Permit (212) y a CITY OF TIGARD BUILDING PERMIT
IN m • COMMUNITY DEVELOPMENT Permit#: BUP2014-00073
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 04/01/2014
Parcel: 251018801300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Vesta Subdivision: CROW PARK 217 Lot: 1
Project Description: TI
Contractor: PAYNE CONSTRUCTION INC Owner: WALTON CWOR PARK BC 8 LLC
5404 NE 112TH AVE BY EQUITY OFFICE MANAGEMENT LLC
PORTLAND, OR 97220 PO BOX A-3879
CHICAGO, IL 60690
PHONE: 503-257-8221 PHONE:
FAX: 503-253-3247
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 04/01/2014 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 04/01/2014 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 04/01/2014 $804.75
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 04/01/2014 $96.57
Bedrooms: 0 Bathrooms: 0 Plan Review 04/01/2014 $523.09
Value: $60,000 Plan Review-Fire Life Safety 04/01/2014 $321.90
Info Process/Archiving-Lg$2.00(over 04/01/2014 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,830.31
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 ordance 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. ENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho - les are set forth in OAR
952- 1-0010 through OAR 952- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 •87 or :00.332.234
Iss ed By: 0/,Q Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspecti•• date.
This permit card shall be kept in a conspicuous place on the job site until c mpletion of the
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial EDFOR OFFICE USE ONLY
RECEIV U„! Received
City of Tigard Date/B : /�/ c ) Permit No.: u�' / � 7
• 13125 Phone:SW Hall Blvd.,TFax: 5 3 972j� p 20 4 Plan Review �. 1 a Other Permit:
MI
Phone: 503-718-2439 Fax: 503-598 6(0 DateB
TIGARD Inspection Line: 503-639-4175 ���{�// rI(?�IC Date Re y: Juris ® See Page 2for
Internet: www.tigard-or.gov {��Cj11111}�`^ 1, Notified/Method: Supplemental Information
— '�i N •nIVRI ,
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
El 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 Valuation: $
❑Commercial/industrial
ID Accessory building El Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: t(qi,--V 5 LA., , N /34. e New dwelling area: square feet
City/State/ZIP: �6,4A6 0/2_ 72.)2,3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: fjr4 00, /LA 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: $ (6'0 ZinnC - i ;j r e�.lz rCew . 1
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: W p LTo r, C L`LD(Z `}/�(Z-�-1 j� % L(, L Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Pkare refer to fee scfcedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: y Submit two(2)sets of roof plan with connection details
YlQ `""`� Y vt I and fire department access,along with the 2010 Oregon
Address: 5q 0u 1 j l I a.1"' AoL. Solar Installation Specialty Code checklist.
City/State/ZIP: Q(_-r 2 0(7,9,�� Permit fee(includes plan review $180.00
P ►� �� �' ,/ and administrative fees):
Phone:( , S�—'?-a-1 ax:(5o ) `7 �5 ) . I17 State surcharge(12%of permit fee): $21.60
CCB lic.: 'jga.l cs' /f Total fee due upon appication: $201.60
Authorized signature: J� - This permit application expires if a permit is not obtained
Q� within 180 days after it has been accepted as complete.
Print name: JOS •n� (./, C Zk[ Date: `.(/t 4kji * Fee methodology set by Tri-County Building Industry
/ Y Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(I 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 arc 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 percent(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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: `� Occupancy Group: Type of Construction:
Type of Use**: /U.. Occupancy Load: Oregon Specialty Code: O
SPECIFICS
Number of Stories: j 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:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: _
Total Project Valuation: $ 6-1)1C00 FEES DUE
$ `7 ,Cr) DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ ja. ' Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ a Ta N.r 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 2 i` Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ , "CO Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ ' ,QC, 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
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ (6)36,?A 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:\Building\Forms\OTC-BUP.docx 07/01/2013
1
Building Permit Number: c Lt1 —00073
Building Permit Review
Commercial Project —No Associated Land Use Case
TIGARD
Site Address: //Gf SU //ice /o 0
❑Verify site address is valid.
Project Name : I/S l�c. .er¢q � ",. h.,o4
Planning Review
Proposal: Zelatti
❑ Zoning. L s
❑ Permitted Use 0-.Yes ❑0 �No ❑ Spec Space
❑ Land Use Required ❑ Yes Ltd'No
Notes: an 54e✓i'j4 ( /9P hic 4( or 0/4 / td0.4-1. 4 C /Po e i'Pl. 47
Approved ArAPP Date:
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: By:
Site Plans: #
Building Plans: #
Create Case Record#: ❑ Enter case#above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off 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: Date:
Notes:
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
11950 SW GARDEN PL 100, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00073
Chip Barnett
Violation Summary:
Inspector Contractor