Permit (135) CITY OF TIGARD BUILDING PERMIT
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3 COMMUNITY DEVELOPMENT Permit#: BUP2017-00030
`t CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2017
Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12160 SW SCHOLLS FERRY RD 100
Project: Bank of America ATM Kiosk Subdivision: None Lot: None
Project Description: Addition of ATM kiosk
Contractor: ANDERSEN CONSTRUCTION CO Owner: ATLAS GREENWAY LLC
6712 N. CUTTER CIRCLE 333 NW NINTH AVE, STE 1009
PORTLAND, OR 97217 PORTLAND, OR 97209
PHONE: 503-519-5949 PHONE:
FAX: 503-283-4393
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/02/2017 $849.93
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 03/02/2017 $101.99
Dwelling Units: Plan Review 02/07/2017 $552.45
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 03/02/2017 $12.00
Bedrooms: Bathrooms: 11x17)
Value: $65,627
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Mezzanine:
Total $1,516.37
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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.
111,
Issued By:P7 Permittee Signature:
503.639.4175 by 7:00 a.m.for the next available inspec ion 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 il ErjrARtEi%'iJ'
FOR OFFICE USE ONLI"
Received � � 49i 7
City of Tigard Date/B : Permit No.: DOG.
ill 13125 SW Hall Blvd.,Tigard,OR 97?EB 1 Plan Revie �� �.y
Phone: 503.718.2439 Fax: 503.598.1960 �� Other Permit: pZp((p-QOQ 3
111111 ■ Date/B A.- k I HZi
T I C;A R D Inspection Line: 503.639.4175 ' ,ITT !' i Date Rea,y : saris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: '/ yea,, Supplemental Information
BUii,nric rinasioN akc*Ndel, e/�r.rl. r•e . -,G
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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.
0 1-and 2-family dwelling ❑Comercial/industrial Valuation: $
m
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:Creenvetry-Shosw e.>, n a ;ry-R /.ZlGU SGIiv//.t New dwelling area: square feet
City/State/ZIP:Tigard Or 97223 'Fr/lk led "/00 Garage/carport area: square feet
Suite/bldg./apt.no.: /0 Project name:ATM Kiosk Greenway Shops Covered porch area: square feet
Cross street/directions to job site:SW 121'Ave. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:0220026013 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.
Erect a freestanding self contained ATM in an existing shopping center outdoor Valuation: $21$;60 65627
walkway where work includes site work,architecual and electrical Existing building area: square feet
New building area: 75 square feet
�'.� PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Atlas Greenway LLC Type of construction: Type III-B
Address:333 NW 9th Ave Suite 1009 Occupancy groups:
City/State/ZIP:Portland,Or 97209 Existing:
Phone:(503)709-9918 Fax:( ) New:
--- rt ArrucAlort 1 c'ON IAC 1 PERS . BUILDING PERMIT FEES*
Business name:Jones Lang LaSalle (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Debbie Shaw
FLS plan review fee(if applicable):
Address:800 51hAvenue,16th floor
Total fees due upon application:
City/State/ZIP:Seattle Wa
Phone:(415)407-1074 I Fax::( )
Amount received:
E-mail:Debbie.Shaw@am.jll.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel S. tern.
Business name:Andersen Construction Submit two sets of roof plan with - +ection details
and fire departm:,t access,alo r_''ith the 2010 Oregon
Address:6712 N Cutter Cir Solar Installation Si 'a • ode checklist.
City/State/ZIP:Portland Or 97217 Permit fee , a• •lan review $180.00
•administrafees):
Phone:(503)283-6712 Fax:( ) State:i rcharge(12%of permit fe- . $21.60
CCB lic.:45.1.224. Co 30 Total fee due upon application: $201.60
Authorized signature,./.-- -G'004 ---. This permit application expires if a permit is not obtained
!� within 180 days after it has been accepted as complete.
Print name:'y �fr®� _.,,..57,4,,,e774--- Date: �/2�^� * Fee methodology set by Tri-County Building Industry
r / Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
III li
T 1 c A R D Building Permit Review — Commercial - With Land Use
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_as� ,,,4,ck ,atv.�rs'+�w 10..L,,•':::w�a4,.'H. .x „ .,n.:«.. '•: . .. .... ».. -
Building Permit #: ✓I3 LtP a-c !7—O6 p 36
Site Address: ,...? '
, ,i )
11„ .. 1 uite/Bldg#:
Project Name: 11
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /.e) /7 i_' a
„,,,e 71,16,e4 74,050-31s, •/2) 4,,,,x,;(720. g
Zerifysite address/suite#exists and active in ermit s ste .
,,,-� p Y J
yrseiver Terrace Neighborhood: ❑ Yes bi' No
and Use Case#: A4 DQO/(42 __ 6,co
Vi Plans atch Approved Land Use:
Site Plan f.Jandscape Plan0/ether:
krban Forestry Plan tOtitlevation Plan
'[� 1%uilding Height: Maximum Height Actual Height
PI k onditions Met: 0 Prior to Submittal ❑ Prior to Permit Issuance
*J Business Lice e:
Exists: Yes ❑ No,applicant notified to obtain business license
ublic Facilities Improvement(PFI)Permit:•0121
Required: ❑ Yes,applicant was notified W No Applied For: ❑ Yes ❑ No,stopintake
Notes:
Approved by Planning: �` . --7
Date: 2
Revisions (after Building Submittal only) _ Reviewer _ nates
wtbknt 1-: El Approved D—Not of Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 02.4//7
Site Plans: # 3
Building Plans: # 3
Building Permit#: E--Enter building permit#above.
Workflow Routing: 2—Planning Engineering Ehermit Coordinator Building
Workflow Sign-off: a-Sign-off for Planning(include notes from planning review)
Route Application Documents: ErBu lig: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: C--- •C
ice— -a_Q i Date: ,977,47
I:\BuildingTorms\BldgPermitRvw COM_WithLandUse 0601I6.docx
sr
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering condition of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Y-. ❑ No
Assess Water Quantity Fee in-lieu: ❑ es ❑ No
LIDA Facility on lot: Yes ❑ No
❑ NOT Approved by Engineeri Date
Notes:
A proved by Engineering: L. l Date: ,,'���`�
P
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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: ❑ YesN/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: al) 3 /i.4-
I:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_070915.docx
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 218627
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: $
�i-. ... _...,.... . . a mgie-unis
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 03/03/2011
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12160 SW SCHOLLS FERRY RD 100, TIGARD, May 23, 2017 at 10:55:20 AM
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00030
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor