak ti, Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S J/�o
r e-win%, tot t io_..ci r t' Start cr.4 A/4 0 f G,na !
Existing building area square feet
LJ`4p r SE 1st c t New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: C �l (Please refer to fee schedule)
.�,�` ors' Structural plan review fee(or deposit):
Contact name:
r
` J l.Ci4 ti.../' FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone: 03 U%-76,g9 Fax::( )
Amount received:
E-mail:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: A b 6 OF* c n s 4 roc t � Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon
Address: 1 y 30 � 3 r d A V C 3 t t L 1 5 0 Solar Installation Specialty Code checklist.
City/State/ZIP:Pa f t 1 t,y`d U A q 1 L LI Permit fee(includes plan review $180.00
+ and administrative fees):
Phone:(So3) Zlo 1 - 1 O 5- Z- I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: V1456 Total fee due upon appication: $201.60
Authorized signa This permit application expires if a permit is not obtained
j within 180 days after it has been accepted as complete.
Print name: gl I G� S cJ I ,' j e r I Date:'_ y / s * Fee methodology set by Tri-County Building Industry
l Service Board.
I:1 Building lPermits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-46131(11/02/COM/WEB)
III City of Tigard
•
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: P is—(gyp IOC
Site Address: 12220 SW S c i o 11 s ce.rrvj ad.. Suite/Bldg#:
Project Name: W Inou, rood r M.arka*
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: C:1ilc4nje of ex15fitnn StorcGron+- anol- erns'-j doer
w T4-t, A u to r e: a 4—c. 6v)trawl LL. Inn rn+Lin i rn.J 2K e3 'mi., (r:A r r k .
Existing Business Activity: Co hnlMQru` ,
Proposed Business Activity: 00 yyl y tj AL, / Ao 04(4 n ci,Q,
gr Verify site address/suite# exists and active in permit system. J
-p—River Terrace Plan District ❑ Yes ❑ No
Z'Zoning: C—C'1
❑ Permitted Use: /1 Yes ❑ No ❑ Spec Space
$confirm no land use required.
Business License:
Exists: e2rYes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: M G v)iT�. 131 I o Date: 1/9 I 1 s
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: y`7//r-
Site Plans: # / /Vfl
Building Plans: # '3_
Building Permit#: O��nterbuilding rermit above. ,� �
Workflow Routing: C�--Piannin ` 2.--tr ding
Workflow Sign-off: iegif for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _ _- Date: 1f/!f'//1—
I:\Bui l ding\Forms\BldgPermitRvw_COM_NoLandUse_031015.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:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPennitRvw_COM_NoLandUse 031015.docx
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1�
ARP 13125 SW Hall Blvd. • "Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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 Rev.12/18/2014
Building Division
Over-The-Counter (OTC) Building Permit
TIGARU Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: 4' L-f Occupancy Group: IAA Type of Construction:
Type of Use**: Occupancy Load: Oregon Specialty Code::
SPECIFICS
Number of Stories: I 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: Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 2 yJ,`° FEES DUE
$ " �.>`'.CO DC Prov Rvw,COM TI—Ping
$ ( ( ,(app DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ ,r! Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ • :2( Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ G Ari, Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ 7. Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 1.Z 4c),47 TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.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
12220 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00100
Chip Barnett
Violation Summary:
Inspector Contractor