Permit (53) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00116
TRAM:L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2018
Parcel: 2S 115 BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 140
Project: HomeStreet Bank Subdivision: 2004-015 PARTITION PLAT Lot: 2
Project Description: TI for bank branch moving to new location in an existing retail building. All new interior including restroom,vault,
office,teller and back of house.
Contractor: LEASE CRUTCHER LEWIS Owner: SN PROPERTIES PARTNERSHIP
550 SW 12TH AVENUE 1121 SW SALMON ST
PORTLAND, OR 97205 PORTLAND, OR 97205
PHONE: 503-223-0500 PHONE:
FAX: 503-223-2874
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/01/2017 $3,232.03
Occupancy Grp: B Occupancy Load: 15 Demolition
12/o State Surcharge-Building 06/01/2017 $387.84
Dwelling Units: 0 Plan Review 05/11/2017 $2,100.82
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/01/2017 $357.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/01/2017 $56.00
Value: $451,663 11x17)
Info Process/Archiving-Sm$0.50(up to 06/01/2017 $5.00
11x17)
Floor Areas: Metro Const.Excise Tax 06/01/2017 $542.00
Total Area: 1996
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,680.69
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 iss •-, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati• C nter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of •_ - • •irect questions to OUNC by calling 50 .232. 987 or 1.80 32.2344.
•
Issued By: ' Permittee Signature:
Cal 03.6 39.4175 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 proje•.
Approved plans are required on the job site at the time of each inspection.
'Building Permit Application
Commercial FOR OFFICE ['SE ONLti'
City of Tigard ReRECEIVEDReceived cJ �� �! Permit No 7�D//(�
III - /
� 13125 SW Hall Blvd.,Tigard,OR 97223 1,A p�/ '1. 1 2 017 Plan R. ' �.� Other Per /4/1),Z/7. n
Phone: 503.718.2439 Fax: 503.598.1960Date/B :it i.f; . )0/7
T I G A R D Inspection Line: 503.639.4175 Date Rea.y t y: ! e r ,,,//� 7uris: See Page 2 for
Internet: www.tigard-or.gov CLIV OF TIGARD No�fied/Methoc r J//' 'NF4J�7-tom Supplemental Information
BUILDING DIVISION ' t '
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction El Demolition
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16230 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
5
Suite/bldg./apt.no.:140 Project name:HomeStreet Bank Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd 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.
Tax map/parcel no.: 2S115BA02600 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.
A new bank branch tenant improvement in an existing retail building. All new Valuation: $$451,663.00
interior including restroom,vault,office,teller and back of house Existing building area: 1,996 square feet
.ALL 7/Z1,6C-.5 7 • ,C 1-7- �tCigiLt/f/ c�,3-77zy. New building area: 0 square feet
0 PROPERTY OWNER ® TENANT Number of stories: 1
Name:HomeStreet bank Type of construction: VB
Address:601 Union Street,Suite 2000 Occupancy groups:
City/State/ZIP:Seattle,WA 98101 Existing: M
Phone:(206)753.3746 Fax:( ) New: B
►� APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Woodblock Architecture (Please refer to fee schedule)
Structural plan review fee(or deposit): ,./�D r dta.
Contact name:Jonathan Dunn .1
FLS plan review fee(if applicable):
Address:107 SE Washington St,Ste 250
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)889.0604 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:jonathan@wblock.com
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Lease Crutcher Lewis Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:550 SW 12th Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97205 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)223.0500 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:92919
Total fee due upon application: $201.60
Authorized signature: _ t47; > This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jonathan D Date:05/10/17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
A
RECEIVED
MAY 1 1 2017
Building1114 Division CITY OF TIGARD
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] $ 355,057
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 88,764
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: $ 47,638
(e) Accessible telephones:
$
(f) Accessible drinking fountains:and, '$eGy4e.__Fac31,6rl $ 41,126
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $ 88,764
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
L
r N.
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 A R D Building Permit Review — Commercial - With Land Use
Building Permit #: jrr01 _ 001/(e
Site Address: /(,23Q & )>,,,,,i,Q, / Suite/Bldg/4; /1-10Project Name: bbnu- ,S2 t
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: '/ tit? ,4.111 ,
4
Verify site address/suite#exists and active in permit syste
Ve
ver Terrace Neighborhood: ❑ Yes J No
Plan/Match
and Use Case#: /v/��) Oi3_ cT
Plan atch Approved Land Use: 1
Vi Site Plan 11/4O ndscape Plan O I ither:
Okrban Forestry Plan 0 vation Plan
Building Height: Maximum Height Z-7/6— Actual Height maxis i"ft.,
1 II\ nditionsoMet:
I ❑ Prior to Submittal ❑ Prior to Permit Issuan
Business Lice e: VVVVVV
Exists: Yes ❑ No,applicant notified to obtain business license
9c\1 blic Facilities Improvement(PFI) Permit: 127
Required:Required: ❑ Yes,applicant was notified Ind' No Applied For: ❑ Yes ❑ No,stopintake
Notes:
Approved by Planning: a—
MU moi,/ Date: � ,
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: 7//7
Site Plans: ##
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: {-Planning 2--Engineering 0-Permit Coordinator ,2- Building
Workflow Sign-off: J Sign-off for Planning(include notes from planning review)
Route Application Documents: D--Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
ByPermit Technician: /,"�
Date: ,,06..,,/7
I:\Building\Forms\BldgPernutRvw COM WithLandUse 070915.docx
0 A
Engineering Review
lope at building pad: ,� /2' •
•�r
Or PFI Permit#:
11 onditions"Met"prior to issuance of building permit
• sements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
eaater 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
NI -s: �,,. ��f�D
�., _�.._+i/�j/ar.. __ d__ I..� r' A�L__i- �!_
Approved by Engineering: 41Date: ____„‘.47#
Revisions
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:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ■, /A
Tigard Trans SDC: ❑ Yes i. N/A
Parks SDC: ❑ Yes/f:' i' N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:
7241 .?
I:\Building\Forms\B1dgPerniitRvw_COM_WithLandUse 070915.docx