Permit (5) p
CITY OF TIGARD BUILDING PERMIT
$ COMMUNITY DEVELOPMENT Permit#: BUP2014-00220
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2014
Parcel: 25101 BB01400
Jurisdiction: Tigard
Site address: 12010 SW GARDEN PL
Project: BMW Subdivision: CROW PARK 217 Lot: 2
Project Description: Tenant improvement,downsizing,interior upgrade,remove ceiling grid,add accessible restroom&finishes.
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 09/18/2014 $187.00
Occupancy Grp: B Occupancy Load: 220 DC Provision Review,COM TI-LRP 09/18/2014 $28.00
Permit Fee-Additions,Alterations, 09/18/2014 $1,226.75
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 09/18/2014 $147.21
Bedrooms: 0 Bathrooms: 0 Plan Review 09/18/2014 $797.39
Value: $120,000 Plan Review-Fire Life Safety 09/18/2014 $490.70
Info Process/Archiving-Lg$2.00(over 09/18/2014 $14.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 09/18/2014 $144.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,035.05
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
952-00 :. I r.. •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.
!Oiled 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.
Building Permit Application
Commercial RECEIVED I ()k ((I I I t I I .I ()\l 1
City of Tigard Received / M Permit No.: 1_ '/,90/ 0)2--'0
4.I . q 13125 SW Flail Blvd.,Tigard,OR 97223 S E P 8 2014 Plan Review PAW �1 WM
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : /A' a al�g Other Permit:
1.I It l t Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: luris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
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
jZt 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: $
❑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: i 2O I O S W (pP.QOF tit 7(<A New dwelling area: square feet
City/State/ZIP: 'f'( g_v Dtz, `11 22-3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 13(14 i) -rr ptaT II„t o,e1 j Covered porch area: square feet
Cross street/directions to job site: 5 ) N A Lk_ .5 L�9 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.
2 S lot S' 3 O(�Qp 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.
R �Ca �R Valuation: $ 2.p) 000
A490 Access I I3(�t S i tt2-..00I`� • �I 0I SE-���s , Existing building area:.4 QOD square feet
• C4.1/i4,�(l New building area: square feet
34 PROPERTY-OWNER' ❑ TENANT Number of stories: O 1.4.E,
Name: IL.t(7C7 (2 friPr-f IA E1,jS Cyr 55iCp, c.,,1e5) Type of construction: v•
Address: Oi'41 $I9 co I.JM Sip. 5-r -s-re ci o Occupancy groups:
t3 / r'1 5 — 1
City/State/ZIP: 'Pole_,c L,4O O.� 01-1 2 4 6 Existing:
P,/ M / s --I
Phone:(so 3) 'L Z(- 'L 2-0Ia, Fax:(go-5) t 1 _ 24_1 1 New: f. / (v1. 5 — I
❑ APPLICANT ,'CONTACT PERSON BUILDING PE IT FEES*
(Please refer to fee schedule)
Business name: L9.....S A_ i t c- 5
Structural plan review fee(or deposit):
Contact name: 124)5 5 r.-.:1 liE‘-(
36
I-1 f
Address: 227 FLS plan review fee(if applicable):
DPI! s
3 `I S'S'A U Total fees due upon application:
City/State/ZIP: '1,0f2x-c L4.,1-412 0 2- c;\1 2-v p`
Phone:(g)3) e_(0 S- t S 2 I Fax::( ) Amount received:
E-mail: n I L PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r h- 1 PN 12.q e r 3 a e�fi L'[ P Ci4- S • CO✓1 Commercial and residential prescriptive installation of
f CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: pj��,r •�O0O 6A t� 5T J G 1� Submit two(2)sets of roof plan with connection details
T and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5o3) (o S 3 . 6--?o 4. Fax:(50 3) (p S 3 S-1 2...q State surcharge(12%of permit fee): $21.60
CCB lic.: Q -4. 22 •CI$� �� �''P• I 6 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.
Print name: 124A S. ( L(— r1,F.1(, '' Date: 9 - 1 g, 1 4 _ * Fee methodology set by Tri-County Building Industry
1 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-461 3T(I I/02/COM/WEB)
City of Tigard
111111 s COMMUNITY DEVELOPMENT DEPARTMENT
N .
TI C;A K D Building Permit Review — Commercial - No Land Use
i
Building Permit #: ` c,,P,Ro/- QQog-O
Site Address: I a o l u 5 W Car d c n Pia Lk_ Suite/Bldg#:
Project Name: ------e3 f`'1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �+
Proposal: �rt-4 ri ov/ ✓'G�+ocl¢,� ■i- r-e d u r 1 u n 0f- a c...4— --r-a✓'
0-e.g. C.e- - .-
Existing Business Activity: p.c-k CJL-
Proposed Business Activity: -no 0-14.0 lc_ p op Y-.d
'Verify site address/suite #exists and active in permit system.
,R"Zoning: Cr -Cj
air-Permitted Use: .—V—Yes ❑ No ❑ Spec Space
,(Confirm no land use required.
Notes:
Approved by Planning: 0A^44— a . C'4.t.A.A..... Date: 9 - /8 -/ 7
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 Submittal Date: c?// /7`
Site Plans: #
Building Plans: # 3
Building Permit#: [ ter building permit#above.
Workflow Routing: '2 Planning 12—Permit Coordinator c121'Building
Workflow Sign-off: agn-off for Planning(include notes from planning review)
Route Application Documents: �14-uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technicia /0(›-c.Ci Date: 9/ /`7l
I:\Building\Forms\BldgPermitRvw COM NoLandUse_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes: No On e^''9 0c LU 2- .
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:
/// OK to Issue Permit
Approved by Permit Coordinator: a . Date: if —/b—fki-
1:113uilding\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
AO
111111 • ' Building Division
Over-The-Counter (OTC) Building Permit
r i c,:\it I) Check List
Project Description: Ti
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: .1 Type of Construction: =�V
Type of Use**: Occupancy Load: ZE Oregon Specialty Code: 2(1(7,
SPECIFICS
Number of Stories: ` 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: 'S 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: PP
Total Project Valuation: $ 1 C re)2C) I FEES DUE
$ KcZoin DC Prov Rvw,COM TI—Ping
$ 2.600 j DC Prov Rvw,COM TI—LRP .
DC Provision Review Fee for COM TI (effective 7/1/2014) $ t�(�u7 J Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ (`t 7,2( 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 7,3'7 Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ O.7C) Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ / ,GYM Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ t44- 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: $ 3 j 5 TAL 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_070114.docx 2.L:39 I .
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
12010 SW GARDEN PL, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00220
Chip Barnett
Violation Summary:
Inspector Contractor