Permit (107) 1
CITY OF TIGARD BUILDING PERMIT
114 ' COMMUNITY DEVELOPMENT Permit#: BUP2018-00293
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 10/23/2018
Tli r\IiCY 9
Parcel: 1 S 136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#105
Project: Kronos Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Removing walls,doors,and relites. New cabinetry,plumbing,and demising wall.
Contractor: SAGE CONTRACTORS INC Owner: PNWP LLC#2
12210 SE 162ND AVE PNWP LLC
CLACKAMAS, OR 97086 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-558-1009 PHONE:
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/23/2018 $98.00
Occupancy Grp: B Occupancy Load: 41 Permit Fee-Additions,Alterations, 10/23/2018 $641.29
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/23/2018 $76.95
Stories: 0 Height: 0 ft Plan Review 10/23/2018 $416.84
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/23/2018 $256.52
Value: $42,000 Info Process/Archiving-Lg$2.00(over 10/23/2018 $6.00
11x17)
Misc Administration Fee 10/23/2018 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,545.60
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: I, / o.de/ Permittee Signature: fa;iefte. �' t�--/4
7
Call 503.639.4175 by 7:00 a.m.for the next available inspection
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.
Buildin„Permit Application
Commercial y-iC ' "',€ FOR OFFICE USE ONLY'
City of Tigard Received
Date/B : JP MAIM nd�
.tit° / �,r
: - ' 13125 SW Hall Blvd.,Tigard,OR 9703 T 2 3 2018 Plan Revi-' •
Phone: 503.718.2439 Fax: 503 598.1960 Date/B i �,, ♦ Other Permit:
T 1 G A R D Inspection Line: 503.639 4175
'ITY ! «) Date Ready/By: Juris, H See Page 2 for
Internet: www.ti and-or. ova? Notified Method: Supplemental Information
g g ',3(JJL 1Nr` 1111,(10u "'
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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
work indicated on this application.
CATEGORY OF CONSTRUCTION
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
I=1Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11850 SW 67° Ave New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 105 Project name:Kronos Office TI 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.
Remove walls,doors,relites. New cabinetry,plumbing and demising wall. Valuation: $$42,000.00
Existing building area: 2530 square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 2
Name:Pacific NW Properties Type of construction: IIIB
Address:6600 SW 67TH Ave Occupancy groups:
City/State/ZIP:Beaverton OR Existing: B
Phone:( ) Fax:( ) New: B
ll:APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mildren Design Group (Please refer 7nfee schedule)
Structural plan review fee(or deposit):
Contact name:Curt Trolan
FLS plan review fee(if applicable):
Address:7650 SW Beveland St,Ste 120
Total fees due upon application:
City/State/ZIP:Tigard,Oregon 97223
I Phone:(503)244-0552 Fax::( ) Amount received:
E-mail:curt@mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Sage Contractprs Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 14785 S Lotus Ln Solar Installation Specialty Code checklist.
City/State/ZIP:Oregon City,OR 97045 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)558-1009 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:127944
Total fee due upon application: $201.60
Authorized signature: e. C......----- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Curt Trolan Date: 10/23/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
R
1111 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): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
ti
111111 fl Buildin Division
°' ° g
Plan Submittal Requirements
TI G A R D Commercial& Multi-Family-New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirement Matrix
TI G A R D Commercial& Multi-Family- New,Additions or Alterations
Type of Submittal #of Plans
(Includes new,additions and alterations) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical _ 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
oh .1 City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
T I GARD Appointment Checklist
Permit Record#: a4(630/r-0 OA',3
Contact Name: ( Phone #:
( oJ
y�Business Name: ,,kg„e� �-d. i Appt. Date/Time: `� eu
/ .:0
Site Address: //7Sd 41 e771 � - Bldg/Suite #: d5-
Project
Name: New Tenant? ❑ Yes g--No ( -Ic)r-3-1 W
Project Description: « A , w sui I , A _
Existing Use: Use:
MMD Required: ❑ Yes Related Record #:
.:, .ar.. NO." . s. ,. ,. b Pair._ .:'Yr ,..
GENERAL INFORMATION
Class of Work: lk OccuBanc Grou.: 1 I T se of Construction: J
T .e of Use: lrib Occu.anc Load: 11 Ore_•on S.ecial Code: iga J
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: tJ 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: $ L—tc1` 0 Os() -A ��, MO Dt "'�W
$ 4 • DC Prov Rvw,COM TI—Ping
6 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2018) $ 76 .9 12%State Surcharge
Project Valuation $ 4Plan Review,Structural
Up to$4,999 $0.00 $ • , C , 2_Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ 6 Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ S-0 — Other: /hi[atezX)
Building Staff: $ Other:
Date/Time: $ i c.Lt 6,6o TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx
City of Tigard
III
COMMUNITY DEVELOPMENT DEPARTMENT
ill ■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /6(i,04O/1--O ) 5 3
Site Address: //e S'%o &94 Ilia_ Suite/Bldg#: /D
Project Name: ,grjY1 C?
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �
Proposal: 77/ e i' y___, 70M7 /'t?/obi 76
Existing Business Activity: COU
U
Proposed Business Activity: 1/
VJ Ve 'fy site address/suite#exists and active in permit syste .
Ii fit: er Terrace Neighborhood: ❑ Yes LJ No
Zomig: k----
g
_1 ermitted Use: SCJ Yes ❑ No ❑ Spec Space
[La Co irm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: E J 7 Date: /1) A
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: ( ,9 l oZ 3 7/,
Site Plans: #
Building Plans: #
Building Permit#: WO Enter building permit#above.
Workflow Routing: r Planning `iid" Building
Workflow Sign-off: tlf Sign-off for Planning(include notes from planning review)
Route Application Documents: ' ' Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /442 fr / Iii Date: 0// •
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
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 Ap.:cant:
Revision Notice 2: Date Sent to .plicant:
Revision Notice 3: Date Sent •. Applicant:
❑ SDC Fees Entered: Was 0 o Trans Dev Tax: ❑ Yes ❑ N/A
rd Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe
Approved by ' •rmit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11850 SW 67TH AVE STE 105, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00293
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor