Permit (96) CITY OF TIGARD
BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00254
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018
T I�''� O g Parcel: 1 S 136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: New 87,872 sq.ft.five-story, 152 room hotel with parking structure.
Contractor: CONSTRUCT ONE LLC Owner: DVKOCR TIGARD, LLC
PO BOX 1467 1419 W MAIN STREET,SUITE 110
RIDGEFIELD,WA 98642 BATTLEGROUND,WA 98604
PHONE: 503-932-1152 PHONE: 360-723-0024
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VA DC Provision Review,COM New-Bldg 08/08/2018 $180.50
Occupancy Grp: R-1 Occupancy Load: DC Provision Review,COM New-Ping 08/08/2018 $180.50
Metro Const.Excise Tax 08/08/2018 $12,000.00
Dwelling Units: Tig-Tual School CET-Non Residential 08/08/2018 $31,400.00
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 08/08/2018 $100.00
Bedrooms: Bathrooms: 11 x 17)
Value: $14,183,347 Info Process/Archiving-Sm$0.50(up to 08/08/2018 $125.00
11x17)
Wash Co Trans Dev Tax 08/08/2018 $356,342.00
Floor Areas: Parks SDC Improvement 08/08/2018 $19,541.00
Total Area: 103216 Parks SDC Reimbursement 08/08/2018 $4,408.00
Permit Fee-COM-New Construction 08/08/2018 $64,046.58
Accessory Strutt: Plan Review 08/08/2018 $41,630.28
Basement: Plan Review-Fire Life Safety 08/08/2018 $25,618.63
Carport: 12%State Surcharge-Building 08/08/2018 $7,685.59
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $563,258.08
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.
Issued By: 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.
CITY OF TIGARD BUILDING PERMIT
a . ' COMMUNITY DEVELOPMENT111
Permit#: BUP2017-00254
13125 SW Hall Blvd.,Ti Date Issued: 08/08/2018
T[4�AR. s and OR 97223 503.718.2439 9
Parcel: 1S136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: New 87,872 sq.ft.five-story, 152 room hotel with parking structure.
Contractor: CONSTRUCT ONE LLC Owner: DVKOCR LLC
PO BOX 1467 1419 W MAIN STREET
RIDGEFIELD,WA 98642 BATTLEGROUND,WA 98604
PHONE: 503-932-1152 PHONE: 360-524-3101
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VA DC Provision Review,COM New-Bldg 08/08/2018 $180.50
Occupancy Grp: R-1 Occupancy Load: DC Provision Review,COM New-Ping 08/08/2018 $180.50
Dwelling Units: Metro Const. Excise Tax 08/08/2018 $12,000.00
Tig-Tual School CET-Non Residential 08/08/2018 $31,400.00
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 08/08/2018 $100.00
Bedrooms: Bathrooms:
11x17)
Value: $14,183,347 Info Process/Archiving-Sm$0.50(up to 08/08/2018 $125.00
11x17)
Wash Co Trans Dev Tax 08/08/2018 $356,342.00
Floor Areas: Parks SDC Improvement 08/08/2018 $19,541.00
Total Area: 103216 Parks SDC Reimbursement 08/08/2018 $4,408.00
Accessory Strutt: Permit Fee-COM-New Construction 08/08/2018 $64,046.58
Plan Review 08/08/2018 $41,630.28
Basement: Plan Review-Fire Life Safety 08/08/2018 $25,618.63
Carport: 12%State Surcharge-Building 08/08/2018 $7,685.59
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $563,258.08
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.
Issued By: `�`--i�,
Permittee Signature:
- t ' n e cam.------ ,
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 oFFlc'E USE olyLl'
s 4.� a ,4/ .r.r ,ceived
Cityof Tigard
g ' ap Permit No.: r p ..
IN13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: pay 'j 7 -i-i Other Permit:5-0,e, ai 7—c)!1C,03
Inspection Line: 503.639.4175 :--,s,Er. / NDoat[eifReeadyeSthyod: ! � I Juris: See Page 2 forTIGARDInternet www.tigard-or.gov 7 I Supplemental Info
rmation
.x r'11,` , ' 47�9,c , Sc _
.i, ., #..c' •',,,. . .,tK,. rrt`0., I '4 a a k'dd'.d ''dtc'f, ,' ,t t. ,k 6 $a M ., lt` ll. .fit t' .ky'
®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 0 Other: equipment,materials,labor,overhead,and the profit for the
-w•:';:,,;:,:::,, ^ � d"rC� 7 1` WJ work indicated on this aPPlication.4 � arig
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
. ityl s. 1 _ .., T . A A 'ION ,.. ,, Total number of floors:
Job site address SSW 69th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Hampton Inn&Suites Covered porch area: square feet
Cross street/directions to job site:NWC of SW Clinton Street&SW 69th Ave Deck area: square feet
Located in Tigard Triangle,one block north of Dartmouth Street. Other structure area: square feet
I Vffi DDA*4: OMI► ^I cl ,L c KLIS ^=µ
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:21-2200,24-2500 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,ove and the P
r t for the
" - eR ,: � ,� �� work indicated on this aPPlieati 7
45
i5 61 „. ., :ITw. rValuation:Construction of a new 152 room 4-storywood framed hotel,with parking
stucture below. Design is of Type V-A,fully sprinklered,R-1 occupancy,wood Existing building area: 0 square feet
framed over podium. New building area: ' 7i`a7Z- square feet
..I , . . .' ,r .- Ci i =u . „ ,,',a:::-!.1.i'-'4,14,-,-_-': Number of stories: 5 (4 over l)
Name:DVKOCR LLC,an Oregon LLCP1131-01Type of construction: V-A over 1-A,with 2-B
\VY Address:1419 W.Main Street �' Occupancy groups:
City/State/ZIP:Battleground,WA 98604
44,." Existing: N/A
Phone (360)524-3101 Fax ( ) New: Mixed Use,R-1,B,S-1,S-2,A-2,A-3,U
�
,,i,;: :::'4,.,' 7 rrx 4„�3x
"'�'£ "�,.. %�.. y 'k�� t .:1,1',''',-,',:::,.:.:;Ati, #g) w7 �w� ! I" . b r 4'°rj .
Business name:Hill Architects
IlkStructural plan review fee(or deposit):
Contact name:Dan Salvey
FLS plan review fee(if applicable):
Address:1750 Blankenship Road
City/State/ZIP:West Linn,OR 97068
Total fees due upon application: ��,'7/I/ 3'
Phone:(503)305-8033 Fax::( ) Amount received:
E-mail:dan.salvey@hillarchitects.com
-
:, gy, ~r; Commercial and residential prescriptive installation of
,. ,. .:,./;,;,,,,, . 'r _ ".�` : ' roof-top mounted PhotoV81taic Solar Panel System.
Business name:Construct One Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:P.O.Box 1467 Solar Installation Specialty Code checklist.
City/State/ZIP:Ridgefield,WA 98642 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)727-3029 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:175447
Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
41.
Print name: '✓n N i EZ L ALV'E`f�
Ly
within 180 days after it has been accepted as complete.
Date: 11+1� * 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)
IIII 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] $
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: $
(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): $
1:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
TDT Estimate Hampton Inn - Revised 5/24/2018
11799 sw 69TH Ave. AMS
TDT RATES EFFECTIVE 7/1/17
TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/17 INSIDE RIVER TERRACE
TSDC CITYWIDE EFFECTIVE 7/1/17 Q Yes
Project is in River Terrace? Q No
Former Use
Rate Type Use# ITE Code #Units Rate TDT Amount Description
TDT 1 210 1 $8,458 $8,458 1 SFR
TSDC-Imp 1 $0
TSDC-Reim 1 $0
TSDC-RT 1 $0
Total TDT and TSDCs Former Uses $8,458
Proposed Use
Use# ITE Code #Units Rate TDT Amount Description
TDT 1 310 152 $2,400 $364,800 152 room hotel
TSDC-Imp 1 $0
TSDC-Reim 1 $0
TSDC-RT 1 $0
TDT 2 $0
TSDC-Imp 2 $0
TSDC-Reim 2 $0
TSDC-RT 2 $0
Total All TDTs&TSDCs Proposed Uses $364,800
Less: Total All TDTs&TSDCs Former Uses $8,458
Total All TDTs&TSDCs Net Increase $356,342
Total Net County TDT $356,342
Total Net TSDC-Imp $0
Total Net TSDC-Reim $0
Total Net TSDC RT Overlay $0 $356,342
TDT TSDC Imp+Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $1,272,650 $0
Estimated Unmitigated Impact $916,308 $0
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 28% 30%
Estimated Total Impact $1,272,650 $0
Estimated Unmitigated Impact $916,308 $0
TDT=County Transportation Development Tax
TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim)
TSDC RT=River Terrace Transportation System Development Tax Overlay
r
Parks Estimate Hampton Inn - Revised 5/24/2018
11799 sw 69TH Ave. AMS
ALL PARKS RATES EFFECTIVE 7/1/17
Q Yes
Project is in River Terrace ? QQ No
Note:All Neigh-Imp# Units entries=0 if project is in River Terrace;
All Neigh-RT#Units entries=0 if project is elsewhere in the city.
Former Use
Rate Type Use# ITE Code #Units Rate Parks Amount Description
Parks-Imp 1 210 1 $4,877 $4,877 1 SFR
Parks-Reim 1 $0 0
Neigh-Imp 1 $0 0
Neigh-RT 1 $0 0
2 $0
Total Parks Former Uses $4,877
Proposed Use
Use# ITE Code #Units Rate Parks Amount Description
Parks-Imp 1 310 58 $421 $24,418 152 room hotel
Parks-Reim 1 310 58 $76 $4,408 0
Neigh-Imp 1 310 58 $0 $0 0
Neigh-RT 1 $0 0
Parks-Imp 2 $0 0
Parks-Reim 2 $0 0
Neigh-Imp 2 $0 0
Neigh-RT 2 $0 0
Total Parks Outside RT Proposed Uses $28,826
Less: Total Parks Outside RT Former Uses $4,877
Total All Parks Outside RT Net Increase $23,949
Total Parks RT Proposed Uses $0
Less: Total Parks RT Former Uses $0
Total All Parks RT Net Increase $0
Total Parks-Imp $19,541
Total Parks-Reim $4,408
Total Neigh-Imp $0 $23,949
Total Neigh-RT $0
For Non-Residential Calculations:
Prior Use: =###sf/EE;#####/###=EEs.
Proposed Use: Hotel=1500sf/EE;87,872/1500=59.58EEs.
Parks-Imp=Parks Improvement,Citywide including River Terrace
Parks-Reim=Parks Reimbursement,Citywide including River Terrace
Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace
Neigh-RT=Neighborhood Parks Improvement Inside River Terrace
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A RD Building Permit Review - Commercial - With Land Use
Agnammant
Building Permit #: '��/�,' f 7-6 5'1y
Site Address: //7W Sc ),t, 6q.A fkre , Suite/Bldg#:
Project Name: � 1
me of c mmercial business n occu yithespace. If vacant,enter Spec Space.)
occupying P P )
Planning Review
Proposal: AN tt( ' KAT/11k UYI H
..3S Verify site address/suite# exists and active in permit system.
,,River Terrace Neighborhood: ❑ Yes [ No
and Use Case#: p tZ2o 11 -O �
Plan .Match Approved Land Use: LGv-A E v\i t ` L,f-
❑ Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan fa Elevation Plan . tt •
t _
i�"Buildint Freitht: Maximu • . "'f Actual Height L5 rnat4 pL
`Conditions Met: Prior to Submittal Prior to carat ssuance
Business License: COS -
Exists: El Yes 'No,applicant notified to obtain business license
SP-41M'
Public Facilities Improvement(PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Notes: ` at11 til-S Reet- -f n k p fr- N 1 s.51 E c-P .W 9 U.l —
<14„bkylit Au./
Approved by Planning: /LAVAL j f'frir Date: 91 t
Revisions (after Building Submitt. only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: //4/7/
Site Plans: #
3
Building Plans: #
Building Permit#: IEnterbuilding permit#above.
Workflow Routing: ming engineering L 'ermit Coordinator ❑ Building
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: L5'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �!'�- - �,, � Date: Vi?,/7
I:\BuildingForms\BldgPennitRvw_COM_WithLandUse_060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#: C)17.•• 00/4`
❑ Conditions "Met"prior to issuance of building permit At (0,0D/7/Dk(J N0?- /j ..-!--
El
'I'❑ 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
[ i NOT Approved by Engineering: Date q/,2gi 7
Notes: 1454 Lure PR *vies Pr•-•r iv 6u eevs'c-3 .
Approved by Engineering: Date:
Revisions (after Bu' ng Submittal only) l eviewer Date
Revision 1: roved ❑ Not Approved 45.17 ii 2 ti/
Revision 2: LTJ' Approved ❑ Not Approved / ,,011 ► , 5 r '! i o
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
Approved,NOT Released: /4e! - £Lvi.C ) J ate: C3 J1--,V1I
Notes: -Peir tIrkl P 4 -O k 40 I E e -- l-- S f ZLI )1
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: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: c----Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:5 2y I IS
I:\Building\Forms\B1dgPermitRvw COM_WithlandUse 070915.docx
CITY OF TIGARD BUILDING PERMIT
III a ' ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00254
T I G A p n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018
Parcel: 1 S 136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: New 87,872 sq.ft.five-story, 152 room hotel with parking structure. 12/31/2018: REPRINT permit to change
contractor.
Contractor: WRIGHT HOTEL DEVELOPMENT Owner: DVKOCR TIGARD, LLC
3214 NE 42ND ST 1419 W MAIN STREET, SUITE 110
VANCOUVER,WA 98663 BATTLEGROUND,WA 98604
PHONE: 503-484-1103 PHONE: 360-723-0024
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VA DC Provision Review,COM New-Bldg 08/08/2018 $180.50
Occupancy Grp: R-1 Occupancy Load: DC Provision Review,COM New-Ping 08/08/2018 $180.50
Metro Const.Excise Tax 08/08/2018 $12,000.00
Dwelling Units: Tig-Tual School CET-Non Residential 08/08/2018 $31,400.00
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 08/08/2018 $100.00
Bedrooms: Bathrooms: 11x17)
Value: $14,183,347 Info Process/Archiving-Sm$0.50(up to 08/08/2018 $125.00
11x17)
Wash Co Trans Dev Tax 08/08/2018 $356,342.00
Floor Areas: Parks SDC Improvement 08/08/2018 $19,541.00
Parks SDC Reimbursement 08/08/2018 $4,408.00
Total Area: 103216 Permit Fee-COM-New Construction 08/08/2018 $64,046.58
Accessory Structs Plan Review 08/08/2018 $41,630.28
Basement: Plan Review-Fire Life Safety 08/08/2018 $25,618.63
Carport: 12%State Surcharge-Building 08/08/2018 $7,685.59
Covered Porch: Misc Administration Fee 01/02/2019 $45.00
Deck:
Garage:
Mezzanine:
Total $563,303.08
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.
Issued By: �%'� �% Z Permittee Signature: ,' ��/nve,9 7 7o Al
111��� 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 ApplicationFiECElVE
Commercial CCVVC V rolz tlrr1t 1 i is()NI )
Cityof Tigard DEC-2'-(201•
EC e2it p eceived S f„ ....0 '
b �!►p Date/B : 13' f 421 Permit Noy L?� / /2 '
14 ii 13125 SW Hall Blvd.,Tigard,OR 972 Z+y OF i iGAR Plan Review
Phone: 503.718.2439 Fax: 503.598.1900 i Date/B : Other Permit:
I l t A 12 t Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris: rd See Page 2 for
Internet: www.tigard-or.gov 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1-and 2-familydwellingValuation: $
El 0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND:LOCATION Total number of floors:
Job site address:11795 SW 69th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Hampton Inn&Suites Covered porch area: square feet
Cross street/directions to job site: 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,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Change Contractor on existing Permit#BUP2017-00254 Valuation: $
Existing building area: square feet
New building area: square feet
>;a PROPERTY° OWNER I 0 TENANT Number of stories:
Name:DVKOCR Tigard,LLC Type of construction:
Address:1419 W Main St.,Suite 110 Occupancy groups:
City/State/ZIP:Battle Ground,WA 98604 Existing:
Phone:(360)723-0024 Fax:( ) New:
0:4 APPLICANT`" Cl CONTACT PERSON BUILDING PERMIT FEES*
- Pleas
Business name:DVKOCR Tigard,LLC fr'refer frafee schedule)
Structural plan review fee(or deposit):
Contact name:Alkesh Patel
FLS plan review fee(if applicable):
Address:1419 W Main St.,Suite 110
Total fees due upon application:
City/State/ZIP:Battle Ground,WA 98604
Amount received:
Phone:(360)723-0024 Fax::( )
E-mail:apatel@evergreenhdg.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* `
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Wright Hotel Development Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:3214 NE 42nd Street Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98663 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)484-1103 Fax:(503)484-1119 State surcharge(12%of permit fee): $21.60
CCB lic.:188427
Dnc-olya-a by: Total fee due upon application: $201.60
Authorized signature: �i� p4-I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Alkesh Patel 1CCOBBD7883B452... Date: 12/18/18 * 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)