Permit (102) CITY OF TIGARD BUILDING PERMIT
2 ' COMMUNITY DEVELOPMENT Permit#: BUP2017 00025
13125 SW Hall Blvd.,Ti Date Issued: 02/02/2017
f[ a�Ft. and OR 97223 503.718.2439 9
Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12286 SW SCHOLLS FERRY RD
Project: Spec Space Subdivision: None Lot: None
Project Description: Demo previous tenant space,except RR&riser room. Build new demising wall splitting space into 2 suites.
Adding new door for new suite.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: FW OR-GREENWAY TOWN CENTER LLC
2300 E 3RD LOOP SUITE 110 PO BOX 790830
VANCOUVER,WA 98661 SAN ANTONIO, TX 78279
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 02/02/2017 $90.00
Occupancy Grp: A-2 Occupancy Load: 17 Permit Fee-Additions,Alterations, 02/02/2017 $438.74
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/02/2017 $52.65
Stories: 1 Height: 0 ft Plan Review 02/02/2017 $285.18
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/02/2017 $175.50
Value: $24,000 Info Process/Archiving-Lg$2.00(over 02/02/2017 $8.00
11x17)
Info Process/Archiving-Sm$0.50(up to 02/02/2017 $1.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,051.07
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 mi•h 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.
Iss ed By: I g Permittee Signature:
Call 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.
Building Permit Application
Commercial FOR OFFICE USE ONI.I'
City of Tigard " ' Received
Permit No.: ; i //'7--Q�p?
714 13125 SW Hall Blvd.,Tigard,OR 97223{ - ,-)..ni-7 Plan Review' ' m�
Phone: 503.718.2439 Fax: 503.598.19 '' Date/B ► j� Other Permit:
S
I 1 G A R D Inspection Line: 503.639.4175 Date Rea: :y: loris: Ea See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
'*;t1'. = .
TYPOF.VUORIfi;v�� ,. � x' -�.��.. 11fIED DATA::1- '�-I'� '7 t��'NG "`
SKY. ' �r? =
❑New construction 0 Demolition 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 0 Other: equipment,materials,labor,overhead,and the profit for the
i ATEGOR b1 CON TIO n r4. work indicated on this application.
,,, ,.:'. r.. ,, .i: :,_ ¢... Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE:INFORMATION AND LOCATION::.
Total number of floors:
Job site address:12286 SW Scholls Ferry Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A&B Project name:Greenway Town Center A&BCovered porch area: square feet
Cross street/directions to job site:SW Scholls Ferry Rd&SW 121st Ave ;e5\1/ Deck area: square feet
Other structure area: square feet
REQUIRED I1 A COI CI .S • r.. 4 IST.i
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK . " work indicated on this application.
Landlord work only,no tenant work at this time. This project consists of demo Valuation: $24000
interior of previous tenant except RR&riser room.Build new non-structural Existing building area: 4886 square feet
demising wall splitting Ste into 2 units.Adding new door for new suite. New building area: 4886 square feet
0 PROPE ,. OWNIER,.'^ 0 TENANT ' Number of stories: 1
Name:Regency Centers Type of construction: Commercial
Address:5335 SW Meadows,Suite 295 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: A2
Phone:(503)603-4709 Fax:( ) New:
01 APPLICANT ,_,. '.9 CONTACT PERSON BUILDING PERMITPEES* -
.rerefer= schedule)
Business name:Western Construction Services,Inc a Corp of WA
Structural plan review fee(or deposit):
Contact name:Tim Dolan
FLS plan review fee(if applicable):
Address:2300 E 3rd Loop,Suite 110
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98661
Amount received:
Phone:(360)823-4226 Fax::(360)694-7818
PHOTON( ,}IC SO Al$(I . )41 FI S*
E-mail:tdolan@westernconstruction.com .. s w SYS _ :
Commercial and residential prescriptive installation of
/ RAC ;•,; w i:'., v roof-top mounted Photo Voltaic Solar Panel System.
Business name:HWestern Construction Services,Inc a Corp of WA Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2300 E 3rd Loop,Suite 110 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98661 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)823-4226 Fax:(360)694-7818 State surcharge(12%of permit fee): $21.60
CCB lic.:63717 Total fee due upon application: $201.60
H
Authorized signature: 1 �. This permit application expires if a permit is not obtained
I within 180 days after it has been accepted as complete.
Print name:Tim Dolan Date:01/31/2017 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
It r• Over-The-Counter (OTC) Building & Fire Protection System Permit
< < , r, Appointment Checklist
Permit Record#: ('c94/7-000c9 S I
Contact Name: �t -P0...�...r Phone#: filed—g2.3- 49-
Business Name: �� sit. (d .4-, Appt. Date/Time: ?- ( le:0044,
Site Address: 124.466 ti.3 �Q,QA.Q,Q,o ' .-e ta!t y-- Bldg/Suite #:
Project Name: pa.C1L f
Project Description: ,.. .,L? m u . � Inc.-QQ- 1 f-p►if-17,u 1,12.0-4.1-11,
Existing Use: `ll New Use: (�
MMD Required: ❑ Yes o Related Record#:
GENERAL INFORMATION
Class of Work: ( 6S Occupancy Group: ' - Type of Construction: .,
Type of Use: Occupancy Load: k a, Oregon Specialty Code: '
SPECIFICS ..
Number of Stories: 1 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: 446:3:10 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: $ f
$ y *NO DC Prov Rvw,COM TI-Ping
$ Alredlie 'ermit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ '' eir=-2%State Surcharge Q
Project Valuation $ Ta►�°� �lan Review,Structural t-2
Up to$4,999 $0.00 $ Ali 'ID'lan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ ill'jam` fo Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ 4i►:„, Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ t I L TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
III p COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: �u, P c epi 7—Oc)o A.
Site Address: 12-$Le SW & ho115 fcrnit Vet Suite/Bldg#:
Project Name: 4/Z Spt.c�
(Name of commetcial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: AMR'1 J Ottin gi liIG) WWI/ i'D CYek Ilttn/ -,IrAi ,1—Spar( .
Existing Business Activity: J
Proposed Business Activity: ALA 1
elgr-V erify site address/suite#exists and active in permit system.
Z River Terrace Neighborhood: ❑ Yes S.No
Zoning: C--& l p
,e/Rt-Permitted Use: ❑ es ❑ No Spec Space
.X.--Confirm no land use required.
Business License: f\j
Exists: ❑ Yes��❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: l/%lt i lift-4 Date: Z 2,I 17
Revisions (after Building Submittal on y Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: o'z/,7
Site Plans: # 3
Building Plans: # z 3
Building Permit#: Enter building permit#above.
Workflow Routing: ❑ -Planning P Lam'Building
Workflow Sign-off: B'Si -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: Or°--•
By Permit Technician: t.��`
C Date: G/,
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
El Conditions "Met"prior to issuance of building permit
❑ Approved, 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 Applica
❑ SDC Fees Entered: Wash Co Trans D v Tax: El Yes ❑ N/A
Tigard Trans S P C: El Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BIdgPermitRvw_COM NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12286 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00025
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor