Permit (170) CITY OF TIGARD BUILDING PERMIT
II - COMMUNITY DEVELOPMENT Permit#: BUP2014-00035
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2014
Parcel: 2S 1018801500
Jurisdiction: Tigard
Site address: 12242 SW GARDEN PL, BLDG#1
Project: Chester Labs Subdivision: CROW PARK 217 Lot: 3
Project Description: TI for existing tenant:New bathrooms,break room,office,and storage space.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: WALTON CWOR PARK BC 8 LLC
4080 SE INTERNATIONAL WAY B113 BY EQUITY OFFICE MANAGEMENT LLC
MILWAUKIE, OR 97222 PO BOX A-3879
CHICAGO, IL 60690
PHONE: 503-653-5704 PHONE:
FAX: 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 02/19/2014 $70.00
Occupancy Grp: B Occupancy Load: 49 DC Provision Review,COM TI-LRP 02/19/2014 $10.00
Permit Fee-Additions,Alterations, 02/19/2014 $744.51
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 02/19/2014 $89.34
Bedrooms: 0 Bathrooms: 0 Plan Review 02/19/2014 $483.93
Value: $51,850 Plan Review-Fire Life Safety 02/19/2014 $297.80
Info Process/Archiving-Lg$2.00(over 02/19/2014 $10.00 1
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,705.58
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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. 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: ermittee Signature: e //
.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.
Builfling Permit Application
Commercial <'4 FOR OFFICE USE ONLY n
City of Tigard DDaaterB o��ty/t f g..77___ Permit No.. &{� 7.�i �3s`
13125 SW Hall Blvd.,Tigard,O 1 Plan Review V �C(1/
�t Other Permit:
Phone: 503.718.2439 Fax: ��� Date/By:
T t GARD Inspection Line: 503.639.417 9 �O Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov ��� l[_Q► \()\— Notified/Method: Supplemental Information
TYPE OF WOIt REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction Permit fees*are based on the value of the work performed.
l, Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement EAher: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
I
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12242 sw.Garden Place New dwelling area: square feet
City/State/ZIP:Tigard OR.97223 Garage/carport area: square feet
Suite/bldg./apt.no.:12242 Project name:Chester Labs 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.
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 work indicated on this application.
Valuation: $51850
Commercial T.I.new bathrooms,brake room office and storage space. Existing building area: 3692 square feet
New building area: 4940 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:IndCor Properties Type of construction: Commercial T.I.
Address: Occupancy groups:
City/State/ZIP: Existing: LC\
Phone:( ) Fax:( ) New: Lk
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Robert Tood Contruction Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Robert Swain
Address:4080 SE.International Way FLS plan review fee(if applicable):
City/State/ZIP:Milwaukie OR.97222 Total fees due upon application:
Phone:(503)653-5704 Fax: :( )
Amount received:
E-mail:Bob @roberttoddconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:RoberTodd Contrution Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4080 SE.International Way Solar Installation Specially Code checklist.
City/State/ZIP:Milwaukie OR.97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)653-5704 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:#98517 Total fee due upon application: $201.60
Authorized signature � This permit application expires if a permit is not obtained
`?`2 _ within 180 days after it has been accepted as complete.
Print name:Robert Swain Date:2-18-14 * Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
;1 , " Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description: l/
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: 4.r Occupancy Group: , Type of Construction: 6-B
j
Type of Use**: Cc,p.A. Occupancy Load: iI ei Oregon Specialty Code: „Qv/0
SPECIFICS
Number of Stories: i Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
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: Smoke Detectors:
Parapet: ;A Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ FEES DUE
$ "70 DC Prov Rvw,COM TI—Ping
$ 1 O DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ 7qq,6"/ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ gy, 3.i 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ ti q2).C 3 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ , U Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc.Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ I-7 0 c;',cr TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Buildin Forms OTC-BUP.docx 07/01/2013
Building Permit Number: 6IAPO1r- 00035-
: . "
IIIIIII Building Permit Review
IIC,ARI)
Commercial Project —No Associated Land Use Case
SSit�'Address: 122L12 ON (Orden► PWei
L'd'Terify site address is valid.
Project Name : ( r LA96
Planning Review
Proposal: I r'P.4O ;l Y o Sb 1ij *k1+
-
217Zoning: C g/yermitted Use (Yes ❑ No ❑ Spec Space
IV Land Use Required ❑ Yes . No
Notes: t Ne, C IS ati- wl pre_V lOA V SCs . — O'C-k U Y-•
Approved by: NOVM Cl/atjA Date: 2,I1 119'
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: ,0Qh y By. 8.1,
Site Plans: # A/,g
Building Plans: #
Create Case Record#: L�Enter case#above for Building Permit Number.
Workflow Routing: ning ❑ Engineering ❑ Permit Coordinator 8—Boding
Workflow Sign-off: Ca-"Si-off C for Planning staff,including notes from planning review(page 1)
Route Application Documents: �"Building. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: //j/ Date: „2//9/V
Notes: 07C----
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12242 SW GARDEN PL BLDG 1, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00035
Chip Barnett
Violation Summary:
Inspector Contractor