Permit (49) CITY OF TIGARD BUILDING PERMIT
Permit BUP2017-00171
COMMUNITY DEVELOPMENT
T[ AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2017
Parcel: 1 S135DD05106
Jurisdiction: Tigard
Site address: 11999 SW PACIFIC HWY
Project: Bank of America Subdivision: None Lot: None
Project Description: Voluntary ADA upgrades to existing bank space
Contractor: ANDERSEN CONSTRUCTION CO Owner: CCC PROPERTY MANAGEMENT LLC
6712 N. CUTTER CIRCLE BY CHERI LETHIN
PORTLAND, OR 97217 PO BOX 25083
PORTLAND, OR 97221
PHONE: 503-283-6712 PHONE:
FAX: 503-283-4393
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/22/2017 $619.25
Demolition
Occupancy Grp: B Occupancy Load: 426
DC Provision Review,COM TI-Ping 06/22/2017 $90.00
Dwelling Units: 0 12%State Surcharge-Building g 06/22/2017 $74.31
Stories: 1 Height: 0 ft
Plan Review 06/22/2017 $402.51
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/22/2017
Value: $247.70
$40,000 Info Process/Archiving-Lg$2.00(over 06/22/2017 $18.00
11x17)
Floor Areas:
Total Area: 4262
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,451.77
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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. ATT = : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 -0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19;4
or 1.1800.332.2344.
I sued By: k I / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dap. I
This permit card shall be kept in a conspicuous place on the job site until completi•. o he project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applic '
Commercial . . dtlyeri �-4
FOR OFFICE USE ONLY
City of Tigard u Received n
IIII13125 SW Hall Blvd.,Tigard,OR 9 /' Date/13 : O�� /, Permit No.: �� � `�
Phone: 503.718.2439 Fax: 503.598.1960 Ptan B Review:. , / "r�
Date . ,
Line: IIIIIIIIIIIII
T I G A R D Inspection L503.639.4175C H 4 i<> ` ` Jur s:
Internet: Line:gard-or.gov Dale Ready 0 See Page 2 for
-r-, :/ee• s k. Notified/Method:
Supplemental Information A INgt liNi_
TYPE:OF WORK°' RE4,Ili D 6A 'A'1•-"AND:..„A II.Y D V1 4i1 IG ';
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/re lacementIndicate the value(rounded to the nearest dollar)of all
P ®Other:ADA Upgrades equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONS RVflO work indicated on this application.
4.❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: """
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
;JOB SITE, INFORMATION°AND`L(CA'r1fON, Total number of floors:
Job site address:11999 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224
Garage/carport g arport area: square feet
Suite/bldg./apt.no.: I Project name:Bank of America
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Corner of Pacific Highway W&SW Greenburg Road
Other structure area: square feet
EQVT+ DDA i'C NIMERC3ku'U4E
Subdivision:Washington County-1S153DD " "'' " ' - " •" •> � �' �"
Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:5106 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
b eirtoT1t N o WOK ., 4, work indicated on this applicati y.
Voluntary ADA upgrades to existing Bank space Valuation: $ 0.t
Existing building area: square feet
New building area: square feet
' 114iCf*EiTY44 OY 1M� ? ('-T NA Number of stories:
,r,
Name:Bank of America-Jenny Shaw
Type of construction:
Address:800 Fifth Avenue,13th Floor
Occupancy groups:
City/State/ZIP:Seattle,WA 98104
Existing:
Phone:(206)707-6531 Fax ( )
.0 :PPLICANT l CONTACT P RSOI1"" New:
, � F= BltTl>✓AJ(N+ PRNII"[''F1FaFS*
Business name:Gensler ""
,.*wz .. (Pleasereferto ecodter#tle) -----,0-.14,
Contact name:Jeff Schmierer Structural plan review fee(or deposit):
Address:2101 Webster Street FLS plan review fee(if applicable):
City/State/ZIP:Oakland,CA 94612 Total fees due upon application:
Phone:(510)625-7467 I Fax::( ) Amount received:
E-mail:jeff Schmierer@gensler.com
PIIOTOVOLTA1C SOLAR PANEL SYSTEM FEES*,."
,. 'A x • C43.NT-,CTP'OR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel Syste .
Business name:Andersen Construction Company Submit two sets of roof plan with co on details
Address:6712 North Cutter Circle and fire departm access,along .' the 2010 Oregon
Solar Installation Sp-:'.lty :le checklist.
City/State/ZIP:Portland,OR 97217 Permit fee(incl lan review
an. :i inistrat fees): $180.00
Phone:(503)283-6712 I Fax:(503)283-4393
CCB lic.:63053
State sure arge(12%of permit • $21.60
otal fee due upon application: $201.60
Authorized signature: This i •.' ' : 'i n expires i a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jeff Schmi•er Date:08.30.2016 * Fee methodology set by Tri-County Building
Service Board.
Industry
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1111111 'I 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] $ 40,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 40,000
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 03/03/2011
.7 ■ City of Tigard
1, Ul COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: -T u P(9-D/ 7-DO /7/
Site Address: 1 1C1 9 SW P 61 c c. )41'9 l'owv'I Suite/Bldg#:
Project Name: QG1 n Iti o h A ; c c1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review r&Li
Proposal: A 0 A upr 1 S t o k.fib { i __
Existing Business Activity: C )1 .1 S 110 C ' ci n k,
Proposed Business Activity: V)Q On
(A n9 E-
XVerify site address/suite# exists and active in permit system.
ARiver Terrace Neighborhood: iy ❑ Yes /5 No
irl
Zoning: U •-C13\)
Permitted Use: ❑ Yes El No El Space
Confirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: tAl tn."---7.- (t'\.----'-'— Date: (ol •z.z/ ( -1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: 6/3 /,
Site Plans: # r?j
Building Plans: #
Building Permit#: ErEnter building permit#above.
Workflow Routing: ,Er Planning 1 Building
Workflow Sign-off: ®`Sjgn-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.
C/
Notes: D-7
---e__—
Permit Technician: C—ki„aDate: oyr-/`
I:\Building\Forms\BldgpermitRvw COM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal o
Revision Notice 1: Date S. 't to Applican
Revision Notice 2: D. e Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entere. Wash Co Trans Dev Tax: ❑ Yes D N/A
�_Tiga�d��ans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPennitRvw_COM NolandUse_070915.docx
Iii City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC)
( TC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: Pc /7-00/7/
Contact Name: r/T U sena w /�- ,,�ssh .42cJv+,J;f1,ctr") Phone#: 6)?o7�-653
Business Name: k(,,,4, Appt.Appt. Date/Time: � /7 @ 1d,cro
Site Address: g f , .y.(1.. B1dg7 cite #:
Project Name: ,,tom
Project Description: .4[- ' r✓A J ozi-)i ....,1 L _ «.I._ `,, ALA :.i1:.
Existing Use: _ New Use: /g
MMD Required: 0 Yes Related Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: Type of Construction:
Type of Use: Occupancy Load: I Oregon Specialty Code:
4-
SPECIFICS 7
Number of Stories: I Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
LLI1Vt1 SQ FT-SCH003.CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage:
_ Deck:
Total Square Footage: y Carport: Mezzanine:anine:
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: o k
—Q Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Des T rea:
K Factor:
Total Project Valuation: $ -4-Orfre..3
$ 41'6"0111/ DC Prov Rvw,COM fl—Ping
$ g
(Q .Z'ermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ / , 12%State Surcharge
Project Valuation $ ' 0 2 Plan Review,Structural
Up to$4,999 $0.00 •
$5,000-$74,999 $ ! i �'/� Plan Review,Fire Life Safety
$75,000,0 -74,9,999 $90.00 $/g-' ei� Info Proc/Arch,Lg(over 11x17$2.00)
$224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00
$ Metro Construction Excise Tax
$ Schobl Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ OTAL FEES DUE
11 0510 7 7
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11999 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00171
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor