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Permit (174) CITY OF TIGARD �� t' i/ BUILDING PERMIT ,N a COMMUNITY DEVELOPMENT 1" / Permit#: BUP2017-00068 � Date Issued: 11/13/2017 T I(;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 11� Parcel: 1 S135DA02400 Jurisdiction: Tigard Site address: 11045 SW HALL BLVD Project: Brookside Memory Care Subdivision: METZGER ACRE TRACTS Lot: 7 Project Description: New 16,327 square feet,32-bed residential care facility.10/25/18:REPRINTED to correct address from 11035 to 11045. 11/5/18:REPRINT to change contractor. Contractor: DELTA REMODELING Owner: BROOKSIDE RCF LLC 215 SE 151ST AVE 5987 SE ROBHIL DR PORLAND, OR 97233 MILWAUKIE,OR 97222 PHONE: 503-258-8271 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: NEW Type of Const: VA 12%State Surcharge-Building 11/13/2017 $2,252.33 Occupancy Grp: 1-2 Occupancy Load: 313 Plan Review 11/13/2017 $5,926.67 Wash Co Trans Dev Tax 11/13/2017 $38,804.00 Dwelling Units: 33 DC Provision Review,COM New-Bldg 11/13/2017 $178.50 Stories: 2 Height: ft DC Provision Review,COM New-Ping 11/13/2017 $178.50 Bedrooms: Bathrooms: Plan Review-Fire Life Safety 11/13/2017 $7,507.77 Value: $4,099,546 Info Process/Archiving-Lg$2.00(over 11/13/2017 $86.00 11x17) Info Process/Archiving-Sm$0.50(up to 11/13/2017 $62.50 Floor Areas: 11x17) Total Area: 16327 Metro Const.Excise Tax 11/13/2017 $4,919.46 Tig-Tual School CET-Non Residential 11/13/2017 $9,959.47 Accessory Strutt: Plan Review 11/13/2017 $4,847.70 Basement: Permit Fee-COM-New Construction 11/13/2017 $18,769.42 Carport: Additional Plan Review 02/21/2018 $45.00 Covered Porch: Additional Plan Review 02/28/2018 $45.00 Deck: Additional Plan Review 10/09/2018 $45.00 Misc Administration Fee 11/05/2018 $45.00 Garage: Mezzanine: Total $93,672.32 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Yes Manual Pull Stations: Yes 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 95 .01-0090. You ay 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: a �� r V► .../ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ,Ma 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 Residential RECEIVED i of OFF1( 1 Si: City of Tigard N O V -5 2018 Received Date/B : ��� No ` , ie`41; 11111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 CITY ,..,( :- TIGARD Date/B : Other Permit: TIC A K D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov BILI-DING DiVISlDN Notified/Method: Supplemental Information TYPE OF WORK 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 ❑Addition/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 Commercial/industrial Valuation: $ Number of bedrooms: ElAccessory building ❑Multi-family ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1\Q%J `Ji...S k.\ (1- \ New dwelling area: square feet City/State/ZIP: -C \ t- 014- an--1 1 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 1ivc S ,rlp ; G v,„.k- Covered porch area: square feet Cross street/directions to job site: 4:—,`.3 \ 16' c Deck area: square feet Other structure area: square feet REQUIRED DATA::COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK �^ \\11 work indicated on this application. ..._:,__..A., - -v .�`j— Vct: \t\A c• ' Valuation-t 0%,(1c-tces Existing building area: ( '` square feet New building area: `to '3;/_ square feet (S.PROPERTY OWNER 0 TENANT Number of stories: Name: ",t'y1hy sefr_k .A.c,t / ` :� \ ( p Type of construction: Address: `�9 C- ___ �v��i\ 0 V Occupancy groups: \__-L -S City/State/ZIP: Existing: Q.,-S c �}���.�� Phone:( ) Fax:( ) v New: \`Z T---- APPLICANT 13,CONTACT PERSON BUILDING PERMIT FEES* Business name: QtyV1 0(A lrs,�-. ' _ cit review re(oer rafepe sit)schedule) V°� Structural plan fee(or deposit): Contact name: a_ez\e-w-N` 0G `u FLS plan review fee(if applicable): Address: C ck ".)- c 1 �j hl OV City/State/ZIP: WI `k_ L.)e-- cAl 22 Total fees due upon application: Phone: c'c Fax:: Amount received: (5-L t1� - 4C ( > E-mail \/)Z v\v\� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �Lt���c�4-� � G�w� � �� � Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: V�` tI� Submit two(2)sets of roof plan with connection details V ` v-', cl.R and fire department access,along with the 2010 Oregon Address: 7-A c S \ t ,5\-- Pt11.Q Solar Installation Specialty Code checklist. City/State/ZIP: ieo;;.s---l",vc\-T 2"33 Z Permit Fee(includes plan review and administrative fees): $180.00 Phone:(Sp S) .-c\• - c\--c 10 Fax:(SO 9 1:5-% -$7..._-1 ` State surcharge(12%of permit fee): $21.60 CCB lic.: t tic (� <N(,.., 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. % Date: C/ *Fee methodology set by Tri-County Building Industry Print name: ` \V / \il Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling roll 0[1,1( 1 [S I. O"l.v Received City oTigard Received Permit No.: lig13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: • Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical 7IGARD Internet: www.tigard-or.gov ❑ Other: TILE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les yo yk 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0 3 Verification of approved plat/lot. ❑ ❑ 0 4 Fire district approval required. Name of district: • 0 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 ❑ 7 Water district approval. 0 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 ❑ systems,see item 22,"Engineer's calculations." _ 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping sche,uatit,is required 0 ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ 0 architect licensed in Ore•on and shall be shown to be a I.licable to the •ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16,19,20 and 22 above. ❑ 0 ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 11.....„ . CITY OF TIGARD BUILDING PERMIT 8: COMMUNITY DEVELOPMENT " 1, Permit#: BUP2017-00068 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 , � • Date Issued: 11/13/2017 TEC�l�1t"t.L is ...c- Parcel:S Parcel: 1S135DA02400 Site address: 11045 SW HALL BLVD Jurisdiction: Tigard Project: Brookside Memory Care Subdivision: METZGER ACRE TRACTS Project Description: New 16,327 square feet,32-bed residential care facility. 10/25/18: REPRINTED to correct address from 11035 to Lot: 7 11045. Contractor: PR DESIGN&GENERAL CONTRACTORS LLC Owner: BROOKSIDE RCF LLC 919 NE 19TH AVENUE SUITE 155 5987 SE ROBHIL DR PORTLAND, OR 97232 MILWAUKIE, OR 97222 PHONE: 530-625-8461 PHONE: FAX: Specifics: FEES Type of Use: COM Description Date Amount 12%State Surcharge-Building 11/13/2017 $2,252.33 Class of Work: NEW Type of Const: VA Occupancy Grp: 1-2 Occupancy Load: 313 Plan Review 11/13/2017 $5,926.67 Dwelling Units: 33 Wash Co Trans Dev Tax 11/13/2017 $38,804.00 DC Provision Review,COM New-Bldg 11/13/2017 $178.50 Stories: 2 Height: ft Bedrooms: Bathrooms: DC Provision Review,COM New-Ping 11/13/2017 $178.50 Value: $4,099,546 Plan Review-Fire Life Safety 11/13/2017 $7,507.77 Info Process/Archiving-Lg$2.00(over 11/13/2017 $86.00 11x17) Floor Areas: Info Process/Archiving-Sm$0.50(up to 11/13/2017 $62.50 11x17) Total Area: 16327 Metro Const.Excise Tax 11/13/2017 $4,919.46 Accessory Struct: Tig-Tual School CET-Non Residential 11/13/2017 $9,959.47 Basement: Plan Review 11/13/2017 $4,847.70 Carport: Permit Fee-COM-New Construction 11/13/2017 $18,769.42 Covered Porch: Additional Plan Review 02/21/2018 $45.00 Deck: Additional Plan Review 02/28/2018 $45.00 Additional Plan Review 10/09/2018 $45.00 Garage: Mezzanine: Total $93,627.32 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm. Yes Protected Corridors: Yes Smoke