Permit (50) y r,
CITY OF TIGARD BUILDING PERMIT
rs COMMUNITY DEVELOPMENT Permit#: BUP2015-00357
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2015
Parcel: 2S112BB04000
Jurisdiction: Tigard
Site address: 14500 SW HALL BLVD 1
Project: Edgewood Manor Subdivision: WILSON ACRES Lot: 5
Project Description: Wall demolition and construction. Installing new door with sidelights.
Contractor: SAGE GENERAL CONTRACTING LLC Owner: CIC EDGEWOOD MANOR LLC
8190 SW DURHAM RD 15350 SW SEQUOIA PKWY#250
TIGARD, OR 97224 PORTLAND, OR 97224
PHONE: 503-430-8572 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit
Provision Review,COM TI-Ping 12/29/2015 $88.00
Occupancy Grp: B Occupancy Load: 7 Permit Fee-Additions,Alterations, 12/29/2015 $195.38
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/29/2015 $23.45
Stories: 2 Height: 0 ft Plan Review 12/29/2015 $127.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/29/2015 $78.15
Value: $7,825 Info Process/Archiving-Lg$2.00(over 12/29/2015 $8.00
11x17)
Investigation Fee 12/29/2015 $90.00
Floor Areas: Investigation 12%State Surcharge 12/29/2015 $10.80
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $620.78
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 ATTENTIONOregon 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: mittee Signature:
Call 50 by 7:00 a.m.for the next available inspection dat .
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.
u`
Building Permit Application
Commercial FOR OFFICE- USE ONLY
City of Tigard ®� Received Date/By: v2� Permit No.: 61,0 S 5
13125 SW Hall Blvd.,Tigard, r� P1anB Review
Phone: 503-718-2439 Fax: 5 -096C q 0, Los Date/By- L -:21 ( Related Permit
Inspection Line: 503-6394175 c C P u A� Date Ready/By Juris: ® See Page 2 for
Internet: www.tigard-ocgov 0���Q,;�O��° Notified/Method: Supplemental Information
` .7
TYPE OF REQUIRED DATA:1--AND 2-FAMILY DWELLING-
El New construction Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
)EZAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ommercial/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: ' L15C)C) S New dwelling area: square feet
City/State/ZIP: -T-(v4 _'-'Ll Garage/carport area: square feet
Suite/bldg./apt.#: Project name: r 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.
Tax map/parcel#: 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.
0 fit`(mv 1�U t Valuation: $
,925
� ff1VeW �p�L1 LJt cJ(�Pu ��to Existing building area: square feet
�r7rJ Ne-%,j00or 4— `''" T8Q. C t kh New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: f G 0.S Lck Tr tkVr?Sbva L L Type of construction: �" 1
Address: I S--'3 SO > 5 a 1 41 k�ay 56fe250 Occupancy groups: o �� ,�f
City/State/ZIP: O d T& (� L A (�_ 47 2 Z Existing:
Phone:(�jj3) (o — 6 Fax:( ) New:
APPLICANT ❑ CONTACT-PERSON BUILDING PERMIT FEES*
Pteaserefer to feeschedu
Business name: te
�f( l/��O IUG{t`4 Structural plan review fee(or deposit):
Contact name: I L t e e FLS plan review fee(if applicable):
Address:
O G Total fees due upon application:
City/State/ZIP: f �/ O z Z
Amount received:
Phone:Q;03) 16'( — Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM`FEES*
E-mail: f L 5� e ike-('(�` C.O lM . " • ._
Commercial and residential prescriptive installation of
,CQNTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: t Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: and administrative fees):
$180.00
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: $ Total fee due upon application: $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: Date: / —� — * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440A613T(11/02/COM/WEB)
l-
City of Tigard - COMMUNITY DEVELOPMENT DEPARTMENT
n Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
13125 SW Hall Blvd. - Tigard, Oregon 97223 - 503.718.2439 - www.fi arg d 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(259/6).
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_PenT tApp.doc Rev.12/18/2014
City of Tigard - COMMUNITY DEVELOPMENT DEPARTMENT
_ ° Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
13125 SW Hall Blvd. - Tigard, Oregon 97223 - 503.718.2439 - www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name- ❑ site address ❑ suite number
❑ zoning ❑ 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. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PcrmitApp.doc Rev.12/18/2014
MCity of Tigard - COMMUNITY DEVELOPMENT DEPARTMENT
q q Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigand-or. ov
(Includes new,add'irions and alterati'ons.) Rquire at
.Submittals :
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
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
Solar Photovoltaic 2
(Requires check fist for prescriptive installation. If not
prescriptive installation,engineering is required.)
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.
1:\Building\Perrrits\BUP—COM—PermitApp.doc Rev.12/18/2014
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
Building Permit Review — Commercial - No Land Use
.d
Building Permit #: ��,���
Site Address: 121,00 S tlo & RIV , Suite/Bldg#:
Project Name:
(Name c )nmurcial business Oecup�'ing the space. If vacant,enter Spec Space.)
Planning Review
Proposal: LIeme 2201n M69204-4 /i�t�'�z/� /WZ0 Lt'�V//-4
Existing Business Acii\,M: it hVi I _ l
Propo;ed Business Activity:
ZVerif), site address/suite# exists and active in pertnit s)7s,tenn
�Xver"Terrace Neighborhood: EJYes l o
xZoning::
rmitted Use: Yes ❑ No ❑ Spec Space
C firm no land use required.
Business LicensKy
Exists: s ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: Date: k2gzs—
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: /Ol'
Site Plans: #
Building Plans: #
Building Permit#: Inter building pen-nit# above.
\\%orkflo\v Routing: LSI—Planning ❑ Permit Coordinator uilding
Workfloxv Sign-off: ign-o f for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: C�.� sl �W GtC S'�oiGtA aw 'x .1 �t►�[¢.P vt(1 Lc ��
By Permit Technician: _ Date: /
1:\BuildingTorms\BldgPermit Rvw_COM_NoL,andUse_070915.docr
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw C0M_NolandUse_070915.docx
City of Tigard
a COMMUNITY Dl -N I'DEPAR'I'I\,IENT
Building Permit Review — Commercial - No Land Use
Building Permit #: — 1V0�f)l5--60 35-7
Site Address: J w5o0 SVS �0'0 Bw' Suite/Bldg#:
Project Name: _Ug2WQOA_ Mai o�_ �QafTV`/JMfi
(Nain of annmercial business Occupvin�,the space. If vacant,enter Spec Space)
Planning Review
Proposal: e- c wa 1 s: bu- l o cf e
-IfeF,'ApAs nem e -et k o y d
1?sisting Business Activit-N: MFfZ
Proposed Business Activity: 50'yy-t(2,
Verify site address/suite# exists and active in permit system.
/
liver Terrace Neighborhood: ❑ Yes Lam`No
Ll4 oning: — '2
�'ertnitted Use: S Yes ❑ No El Spec Space
EConfirm no land use required.
I"1 Business Licens_eJ�
Exists: LJ Yes ❑ No,applicant notified to obtain business license
Notes: n b chain oe S C \CC'Uk a l a'(1 o,,(-
7X
�cX o
Approved by Planning: Date: 2 129Ti 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:
Site Plans: # ��
Building Plans:
4;4
3
Building Permit#: rater l—tilding permit# above.
Workflow Routing: M�Buidlding- :
anning ❑ Permit Coordinator ig
Workflow Sign-off: L7f for Planning (include notes from planning review)
Route Application Documents: original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
I:\BuildingFonns\BldgPermitRvw COM—No Land Use 070915.doex
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BIdgPerniitRvw_COM_No Land Use_070915.docx
JJq Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: I Acr I Poccupancy
ccu anc Group: Type of Construction:
Type of Use**: -M Load: `� Oregon Specialty Code: '"'
SPECIFICS
Number of Stories: Building Height: T 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
Side and Setback—Left Side and Setback—Front
Side and Setback—Right Side and Setback—Back
CONSTRUCTION
Exterior Walls. O enin s 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: $ FEES DUE
$ fJ DC Prov Rvw,COM TI—Ping
$ 'J Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(tip to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ C�� '�' Other: Z,nlrJt gLij)'Ar ) 4 ( ku- a 1W)
$ j U.. '� Other:m7AA h"-- c a✓a
$ Other:
Building Staff: $ Other:
Date/Time: $ ,r 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;N1sW=new;
O'1R=other use for fences,decks,retaining,walls,signs,awnings or canopies).
I:\Building\Forms\O'1'C_BUP_070115.docx