Permit u CITY OF TIGARD COMMERCIAL MANUFACTURED
STRUCTURE PERMIT
3 • COMMUNITY DEVELOPMENT
T I;G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: CMS2015 00001
Date Issued: 04/08/2015
Parcel: 2S112CB00900
Site address: 15000 SW HALL BLVD Jurisdiction: Tigard
Project: Bonaventure of Tigard Subdivision: WILSON ACRES Lot: 8
Project Description: Temporary Sales Trailer. Construction of a new 3-story senior living facility. School construction excise tax
collected at residential rate per determination by Tigard-Tualatin School District.
Contractor: BONAVENTURE CONSTRUCTION Owner: SCHMIDT FARM LLC
3425 BOONE RD SE 25717 SW LABROUSSE RD
SALEM, OR 97317 SHERWOOD,OR 97140
PHONE: 503-566-5715 PHONE:
FAX:
FEES
Specifics:, Description Date Amount
Type of Use: CMS MH State Admin 04/06/2015 $30.00
Class of Work: OTR Type of Const: VB MH BLD Permit 04/06/2015 $275.50
Occupancy Group: B 12%State Surcharge-Building 04/06/2015 $33.06
Stories: 1 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/06/2015 $4.00
Project Valuation: $10,000.00 11x17)
Floor Areas:
First Floor Area 528
Second Floor Area: 0
Third Floor Area: 0
Total Area: 528
Required Setbacks:
Left: 0 Right: 0
Front: 0 Rear: 0
Required:
Parking Spaces: 0 Fire Sprinklers: No Total $342.56
Smoke Detectors: No Party Wall: No Required Items and Reports(Conditions)
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:
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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
T
130414n2 Permit Application 7771610/5V GeWO
Commercial FOR 01.11( 1: 1 ',1: t)\I 1
City of Tigard CEIVED Received `/- /S Permit No. 4/5:.-a40/
• 13125 SW Hall Blvd.,Tigard,O Plan Review ,,,
Phone: 503-718-2439 Fax: 503-598-1960 Date/13y: E • 7 (' - Related Permit: �,(t p j/!!^e:Vls7
I i<, I:I Inspection Line: 503-639-4175 APR 2 2015 Date Rea.. J/� Juris. ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: J //'/ 41-77 " _ Supplemental Information
CITY OF TIGARD ,t�ti-,c.,,t4.,( C�
TYP1BbMa 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
1p Addition/alteration/replacement VOther-:1 4I a SACe 7IIL 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: $
a-
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 12 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15'ab 5 v }4h(c &LAID New dwelling area: square feet
City/State/ZIP: --cr0D ( 017.-1 q12Z:3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: 130406.060.46- OlF tc) Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
1414u. 1--exass Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 107,11/ &cl Lot#: $ Permit fees*are based on the value of the work performed.
C Indicate the value(rounded to the neares .. • • 1
Tax map/parcel#:
ilL $lid TOd equipment,materials,labo : .I . ..- • ofit for .--
DESCRIPTION OF WORK work indicated on this :.placation.
« Valuation: $ /0 M 0
Set' A-r a etfr vbr C'dP4tifi.trao/ roe S#4t Es ThArtsc 1
VN-IYt. (dt i9 tesstTe.✓ dP P2sc- III i( {v Existing building area square feet
New building area: square ee
`Z PROPERTY OWNER l ❑ TENANT Number of stories:
Name: (A4/s j— -r _„ra , L,4 Type of construction:
Address: 31f Z s a 6d�� 2 5 6 Occupancy groups:
City/State/ZIP: SALfr4- 1 d ittr R't'y 11' Existing:
Phone:(c3) ct,„L- .1"3.15- Fax:( ) New:
❑ APPLICANT AONTACT PERSON BUILDING PERMIT FEES*
p (Please refer to fee schedule)
Business name: OQNAVEw.t(A1 Co'•s-r pm:1m j Structural plan review fee(or deposit):
Contact name: CArcc ieti pt./E{� t �[6�
Address: 'y i fZr �6,,.E x�
Se 1 FLS plan review fee(if applicable):
City/State/ZIP: !,� Total fees due upon application:
...5444 .1...4„, / OR` q ��1i- 601 i Amount receiv .
Phone:(S`o ) e • 5-4.1.3- Fax::( ) J
E-mail: emir, C..M e c S e l i VG bs J . to PHOTOVOLTAIC SOLAR PANEL SYSTEM
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: �NgwetnR t✓t16 Cor.,rrr e..7..�:�.... Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: -34 2 boc) (7 f) $'6 Solar Installation Specialty Code checklist.
City/State/ZIP: w... ��— Gr '�. Permit fee(includes plan review $180.00
S9'(..C.s � and administrative fees):
Phone:( J3 ) .14, 53.1c- Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: I g ., 05Z Total fee due upon appication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ciketaL, iwiag,5 Date: y fz(t c * Fee methodology set by Tr-County Building Industry` Service Board.
1:1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
T
.yam . .
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
I l G A R U 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: J2] $
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\Pemvts\BUP_COM_PennitApp.doc Rev.12/18/2014
_`
City of Tigard
III r COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: 2H3c9C /5 - 660/
Site Address: //c7:00 0 S'CL) /4// 25/1/0C Suite/Bldg#:
Project Name: , -jj2,2ve1,-e 017 ---i "
(Name of commercial business occupying the sptV If vacant,enter Spcc Space.)
Planning Review
Proposal: S27 /.lp a -k- 7_erg -'/,04 7-rcIsi(,Q/-
Verify site address/suite#exists and active in permit sysstte�.
/'ver Terrace Plan District: ❑ Yes Li ' No
and Use Case#: Ci
LIG Plan Match Approved Land Use: A.
Iff Site Plan 1 Landscape Plan ❑ Other:
tUrban Forestry Plan klevation Plan
4 Building Height: Maximum Height Actual Height
Oki onditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
EV Business Licen :
Exists: [Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified �No A J plied For: ❑ Yes Cl No,stop intake
Notes: 77/6620/1-/- O( `/C, oe: revs€ ue L. S/ pk,
Approved by Planning: ,________ :7yt, Date: 4//24c.
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: 7 of
Site Plans: # _
Building Plans: #
Building Permit#: Er-Enter building permit#above.
Workflow Routing: Er Planning ErEngineering ❑hermit Coordinator 0 Building
Workflow Sign-off: jgn-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: e144"""ke Date: 445—
1:\Building\Fortes\BldgPermitRvw_COM_WithLandUse 040115.docx
4.
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of appr val and plat (typical on SDR/CUP)
❑ Water Quality/Quantity Facility: ,/V
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ N
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date: y#2. /5—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
..i1' - -x6111=1:T.r.--- ,. _.. ec. ...Amy
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:
240K to Issue Permit
Approved by Permit Coordinator: Date: /
l:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_040 1 1 5.docx