Detectors: Yes Manual Pull Stations: Yes 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 O AR 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: \ VV 1� I ,� Permittee Signature: ® �/�T1 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. CITY OF TIGARD BUILDING PERMIT Ir. ' COMMUNITY DEVELOPMENT ., Permit#: BUP2017-00068 T[ A RD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 } Date Issued: 11/13/2017 riMingl Parcel: 1 S 135DA02400 Jurisdiction: Tigard Site address: 11035 SW HALL BLVD Project: Brookside Memory Care Subdivision: METZGER ACRE TRACTS Lot: 7 Project Description: New 16,327 square feet,32 bed residential care facility. Contractor: PR DESIGN&GENERAL CONTRACTORS LLC Owner: BROOKSIDE RCF LLC 919 NE 19TH AVENUE SUITE 155 5987 SE ROBHIL DR PORTLAND, OR 97232 MILWAUKIE, OR 97222 PHONE: 530-625-8461 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VA 12%State Surcharge-Building 11/13/2017 $2,252.33 Occupancy Grp: 1-2 Occupancy Load: 313 Plan Review 11/13/2017 $5,926.67 Dwelling Units: 33 Wash Co Trans Dev Tax 11/13/2017 $38,804.00 DC Provision Review,COM New-Bldg 11/13/2017 $178.50 Stories: 2 Height: ft DC Provision Review,COM New-Ping 11/13/2017 $178.50 Bedrooms: Bathrooms: Plan Review-Fire Life Safety 11/13/2017 $7,507.77 Value: $4,099,546 Info Process/Archiving-Lg$2.00(over 11/13/2017 $86.00 11x17) Info Process/Archiving-Sm$0.50(up to 11/13/2017 $62.50 Floor Areas: 11x17) Total Area: 16327 Metro Const. Excise Tax 11/13/2017 $4,919.46 Tig-Tual School CET-Non Residential 11/13/2017 $9,959.47 Accessory Structs Plan Review 11/13/2017 $4,847.70 Basement: Permit Fee-COM-New Construction 11/13/2017 $18,769.42 Carport: Additional Plan Review 02/21/2018 $45.00 Covered Porch: Additional Plan Review 02/28/2018 $45.00 Deck: Garage: Mezzanine: Total $93,582.32 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Yes Manual Pull Stations: Yes 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. /' Issued By: Permittee Signature: /L.tJ _ all 503.639.4175 by 7:00 a.m.for the next available inspection date. v 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. 1 CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT Permit#: BUP2017-00068 T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2017 Parcel: 1 S 135DA02400 Jurisdiction: Tigard Site address: 11035 SW HALL BLVD Project: Brookside Memory Care Subdivision: METZGER ACRE TRACTS Lot: 7 Project Description: New 16,327 square feet,42 bed residential care facility. Contractor: PR DESIGN&GENERAL CONTRACTORS LLC Owner: BROOKSIDE RCF LLC 919 NE 19TH AVENUE SUITE 155 5987 SE ROBHIL DR PORTLAND, OR 97232 MILWAUKIE, OR 97222 PHONE: 530-625-8461 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VA 12%State Surcharge-Building 11/13/2017 $2,252.33 Occupancy Grp: 1-2 Occupancy Load: 313 Plan Review 11/13/2017 $5,926.67 Dwelling Units: 33 Wash Co Trans Dev Tax 11/13/2017 $38,804.00 Stories: 2 Height: ft DC Provision Review,COM New-Bldg 11/13/2017 $178.50 Bedrooms: Bathrooms: DC Provision Review,COM New-Ping 11/13/2017 $178.50 Value: $4,099,546 Plan Review-Fire Life Safety 11/13/2017 $7,507.77 Info Process/Archiving-Lg$2.00(over 11/13/2017 $86.00 11x17) Info Process/Archiving-Sm$0.50(up to 11/13/2017 $62.50 Floor Areas: 11x17) Total Area: 16327 Metro Const. Excise Tax 11/13/2017 $4,919.46 Accessory Strutt: Tig-Tual School CET-Non Residential 11/13/2017 $9,959.47 Basement: Plan Review 11/13/2017 $4,847.70 Carport: Permit Fee-COM-New Construction 11/13/2017 $18,769.42 Covered Porch: Deck: Garage: Mezzanine: Total $93,492.32 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Yes Manual Pull Stations: Yes 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. Issued By: / 4t1iy/ys� Permittee Signature: i- . >- 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 "Lommercial FOR OFFICEUSE ONLY City of Tigard } Received Permit No.:810;20 i 7,_d. x,„E., Date/By. 17 1111 8 w 13125 SW Hall Blvd.,Tigard,OR 97213 Plan Re ew Phone: 503.718.2439 Fax: 503.598.1960 Date/By a Other Permit: C( Inspection Line: 503.639.4175 Date Rea ,: / Juns. ® See Page 2 for TIGARD p Notified/Method: ,l(c)l�"� '� I Supplemental Information Internet: www.tigard-or.gov _ �f/" fi TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING '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 ❑Addition/alter ation/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ ❑1-and 2-family dwelling 'M'Commerciallindustrial Number of bedrooms: ❑Accessory building ❑Multi-family Number of bathrooms: O Master builder 0 Other: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 'l O?S l^" A'l.L J?LAJ7 _New dwelling area: square feet City/State/ZIP: n oZt �I7'ZZl Garage/carport area: square feet Suite/bldg./apt.no.: f Project name: [312-wr4(0t% Me-vow( claCovered porch area: square feet Cross street/directions to job site: +t#fig- el.VO Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 ovgtheed,and the profit for the DESCRIPTION OF WORK work indicated on this app in".? `_ 1 W' ) M M,04404 /T0" ' -turf Vauatio{ }3� } ^---, sniudn2 �iigiisquare feet ' New building area: '/x,,321 square feet PROPERTY OWNER ❑ TENANT Number of stories: 'L rt Name: ( Y DA/141/40.-1 KS-1CFI Type of construction: VA li � Address: 57 4T 14;4441u- OR.i Occupancy groups: 1••.2. r 0.-3 City/State/ZIP: gMILWA e„W i flV.Z 1 G,x(f-stt, ng: a..s (Qr/14 Phone:( _1Gig..Lio n Fax(( 4 A x ' �; !�`1 t"hlaw� kL L APPLICANT '.1 CONTACT PERSON BUILDING PERMIT FEES* , (Please refer to fee schedule) 3usiness name: UR oe-31W4 LLC.. Structural plan review fee(or deposit): Contact name: . OIj f 'rio LSCA) FLS plan review fee(if applicable): Address: 61161 i, 'q' 9-i'm 155 Total fees due upon application: City/State/ZIP: R.7,44-1...1-A4 i . x17232 �! I Amount received: 2 Phone:(w3) )' '-f 'J Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: ed d ci(J/t'<.Sl:/'t' Gir .1-1 Q Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: fit i$%(,.1 y 4 601„,,,,,,,,, ('j0/ 0,,,,,Ibl, Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Cl( I kg- Mme- litc Suter 1. Solar Installation Specialty Code checklist. �Z Permit fee(includes plan review $180.00 City/State/ZIP: ��p (^q ( �2 and administrative fees): Phone:(54) 1.4 5--e Lret 1 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: I 0 1" 2CI 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. LPrint name: 60,14/40 gfrotCsca- Date: 3.V,ii * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) IICity of Tigard ■ d COMMUNITY DEVELOPMENT DEPARTMENT TICARD Building Permit Review — Commercial - With Land Use Building Permit #: emiVO/ 7—OCV4 Site Address: // 3 5 5'W /-f A- 13(vq° Suite/Bldg#: ,slvf . Project Name: 6rzGv(e St 166- I t i t 4.1(Oia ', -J (Name of commercial business occupying space. If vacant,enter Spec Space.) Planning Review .4-L 3 44.- , Proposal: .- Proposal: ,rt)e 3 2., 249 vti pri,ewc©v`� C a ult,pr'�c. t� c�� \ D peau cr - Verify site address/suite# exists and active in permit system. J- River Terrace Neighborhood: ❑ Yes rit No Land Use Case#: Z()P 2.015- -ov' tJ 2- 2- E --Plans Match Approved Land Use: lin Site Plan II Landscape Plan ❑ Other: Urban Forestry Plan ❑ Elevation Plan BuildingHeight: r r g Maximum Height 7S Actual Height 3 3 7, s [ Conditions Met: I' Prior to Submittal ❑ Prior to Permit Issuance 6 Business License: Exists: ❑ Yes 1. No,applicant notified to obtain business license Public Facilities Improvement(PFI) Permit: Required: In Yes,applicant was notified ❑ No Applied For: ` 1 Yes ❑ No,stop intake Notes: 0-166-r iJpJw.'s.'( "i' f(!lP . o„yes-'xk,` /K) Approved by Planning: Cil Date: -2-3 /.7 Revisions (after Building Submi a only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 3,6' 3`i 2 Site Plans:ns: Building #Plans: ## Building Permit#: [nter building permit#above. Workflow Routing: g [ Pgineering 13- ---1 uit Coordinator CLBtdfding Workflow Sign-off: 111-"S.--i -off for Planning(include notes from planning review) Route Application Documents: Wig: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: _ ..- j —Date: 3 jor I:\Building\FormsAildgPermitRvw COM_WithLandUse 0601I6.docx - .. . Engineering Review p Slope at building pad: • XPFI Permit#: 2�p ✓erz2 7y1 /),,,k4e/ 44� onditions "Met"prior to issuance of building permit ,� V Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP) • Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: JJ Date: J7- -/7 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 pproved,NOT Released: 7 ��''�� Date: 3i:2-4/1")--- Notes: (rine-.4417#2:" '"�CG � ' 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: DC Fees Entered: Wash Co Trans Dev Tax: r es N/A Tigard Trans SDC: -i---- -s N/A Parks SDC: es $ N/A f " YirNI OK to Issue Permit / >J A roved by Permit Coordinator: Date: G)7 /I V, 1 ,/,(----- ------(.42-2) -- I I:\Building\Forms\B1dgPermitRvw COM_WithL.andUse_070915.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT le Transmittal Letter r c n Ez D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: IPA-iv NE-Ls-0N/ DATE RA. cf P DEPT: BUILDING DIVISION �-� "Y I ZO1 ' FROM: t cum PAD P/ -fug CITY OFTIGA D COMPANY: - t2 C 1 W\( BUILDING DIVISION PHONE: 562- ( 7i - 24q • I BY:8.7 RE: ( 1 035 sw -14U, P-\/19 gUP2D(7- (Site Address) ���� (Permit Number) eir &IZ 02-Y gESt�2c��"l — 0000 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. S Revisions: RAAJ P JIB /. tS Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 1\j5 ) --1r-S (- S p� cLwu 1„)1 (o1112-c( cArs RAlu 12e--&s rcvts 0S-0 1,2717 FOR O C USE ONLY Routed to Permit Technician: ate: 7 Initia :.10 h Fees Due: ❑Yes o Fee Description. Amo i sue: Special Instructions: Reprint Permit(per PE): ❑Yes [ J No ❑Done Applicant Notified: r_s Date: ?/col(-, Initials I:\Building\Forms\TransmittalLetter-Revisions 061316.doc FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter II q r (JAPE) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: -<cC;N) DATE r. : MEP DEPT: BUILDING DIVISION JUN 2 2 2017 FROM: D\MRD PAD L9 ECR) CITY OF T1GARb COMPANY: 'Erg— DESA BUILDING DIVISION PHONE: , ..3— )...cg -1i 7 L Ct....A RE: J b5 Address) � Ai t- E J 01-1noo�l� (Permit Num er) :VI -OV-S(6r: ittell,4-1&"( 01,---e- .,,,;-, aa tr e f,." roject name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. .,lj Revisions: n,4-,01.1 Cti-' L //g _- Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: `OF iiik_i. L a - 1-41'N Ck 5/e/17 FOCE USE ONLY Routed to Permit Technician:, Date: 6 (. 7 Initial • •ij Fees Due: ❑Yes [0-11 Fee Description: Amour P ue: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑Done Applicant Notified: Date: 7/'/o/0 Initials:, I:\Building\Forms\TransmittalLetter-Revisions 061316.doc FOR OFFICE USE ONLY-SITE ADDRESS: M9 S�T, This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT )1 I Transmittal Letter r i(i n ii ) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- .gov TO: 6.A(- \Jo.,v-,c9.o Vre ` .-� \C� DAT 4., f� �' + DEPT: BUILDING DIVISION FEB 5 2018 FROM: I vl`rl� Dc't-YY\ -iii i' Of 'I ,' COMPANY: \b BUILDING DIVISION PHONE: (j`3 `1 — /c 1-2- RE: -ZRE: 11 r1 \e:,1 v -7 G (Site Address) u� / ' ��©�!J (Permit Number) (Project name or subdivision name and lot number ATTACHED ARE THE FOLLOWING IT OPS : I Copies:' J Description: 1 Copies:... I Description: I Additional set(s) of plans. \\"l Revisions: Cross section(s) and de 1U, ,, � Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. >4_ Other(explain): -_� , REMARKS: lla �l v * to 9_.S-\ .^) - QP,�✓f it/� FOR OFFICE USE ONLY Routed to Permit T: • ician: Date: Initials: Fees Duegj 7 ❑No Fee Description: Amount Due: S i-fr P) $4S-z_- Speci. Ins t tions: Reprint Permit(per PE): ❑ Yes I I NoDone Applicant Notified: I Date: .f 7 �i Initials: /7AC--- I:\Builchng\Forms\TransmittalLetter-Revisions.doc 05/25/2012 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. IN City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 2 , , i i, 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: -.1-p YYN. DATE RIR&t6 i IVF j'! DEPT: BUILDING DIVISION RPR 1 013 kThFROM: k(1 c�V-..,kc-tte-- $ . !NG `?! r 1O COMPANY: C>VCok,L< 4._ & F ( t_(_- PHONE: — PHONE: 5%3.) '19 ck "AS S-}Z BY•0- RE: I t03 S St l` 011 x� /7-L (Site Address) (Permit umber) A3 VIDc)V-St �F (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ir Copies: I Description: I Co' ,,: escription: Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. r Basement and retaining walls. Beam calculations. U Engineer's calculations. Other(explain): REMARKS: ��. ,..si_ . \nk- o v-- -e x.ifi�� 1 \-^'c` (1..1a,r,VN—Sl iR FOR OFFICE USE ONLY Routed to Permit Technician: Date: 9_ j 7— J c Initials: Fees Due: 0 Yes 91N- Fee Description: Amount e: $ Qi $J�' $ Special Instructions: Reprint P is' (per PE): 0 Yes � No El Done Applicant ► stifled: Date: Initials: I:\Building\Forams\TransmittalL ttea-Revisions 061316.doc • - - - r 1 v 3 � � E u Pao 1 7. - 00 0 4) tkiLOFFICE COPY Note: -.... .,,�. 1 - Use 2500 psi 28 day strength concrete EG —I ' D 2-Use Grade 60 rebar ' 3-Backfill Toe on wall exterior prior to interior _ 1 7 2018 4- Allow Minimum 21 Day Curing Time Prior to Backfill CITY Ofr '1(;-SARI 11ILDINc DIVISION 4"Thick Concrete Wall 6"Thick Concrete Wall No.4 Rebar,16"OC EW —`:...'............ ..I Existing Pr t, No.4Reber,16"OC EW A ; Minimum 12"Free Draining Fll a . i; Pressure Wash Loose scale and debris .I -�, from surface Sack and Patch Cold Joints ►' `A . _4 to 2.5 Clear a1 Dowell and Epoxy 8"into Existing ' 1, Footing • •'# r - 4"dia perforated '' ," drain pipe fes.; ..L. .' A� f`L. * 1 71 Existing Concrete Footing #4 longitudinal as showni. 2'-0" ',,''t:+yi off 1,gard Approved Plans By _ _. &t6 __._.__ ... OFFICE COPY REVISION PROP S' GI NEF• 'o fr1 \023 `�' -.44 L Brookside_A__ Memory Care o 1 Tigard Oregon q, 50 WILLAMETTE Basement Retainin Wall 'f J. ENGINEERING AND EARTH SCIENCES g 560 Janes How®Rd Dallas.Oregon Laterally b Floor System EXPIRES 06/30/18 003)623.4391 Fa4603�3-2434 SCAIE N.T.S. I 04/11/18 (SHEET S1 FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ei 1111 I Transmittal Letter r („\iii) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: OM DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED .c.2 -\(\t 06LW\ OCT -42018 FROM: �� ` -L.1.— CITY OF I.IUPoiD COMPANY: vt€�\C-C �� (i ( , BUILDING DIVISION PHONE: 'S-Qs- `'l cIS --Li 8-I-1.___ By. ti1/4----v RE: t 1° c- suJ k lel i . �r U� t h ) - '' (Site Address) ($ it N„mherl eV.—��C (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. P=- Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): r REMARKS: � 1 i \.i.SV \� �� ♦Q . -- rv\-4-:\- Lr ------ +0 rv-ex.lki, -'SN-.L.254, ltip .- • .,tr.0-S ren v -\\\evQt 1 FOR OFFICE USE ONLY Rout Permit T 'cian: Date: Jo CV- I (— Initials: 'I Fees Due: 111 E No Fee Description: Amount Due: • S r- T .41. re. ;... V $ c / $ $ Special Instructions: Reprint Permit(per PE : ❑Yes ] �] Done A. .licant Notified: ire, Date: Di Initials: ,,ki I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11045 SW HALL BLVD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2017-00068 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor